Nursing Theory and Application Exam Review
Course Introduction
This course explores major nursing theories and their practical application in clinical practice, education, and research. Students will critically examine the evolution and significance of nursing theory, analyze the influence of different theoretical frameworks on patient care, and develop skills for integrating theory into their professional roles. Emphasis is placed on understanding how theory guides assessment, intervention, and evaluation in diverse healthcare settings, as well as fostering a holistic, evidence-based approach to nursing practice.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume II 2nd Edition by Pearson Education
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30 Chapters
961 Verified Questions
961 Flashcards
Source URL: https://quizplus.com/study-set/1759
Chapter 22: Addiction
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/35027
Sample Questions
Q1) A client is admitted to the emergency department with signs of drug use.The client reports having ingested Percocet and is experiencing respiratory depression.Based on this data,which prescription does the nurse anticipate for this client?
A) Diazepam
B) Haldol
C) Vitamin B<sub>12</sub>
D) Naloxone
Answer: D
Q2) A client who is attending a Narcotics Anonymous (NA)program asks the nurse what the most important initial goal of attending the meetings is.When responding to the client,which will the nurse take into account?
A) To admit to having a problem
B) To learn problem-solving skills
C) To take a moral inventory of self
D) To make amends to people they have hurt
Answer: A
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Chapter 23: Cognition
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) The family of a school-age client is very upset because the child does not seem to know the family.The client has been admitted with pneumonia and has a high fever.What should the nurse teach this family to alleviate stress about the child's confusion? Select all that apply.
A) Reorient the client to time and place as much as possible.
B) Encourage the family remain at the bedside as much as possible.
C) Explain that high fevers can cause delirium.
D) Reassure that the confusion will not last very long.
E) Teach the family how to care for the child upon discharge.
Answer: B,C
Q2) The nurse is working with a group of parents of children with intellectual disabilities.Which should the nurse recommend to support environmental safety for these children? Select all that apply.
A) Have parents maintain a regular schedule for activities.
B) Teach emotional safety.
C) Use medications to decrease agitation.
D) Provide aids to assist with orientation.
E) Turn the temperature down on the hot water heater.
Answer: B,E
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Page 4
Chapter 24: Culture and Diversity
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is reviewing the discharge instructions for administration of home medications with an older adult client.In considering the normal changes experienced with aging,which activity should the nurse incorporate into the teaching plan?
A) Giving written materials to compensate for short-term memory losses
B) Considering holding sessions for longer periods than usual so the client can learn
C) Using tools that repeat the information until the information is understood
D) Providing instruction to relatives so that the client will not need to learn everything
Answer: C
Q2) The novice nurse working in an inner-city hospital that serves a diverse client population states "I want to learn everything possible about all of the clients." Which response by the seasoned nurse is appropriate?
A) "I will give you a great book that describes all of the critical factors."
B) "You should always be nonjudgmental."
C) "This will come with time as you get to know clients and then encounter problems."
D) "You need to first understand who you are."
Answer: D
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Chapter 25: Development
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The nurse is planning care for a family with five children,one of whom is diagnosed with cerebral palsy (CP_.The child is being cared for in the home,has a tracheostomy,and is on a home ventilator.Which should the nurse include in the plan of care for this family?
A) Meals-on-Wheels
B) Food stamps
C) Psychological counseling
D) Respite care
Q2) The nurse is interviewing the mother of a child who is being evaluated for attention-deficit/hyperactivity disorder (ADHD).When assessing the child's health history,which would the nurse identify as a risk factor for ADHD?
A) The measles, mumps, and rubella (MMR) vaccine
B) The immune response of the child
C) Young parental age at conception
D) Smoking during pregnancy
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6
Chapter 26: Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is creating a plan of care for the family of a client with a terminal illness.Which aspects of this family's care should the nurse emphasize when creating this plan? Select all that apply.
A) Instructing on medication administration
B) Guiding to determine realistic goals
C) Identifying strategies to enhance family functioning
D) Suggesting that cultural practices be minimized at this time
E) Focusing on the client's health needs as a priority
Q2) A pediatric home health care nurse is making an initial visit to assess the parenting style for a family in preparation for treating a child with drugs to reduce hyperactivity.Which approach should the nurse use for this assessment?
A) Ask the parents, "How do you handle situations that require limit setting?"
B) Ask the child, "What rule is hardest for you to obey?"
C) Observe the parent interacting with the child for 5 minutes.
D) Ask the parents, "What are the house rules?"
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Chapter 27: Grief and Loss
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) An older adult client is informed that it is no longer safe for the client to drive at night due to the development of night blindness.Which client statement prompts the nurse to plan a family care conference for the client?
A) "I will limit my driving to daytime hours."
B) "I guess I'll get help when I need to go out at night."
C) "In the summer, I will be able to drive longer."
D) "I expected this to happen eventually, but I think I still see okay at night."
Q2) The nurse identifies the nursing diagnosis of grieving as appropriate for the family of a terminally ill client.Which family behavior supports this diagnosis?
A) The family members are crying out loud and wringing their hands during visits.
B) The family is tearful and sad during visits with the client.
C) The family members state that they cannot care for the client at home.
D) Some family members state they cannot go on with life.
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8
Chapter 28: Mood and Affect
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A client being treated for depression reports feeling better and having more energy.Which is a priority nursing diagnosis for the client at this time?
A) Social Isolation
B) Hopelessness
C) Situational Low Self-Esteem
D) Risk for Self-Directed Violence
Q2) A client is experiencing symptoms of depression.Which laboratory or diagnostic test would be used to determine if depression is being caused by another health problem?
A) Electrocardiogram
B) MRI of the brain
C) Thyroid function tests
D) Cerebral angiogram
Q3) The nurse is planning care for an adolescent client experiencing the manic phase of bipolar disorder.Which intervention would address hallucinations?
A) Encourage spending time with others.
B) Discuss a homework assignment.
C) Keep isolated in a quiet room.
D) Explain that hallucinations are not real.
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Chapter 29: Self
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is providing care to a client diagnosed with a personality disorder.Which treatment options does the nurse anticipate for this client? Select all that apply.
A) Antipsychotic medication
B) Antidepressant medication
C) Cognitive behavioral therapy
D) Nutritional counseling
E) Weight management program
Q2) An adolescent client currently weighs 50% of expected body weight and tells the nurse,"I get upset and can't eat because my mother is constantly forcing food on me." Which treatments are indicated for this client? Select all that apply.
A) Family-based psychotherapy
B) Hospitalization
C) Behavior modification
D) Medication to increase appetite
E) Placement with a foster family
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10
Chapter 30: Spirituality
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is providing care to several clients on a medical-surgical unit.Which clients would necessitate a vegetarian diet due to religious beliefs? Select all that apply.
A) A catholic client.
B) An Anglican client.
C) A Hindu client.
D) An Episcopalian client.
E) A Seventh-Day Adventist client.
Q2) The family of a terminally ill client requests that the client not be informed of the diagnosis.Which moral principle does the request violate?
A) Justice
B) Veracity
C) Beneficence
D) Nonmaleficence
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11
Chapter 31: Stress and Coping
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65 Verified Questions
65 Flashcards
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Sample Questions
Q1) The nurse suspects that a healthy client could be experiencing stress because of which laboratory result?
A) Serum sodium of 142 mEq/L
B) Serum glucose of 165 mg/dL
C) Serum potassium of 4.0 mEq/L
D) Serum calcium of 10.2 mEq/L
Q2) A client diagnosed with obsessive-compulsive disorder (OCD)is being admitted as an inpatient.The client is obsessed with thoughts of symmetry.Which compulsive behaviors does the nurse anticipate when performing the admission assessment? Select all that apply.
A) The client repeatedly washes his hands.
B) The client repeatedly taps both wrists on the bedside table.
C) The client avoids shaking the nurse's hand
D) The client begins counting the floor tiles.
E) The client repeatedly cleans the top of the bedside table.
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12
Chapter 32: Violence
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66 Verified Questions
66 Flashcards
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Sample Questions
Q1) The nurse is providing care for a client who experienced several fractures as a result of spousal abuse.Which intervention is the most appropriate to include when planning care for the client?
A) Assist the client to devise a safety or escape plan.
B) Encourage the client to take charge of the situation.
C) Offer to contact outpatient services if the client promises not to return home after discharge.
D) Make it clear to the spouse that the couple needs to see a therapist.
Q2) The nurse is planning care for a client with multiple lower extremity fractures sustained from a motor vehicle crash.Which is an appropriate client goal for the nurse to include in the plan of care?
A) Have an adequate urine output.
B) Regain mobility.
C) Participate in self-care activities.
D) Discharge to home.
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13
Chapter 33: Reproduction
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) An adolescent client at 34 weeks' gestation states to the nurse,"I am stressed out about becoming a mother.I hope that I can get back to my normal day to day activities after the baby is born." In order to elicit the appropriate information from the client,which question by the nurse is the most appropriate?
A) "Are your friends excited about the baby coming and planning a shower for you?"
B) "Have you done anything to prepare for the baby coming home after delivery?"
C) "Do you miss going out with your friends on the weekends?"
D) "Have you been able to get enough rest while keeping up with your studies?"
Q2) The laboring client's fetal heart rate baseline is 120 beats per minute (bpm).Accelerations are present to 135 bpm.During contractions,the fetal heart rate gradually slows to 110 bpm and is at 120 bpm by the end of the contraction.Which nursing action is appropriate?
A) Documenting the fetal heart rate
B) Preparing for imminent delivery
C) Applying oxygen via mask at 10 liters
D) Assisting the client into the Fowler's position
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Chapter 34: Assessment
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is reviewing the medical record for a school-age client prior to a scheduled health maintenance visit.Which data indicates the client is overweight?
A) A BMI of > 85th percentile.
B) A BMI of > 95th percentile.
C) A 25 percentage point increase in weight in 6 months is categorized as being overweight, regardless of the baseline (e.g., 6 month's previous) percentile.
D) A 35 percentage points in 6 months is categorized as being overweight, regardless of the baseline (e.g., 6 month's previous) percentile.
Q2) The nurse is conducting a health history during the nursing assessment.The client states to the nurse,"I am allergic to penicillin." Which assessment question is most appropriate to learn more about the client's allergy?
A) "Where did you experience the reaction?"
B) "What type of reaction occurred?"
C) "How long did your symptoms last?"
D) "Do any other family members have this same allergy?"
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15
Chapter 35: Caring Interventions
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) A mountain climber in his early 30s with a love for the outdoors became critically ill with pancreatic cancer.The client states to the nurse,"I want to die outdoors where I can see the mountains." The nurse takes the client to an outdoor patio that overlooks open space and the distant mountains.The nurse is applying the carative factor of "Engaging in creative,individualized problem-solving caring processes." This action exemplifies which theory of caring in nursing?
A) Roach's Theory of Caring as the Human Mode of Being
B) Benner and Wrubel's Theory of Caring
C) Leininger's Theory of Culture Care Diversity and Universality
D) Watson's Theory of Human Care
Q2) During a care conference the nursing student differentiates between the different theories of caring when discussing client care.Which type of knowledge is the student demonstrating?
A) Aesthetic knowing
B) Ethical knowing
C) Personal knowing
D) Empirical knowing
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Page 16
Chapter 36: Clinical Decision Making
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse is caring for an older adult client with decreased energy who needs to get up to prevent the development of pressure ulcers.The client is unable to ambulate and wants to be alone.What should the nurse do?
A) Notify the healthcare provider of the client's noncompliance.
B) Leave the client alone until ready to get out of bed.
C) Gain knowledge about the client from family to gain compliance.
D) Proceed to get help to get the client out of bed.
Q2) A goal of care for a client with congestive heart failure (CHF)is for serum sodium levels to be within normal limits.Which information documented in the medical record would indicate that the client is not meeting this goal?
A) The client is experiencing dependent edema.
B) The client experiences joint pain.
C) The client is constipated.
D) The client is experiencing wheezing respirations.
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Chapter 37: Collaboration
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A community hospital wants to implement a labor delivery recovery postpartum unit to replace the labor and delivery and mother/baby units.The nurses who work on the mother/baby unit are concerned they will not be able to care for a laboring mother and may lose their jobs.The nurse manager for both units supports the plan for an integrated unit,reports that jobs would not be lost and involves the team members in the planning process,which includes cross-training all nursing staff.Based on the information presented,what causes of conflict may occur in spite of the nurse manager's effort for a smooth transition? Select all that apply.
A) Mistrust
B) Miscommunication
C) Ambiguous role expectations
D) Resistance to change
E) Ineffective leadership
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18
Chapter 38: Communication
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The nurse educator is teaching a group of nursing students about the purpose of documentation and medical records.Which purpose is appropriate for the educator to include in the teaching session with the students?
A) Communication
B) Planning
C) Auditing
D) Research
Q2) The nurse is caring for a school-age client who is scheduled to have major heart surgery the next morning.The nurse enters the room to administer a medication and finds the client crying.Which response by the nurse is most therapeutic?
A) "Would you like some toys from the playroom?"
B) "I'm going to go get the doctor."
C) "You shouldn't cry. You are not in pain."
D) "It is okay to cry. I know this is scary."
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19
Chapter 39: Managing Care
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is caring for an adult client from Canada who has come to the United States for a serious neurological surgery.The client tells the nurse,"I came to this country so that I would receive better care." Which is the most likely rationale for the client's statement?
A) America has many choices about health care.
B) America has a universal healthcare system.
C) Healthcare rationing in America decreases cost.
D) There is very little competition in health care in the United States.
Q2) A nurse working in an outpatient OB-GYN clinic is asked to assume care coordination for the clinic's adolescent clients.Which skills will the nurse need to perform this work?
A) Critical thinking
B) Force field analysis
C) Relaxation training
D) Accounting
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Chapter 40: Professional Behaviors
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A newly hired nurse manager believes in the theory of shared governance and directs the unit using that style.Which skills are essential in order for the nurse manager to be an effective nurse leader using this theory? Select all that apply.
A) Modeling the way
B) Empowering others
C) Giving feedback
D) Receiving feedback
E) Being political
Q2) A nurse mistakenly gives a client,who is NPO for surgery,a morning breakfast tray.After realizing the mistake,the nurse notifies the healthcare provider as well as the client; explains the consequences of this mistake,which includes a delay in the client's surgery; and documents the situation in the client's medical record.Which is demonstrated by the actions of this nurse?
A) Social justice
B) Human dignity
C) Reliability
D) Accountability
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21
Chapter 41: Teaching and Learning
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nurse is caring for a group of clients who are recovering in a rehabilitation hospital following total hip replacements.Which client is exhibiting the highest motivation to learn?
A) A client who has been there the longest and is a great "coach" for newcomers
B) A client who has been struggling with following nursing directives regarding discharge goals
C) A client who is excited to learn ambulation techniques
D) The client who has just moved in and is already eager for discharge
Q2) A novice nurse has completed a 12-week orientation period in a neurovascular intensive care unit (ICU).The nurse would like a mentor on the unit to go to with questions or concerns.Who is the best choice for this novice nurse's mentor?
A) An informal leader on the unit.
B) A charge nurse.
C) A nurse with 1 year of experience.
D) The nurse manager.
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22
Chapter 42: Accountability
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21 Flashcards
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Sample Questions
Q1) A student nurse is trying to explain nursing to family members.Which contemporary aspects of nursing might the student nurse include in the explanation? Select all that apply.
A) Nursing is a science.
B) Nursing is easy.
C) Nursing is a new profession.
D) Nursing is focused on illness.
E) Nursing is holistic.
Q2) An adult,who is returning to school for a second career,decides to become a nurse.Which program is recommended for this adult learner as entry-level education for professional nursing?
A) Associate degree
B) Baccalaureate degree
C) Master's degree
D) Nursing doctorate
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Chapter 43: Advocacy
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The nurse educator is presenting a lecture regarding advocacy in nursing.Which interventions will the nurse include as they exemplify client advocacy? Select all that apply.
A) Educating clients and their families about their legal rights
B) Ensuring that clients have the necessary information to make an informed decision or give informed consent
C) Speaking out for safe practice conditions when threatened by budget cutbacks
D) Supporting medical authority
E) Questioning other healthcare professionals when they provide care that is based on stereotypic ideas rather than on an assessment of the individual client's needs
Q2) The nurse taking care of a Vietnamese client knows to respect the client's cultural views and honor traditions regarding healthcare decision making.In order to be an effective advocate,which factors are important to the nurse? Select all that apply.
A) Being assertive and recognizing the rights and values of clients and families
B) Being aware that conflicts may arise
C) Understanding that advocacy may require political action
D) Evaluating advocacy decisions
E) Honoring societal differences
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Chapter 44: Ethics
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/35049
Sample Questions
Q1) The nurse is caring for a client who has chosen to discontinue hemodialysis.The client's family,however,is not supportive of the decision.The nurse who uses the theory of principles-based reasoning would make which statement regarding the current situation?
A) "The client understands the decision and the advanced stage of the disease. If the client quits treatment, the client will die."
B) "I need to try to help the family understand the client's decision so they can work through this situation together."
C) "This client is of sound mind and is capable of making independent decisions regarding health care. It really is the client's decision to make."
D) "This client's health is so deteriorated that the treatment is not saving the client's life. It is prolonging the ultimate outcome, which is death."
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25
Chapter 45: Evidence-Based Practice
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Sample Questions
Q1) The nurse is working with a client who has agreed to participate in a research study.Which actions would constitute a violation of disclosure for the client? Select all that apply.
A) Giving the client false information about his or her participation
B) Telling a mutual friend of the client's involvement in the study
C) Withholding information about the study
D) Providing the client's name as a participant in the study
E) Suggesting that participation would greatly benefit the client's financial situation
Q2) A client in the clinic is being asked to participate in a research study.The client asks why a nursing research study is necessary because research on this subject has already been published by the American Medical Association (AMA).Which goal of nursing research will the nurse share with this client regarding the goal of nursing research?
A) It supports the medical profession.
B) It validates nursing through medical research.
C) It supports products used in nursing care.
D) It validates nursing care, not medical care.
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Chapter 46: Health Care Systems
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32 Verified Questions
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Sample Questions
Q1) The manager of a small clinic has cross-trained the nurses to perform electrocardiogram (ECG)testing,phlebotomy,and some respiratory therapy interventions.This clinic is providing client-focused care.Which are the benefits of this delivery model? Select all that apply.
A) Collaboration among many disciplines in providing client care
B) Decreased steps to provide client care
C) Decreased personnel required to provide client care
D) Ease in tracking client progress
E) Cost-effective care resulting in improved outcomes
Q2) A hospital in the community has been notified of a multi-car crash on the interstate that will result in the transfer of many injured clients to the hospital.As part of the emergency response,the charge nurses in the emergency department (ED)and intensive care unit (ICU)are responsible for which tasks? Select all that apply.
A) Assigning care for the clients as they are admitted to the unit
B) Assuring that there are enough pain medications available
C) Assessing the acuity of the current clients on the unit
D) Delegating staff nurses to gather needed supplies for the arriving clients
E) Notifying the operating room of the potential influx of clients needing surgery
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27
Chapter 47: Health Policy
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Sample Questions
Q1) A nursing student,who is preparing to compose a paper,choses to research an organization that promotes excellence in all levels of nursing education.Which organization will the student likely research based on this data?
A) National League for Nursing (NLN)
B) National Student Nurses Association (NSNA)
C) American Nurses Association (ANA)
D) American Association of Colleges of Nursing (AACN)
Q2) A newly licensed nurse is hired at a local hospital and completes the hospital orientation program.During the hospital orientation process,which regulatory agency did the new nurse learn about which ensures the health and safety of Americans in the workplace?
A) Department of Health and Human Services (DHHS)
B) National Institutes of Health (NIH)
C) Occupational Safety and Health Administration (OSHA)
D) Centers for Medicare and Medicaid Services (CMS)
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Chapter 48: Informatics
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22 Flashcards
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Sample Questions
Q1) During a home visit,the nurse inputs admission information into a computer-based medical record system.The client asks what prevents a neighbor from accessing the information when the nurse visits the client.Which response by the nurse is appropriate?
A) "I send your information and then delete it."
B) "A password is required to access your information."
C) "I use a new computer for each client."
D) "I keep the notebook computer in my hands at all times."
Q2) A rural home health nurse is caring for a client recovering from a myocardial infarction.The client is concerned that the community clinic does not have the ability to provide the necessary monitoring for the health problem.Which response by the nurse is most appropriate?
A) "It is not necessary for you to be monitored after a myocardial infarction."
B) "Through technological advances such as telehealth, we can send your information to the cardiologist."
C) "You are right. We will be sending you to the city every month."
D) "We use an intranet in this facility."
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Chapter 49: Legal Issues
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/35054
Sample Questions
Q1) During an assessment of a child in the urgent care clinic,the nurse notes that the child has a swollen and split lip.When asking the parent how the child's lip injury occurred,the parent responds,"We are here for my child's ear not my child's lip." Which is the rationale for reporting this incident?
A) The child reports that a parent caused the injury.
B) The lip injury is unrelated to the ear infection.
C) The nurse can be sued if there is no abuse.
D) Suspected abuse must be reported.
Q2) The nurse is asked to participate on a committee to ensure that no breaches of client confidentiality occur when providing care.Which actions help ensure client confidentiality when providing care? Select all that apply.
A) Withholding private information from other staff unless needed for care
B) Sharing the name and diagnosis of clients upon request
C) Discussing client care with nurses on other units
D) Restricting the discussion of client care to the report room
E) Reviewing the client's care needs with a designated health insurance agent
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Chapter 50: Quality Improvement
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Source URL: https://quizplus.com/quiz/35055
Sample Questions
Q1) The nurse provides medication to a client at the wrong time.No harm came to the client as a result of the nurse's error and the nurse files a report about the medication error.Which response by the risk management team is most appropriate?
A) Discipline the nurse appropriately.
B) Report the nurse to the board of nursing.
C) Monitor all nurses on the unit to ensure this does not occur again.
D) Attempt to implement policy changes to prevent future errors.
Q2) The nursing instructor is speaking to a group of nursing students about standards of care.Which comment made by the nursing student indicates the need for further education about the standards of care?
A) "Standards of care are based on models of high-quality performance."
B) "Process standards focus on the steps used to lead to a particular outcome."
C) "Process standards focus on human resources, and general organizational structure."
D) "Outcome standards focus on the performance of a process."
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Chapter 51: Safety
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/35056
Sample Questions
Q1) After completing an assessment,the nurse determines a client is at risk for safety issues.Which data supports the nurse's conclusion? Select all that apply.
A) Lives with adult married daughter and family
B) Occasional dizziness with walking
C) Prescribed antihypertensive and pain medication
D) Ingests three meals a day and two snacks
E) Receives an annual ophthalmologic examination
Q2) The nurse is caring for a client who will be discharged on a new blood pressure medication which increases the risk of orthostatic hypotension.Which should the nurse include in the discharge teaching to decrease the risk of injury at home?
A) Encourage appropriate lighting.
B) Provide a bedside commode.
C) Rise slowly when getting up.
D) Monitor activity tolerance.
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