

Nursing Theory and Practice
Exam Materials
Course Introduction
This course provides an in-depth exploration of foundational and contemporary nursing theories and their application to clinical practice. Students will examine key theoretical frameworks that underpin nursing care, including models focusing on patient, environment, health, and nursing roles. Emphasis is placed on the integration of evidence-based practice, holistic care, and critical thinking skills to enhance patient outcomes. Through case studies, simulations, and reflective exercises, learners will develop competencies in utilizing theory to inform clinical decision-making, foster professional development, and address complex healthcare challenges in diverse settings.
Recommended Textbook
Concepts for Nursing Practice 2nd Edition by Giddens
Available Study Resources on Quizplus
58 Chapters
459 Verified Questions
459 Flashcards
Source URL: https://quizplus.com/study-set/174

Page 2

Chapter 1: Development
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2322
Sample Questions
Q1) A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
A) have separation anxiety.
B) rebel against rules.
C) regress because of stress.
D) want to know everything.
Answer: C
Q2) The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected stage of development for a preschooler is A) concrete operational.
B) formal operational.
C) preoperational.
D) sensorimotor.
Answer: C
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Chapter 2: Functional Ability
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/2323
Sample Questions
Q1) Uses a cane
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: B
Q2) A 65-year-old female patient has been admitted to the medical/surgical unit. The nurse is assessing the patient's risk for falls so that falls prevention can be implemented if necessary. Select all the risk factors that apply from this patient's history and physical. (Select all that apply.)
A) Being a woman
B) Taking more than six medications
C) Having hypertension
D) Having cataracts
E) Muscle strength 3/5 bilaterally
F) Incontinence
Answer: B, D, E, F
Q3) Bathes daily
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: B
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Page 4
Chapter 3: Family Dynamics
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2324
Sample Questions
Q1) The most appropriate initial nursing intervention when the nurse notes dysfunctional interactions and lack of family support for a patient would be to
A) enforce hospital visiting policies.
B) monitor the dysfunctional interactions.
C) notify the primary care provider.
D) role model appropriate support.
Answer: D
Q2) Which factors which would alert the nurse to negative/dysfunctional family dynamics?
A) Aging of family members
B) Chronic illness of a family member
C) Disability of a family member
D) Intimate partner violence
Answer: D
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Page 5

Chapter 4: Culture
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2325
Sample Questions
Q1) When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the patient nodding yes to everything that is being said. With a better understanding of cultural interdependence in self-Chapter, a nurse should immediately
A) write everything down for the patient to refer to later.
B) prompt further to elicit additional questions or concerns.
C) call the recognized elder for this patient.
D) call the oldest male relative for help with decision making.
Q2) The emphasis on understanding cultural influence on health care is important because of
A) disability entitlements.
B) HIPAA requirements.
C) increasing global diversity.
D) litigious society.
Q3) The nurse is caring for an older Chinese adult male who is grimacing and appears restless after abdominal surgery. What is the nurse's best action?
A) Ask the patient if he is anxious about his hospital stay.
B) Ask a translator to conduct a FACES pain scale assessment.
C) Ask the patient about pain and assess vital signs.
D) Ask the patient about any history of depression or anxiety.
To view all questions and flashcards with answers, click on the resource link above.
Page 6

Chapter 5: Spirituality
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2326
Sample Questions
Q1) When conducting a spiritual assessment of a hospitalized patient, the nurse should remain aware of which potential barrier to effective communication?
A) Clarifying the meaning of a patient's statement
B) Multi-tasking while talking to the patient
C) Listening to patients' complete statements
D) Discussing patient's feelings while hospitalized
Q2) The nurse is assessing a patient's spirituality and observes the patient meditating before any treatments. What is the nurse's best action?
A) Document that the patient is not religious
B) Offer the patient a copy of the bible to read
C) Arrange for quiet time for the patient as needed
D) Limit the time patient can meditate before procedures
Q3) The nurse recognizes that which life events can be spiritually life changing? (Select all that apply.)
A) Births
B) Weddings
C) Medical diagnoses
D) Career day to day job duties
E) Loss of independence
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Chapter 6: Adherence
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/2327
Sample Questions
Q1) The nurse is assessing a newly diagnosed diabetic, and the patient's readiness to learn about glucose monitoring. Before planning teaching activities, which approach would be most effective?
A) Assist the patient with long-term goals and plan teaching according to these goals.
B) Provide the patient with all the latest research from the Internet on glucose monitoring.
C) Refer the patient to the diabetic specialist who can assist the patient with the glucometer.
D) Assist the patient in developing realistic short-term goals.
Q2) A patient has been newly diagnosed with hypertension. The nurse assesses the need to develop a collaborative plan of care that includes a goal of adhering to the prescribed regimen. When the nurse is planning teaching for the patient, which is the most important initial learning goal?
A) The patient will select the type of learning materials they prefer.
B) The patient will verbalize an understanding of the importance of following the regimen.
C) The patient will demonstrate coping skills needed to manage hypertension.
D) The patient will verbalize the side effects of treatment.
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8

Chapter 7: Self-Management
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2328
Sample Questions
Q1) The nurse planning care for a patient realizes that which acute medical event requires self-management?
A) Prenatal care
B) Depression
C) Diabetes
D) Femur fracture
Q2) The nurse is assisting an older adult patient, diagnosed with type 2 diabetes, with self-injection of insulin. What is the most appropriate intervention for this patient at discharge?
A) Arrange daily home visits for injections
B) Request an insulin pen prescription
C) Recommend upper arm injection sites
D) Supply patient with 100 unit insulin syringes
Q3) An 8-year-old child is newly diagnosed with asthma. Which nursing intervention best promotes self-efficacy for the parents to help the child follow the prescribed treatments?
A) Ask parents to list all possible triggers for asthma
B) Requesting a spacer for the metered dose inhaler
C) Suggest the parents enforce a strict exercise regimen
D) Recommend replacing carpeting in the home with wood flooring
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Chapter 8: Fluid and Electrolyte Balance
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/2329
Sample Questions
Q1) The nurse assessed four patients at the beginning of the shift. Which finding should the nurse report immediately to the physician?
A) Swollen ankles in patient with compensated heart failure
B) Positive Chvostek's sign in patient with acute pancreatitis
C) Dry mucous membranes in patient taking a new diuretic
D) Constipation in patient who has advanced breast cancer
Q2) At change-of-shift report, the nurse learns the medical diagnoses for four patients. Which patient should the nurse assess most carefully for development of hyponatremia?
A) Vomiting all day and not replacing any fluid
B) Tumor that secretes excessive antidiuretic hormone (ADH)
C) Tumor that secretes excessive aldosterone
D) Tumor that destroyed the posterior pituitary gland
Q3) The patient with which diagnosis should have the highest priority for teaching regarding foods that are high in magnesium?
A) Severe hemorrhage
B) Diabetes insipidus
C) Oliguric renal disease
D) Adrenal insufficiency
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Chapter 9: Acid-Base Balance
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2330
Sample Questions
Q1) The nurse has telephone messages from four patients who requested information and assistance. Which one should the nurse refer to a social worker or community agency first?
A) "Is there a place that I can dispose of my unused morphine pills?"
B) "I want to lose at least 20 pounds without getting sick this time."
C) "I think I have asthma because I cough when dogs are near."
D) "I ran out of money and am cutting my insulin dose in half."
Q2) The patient has severe hyperthyroidism and will have surgery tomorrow. What assessment is most important for the nurse to assess in order to detect development of the acid-base imbalance for which the patient has highest risk?
A) Urine output and color
B) Level of consciousness
C) Heart rate and blood pressure
D) Lung sounds in lung bases
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11

Chapter 10: Thermoregulation
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2331
Sample Questions
Q1) During orientation to an emergency department, the nurse educator would be concerned if the new nurse listed which of the following as a risk factor for impaired thermoregulation?
A) Impaired cognition
B) Occupational exposure
C) Physical agility
D) Temperature extremes
Q2) What is the most appropriate measure for a nurse to use in assessing core body temperature when there are suspected problems with thermoregulation?
A) Oral thermometer
B) Rectal thermometer
C) Temporal thermometer scan
D) Tympanic membrane sensor
Q3) What is the priority nursing action for a patient suspected to be hypothermic?
A) Assess vital signs.
B) Hydrate with intravenous (IV) fluids.
C) Provide a warm blanket.
D) Remove wet clothes.
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12
Chapter 11: Sleep
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2332
Sample Questions
Q1) The nurse enters a patient's room and the patient startles easily and appears to jerk his arms and legs before awakening. Which stage of non-rapid eye movement sleep did the patient most likely awaken from?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Q2) The nurse must awaken a patient from Stage 4 non-rapid eye movement sleep in order to prepare the patient for a procedure. The patient is disoriented. What is the nurse's best action?
A) Notify the healthcare provider
B) Re-assess the patient's orientation
C) Administer an anti-anxiety medication
D) Cancel the patient's procedure
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13
Chapter 12: Cellular Regulation
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/2333
Sample Questions
Q1) A patient with prostate cancer is taking estrogen daily to control tumor growth. He reports that his left calf is swollen and painful. Which of the following would be the nurse's best action?
A) Instruct the client to keep the leg elevated.
B) Measure the calf circumference and compare the measurement with the right calf circumference measurement.
C) Apply ice to the calf after a 10-minute massage of the area.
D) Document assessment findings as an expected response with estrogen therapy.
Q2) The nurse is caring for a patient who received a bone marrow transplant 10 days ago. The nurse would monitor for which of the following clinical manifestations that could indicate a potentially life-threatening situation?
A) Mucositis
B) Confusion
C) Depression
D) Mild temperature elevation
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14

Chapter 13: Intracranial Regulation
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2334
Sample Questions
Q1) The nurse preparing to care for a patient after a suspected stroke would question which order?
A) Antihypertensive
B) Antipyretic
C) Osmotic diuretic
D) Sedative
Q2) When caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what other findings?
A) Hypertension and bradycardia
B) Hypertension and tachycardia
C) Hypotension and bradycardia
D) Hypotension and tachycardia
Q3) Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation?
A) Change in level of consciousness
B) Inability to focus visually
C) Loss of primitive reflexes
D) Unequal pupil size
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Page 15
Chapter 14: Hormonal Regulation
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2335
Sample Questions
Q1) A patient presents to the emergency room complaining of vomiting with severe back and leg pain. The patient's home medications include daily oral corticosteroids. Vital signs reveal a low blood pressure and there are peaked T waves on the electrocardiogram. What is the nurse's priority intervention?
A) Start an intravenous line
B) Collect urine specimen
C) Administer antiemetic
D) Administer narcotic analgesia
Q2) Radioactive iodine is indicated for the treatment of hyperthyroidism. The nurse should include which teaching in this patient's plan of care?
A) Isolation is required for 6-8 weeks
B) An additional dose may be needed
C) Thyroid replacement therapy is prescribed
D) An overnight hospital stay is required
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16
Chapter 15: Glucose Regulation
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2336
Sample Questions
Q1) Which of the following would be included in the assessment of a patient with diabetes mellitus who is experiencing a hypoglycemic reaction? (Select all that apply.)
A) Tremors
B) Nervousness
C) Extreme thirst
D) Flushed skin
E) Profuse perspiration
F) Constricted pupils
Q2) The nurse recognizes which patient as having the greatest risk for undiagnosed diabetes mellitus?
A) Young white man
B) Middle-aged African-American man
C) Young African-American woman
D) Middle-aged Native American woman
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17
Chapter 16: Nutrition
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2337
Sample Questions
Q1) During a nutritional assessment, the nurse calculates that a female patient's BMI is 27. The nurse would advise the patient to follow which of these recommendations?
A) This measurement indicates that the patient is overweight and should follow a plan of diet and exercise to lose weight.
B) This measurement indicates that the patient is underweight and will need to take measures to gain weight.
C) This measurement indicates that the patient is morbidly obese and may be a candidate for bariatric surgery.
D) This measurement indicates that the patient is of normal weight and should continue with current lifestyle.
Q2) During a physical examination, the nurse notes that the patient's skin is dry and flaking, with patches of eczema. Which nutritional deficiency might be present?
A) Vitamin C
B) Vitamin B
C) Essential fatty acid
D) Protein
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18

Chapter 17: Elimination
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2338
Sample Questions
Q1) What is a primary prevention tool used for colon cancer screening?
A) Abdominal x-rays
B) Blood, urea, and nitrogen (BUN) testing
C) Serum electrolytes
D) Occult blood testing
Q2) A patient who was diagnosed with senile dementia has become incontinent of urine. The patient's daughter asks the nurse why this is happening. What is the nurse's best response?
A) "The patient is angry about the dementia diagnosis."
B) "The patient is losing sphincter control due to the dementia."
C) "The patient forgets where the bathroom is located due to the dementia."
D) "The patient wants to leave the hospital."
Q3) The nurse is caring for a patient who has suffered a spinal cord injury and is concerned about the patient's elimination status. What is the nurse's best action?
A) Speak with the patient's family about food choices.
B) Establish a bowel and bladder program for the patient.
C) Speak with the patient about past elimination habits.
D) Establish a bedtime ritual for the patient.
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Page 19

Chapter 18: Perfusion
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2339
Sample Questions
Q1) A nurse is explaining to a student nurse about perfusion. The nurse knows the student understands the Chapter of perfusion when the student makes which statement?
A) "Perfusion is a normal function of the body, and I don't have to be concerned about it."
B) "Perfusion is monitored by the physician."
C) "Perfusion is monitored by vital signs and capillary refill."
D) "Perfusion varies as a person ages, so I would expect changes in the body."
Q2) The patient asks the nurse to explain the function of the sinoatrial node in the heart. What is the nurse's best response?
A) "The sinoatrial node stimulates the heart to beat in a normal rhythm."
B) "The sinoatrial node protects the heart from atherosclerotic changes."
C) "The sinoatrial node provides the heart with oxygenated blood."
D) "The sinoatrial node protects the heart from infection."
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Chapter 19: Gas Exchange

Source URL: https://quizplus.com/quiz/2340
Sample Questions
Q1) Which patient finding would the nurse identify as being a risk factor for altered transport of oxygen?
A) Hemoglobin level of 8.0
B) Bronchoconstriction and mucus
C) Peripheral arterial disease
D) Decreased thoracic expansion
Q2) A 3-month-old infant is at increased risk for developing anemia. The nurse would identify which principle contributing to this risk?
A) The infant is becoming more active.
B) There is an increase in intake of breast milk or formula.
C) The infant is unable to maintain an adequate iron intake.
D) A depletion of fetal hemoglobin occurs.
Q3) The nurse is assigned a group of patients. Which patient finding would the nurse identify as a factor leading to increased risk for impaired gas exchange?
A) Blood glucose of 350 mg/dL
B) Anticoagulant therapy for 10 days
C) Hemoglobin of 8.5 g/dL
D) Heart rate of 100 beats/min and blood pressure of 100/60
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21
Chapter 20: Clotting
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2341
Sample Questions
Q1) Which statement by a patient indicates additional teaching is required about the medication warfarin?
A) "I will continue my diabetic diet and restrict sugar."
B) "I will increase the intake of green, leafy vegetables for a more healthful diet."
C) "I will restrict the intake of foods high in vitamin C."
D) "I will increase the amount of protein in my diet to protect my kidneys."
Q2) A patient states that his legs have pain with walking that decreases with rest. The nurse observes absence of hair on the patient's lower leg and the patient has a thready, posterior tibial pulse. How would the nurse position the patient's legs?
A) Elevated
B) Crossed at the knee
C) Slightly bent with a pillow under the knees
D) Dependent position
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22
Chapter 21: Reproduction
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2342
Sample Questions
Q1) A female infertility patient is found to be hypoestrogenic at the preChapterual clinic visit. She asks the nurse why she has never been able to get pregnant. Which response is best?
A) Circulating estrogen contributes to secondary sex characteristics.
B) Estrogen deficiency prevents the ovum from reaching the uterus and may be a factor in infertility.
C) Hyperestrogen may be preventing the zona pellucida from forming an ovum protective layer.
D) The corona radiata is preventing fertilization of the ovum.
Q2) A female college student is planning to become sexually active. She is considering birth control options and desires a method in which ovulation will be prevented. To prevent ovulation while reaching 99% effectiveness in preventing pregnancy, which option should be given the strongest consideration?
A) Intrauterine device
B) Coitus interruptus
C) Natural family planning
D) Oral contraceptive pills
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23

Chapter 22: Sexuality
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2343
Sample Questions
Q1) Which statements related to sexual dysfunction are correct? (Select all that apply.)
A) Biological factors play a more significant role than psychologic factors.
B) Sexual dysfunction is more prevalent among men than women.
C) The best predictor of sexual health is emotional well-being.
D) The patient with sexual dysfunction is at risk for anxiety and depression.
E) Sexual dysfunction remains uncommon.
Q2) The nurse is caring for a 44-year-old married woman who is complaining of painful intercourse and incontinence due to prolapse of reproductive organs. Clinical evaluation reveals that the patient has a cystocele. Which treatment option is most appropriate for this patient?
A) Pelvic floor training
B) Vaginal pessaries
C) Surgical correction
D) Lifestyle changes
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Chapter 23: Immunity
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2344
Sample Questions
Q1) While caring for a patient preparing for a kidney transplant, the nurse knows that the patient understands teaching on immunosuppression when she makes which statement?
A) "My body will treat the new kidney like my original kidney."
B) "I will have to make sure that I avoid being around people."
C) "The medications that I take will help prevent my body from attacking my new kidney."
D) "My body will only have a problem with my new kidney if the donor is not directly related to me."
Q2) The nurse is preparing to administer medications to a patient with rheumatoid arthritis (RA). The nurse should explain which goal of treatment to the patient?
A) Eradicate the disease
B) Enhance immune response
C) Control inflammation
D) Manage pain
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Chapter 24: Inflammation
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2345
Sample Questions
Q1) A patient is diagnosed with a sprain to her right ankle after a fall. The patient asks the nurse about using ice on her injured ankle. What is the nurse's best response?
A) "Use ice only when the ankle hurts."
B) "Ice should be applied for 15 to 20 minutes every 2 to 3 hours over the next 1 to 2 days."
C) "Wrap an ice pack around the injured ankle for the next 24 to 48 hours."
D) "Ice is not recommended for use on the sprain because it would inhibit the inflammatory response."
Q2) A patient comes to the clinic with a complaint of painful, itchy feet. On interview, the patient tells the nurse that he is a college student living in a dormitory apartment that he shares with five other students. What teaching should the nurse provide for this patient?
A) "Don't eat with the other students."
B) "Avoid sharing razors and other personal items."
C) "Have a complete blood count (CBC) checked monthly."
D) "Disinfect showers and bathroom floors weekly after use."
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Chapter 25: Infection
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2346
Sample Questions
Q1) Which set of assessment data is consistent for a patient with severe infection that could lead to system failure?
A) Blood pressure (BP) 92/52, pulse (P) 56 beats/min, respiratory rate (RR) 10 breaths/min, urine output 1200 mL in past 24 hours
B) BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours
C) BP 112/64, P 98 beats/min, RR 18 breaths/min, urine output 2400 mL in past 24 hours
D) BP 152/90, P 52 beats/min, RR 12 breaths/min, urine output 4800 mL in past 24 hours
Q2) The nurse is caring for a patient with a diagnosed case of Clostridium difficile. The nurse expects to implement which of the following interventions? (Select all that apply.)
A) Administration of protease inhibitors
B) Use of personal protective equipment
C) Patient teaching on methods to inhibit transmission
D) Preventing visitors from entering the room
E) Administration of intravenous fluids
F) Strict monitoring of intake and output
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Chapter 26: Mobility
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2347
Sample Questions
Q1) What percentage of hip fractures is the result of falls?
A) 50%
B) 80%
C) 90%
D) 100%
Q2) The nurse is talking to the unlicensed assistive personnel about moving a patient in bed. The nurse knows the unlicensed assistive personnel understands the Chapter of mobility and proper moving techniques when making which statement?
A) "Patients must have a trapeze over the bed to move properly."
B) "Patients should move themselves in bed to prevent immobility."
C) "Patients should always have a two-person assist to move in bed."
D) "Patients must be moved correctly in bed to prevent shearing."
Q3) The lack of weight bearing leads to what effects on the skeletal system?
A) Demineralization, calcium loss
B) Thickened bones
C) Increased range of motion
D) Increased calcium deposition in the bones
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Chapter 27: Tissue Integrity
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/2348
Sample Questions
Q1) A patient was given a patch test to determine what allergen was responsible for their atopic dermatitis. The provider prescribes a steroid cream. What important instructions should the nurse give to the patient?
A) Apply the cream generously to affected areas.
B) Apply a thin coat to affected areas, especially the face.
C) Apply a thin coat to affected areas; avoid the face and groin.
D) Apply an antihistamine along with applying a thin coat of steroid to affected areas.
Q2) A patient in the outpatient setting was diagnosed with atopic dermatitis. What interventions will the plan of care focus primarily on?
A) Decreasing pain
B) Decreasing pruritus
C) Preventing infection
D) Promoting drying of lesions
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Chapter 28: Sensory Perception
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2349
Sample Questions
Q1) An adult male patient is complaining of decreased appetite. He states he just finished taking his antibiotics for an episode of pneumonia. What is the nurse's best response?
A) "Your wife should increase the spices in your food, as the pneumonia changes your sense of smell."
B) "Notify your doctor immediately, because this is a concerning reaction to the medication."
C) "You need to take an appetite stimulant, as your body will need good nutrition to recover from the infection."
D) "You should see an improvement in the next week or so. Call if this continues."
Q2) During the examination of the ear, a dark yellow substance is noted in the ear canal. The tympanic membrane is not visible. The patient's wife complains that he never hears what she says lately. These findings would suggest that the nurse prepare the patient for which procedure?
A) Tympanoplasty
B) Irrigation of the ear
C) Pure tone test
D) Otoscopic exam by a specialist
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Chapter 29: Pain
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2350
Sample Questions
Q1) A 19-year-old male has sustained a transection of C-7 in a motor vehicle crash rendering him a quadriplegic. He describes his pain as burning, sharp, and shooting. What type of pain is this patient describing?
A) Neuropathic pain
B) Ghost pain
C) Mixed pain syndrome
D) Nociceptive pain
Q2) A 70-year-old retired nurse is interested in nondrug, mind-body therapies, self-management, and alternative strategies to deal with joint discomfort from rheumatoid arthritis. What options should you consider in her plan of care considering her expressed wishes?
A) Stationary exercise bicycle, free weights, and spinning class
B) Mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy
C) Chamomile tea and IcyHot gel
D) Acupuncture and attending church services
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Chapter 30: Fatigue
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Sample Questions
Q1) Which are treatment related causes of fatigue? (Select all that apply.)
A) Blood transfusion
B) Chemotherapy
C) Radiation therapy
D) Surgery
E) Side effects of medications
Q2) The nurse palpates swollen nodes in a patient's neck who presented to the clinic with complaints of fatigue lasting at least 2 weeks. What is the nurse's best action?
A) Advise patient this finding is normal.
B) Review patient's thyroid labwork.
C) Perform deep tendon reflexes.
D) Notify the healthcare provider.
Q3) A patient presents to the clinic complaining of nausea, vomiting, and fatigue. Lab results reveal elevated BUN and creatinine levels. Which acute condition is this patient at most risk for developing?
A) Influenza
B) Mononucleosis
C) Acute renal failure
D) Pneumonia
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Page 32
Chapter 31: Stress

Source URL: https://quizplus.com/quiz/2352
Sample Questions
Q1) A patient tells the nurse "My doctor thinks my problems with stress relate to the negative way I think about things, and he wants me to learn a new way of thinking." Which response would be in keeping with the doctor's recommendations?
A) Teaching the patient to recognize, reconsider, and reframe irrational thoughts
B) Encouraging the patient to imagine being in calming circumstances
C) Teaching the patient to use instruments that give feedback about bodily functions
D) Provide the patient with a blank journal and guidance about journaling
Q2) Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (Select all that apply.)
A) Assess for bradycardia.
B) Ask about epigastric pain.
C) Observe for increased appetite.
D) Check for elevated blood glucose levels.
E) Monitor for a decrease in respiratory rate.
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Chapter 32: Coping
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Sample Questions
Q1) The nurse is assessing the coping patterns of a newly admitted patient. What will the nurse include in this assessment? (Select all that apply.)
A) Current stressors as perceived by the patient
B) Use of drugs or alcohol
C) Recent weight changes
D) Age and height
E) Temperature
Q2) The nurse is reviewing the care plan for a patient experiencing difficulty coping with stress. The nurse recognizes that an example of initiating a cognitive restructuring intervention to enhance coping abilities is known as which of the following?
A) Identifying the cause of fear
B) Accessing a community support group
C) Identifying relaxation methods
D) Reviewing an educational pamphlet
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Chapter 33: Mood and Affect
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Sample Questions
Q1) An older adult has experienced severe depression for many years and is unable to tolerate most antidepressant medications due to adverse effects of the medications. He is scheduled for electroconvulsive therapy (ECT) as a treatment for his depression. What teaching should the nurse give the patient regarding this treatment?
A) There are no special preparations needed before this treatment.
B) Common side effects include headache and short-term memory loss.
C) One treatment will be needed to cure the depression.
D) This treatment will leave you unconscious for several hours.
Q2) A patient has been resistant to treatment with antidepressant therapy. The care provider prescribes a monoamine oxidase inhibitor (MAOI) medication. What teaching is critical for the nurse to give the patient?
A) Serum blood levels must be regularly monitored to assess for toxicity.
B) To prevent side effects, the medication should be administered as an intramuscular injection.
C) Eating foods such as blue cheese or red wine will cause side effects.
D) This medication class may only be used safely for a few days at a time.
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35

Chapter 34: Anxiety
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Sample Questions
Q1) A patient reports that he is overwhelmed with anxiety. Which question would be most important to use in assessing the patient during your first meeting?
A) "What kinds of things do you do to reduce or cope with your stress?"
B) "Tell me about your family history-do any relatives have problems with stress?"
C) "Tell me about exercise-how far do you typically run when you go jogging?"
D) "Stress can interfere with sleep. How much did you sleep last night?"
Q2) The nurse is teaching a hospitalized patient to use mindfulness to reduce anxiety. Which statement by the nurse is appropriate?
A) "How do you feel about what happened to you as a child?"
B) "How do you feel about what is going on right now?"
C) "Remember a time when you were calm."
D) "Tap your hands until the feeling goes away."
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Chapter 35: Cognition
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Sample Questions
Q1) The nurse is teaching primary prevention of cognitive impairment at a community health fair. Which topics would be included in the presentation? (Select all that apply.)
A) Do not use substances such as cannabis and alcohol.
B) Wear helmets when riding bicycles and motorcycles.
C) Complete a Mini Mental Status Exam (MMSE) yearly.
D) Correct acid-base imbalances related to underlying disease processes.
E) Wear a seat belt whenever riding in a motorized vehicle.
F) Complete a Confusion Assessment Method (CAM) scale yearly.
Q2) A patient who is dehydrated has been experiencing confusion. The daughter is concerned about taking the patient home in a confused state. What statement by the nurse is correct?
A) "Don't worry; the patient should be fine once they are in a familiar environment."
B) "I can make a referral for a home health aide to assist with the patient."
C) "Once the dehydration is corrected, the patient's confusion should improve."
D) "I can show you how to care for the patient once you return home."
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Chapter 36: Psychosis
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Sample Questions
Q1) The nurse is planning discharge teaching for a patient taking clozapine. Which information is essential to include in the teaching plan?
A) Caution about sunlight exposure
B) Reminder to call the clinic if fever, sore throat, or malaise develops
C) Instructions regarding dietary restrictions
D) A chart to record patient weight
Q2) A client with schizophrenia has relapsed and has been identified as being in stage four of relapse. The nurse expects to observe which behavior that most consistent with this stage of relapse?
A) Expressing feelings of anxiety
B) Expressing feelings of being overwhelmed
C) Bizarre behaviors and speech
D) Presence of hallucinations
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Chapter 37: Addiction
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Sample Questions
Q1) The nurse is assessing a patient using the CAGE Questionnaire. The patient answers yes to all of the questions. The nurse suspects alcoholism and feels the patient is in denial when the patient makes which statement?
A) "I go to meetings once a day and still drink."
B) "My family and friends have been avoiding me lately."
C) "I don't have a problem with alcohol. I can quit anytime I want to."
D) "I know it will be hard to quit, but I am willing to try."
Q2) A patient who was admitted 24 hours ago has become increasingly irritable and now says there are bugs on his bed. Which condition should the nurse suspect?
A) Alcohol-induced psychosis
B) Delirium tremens (DTs)
C) Neurologic injury related to a fall
D) Posttraumatic stress reaction
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Chapter 38: Interpersonal Violence
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Sample Questions
Q1) The nurse is counseling women at a crisis shelter about risk factors for increased intimate partner violence. What event is most likely to trigger an increase in abusive behaviors?
A) Moving to a new community
B) Starting a new job
C) Becoming pregnant
D) The death of a grandfather
Q2) The nurse is seeing a patient who has been in the clinic eight times in the past 6 months for injuries from an abusive partner. The patient states, "I don't see any way to get away from my partner, and I can't keep going on like this." What assessment question is most important for the nurse to ask?
A) "Do you have any family in the area that can help?"
B) "Have you thought about hurting yourself or someone else?"
C) "Have you thought about moving to a different city?"
D) "Have you discussed this with anyone else?"
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Chapter 39: Professional Identity
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Sample Questions
Q1) The qualities of leadership, clinical expertise and judgment, mentorship, and lifelong learning would best describe which type of nurse?
A) Administrator
B) Certified nurse specialist
C) Practitioner
D) Professional
Q2) Components of a professional identity in nursing include which attributes? (Select all that apply.)
A) Accountability
B) Advocacy
C) Autonomy
D) Competence
E) Culture
Q3) What nursing recommendations are published in the Institute of Medicine (IOM's) report The future of nursing: Leading change, advancing health?
A) Teach, advocate, assess, and nurture.
B) Should have a graduate degree to practice.
C) Diagnose and recommend treatments.
D) Must have continuing education.
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Page 41

Chapter 40: Clinical Judgment
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Sample Questions
Q1) A student nurse is studying clinical judgment theories and is working with Tanner's Model of Clinical Judgment. How can the student nurse best generalize this model?
A) A reflective process where the nurse notices, interprets, responds, and reflects in action
B) One conceptual mechanism for critiquing ideas and establishing goal-oriented care
C) Researching best practice literature to create care pathways for certain populations
D) Assessing, diagnosing, implementing, and evaluating the nursing care plans
Q2) A patient has been admitted for a skin graft following third degree burns to the bilateral calves. The plan of care involves 3 days inpatient and 6 months outpatient treatment, to include home care and dressing changes. When should the nurse initiate the educational plan?
A) After the operation and the patient is awake
B) On admission, along with the initial assessment
C) The day before the patient is to be discharged
D) When narcotics are no longer needed routinely
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Chapter 41: Leadership
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Q1) What are the main features of complex adaptive systems that are relevant to nursing leadership? (Select all that apply.)
A) Focused on creating organizational change and looking at the whole versus individual parts.
B) Defined by efforts of leadership to mandate organizational change.
C) Autocratic in nature with a top-down structure for change.
D) Dependent on employees knowing what change is necessary and acting independently.
E) Non-linear and dynamic in nature, versus a static process.
Q2) The nurse who is certified as a Critical Care Registered Nurse (CCRN) represents the unit on the organizational performance improvement team. This is an example of which type of leadership?
A) Formal
B) Unit
C) Organizational
D) Informal
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43

Chapter 42: Ethics
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Sample Questions
Q1) An unconscious patient is treated in the emergency department for head trauma. The patient is unconscious and on life support for 2 weeks prior to making a full recovery. The initial actions of the medical team are based on which ethical principle?
A) Utilitarianism
B) Deontology
C) Autonomy
D) Veracity
Q2) A nurse on the unit makes an error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics?
A) Fidelity
B) Individuality
C) Justice
D) Values clarification
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Chapter 43: Patient Education
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Sample Questions
Q1) Barriers to patient education the nurse considers in implementing a teaching plan include which factor?
A) Family resources
B) High school education
C) Hunger and pain
D) Need perceived by patient
Q2) Strategies to include in a teaching plan for an adult who has repeatedly not followed the written discharge instructions would include which information source?
A) Individualized handout
B) Instructional videos
C) Internet resources
D) Self-help books
Q3) When planning to evaluate a patient's satisfaction with a teaching activity, what is the most appropriate strategy?
A) Include a survey instrument.
B) Observe for level of skill mastery.
C) Present information more than one time.
D) Provide for a return demonstration.
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45

Chapter 44: Health Promotion
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Sample Questions
Q1) When there is evidence that supports a screening for an individual patient but not for the general population, the nurse would expect the United States Preventive Services Task Force Grading to be what?
A) No recommendation for or against
B) Recommends
C) Recommends against
D) Strongly recommends
Q2) When teaching a patient with a family history of hypertension about health promotion, the nurse describes blood pressure screening as which type of prevention?
A) Illness
B) Primary
C) Secondary
D) Tertiary
Q3) The primary health care nurse would recommend screening based on known risk factors, because of which action?
A) Eliminate the possibility of developing a condition.
B) Identify appropriate treatment guidelines.
C) Initiate treatment of a condition or disease.
D) Make a substantial difference in morbidity and mortality.
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Page 46

Chapter 45: Communication
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Sample Questions
Q1) The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification?
A) "What are the common elements here?"
B) "Tell me again about your experiences."
C) "Am I correct in understanding that "
D) "Tell me everything from the beginning."
Q2) The nurse is working with a patient diagnosed with posttraumatic stress disorder related to childhood sexual abuse. The patient is crying and states, "I should be over this by now; this happened years ago." Which response(s) by the nurse will facilitate communication? (Select all that apply.)
A) "Why do you think you are so upset?"
B) "I can see that this situation really bothers you."
C) "The abuse you endured is very painful for you."
D) "Crying is a way of expressing the hurt you're experiencing."
E) "Let's talk about something else, since this subject is upsetting you."
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Chapter 46: Collaboration
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Sample Questions
Q1) A newly licensed nurse is assigned to an experienced nurse for training on a medical unit of a hospital. What type of nurse-to-nurse collaboration does this assignment demonstrate?
A) Interprofessional
B) Shared governance
C) Interorganizational
D) Mentoring
Q2) Which patient scenario describes the best example of professional collaboration?
A) The nurse, physician, and physical therapist have all visited separately with the patient.
B) The nurse, physical therapist, and physician have all developed separate care plans for the patient.
C) The nurse mentions to the physical therapist that the patient may benefit from a muscle strengthening evaluation.
D) The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy.
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Chapter 47: Safety
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Sample Questions
Q1) Aspects of safety culture that contribute to a culture of safety in a health care organization include which component?
A) Communication
B) Fear of punishment
C) Malpractice implications
D) Team nursing
Q2) A staff nurse reports a medication error due to failure to administer a medication at the scheduled time. What is the charge nurse's best response?
A) "We'll conduct a root cause analysis."
B) "That means you'll have to do continuing education."
C) "Why did you let that happen?"
D) "You'll need to tell the patient and family."
Q3) The strategy to avoid medication errors endorsed by the Institute for Safe Medication Practices (ISMP) to differentiate products with look-alike names is referred to as which term?
A) Automatic alerts
B) Bar coding
C) Computer order entry
D) Tallman lettering
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Page 49

Chapter 48: Technology and Informatics
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Sample Questions
Q1) Which are exemplars of the health informatics Chapter?
A) Clinical research informatics
B) Hardware and software
C) Privacy and security
D) Standard terminology
Q2) Florence Nightingale, the first nurse informatician, sought hospital data for comparison purposes to compete which goal?
A) Allow faster and accurate diagnosis.
B) Better coordinate care.
C) Improve the efficiency of care.
D) Show people how their money was spent.
Q3) When discussing the purposes of health care informatics with a nurse during orientation, the nurse educator would be concerned if the nurse orientee stated that which is one purpose of informatics?
A) Develop a cognitive science.
B) Improve disease tracking.
C) Improve the health provider's work flow.
D) Increase administrative efficiencies.
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Chapter 49: Evidence
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Sample Questions
Q1) The nurse in the outpatient setting would like to conduct a research study that compares patients who take tramadol (Ultracet) to patients who take oxycodone hydrochloride and acetaminophen (Percocet) for managing back pain. Which quantitative research method should yield the best results?
A) Longitude study
B) Controlled study
C) Systematic reviews/meta-analysis
D) Survey study
Q2) The nurse in the psychiatric unit is involved in a research study for a depression medication. In the study, patients are randomly assigned to one depression medication and the other group is receiving no medication to treat the depression. What method of research are the patients involved with?
A) Descriptive
B) Correlational
C) Quasi-experimental
D) Experimental
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Chapter 50: Health Care Quality
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Sample Questions
Q1) What are the major attributes of health care quality? (Select all that apply.)
A) Conforms to standards
B) Sound decision making
C) High acuity patients
D) Low health care costs
E) Identifies adverse events
Q2) What are two major foci of The Joint Commission (TJC) in the delivery of health care?
A) Cost containment; safety
B) Safety; quality
C) Quality; assessment
D) Assessment; evaluation
Q3) A student nurse is talking with his instructor. The student asks how quality of care is evaluated. What is the best response by the instructor?
A) "Quality of care is evaluated by the patient getting well."
B) "Quality of care is evaluated on the basis of process and outcomes."
C) "Quality of care is evaluated by the physician's assessment."
D) "Quality of care is evaluated by the patient's satisfaction."
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52

Chapter 51: Care Coordination
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Q1) Nurses work to serve the population, and they know that which priority population needs to be served by care coordination?
A) Most vulnerable and the frail
B) Uninsured and the very young
C) Underinsured and the elderly population
D) Whole population of the community
Q2) Student nurses are being questioned by the nursing instructor about the health care coordination system. The instructor knows the students understand health care delivery when making which statement?
A) "Health care is available for everyone at every time."
B) "Health care needs are best met with a collaborative effort."
C) "Health care is adequately meeting the needs of the homeless populations."
D) "Health care needs are mostly in third world countries."
Q3) Medical models coordinate medical services and were traditionally designed fulfill which function?
A) Be patient specific.
B) Be nursing oriented.
C) Be diagnosis specific.
D) Be community oriented.
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Page 53

Chapter 52: Caregiving
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Q1) A mother is talking with the community-based nurse concerning her adult son. The son is mentally challenged and not able to live on his own. The mother is concerned about her son's welfare when she is no longer able to care for him. What is the best response by the nurse?
A) "Let's look into the community resources that are available to assist you."
B) "You have raised your son well, and he will be okay on his own."
C) "Contact your distant relatives to see if anyone would take your son."
D) "There are places for mentally challenged adults; let's place him there."
Q2) A young wife is talking with the nurse about her husband who is returning from the military. The wife confides that her husband is physically okay but is behaving differently. What is the nurse's best response?
A) "He is just trying to adjust to civilian life again; he'll be okay."
B) "You should observe him closely, because he could attack you."
C) "Many times people need care for emotional trauma."
D) "Talk with your physician to get medication, and then put it in his food."
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Chapter 53: Palliation
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Sample Questions
Q1) Which is one of the biggest challenges facing current nursing practice?
A) The number of aging Americans living with chronic disease.
B) The number of patients entering into hospice programs.
C) The number of cancer patients receiving supportive care.
D) Reduced length of stay in hospice care.
Q2) Palliative care used in the management of a patient with symptomatic chronic obstructive pulmonary disease (COPD) is an example of which of the following?
A) Palliative care is used when the patient is beginning to die.
B) Palliative care is used to help manage the symptoms that often accompany COPD.
C) Hospice nurses must be involved to provide palliative care in a cancer patient.
D) Patient must be enrolled into the Medicare Hospice Benefit to receive palliative care.
Q3) What is the most prominent goal of palliative care?
A) Integrate into chronic disease management sooner rather than later.
B) Enroll the patient into the Medicare Hospice Benefit.
C) Ensure that the patient has a 6-month prognosis.
D) Reserve this type of care until the patient is actively dying.
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Chapter 54: Health Disparities
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Q1) Before beginning work on a culturally diverse hospital unit, the nurse should perform which action first?
A) Improve self-awareness of one's own biases
B) Attend an anti-discrimination rally or march
C) Build rapport and trust with the patients
D) Take a foreign language class
Q2) A new nurse requires further teaching when failing to identify which practice as a health disparity?
A) Annual mammogram
B) Early prenatal care
C) Blood pressure screening
D) Frequent fast food meals
Q3) The nurse is caring for diverse population groups at a health clinic. Which of the following patients demonstrates a potential health disparity group?
A) A 26-year-old woman who is receiving follow-up after a car accident.
B) A 30-year-old immigrant who does not speak English.
C) A 28-year-old man who needs a tetanus booster.
D) A 12-month-old with an appointment for immunizations.
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Chapter 55: Health Care Organizations
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Sample Questions
Q1) The annual report for a hospital shows that external environment factors are affecting the amount of new staff hired. What is a likely factor contributing to this outcome?
A) The recent implementation of becoming a not-for-profit institution
B) The implementation of a hospital electronic medical record system
C) A national recession that has been occurring for 3 years
D) The closure of a hospital-based school of nursing due to lack of funding
Q2) A nurse is interviewing at an agency owned by a national religious organization that serves homeless and uninsured patients. A large poster display shows a proposed addition that would add 16 beds to the facility that will be funded from profits of the previous 3 years of operation. The nurse recognizes that the agency is most likely what type of agency?
A) For-profit
B) Not-for-profit
C) Publicly-owned
D) Investor-owned
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Chapter 56: Health Care Economics
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Sample Questions
Q1) Two nurses are discussing health care in the past and the present. The two nurses know which to be true about health care in the present?
A) Health care in the present is mostly provided by nurses.
B) Health care in the present is controlled by third party payers.
C) Health care in the present is controlled by physicians.
D) Health care in the present is dictated by the patient.
Q2) The US health care system is different from that of other countries in which way?
A) The US charges money from the private sector only.
B) US health care is funded from private organizations.
C) The US health care system is not entirely government funded.
D) The US health care treats the older person first.
Q3) An accountable care organization (ACO) seeks to deliver which of the following aspects of health care? (Select all that apply.)
A) Lessen Medicare payments
B) Integrate care
C) Enhance evidence-based practices
D) Manage acute conditions
E) Support hospice charges
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58

Chapter 57: Health Policy
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Sample Questions
Q1) Which of the following components are included in health policy at the state level?
A) Americans with Disabilities Act of 1990
B) Scope of nursing practice
C) Health Insurance Portability and Accountability Act (HIPAA) of 1996
D) Patient Safety and Quality Improvement Act of 2005
Q2) Which level of government is responsible for the regulation of a nurse's license?
A) Federal government
B) State government
C) Local government
D) International coalition
Q3) Which of the following is the intent of HIPAA?
A) Release of patient information for purposes of insurance reimbursement.
B) Prevent health care providers from billing for procedures done for the insured person.
C) Protect patients from reviewing their own medical records.
D) Limit the ability of health care providers to sell patient information to outside sources.
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Chapter 58: Health Care Law
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Sample Questions
Q1) The admission personnel working to comply with the Patient Self Determination Act of 1991 would do which of the following?
A) Request identification from the patient to complete the registration process.
B) Ask the patient if they would like a private or semi-private room.
C) Inquire about the patient's reason for their visit.
D) Ask the patient or representative if the patient has an advanced directive and inform them of their right to participate in their medical decisions.
Q2) What is one of the major attributes of health care law?
A) It defines the expected behavior of persons in the business of health care.
B) The law or rule is easy to interpret and comply with.
C) It is established by any health care authority.
D) The creator must be an expert in health care.
Q3) The new nurse correctly defines a law when stating which information?
A) "Law is a fundamental concept for health care professionals."
B) "Law's rule is developed by the employee's organization."
C) "Law's rule is enacted by a government agency that defines what must be done in a given circumstance."
D) "Law is a mandate from the Joint Commission or other accrediting agency."
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