Psychopathology Review Questions
Course Introduction
Psychopathology is the scientific study of mental disorders, including their symptoms, origins, development, and treatment. This course explores a range of psychological disorders as classified in major diagnostic systems, such as the DSM, examining their epidemiology, etiology, and clinical features. Students will analyze the biological, psychological, and sociocultural factors that contribute to abnormal behavior, and will evaluate different approaches to assessment, diagnosis, and intervention. Through case studies and current research, learners will develop a nuanced understanding of how mental health conditions impact individuals and society, and gain insights into current debates and ethical issues in the field of psychopathology.
Recommended Textbook
Clinical Psychology Science Practice and Culture 3rd Edition by Andrew M. (Mark) Pomerantz
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95 Chapters
2346 Verified Questions
2346 Flashcards
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Page 2
Chapter 1: Health and Wellness
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36914
Sample Questions
Q1) The population health promotion model aims to develop actions for improving health.In addition to asking "On what should we take action?" "How should we take action?" and "Why should we take action?",what is the fourth major question explored by the model?
A) "With whom should we act?"
B) "When should we take action?"
C) "Which government should take action?"
D) "Where should we first act?"
Answer: A
Q2) What is the most commonly cited definition of health?
A) Health is the absence of disease.
B) Health is a function of the physiological state.
C) Health is a state of well-being involving the whole person.
D) Health is the ability to pursue activities of daily living (ADLs).
Answer: C
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Chapter 2: The Canadian Health Care Delivery System
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Older adults,who constitute less than 14% of the Canadian population,account for what percentage of health care spending?
A) 24%
B) 34%
C) 44%
D) 54%
Answer: C
Q2) Nurses use levels of prevention to provide a framework or guide for nursing interventions.Focus is based on the client's needs and the care or service provided.Which of the following is an example of a true health promotion service?
A) An immunization clinic
B) A diabetic support group
C) A prenatal nutrition class
D) A smoking cessation clinic
Answer: C
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Chapter 3: The Development of Nursing in Canada
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which one of the following people decried the exploitation of nurses in schools of nursing in the early 1920s?
A) Mary Agnes Snively
B) Lady Ishbel Aberdeen
C) Jean I. Gunn
D) Ethel Gordon Bedford Fenwick
Answer: C
Q2) Whose definition of nursing,which was adopted by the International Council of Nurses (ICN),is the current primary description of the role of the nurse?
A) Jeanne Mance
B) Virginia Henderson
C) Florence Nightingale
D) Mary Agnes Snively
Answer: B
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Chapter 4: Community Health Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following must the nurse do in order to be culturally competent?
A) Be sensitive to a client's cultural uniqueness.
B) Evaluate a client's beliefs and values about health in terms of the nurse's own experience.
C) Be able to appraise and understand a client's cultural beliefs, values, and practices.
D) Be ready to discuss a client's beliefs and values with him or her.
Q2) Which of the following clients presents the highest risk for health-related concerns?
A) Ms. Madison, a 25-year-old woman living in a woman's shelter
B) Mr. Saliman, a 62-year-old man taking medication for chronic hypertension and diabetes
C) Mr. Joseph, a 17-year-old man attending an outpatient mental health clinic
D) Ms. Tray, a 31-year-old woman addicted to cocaine
Q3) Which of the following is an example of a harm reduction program?
A) A nutrition clinic
B) A prenatal clinic
C) A needle exchange program
D) An exercise program
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Chapter 5: Theoretical Foundations of Nursing Practice
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Which of the following statements reflects a current concern with the use of the nursing diagnoses approved by the North American Nursing Diagnoses Association (NANDA)?
A) NANDA's list of nursing diagnoses stifles critical thinking.
B) NANDA's list of nursing diagnoses should replace conceptual nursing models.
C) NANDA's list of nursing diagnoses is an inherent barrier to individualized care.
D) NANDA's list of nursing diagnoses does not reflect practical diagnoses.
Q2) Which of the following is referred to as a body of knowledge that encompasses definitions of person,environment,health,and nursing?
A) Family nursing practice
B) Prescriptive nursing theory
C) Advanced nursing practice
D) Metaparadigm of nursing
Q3) Which of the following correctly defines the theorizing term proposition?
A) A purposeful set of assumptions
B) A declarative assertion
C) The process of formulating concepts
D) The structure that links concepts together
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Chapter 6: Research As a Basis for Practice
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15 Verified Questions
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Sample Questions
Q1) As nurses move forward in their education,different roles may be assumed with regard to research.What is the expected research role for the baccalaureate-prepared student nurse?
A) Assume the role of a clinical expert.
B) Collaboratively investigate patient outcomes and nursing care.
C) Develop methods of inquiry relevant to nursing.
D) Acquire funding for research projects.
Q2) Creativity,with its artistic or expressive component,is an example of which of the following fundamental patterns of knowing in nursing?
A) Ethics
B) Esthetics
C) Personal knowledge
D) Emancipatory knowledge
Q3) Which of the following levels of nursing research planning uses analysis of variance as the statistical method to address a research question?
A) Level I
B) Level II
C) Level III
D) Level IV
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Page 8
Chapter 7: Nursing Values and Ethics
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) As the nurse prepares to take Mrs.Jones to the operating room for surgery,Mrs.Jones states,"I wish I knew what was going to happen to me when I am put to sleep." Which initial action by the nurse is most appropriate?
A) Notify the physician.
B) Explain the procedure to the patient.
C) Ask the patient if she would like to postpone surgery.
D) Document the comment on the patient's chart.
Q2) A patient has just been informed by her physician that she has cancer.The patient says that she is not ready to discuss this with her family.The nurse encourages the patient to consider sharing the information with her family so that the family can support her through the decisions she will need to make regarding her care.Which following principle must the nurse be careful not to breach?
A) Confidentiality
B) Fidelity
C) Veracity
D) Justice
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9
Chapter 8: Legal Implications in Nursing Practice
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19 Verified Questions
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Sample Questions
Q1) In the course of nursing practice,a nurse may be liable for actions that constitute an unintentional tort.Which one of the following is an example of an unintentional tort?
A) Physical restraint of a patient who refuses care
B) Taking photos of a patient's surgical wounds without the patient's permission
C) The patient falling and being injured as a result of side rails being left down
D) Talking about a patient's history of sexually transmitted infections
Q2) Mr.Smith,62 years old,is leaving the hospital against medical advice the day after his surgery.The nurse informs him that he is not allowed to leave and proceeds to call a "code purple" to lock down the unit.What type of intentional tort does the nurse's action demonstrate?
A) Assault
B) Battery
C) Invasion of privacy
D) False imprisonment
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Chapter 9: Global Health, culture, and Diversity
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following statements is true in regard to health inequity?
A) Health differences are unavoidable.
B) Poverty is not a root cause of health inequity.
C) Health inequity is the absence of systematic disparities in health.
D) Health inequity refers to unnecessary and unfair differences in health.
Q2) Which of the following domains of health seeks prevention programs for populations as its main focus?
A) Global health
B) Public health
C) International health
D) Transcultural health
Q3) The nurse recognizes the terminology that applies to culture and ethnicity.Which one of the following selections defines ethnicity?
A) An appreciation for differences within another group and the promotion of respect for those differences
B) A common identity with members sharing social and cultural heritage
C) Many cultures coexisting and maintaining cultural differences
D) The belief that one's own race or culture is more valuable than those of others
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Chapter 10: Nursing Leadership, management, and
Collaborative Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following nursing models refers to an emerging model among intraprofessional nursing teams and other health care providers who are members of the interprofessional team?
A) Primary nursing model
B) Functional nursing model
C) Team nursing model
D) Collaborative practice model
Q2) Which of the following refers to the duties and activities that an individual is employed to perform?
A) Autonomy
B) Authority
C) Responsibility
D) Accountability
Q3) It is necessary for the new nurse manager to delegate tasks to the staff.What is a requirement for the nurse manager in this delegation process?
A) Obtaining the employee's voluntary acceptance of the task
B) Communicating the work assignment in understandable terms
C) Functioning with a laissez-faire style of leadership
D) Working alongside the staff to evaluate their care
Page 12
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Chapter 11: Critical Thinking in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which one of the following is an example of a nurse's statement that reflects using the scientific method in the nursing process?
A) "My instincts tell me that the patient is getting depressed."
B) "The patient doesn't look the same today. I think something is wrong."
C) "The patient's husband told me that the patient is feeling uncomfortable."
D) "The patient seems to be having more pain today than yesterday, and her blood pressure (BP) is elevated."
Q2) The nurse has a multiple patient assignment on the surgical unit.When beginning the shift,the nurse needs to determine which postoperative patient should be seen first.Which one of the following patients should the nurse see first?
A) The patient is reported as having a BP of 90/50 mm Hg.
B) The patient received medication for pain ten minutes ago.
C) The patient needs to be out of bed and ambulating.
D) The patient requires instructions for wound care.
Q3) Which of the following activities helps students to "see the other"?
A) Concept map
B) Nursing process
C) Journal writing
D) Resource allocation decisions
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Page 13
Chapter 12: Nursing Assessment and Diagnosis
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15 Verified Questions
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Sample Questions
Q1) The client recently became febrile and stated he felt "hot." The nurse takes the client's temperature and finds it to be 38.2°C.In addition,the client's pulse rate is 88 beats per minute,and his blood pressure (BP)is 168/80 mm Hg.Which of the following is an example of subjective data?
A) Pulse rate of 88 beats per minute
B) BP of 168/80 mm Hg
C) The statement regarding his feeling hot
D) Body temperature of 38.2°C
Q2) Which of the following represents the three phases of a client interview?
A) Introduction, assessment, conclusion
B) Orientation, documentation, database
C) Introduction, controlling, selection
D) Orientation, working, termination
Q3) When documenting a comprehensive nursing health history,under which variable would the nurse document the client's number of children?
A) Spiritual
B) Developmental
C) Psychological
D) Sociocultural
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Page 14
Chapter 13: Planning and Implementing Nursing Care
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15 Verified Questions
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Sample Questions
Q1) What is the first step in the implementation process?
A) Providing care
B) Reassessing the client
C) Reviewing and revising the existing nursing care plan
D) Organizing resources and care delivery before delivering an intervention
Q2) A number of different types of nursing interventions may be incorporated into the plan of care.Which of the following interventions is an example of a specific life-saving measure that the nurse may implement?
A) Restraining a violent client
B) Administering analgesics
C) Initiating stress-reduction therapy
D) Teaching the client how to take his or her pulse
Q3) Which of the following processes is an example of indirect care?
A) Documentation
B) Medication administration
C) Catheterization
D) Grief counselling
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Chapter 14: Evaluation of Nursing Care
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15 Verified Questions
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Sample Questions
Q1) Which of the following provides the best example of a nursing-sensitive client outcome?
A) Collaboration
B) Decrease in pain
C) Medication compliance
D) Attending psychiatric outpatient appointments
Q2) The goal identified in the nursing care plan is that "The client will be able to wash himself after a four-week therapy session." When should the nurse evaluate the client's progress toward this goal?
A) On an ongoing basis
B) At the end of four weeks
C) Weekly
D) Before the client's discharge
Q3) What is the primary source of data for evaluation?
A) The chart
B) The client
C) The end-of-shift report
D) Interprofessional team meetings
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Chapter 15: Documenting and Reporting
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Sample Questions
Q1) What does the final "R" represent when using the I-SBAR-R communication technique?
A) Recovery
B) Repeat back
C) Reorganization
D) Reintegration
Q2) The nurse is preparing the information that will be provided to the staff on the next shift.Which of the following should the nurse include in the change-of-shift report to nursing colleagues?
A) A description of the steps of procedures done
B) A review of routine care for the patient
C) All routine care procedures required by the patient
D) Essential background information about the patient
Q3) Which of the following terms describes an unexpected occurrence when the unit documentation is a critical pathway?
A) Incident
B) Variance
C) Deviation
D) Charting by exception
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Page 17
Chapter 16: Nursing Informatics and Canadian Nursing Practice
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15 Verified Questions
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Sample Questions
Q1) According to the ICNP,which of the following terms refers to the manner or method of accomplishing an intervention?
A) Focus
B) Means
C) Action
D) Judgement
Q2) Nursing has been identified as being invisible in health care.What is the most urgent issue in establishing a standardized nursing language in relation to value and necessity?
A) Health policy decisions
B) Contracts and service specifications
C) Patient safety and professionals' accountability
D) Creating a visible definition of professional practice
Q3) Canada Health Infoway was a key outcome of the federal-provincial-territorial partnership.What was its mandate?
A) Create an EHR.
B) Unify international terminology for recording nursing practice.
C) Advocate for effective health policy.
D) Implement provincial standards.
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Chapter 17: Communication
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/36946
Sample Questions
Q1) A parent tells the pediatric nurse practitioner,"I've never told anyone this information about my son." This statement is an example of what?
A) Identifying problems and goals
B) Building trust
C) Clarifying roles
D) Revealing
Q2) Which of the following would be an appropriate method of communicating with an older adult who has a communication barrier?
A) Shout.
B) Use elderspeak.
C) Speak at a very slow rate.
D) Allow time for the patient to respond.
Q3) Which of the following refers to all factors that influence how a message is perceived by other people?
A) Symbolic communication
B) Metacommunication
C) Active expression
D) Contextual action
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19
Chapter 18: Caring in Nursing Practice
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which of the following is the most important aspect of knowing a patient for a beginning nurse to recognize?
A) Interconnectedness between the nurse and the patient
B) Caring social process that results in bonding
C) Clinical signs and symptoms
D) Abnormal lab data
Q2) The nurse is walking with a male patient on the unit.The patient becomes unsteady,and is about to fall when the nurse supports him and enables him to regain equilibrium.This is an example of which of the following types of touch?
A) Caring
B) Safety
C) Protective
D) Task-oriented
Q3) Which of the following should the nurse be aware of when practising cultural aspects of nurse caring behaviours?
A) Maintaining eye contact
B) Avoiding use of idioms
C) Disregarding gender-congruent caregivers
D) Continuing prolonged use of touch to convey caring
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Page 20
Chapter 19: Family Nursing
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15 Verified Questions
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Source URL: https://quizplus.com/quiz/36950
Sample Questions
Q1) The nurse is identifying a sketch of which of the following when he or she creates a family's ecomap?
A) The region where the family resides
B) The most influential health determinants on the family's health
C) The family's contact with those outside the family
D) The family structure and relevant information about family members
Q2) When working with families,the nurse may view the family either as context or patient.Which one of the following examples demonstrates the view of the family as context?
A) The family's ability to support the patient's dietary and recreational needs
B) The patient's ability to understand and manage his or her own dietary needs
C) The family's demands on the patient based on his or her role performance
D) The adjustment of the patient and family to changes in diet and exercise
Q3) Which dimension of the family assessment includes assessing the whole situation or background relevant to the family?
A) Structural
B) Functional
C) Instrumental
D) Developmental
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Page 21
Chapter 20: Patient Education
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse assesses the patient's readiness to learn insulin injection sites.Many factors are assessed before teaching.Which of the following factors should the nurse assess first?
A) Previous knowledge level of the patient
B) Willingness of the patient to learn the injection sites
C) Financial resources available to the patient for the equipment
D) Intelligence and developmental level of the patient
Q2) The nurse is teaching a group of patients who have recently been diagnosed with heart disease.The nurse arranges the patients in pairs and asks them to plan a low-fat meal.This is an example of which of the following teaching strategies?
A) Analogy
B) Simulation
C) Demonstration
D) Role playing
Q3) Which of the following is an example of affective learning?
A) Skill acquisition
B) Values clarification
C) Emotional capability
D) Learning control of blood glucose levels
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Page 22
Chapter 21: Developmental Theories
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Sample Questions
Q1) Which of the following is considered an environmental factor influencing growth and development?
A) Heredity
B) Peer group
C) Life experiences
D) State of health
Q2) The nurse recognizes that Freud's theory approaches development by looking at which one of the following?
A) Cognitive development
B) Moral reasoning
C) Maturational development
D) Psychosexual aspects
Q3) The nurse who uses Erikson's theory to assess a 20-year-old patient's developmental status expects to find which of the following behaviours?
A) Coping with physical and social losses
B) Enjoyment of a sense of freedom and participation in the community
C) Applying oneself to learning productive skills
D) Overcoming a sense of guilt or frustration
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23
Chapter 22: Conception Through Adolescence
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26 Verified Questions
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Sample Questions
Q1) In the nursery,the nurse is taking the newborn's vital signs.The nurse compares the newborn's measurements with which of the following expected values for this age group?
A) Heart rate, 140 beats per minute; blood pressure, 72/44 mm Hg; respiratory rate, 46 breaths per minute
B) Heart rate, 100 beats per minute; blood pressure, 90/50 mm Hg; respiratory rate, 24 breaths per minute
C) Heart rate, 90 beats per minute; blood pressure, 100/60 mm Hg; respiratory rate, 20 breaths per minute
D) Heart rate, 80 beats per minute; blood pressure, 100/70 mm Hg; respiratory rate, 16 breaths per minute
Q2) Which of the following represents a clinical manifestation that is indicative of potential child maltreatment in a 6-year-old boy?
A) Frequent tooth brushing
B) Sunken eyes and cheeks
C) Above-average weight gain
D) Excessive reliance on adult physical contact
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Chapter 23: Young to Middle Adulthood
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Sample Questions
Q1) The nurse is aware of the external influences on young and middle-adult patients.With this knowledge,the nurse recognizes that which one of the following is an effective strategy to promote positive health habits for this age group?
A) Teaching patients to abstain from all alcohol consumption
B) Demonstrating how to take an accurate blood pressure measurement
C) Determining an effective daily exercise schedule for stress reduction
D) Describing the types of medications commonly used for treating depression
Q2) The nurse is performing a physical examination on a 58-year-old patient.The nurse will most likely find that the patient of this age is experiencing which one of the following physiological changes related to normal aging?
A) Reduced pupillary reaction to light
B) Palpable thyroid lobes
C) Decreased skin turgor
D) Increased range of joint motion
Q3) In Canada,which of the following is the leading cause of death?
A) Cancer
B) Suicide
C) Homicide
D) Motor vehicle accidents
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Page 25
Chapter 24: Older Adulthood
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Sample Questions
Q1) A long-term care facility sponsors a discussion group on the administration of medications.The participants have a number of questions concerning their medications.Which of the following is the most appropriate response by the nurse?
A) "Don't worry about the medication's name if you can identify it by its colour and the way it looks."
B) "Please feel free to ask your physician why you are receiving the medications that are ordered for you."
C) "Remember that the hepatic system is primarily responsible for the pharmacotherapeutics of your medications."
D) "Unless you have severe side effects from taking your medications, don't worry about the minor changes in the way you feel."
Q2) Myths exist regarding the older adult population in Canada.Which of the following is the nurse aware is true about the majority of older adults?
A) They are forgetful and confused.
B) They live in institutional settings.
C) They are unable to care for themselves.
D) They continue to enjoy sexual relationships.
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Page 26
Chapter 25: Self-Concept
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Sample Questions
Q1) A 76-year-old client who recently lost his wife is admitted for surgery.Which of the following behaviours would alert the nurse that the client has an alteration in the integrity stage of his psychosocial development?
A) Accepting his own limitations
B) Verbalizing fear about the surgery
C) Expressing his thoughts about his care
D) Demanding excessive assistance from his daughter
Q2) A client who has developed an intimate relationship is most concerned about the interactions that she has with her family,and is in the process of establishing a positive view of herself.This client is meeting the developmental needs of which of the following age groups?
A) 12- to 20-year-olds
B) Early 20s to mid-40s
C) Mid-40s to mid-60s
D) Late 60s and older
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Chapter 26: Sexuality
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Source URL: https://quizplus.com/quiz/36964
Sample Questions
Q1) On completing an assessment of a patient in the medical clinic,the nurse documents that the patient has dyspareunia.This is based on the patient's experience of which of the following symptoms?
A) Delay or absence of an orgasm
B) Deficient or absent sexual desire
C) Involuntary constriction of the vagina
D) Genital pain during intercourse
Q2) An adolescent female student who is sexually active visits the office of the school nurse.Which of the following statements best reflects the student's understanding of the effective use of contraception devices?
A) "My boyfriend is able to withdraw before ejaculation, and that prevents me from getting pregnant."
B) "I take my temperature every morning, and when it goes down for at least two days, we have unprotected sex."
C) "We use 'foam' before each time we have sex, and I haven't gotten pregnant yet."
D) "We use a condom with a water-based lubricant."
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Chapter 27: Spiritual Health
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Sample Questions
Q1) Which of the following actions shows the beginning of the nurse's knowledge about spirituality?
A) Researching all popular religions
B) Looking at his or her own beliefs
C) Sharing his or her faith with patients
D) Providing prayers and religious articles for patients
Q2) Which of the following is an approved NANDA nursing diagnosis for spirituality?
A) Risk for spiritual loss
B) Spiritual actualization
C) Readiness for spiritual well-being
D) Realization of need for a belief in God
Q3) Which of the following is an intervention that will facilitate connectedness?
A) Restrict visits from pets.
B) Place memorabilia in the patient's view.
C) Avoid physical touch and massage.
D) Implement relevant rituals and traditions.
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29
Chapter 28: The Experience of Loss, death, and Grief
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Sample Questions
Q1) A patient has been diagnosed with terminal cancer of the liver and is receiving chemotherapy on a medical unit.In an in-depth conversation with the nurse,the patient states,"It can't be happening to me." According to Kübler-Ross,with which of the following is this stage of dying associated?
A) Anxiety
B) Denial
C) Confrontation
D) Depression
Q2) Which of the following is one of Bowlby's phases of mourning?
A) Acceptance
B) Reorganization
C) Accepting reality of loss
D) Emotionally relocating and moving on
Q3) The newly graduated nurse is assigned to his or her first dying patient.How can the nurse best prepare to care for this patient?
A) Complete a course dealing with death and dying.
B) Control his or her own emotions about death.
C) Draw on the experience of the death of a loved one.
D) Develop an understanding of his or her own feelings about death.
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Page 30
Chapter 29: Stress and Adaptation
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Source URL: https://quizplus.com/quiz/36970
Sample Questions
Q1) The nurse is involved in crisis intervention with a family in which the father has just lost his job and is experiencing periods of depression.The mother has a chronic debilitating illness that has put added responsibilities on the adolescent child,who is having behavioural problems.How does the nurse help the family focus on their feelings?
A) Pointing out the connection between the situation and their responses
B) Encouraging the use of the family's usual coping skills
C) Working on time management skills
D) Discussing past experiences
Q2) During the end-of-shift report,the nurse notes that the patient had been very nervous and preoccupied during the evening and that no family visited.To determine the amount of anxiety that the patient is experiencing,how should the nurse respond to the patient?
A) "Would you like to have me call a family member to come and support you?"
B) "Would you like to go down the hall and talk with another patient who had the same surgery?"
C) "How serious do you think your illness is?"
D) "You seem worried about something. Would it help to talk about it?"
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Page 31
Chapter 30: Vital Signs
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/36972
Sample Questions
Q1) The patient has developed pneumonia,and his temperature is 38.5ºC.The patient is shivering and "feels uncomfortable." Which one of the following actions should the nurse take?
A) Apply hot packs to the axilla and groin.
B) Wrap the patient's four extremities.
C) Increase oral fluid consumption.
D) Apply a hypothermia mattress.
Q2) A patient complains of pain and asks the nurse for pain medication.The nurse first assesses vital signs and finds them to be as follows: Blood pressure 134/92 mm Hg,pulse 90 beats per minute,and respirations 26 breaths per minute.Which of the following is the nurse's most appropriate action?
A) Assess with a pain scale, and administer the medication.
B) Ask if the patient is anxious.
C) Check the patient's dressing for bleeding.
D) Recheck the patient's vital signs in 30 minutes.
Q3) The nurse is alert to which of the following factors that lowers blood pressure?
A) Anxiety
B) Heavy alcohol consumption
C) Cigarette smoking
D) Diuretic administration
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Chapter 31: Health Assessment and Physical Examination
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/36974
Sample Questions
Q1) The nurse will be assessing position sense with cerebellar tests.Which of the following tests relates to testing cerebellar function?
A) Weber test
B) Allen test
C) Romberg test
D) Rinne test
Q2) A pregnant patient is seen by the nurse in the antenatal clinic.On inspection,which of the following changes does the nurse expect to see in the patient's breasts?
A) Softer tissue
B) Flatter nipples
C) Darkened areolae
D) Diminished superficial veins
Q3) An inspection of the lower extremities is being performed.The observation of which of the following causes the nurse to suspect the presence of arterial insufficiency?
A) Increased hair growth
B) Cooler skin temperatures
C) Marked edema
D) Brown pigmentation
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33
Chapter 32: Infection Control
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/36976
Sample Questions
Q1) The nurse works in a small rural hospital with a wide variety of patients.Of the patients admitted this afternoon,the nurse recognizes that the individual with which of the following conditions is most susceptible to infection?
A) Burns
B) Diabetes
C) Pulmonary emphysema
D) Peripheral vascular disease
Q2) The nurse suspects that an older adult patient may have pneumonia.Older adult patients may react differently to infectious processes,so the nurse is alert to atypical signs and symptoms,such as which one of the following?
A) Hypotension
B) Confusion
C) Erythema
D) Chills
Q3) Which of the following is true in regard to documentation of hand hygiene?
A) Presence of dermatitis should be documented.
B) Document use of soap versus alcohol-based solution.
C) It is not necessary to record anything about hand hygiene.
D) Evaluate the handwashing facilities available if they are inadequate.
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Page 34
Chapter 33: Medication Administration
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/36978
Sample Questions
Q1) Which of the following liquid forms has an alcoholic ingredient?
A) Extract
B) Troche
C) Tincture
D) Aqueous suspension
Q2) The patient is nauseated,has been vomiting for several hours,and needs to receive an antiemetic medication.The nurse recognizes that which of the following statements is true about this medication?
A) An enteric-coated medication should be given.
B) Medication will not be absorbed as easily because of the nausea.
C) A parenteral route is the route of choice.
D) A rectal suppository must be administered.
Q3) A patient on the medical unit receives regular insulin at 7:00 a.m.The nurse is alert to a possible hypoglycemic reaction by which time?
A) 7:30 a.m.
B) 9:00 a.m.
C) 4:00 p.m.
D) 8:00 p.m.
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35
Chapter 34: Complementary and Alternative Therapies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36980
Sample Questions
Q1) In selecting an appropriate alternative therapy,the nurse knows that the patient who has migraine headaches may benefit the most from which of the following therapies?
A) Meditation
B) Imagery
C) Biofeedback
D) Relaxation therapy
Q2) When teaching a patient how to do modified autogenic relaxation,the nurse says to the patient,"Say to yourself,'My abdomen' while you are breathing in." What does the nurse tell the patient to say to him- or herself when breathing out?
A) "Is cool."
B) "Is free and easy."
C) "Is quiet and still."
D) "Is loose and warm."
Q3) Which of the following is considered a whole medical system?
A) Ayurveda
B) Herbal remedies
C) Homeopathic medicine
D) Vitamin and mineral therapy
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36
Chapter 35: Activity and Exercise
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36982
Sample Questions
Q1) Who coordinates the efforts of a lift team when moving a patient?
A) The patient's primary nurse
B) The person who has come to offer assistance
C) The person who has the heaviest load when lifting
D) The assistant who is positioned at the head of the patient's bed
Q2) When applying ice to a soft tissue injury,the nurse instructs the patient that the ice is to remain in place no longer than which of the following times?
A) 10 minutes
B) 15 minutes
C) 30 minutes
D) 1 hour
Q3) The nurse uses balance to maintain proper body alignment and posture by using which of the following techniques?
A) Keeping feet wide apart and bending the knees
B) Assuming a position far enough away from the patient
C) Twisting the body in the direction of movement
D) Using the strong back muscles for lifting or moving
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Chapter 36: Safety
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36984
Sample Questions
Q1) A confused patient needs to have restraints applied to prevent him from pulling out his Foley catheter.Which of the following options can the nurse delegate to an unregulated care provider (UCP)?
A) Applying restraints
B) Obtaining a physician's order to restrain the patient
C) Documenting the events that led to restraining the patient
D) Evaluating the effectiveness of the restraints
Q2) Injuries among older adults resulting from falls in the home are due to intrinsic and extrinsic factors.Which one of the following is an example of an extrinsic factor?
A) Illness
B) Drug therapy
C) Environmental obstacles
D) Alcohol use
Q3) Which of the following is an age-related musculoskeletal change that predisposes the older adult to accidents?
A) Increase in muscle function
B) Increase in joint mobility
C) Increase in nocturia
D) Decrease in muscle strength
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Chapter 37: Hygiene
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36986
Sample Questions
Q1) After an initial treatment with a medicated shampoo for head lice,when should the nurse instruct the patient to complete a repeat application of the shampoo?
A) 24 hours later
B) 72 hours later
C) 7 to 10 days later
D) 2 weeks later
Q2) The nurse is preparing to assist the adult female patient with perineal care.Which of the following is the best position for this patient?
A) Dorsal recumbent
B) Side-lying
C) Supine
D) Prone
Q3) When teaching patients how to properly brush their teeth,the nurse instructs them to hold the toothbrush at what angle to the gum line?
A) 15 degrees
B) 30 degrees
C) 45 degrees
D) 90 degrees
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Chapter 38: Cardiopulmonary Functioning and Oxygenation
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/36988
Sample Questions
Q1) It is suspected that the patient's oxygenation status is deteriorating.The nurse is aware that which abnormal assessment finding represents the most serious indication of the patient's decreased oxygenation?
A) Poor skin turgor
B) Clubbing of the nails
C) Central cyanosis
D) Pursed-lip breathing
Q2) A 64-year-old patient is seen in the emergency department for palpitations and mild shortness of breath.The electrocardiogram reveals a normal P wave,P-R interval,and QRS complex with a regular rhythm and a rate of 108 beats per minute.The nurse should recognize this as which type of cardiac dysrhythmia?
A) Sinus dysrhythmia
B) Sinus tachycardia
C) Supraventricular tachycardia
D) Ventricular tachycardia
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Chapter 39: Fluid, electrolyte, and Acid-base Balances
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/36990
Sample Questions
Q1) The single best indicator of a patient's fluid status is the nurse's assessment of which one of the following?
A) The patient's skin turgor
B) The patient's intake and output
C) The patient's serum electrolyte levels
D) The patient's daily body weight
Q2) When initiating peripheral IV therapy,where does the nurse place the tourniquet in relation to the proposed insertion site?
A) 5 to 10 cm above
B) 5 to 10 cm below
C) 10 to 15 cm above
D) 10 to 15 cm below
Q3) A rapid infusion of blood has been given to the patient.The nurse assesses the patient for which one of the following?
A) Diaphoresis
B) Anxiety
C) Hypertension and tachycardia
D) Nausea and vomiting
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Chapter 40: Sleep
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36992
Sample Questions
Q1) As a result of recent studies regarding infant safety during sleep,which of the following instructions does the nurse give the parents?
A) Provide a stuffed toy for comfort.
B) Apply a loose-fitting plastic mattress cover.
C) Place the infant on his or her back.
D) Use small pillows in the crib.
Q2) Which sleep stage begins the initial period of deep sleep?
A) 1
B) 2
C) 3
D) 4
Q3) The nurse is completing an assessment on the patient's sleep patterns.Which of the following is a specific question that the nurse should ask to determine the potential presence of sleep apnea?
A) "How easily do you fall asleep?"
B) "Do you have vivid, lifelike dreams?"
C) "Do you ever experience loss of muscle control or falling?"
D) "Do you snore loudly or experience headaches?"
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Chapter 41: Pain Assessment and Management
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36994
Sample Questions
Q1) A 17-year-old postoperative patient is laughing with friends.Soon after they leave,he tells the nurse he is experiencing pain and asks for something for pain.What does the nurse understand about this situation?
A) Teenagers will try to obtain narcotics by faking pain.
B) Distraction reduces pain awareness.
C) Postoperative pain comes on suddenly.
D) Patients who are able to laugh are not really experiencing pain.
Q2) Which of the following does the nurse realize is a frequent response of patients to chronic pain?
A) Depression
B) Hypertension
C) Nausea and vomiting
D) Pallor
Q3) Upon entering the patient's room,the nurse discovers that the patient is experiencing acute pain.Which of the following is an expected assessment finding for this patient?
A) Bradycardia
B) Bradypnea
C) Diaphoresis
D) Decreased muscle tension
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Chapter 42: Nutrition
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36996
Sample Questions
Q1) A patient is seen in the outpatient clinic for follow-up of a nutritional deficiency.In planning for the patient's dietary intake,the nurse includes a complete protein.Which one of the following is an example of a complete protein?
A) Cheese
B) Oats
C) Legumes
D) Vegetables
Q2) When advancing the rate of enteral tube feedings,what is the incremental volume used to achieve the required nutritional intake in six to eight feedings per day?
A) 25 mL
B) 50 mL
C) 75 mL
D) 100 mL
Q3) How many degrees should the nurse rotate a nasoenteric tube during insertion?
A) 45 degrees
B) 90 degrees
C) 180 degrees
D) 360 degrees
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Chapter 43: Urinary Elimination
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65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/36998
Sample Questions
Q1) The nurse is concerned about pulmonary aspiration when providing her patient with tube feedings.The nurse should
A) Verify tube placement before feeding.
B) Lower the head of the bed to a supine position.
C) Add blue food coloring to the enteral formula.
D) Run the formula over 12 hours to decrease volume.
Q2) The patient is having at least 75% of his nutritional needs met by enteral feeding,so the physician has ordered the PN to be discontinued.However,the nurse notices that the PN infusion has fallen behind.The nurse should
A) Increase the rate to get the volume caught up before discontinuing.
B) Stop the infusion and hang a normal saline drip in place.
C) Taper the PN infusion gradually.
D) Hang 5% dextrose if the PN runs out.
Q3) The energy needed to maintain life-sustaining activities for a specific period of time at rest is known as
A) BMR.
B) REE.
C) Nutrients.
D) Nutrient density.
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Page 45
Chapter 44: Bowel Elimination
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/36999
Sample Questions
Q1) The patient is to receive a sodium polystyrene sulphonate (Kayexalate)enema.For which of the following purposes does the nurse recognize this is used?
A) To prevent further constipation
B) To remove excess potassium from the system
C) To reduce bacteria in the colon before diagnostic testing
D) To provide direct antidiarrheal medication to the intestine
Q2) What signs and symptoms would the nurse expect to observe in a patient with excessive white blood cells present in the urine?
A) Fever and chills
B) Difficulty holding in urine
C) Increased blood pressure
D) Abnormal blood sugar
Q3) The nurse would anticipate an order for which diagnostic test for a patient who has severe flank pain and calcium phosphate crystals revealed on urinalysis?
A) Renal ultrasound
B) Bladder scan
C) KUB x-ray
D) Intravenous pyelogram
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Chapter 45: Mobility and Immobility
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/37000
Sample Questions
Q1) Which patient is most at risk for increased peristalsis?
A) A 5-year-old child who ignores the urge to defecate owing to embarrassment
B) A 21-year-old patient with three final examinations on the same day
C) A 40-year-old woman with major depressive disorder
D) An 80-year-old man in an assisted-living environment
Q2) Which of the following is not a function of the large intestine?
A) Absorbing nutrients
B) Absorbing water
C) Secreting bicarbonate
D) Eliminating waste
Q3) A patient is diagnosed with a bowel obstruction.The nurse chooses which type of tube for gastric decompression?
A) Salem sump
B) Dobhoff
C) Sengstaken-Blakemore
D) Small bore
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Chapter 46: Skin Integrity and Wound Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/37001
Sample Questions
Q1) A patient has a healing abdominal wound.The wound has minimal exudate and collagen formation.How should the nurse document this wound in the patient's chart?
A) Primary intention
B) Inflammatory phase
C) Proliferative phase
D) Secondary intention
Q2) The nurse determines that the patient's wound may be infected.In order to perform a quantitative swab for wound culture,which of the following actions should the nurse take?
A) Collect the superficial drainage.
B) Collect the culture before cleansing the wound.
C) Obtain a culturette tube and use sterile technique.
D) Use the same technique as for collecting an anaerobic culture.
Q3) The nurse prepares to irrigate the patient's wound.What is the primary purpose of this procedure?
A) To decrease scar formation
B) To cleanse the wound and remove bacteria
C) To improve circulation from the wound
D) To decrease irritation from wound drainage
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Page 48
Chapter 47: Sensory Alterations
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/37003
Sample Questions
Q1) Which part of the ear is responsible for transmitting sound to the inner ear?
A) Auditory canal
B) Middle ear
C) External ear
D) Labyrinth
Q2) The nurse recommends follow-up auditory testing for a child who was exposed in utero to which one of the following?
A) Excessive oxygen
B) Diabetes
C) Respiratory infection
D) Rubella
Q3) The nurse in the pediatric clinic is checking the basic visual acuity of a 4-year-old child.What should the nurse ask the child to do as part of this assessment?
A) Use the standard Snellen chart.
B) Read a few lines from a children's book.
C) Follow the peripheral movement of an object.
D) Identify crayon colours.
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Chapter 48: Care of Surgical Patients
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/37004
Sample Questions
Q1) When speaking with the patient,the nurse discovers that the patient does not have a complete understanding of the surgical procedure.Which of the following courses of action should the nurse take?
A) Obtain the consent, as this is expected with preoperative anxiety.
B) Teach the patient all about the procedure.
C) Ask the unit manager to assist with a teaching plan.
D) Inform the surgeon, so that necessary information can be provided to the patient.
Q2) An obese patient is admitted for abdominal surgery.The nurse recognizes that this patient is more susceptible to which of the following postoperative complications?
A) Anemia
B) Seizures
C) Protein loss
D) Dehiscence
Q3) Which of the following is one of the greatest risks of general anaesthesia?
A) Hypertension
B) Cardiovascular depression
C) Oral mucosa damage
D) Tachypnea
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Chapter 50: the Health Care Delivery System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36915
Sample Questions
Q1) When the nurse first meets the patient,it is important to establish a dialogue if possible; patient-centered care stresses that it is important for the nurse to recognize that
A) Patients usually want to rely on the nurse for patient care.
B) Patients usually want to keep their fears and concerns to themselves.
C) It is important to identify patient expectations.
D) Patients usually have insurance and do not worry about finances.
Q2) Which of the following,established by Congress in 1983,eliminated cost-based reimbursement for patients who received Medicare benefits?
A) Prospective payment system (PPS)
B) Professional standards review organizations (PSROs)
C) Utilization review (UR) committees
D) Capitation
Q3) The nurse is caring for a patient who is on Medicare.Because the patient is on Medicare,the nurse is aware that
A) The hospital will be paid for the full cost of the patient's hospitalization.
B) Capitation provides the hospital with a means of recovering variable charges.
C) Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
D) Medicare will pay the national average for the patient's condition.
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Page 51
Chapter 51: Community-Based Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36917
Sample Questions
Q1) Community-based nursing centers function as the first level of contact between members of a community and the health care delivery system.Ideally,health care services
A) Are provided where patients live.
B) Reduce the cost of health care for the patient.
C) Provide direct access to nurses.
D) Exclude interference from family or friends.
Q2) The community health nurse is providing counseling to a group of teenage girls related to birth control and disease prevention.The nurse does this because
A) Focusing on subpopulations leads to community health.
B) Community health nursing focuses on individuals only.
C) Community health nursing excludes direct care to subpopulations.
D) The focus is on preventing illness and unwanted pregnancy.
Q3) The community health nurse is administering flu shots to children at a local playground.In doing so,the nurse's focus is on
A) Preventing individual illness.
B) Preventing community outbreak of illness.
C) Preventing outbreak of illness in the family.
D) The needs of the individual or family.
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Page 52
Chapter 52: Theoretical Foundations of Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36919
Sample Questions
Q1) Many aspects of nursing theory are based on developmental theories because human growth and development is believed to be
A) Erratic and difficult to predict.
B) An orderly predictive process.
C) An orderly process until adulthood.
D) Unpredictable during childhood.
Q2) The nurse is making rounds and finds her older adult patient sobbing and obviously upset.She states that her doctor told her that she has cancer,and she does not want to die."What's the sense?" she says."I might as well die.I'm going to anyway.I guess that shows how useless I really am.Nobody wants an old lady around." The nurse notices that the patient's respirations have increased,and the tip of her nose and ear lobes are becoming cyanotic.The nurse assesses the patient and finds that the patient's pulse rate is over 150 beats per minute.According to Maslow's hierarchy of needs,the nurse should first
A) Call the physician to request a psychiatric consult.
B) Reassure the patient that she has value as a human being.
C) Place the patient on oxygen and try to calm her.
D) Call the patient's family to help her realize that she is wanted.
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Chapter 53: Evidence-Based Practice
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/36921
Sample Questions
Q1) In collecting the best evidence,the gold standard for research is
A) The randomized controlled trial (RCT).
B) The peer-reviewed article.
C) Qualitative research.
D) The opinion of expert committees.
Q2) Qualitative nursing research is valuable in that it
A) Excludes all bias.
B) Uses randomization in structure.
C) Determines associations between variables and conditions.
D) Studies phenomena that are difficult to quantify.
Q3) The quality improvement committee is examining an increase in medication errors on a particular unit.In conducting its analysis,what should be the committee's primary focus?
A) Nurses who administer the medications
B) Pharmacy that prepares the medications
C) Secretaries who enter the orders
D) None of the above
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Page 54
Chapter 54: Health and Wellness
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36923
Sample Questions
Q1) The patient has been overweight for most of her life.She has tried dieting in the past and has lost weight,only to regain it when she stopped dieting.She is visiting the weight loss clinic/health club because she has decided to do it.She states that she will join right after the holidays,in 3 months.The nurse recognizes that the patient is in which stage of the change process?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
Q2) The patient has quit smoking and has been smoke free for the past 2 years.Of the following stages,which best fits her current stage of change?
A) Contemplation
B) Preparation
C) Action
D) Maintenance
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55
Chapter 55: Caring in Nursing Practice
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36925
Sample Questions
Q1) In trying to determine patients' perception of caring,several studies have suggested that
A) The nurse's effectiveness in performing tasks defines her profession.
B) The affective dimension of nursing care is of primary importance.
C) All patients have the same needs and similar personalities.
D) Patients value both task performance and the affective dimension of nursing.
Q2) When dealing with the concept of "touch," the nurse realizes what with regard to contact touch?
A) Involves only skin-to-skin contact
B) Involves eye contact
C) Occurs only when tasks are being performed
D) Is used only to protect the patient
Q3) Caring is a universal phenomenon that influences the ways in which people
A) Learn.
B) Think.
C) Believe.
D) Feel.
E) Behave.
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56
Chapter 56: Caring for the Cancer Survivor
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36927
Sample Questions
Q1) The nurse is caring for a young woman with breast cancer.The stress between the woman and her husband is obvious,as is anxiety among the children.What is the nurse's best action in this situation?
A) Help find or develop an educational program for the patient and her husband.
B) Encourage the patient to agree with her husband even if she disagrees.
C) Support the husband, and explain that the husband knows what's best.
D) Take the children away and recommend foster care.
Q2) The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer.The patient says that he can't wait until the therapy is done so that he can feel stronger,and asks the nurse about the value of cancer screening when his course of therapy is over.The nurse should inform the patient that cancer screening
A) Should be done on an ongoing schedule.
B) Probably will not be needed because the patient has been cured.
C) Usually is not done even if recommended by the health care provider.
D) Is not something that the health care provider should recommend.
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Chapter 57: Culture and Ethnicity
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36929
Sample Questions
Q1) The nurse is caring for a patient who has emigrated from another country.The patient is in need of abdominal surgery but seems reluctant to sign the surgical permits.What is one tactic that the nurse should use?
A) Determine the family social hierarchy.
B) Encourage the patient to sign the permits.
C) Call the physician so that surgery can be canceled.
D) Impress on the patient that her life is in jeopardy.
Q2) The nurse is caring for a member of the Jewish faith who needs to undergo a critical procedure on Saturday.The patient is refusing the procedure because it is scheduled to be done on the Sabbath.The nurse impresses on the patient the urgency of the procedure,stating that delaying the procedure would put his life at risk.The patient continues to refuse.What should the nurse do?
A) Cancel the procedure.
B) Seek permission from the patient to contact the patient's rabbi.
C) Have a family member sign the permit.
D) Have the procedure done against patient wishes.
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58
Chapter 58: Caring for Families
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36931
Sample Questions
Q1) The nurse is caring for an elderly woman and notices that she is not using her cane properly.Which of the following statements by the nurse would most likely elicit a positive response from the patient?
A) "You're doing that all wrong. Let me show you how to do it."
B) "I don't know who showed how to use the cane like that, but you're not doing it right. Let me show you again."
C) "You use the cane the way I did before I was shown a way to keep from tripping over it; do you mind if I show you?"
D) "I used to use the cane the same way you are using it: the wrong way. I'll show you the right way to do it."
Q2) Balancing employment and family life creates a variety of challenges in terms of child care and household work for both parents.This has major implications in health care because
A) Maternal employment has been demonstrated to be harmful for children.
B) Maternal employment has shifted the majority of household tasks to the male.
C) Fathers now participate more fully in day-to-day parenting responsibilities.
D) The number of single-parent families has decreased since 1970.
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Chapter 59: Developmental Theories
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36933
Sample Questions
Q1) A formerly independent and active older adult becomes severely withdrawn upon admission to a nursing home.When approaching this patient,which intervention should the nurse plan first?
A) Offer a reward for participation in all events.
B) Encourage the patient to attend all social events scheduled for the patients.
C) Allow the patient to incorporate personal belongings into her room.
D) Advise the patient of the importance of attending mandatory activities.
Q2) The parents of a 15-month-old child express concern to the nurse about their child's thumb-sucking habit.Which of these explanations related to the child's age and developmental level would be most appropriate for the nurse to give the parents?
A) Thumb sucking at this age indicates a developmental delay and should be further assessed.
B) Sucking achieves a pleasing result for infants, and generalizing that action by thumb sucking is normal.
C) Thumb sucking at this age demonstrates a transition away from egocentric thinking.
D) At this age, thumb sucking will enhance language development.
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Chapter 60: Conception Through Adolescence
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/36935
Sample Questions
Q1) Normal physical findings in a healthy newborn include
A) Sporadic motor movements.
B) Cyanosis of the feet and hands for the first 48 hours.
C) Triangle-shaped anterior fontanel.
D) Weight of 4800 grams.
Q2) After comparing appropriate play activities for infants and preschool children,the nurse should appropriately offer which of the following activities to an infant?
A) Set of cards to organize and separate into groups
B) Set of plastic stacking rings
C) Paperback book
D) Set of sock puppets with movable eyes
Q3) Which of these toys,if selected by the parent of a 10-month-old child,would indicate that the parent has a correct understanding of infant growth and development?
A) A game requiring two to four players
B) Electronic games
C) Small, plastic alphabet letters and magnets
D) Plastic stacking rings
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Chapter 61: Young and Middle Adults
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36937
Sample Questions
Q1) A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and hot flashes.What should the nurse explain?
A) Those symptoms are normal when a woman undergoes the climacteric.
B) An assessment is not really needed because these problems are normal for older women.
C) The patient's age and symptoms point toward normal menopause.
D) The patient should stop regular exercise because that is probably causing her symptoms.
Q2) During a routine physical assessment,the nurse obtaining a health history notes that a 50-year-old female patient reports pain and redness in the right breast.What is the nurse's best action in response to this finding?
A) Explain to the patient that breast tenderness is normal at her age.
B) Tell the patient that redness is not a cause for concern and is quite common.
C) Assess the patient as thoroughly as possible.
D) Inform her that redness is the precursor to normal unilateral breast enlargement.
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Chapter 62: Older Adults
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/36939
Sample Questions
Q1) During assessment of an older adult's skin integrity,expected findings include which of the following?
A) Decreased elasticity
B) Oily skin
C) Increased facial hair in men
D) Faster nail growth
Q2) An older adult patient in no acute distress reports being less able to taste and smell.What is the nurse's best response to this information?
A) Notify the physician immediately to rule out cranial nerve damage.
B) Perform testing on the vestibulocochlear nerve and a hearing test.
C) Schedule the patient for an appointment at a smell and taste disorders clinic.
D) Explain to the patient that diminished senses are normal findings.
Q3) Which of these assessments of an older adult,who has a urinary tract infection,requires an immediate nursing intervention?
A) Presbycusis
B) Confusion
C) Death of a spouse 3 months ago
D) Temperature of 97.6° F
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Chapter 63: Critical Thinking in Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36941
Sample Questions
Q1) While caring for a hospitalized older adult female post hip surgery,the new graduate nurse is faced with the task of inserting an indwelling urinary catheter,which involves rotating the hip into a contraindicated position.The nurse exhibits critical thinking to perform this task by
A) Following textbook procedure.
B) Notifying the physician of the need for a urologist consult.
C) Adapting the positioning technique to the situation.
D) Postponing catheter insertion until the next shift.
Q2) Professional nurses are responsible for making clinical decisions to
A) Prove traditional methods of providing nursing care to patients.
B) Take immediate action when a patient's condition worsens.
C) Apply clear textbook solutions to patients' problems.
D) Formulate standardized care plans for groups of patients.
Q3) Which of the following demonstrates a nurse utilizing self-reflection to improve clinical decision making?
A) Uses an objective approach in all situations
B) Obtains data in an orderly fashion
C) Improves a plan of care while thinking back on interventions performed
D) Provides evidence-based explanations for all nursing interventions
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Page 64
Chapter 64: Nursing Assessment
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36943
Sample Questions
Q1) To gather information about a patient's home and work surroundings,the nurse will need to utilize which method of data collection?
A) Carefully review lab results.
B) Conduct the physical assessment before collecting subjective information.
C) Perform a thorough nursing health history.
D) Prolong the termination phase of the interview.
Q2) A nurse using the problem-oriented approach to data collection will first
A) Complete an observational overview.
B) Disregard cues and complete the database questions in chronological order.
C) Focus on the patient's presenting situation.
D) Make accurate interpretations of the data.
Q3) Subjective data include
A) A patient's feelings, perceptions, and reported symptoms.
B) A description of the patient's behavior.
C) Observations of a patient's health status.
D) Measurements of a patient's health status.
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Chapter 65: Nursing Diagnosis
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/36945
Sample Questions
Q1) A patient presents to the emergency department following a motor vehicle crash and suffers from a right femur fracture.The leg is stabilized in a full leg cast.Otherwise,the patient has no other major injuries,is in good health,and complains only of moderate discomfort.What is the most pertinent nursing diagnosis to be included in the plan of care based on the assessment data provided?
A) Posttrauma syndrome
B) Constipation
C) Urinary retention
D) Acute pain
Q2) The charge nurse is reviewing a patient's plan of care,which includes the nursing diagnostic statement,Impaired physical mobility related to tibial fracture as evidenced by patient's inability to ambulate to bathroom.The nurse needs to revise which part of the diagnostic statement?
A) Nursing diagnosis
B) Etiology
C) Patient chief complaint
D) Defining characteristic
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Chapter 66: Planning Nursing Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36947
Sample Questions
Q1) The following statements are on a patient's nursing care plan.Which of the following statements is written as an outcome?
A) The patient will verbalize a decreased pain level less than 3 on a 0 to 10 scale by the end of this shift.
B) The patient will demonstrate increased mobility in 2 days.
C) The patient will demonstrate increased tolerance to activity over the next month.
D) The patient will understand needed dietary changes by discharge.
Q2) A patient's plan of care includes the goal of increasing mobility this shift.As the patient is ambulating to the bathroom at the beginning of the shift,the patient suffers a fall.The nurse should revise the plan of care first by
A) Asking physical therapy to assist the patient because of the new injuries.
B) Disregarding all previous diagnoses and establishing a new plan of care.
C) Reassessing the patient.
D) Setting new priorities for the patient.
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Chapter 67: Implementing Nursing Care
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/36949
Sample Questions
Q1) Which of the following are direct care interventions?
A) Turning a patient
B) Counseling a patient
C) Performing resuscitation
D) Documenting wound care
E) Teaching wound care
Q2) A patient visiting with family members in the waiting area tells the nurse that his stomach is not feeling good.Before intervening,what should the nurse do?
A) Ask the patient to return to his room so the nurse can inspect his abdomen.
B) Request that the family leave, so the patient can rest.
C) Ask the patient when his last bowel movement was and to lie down on the sofa.
D) Tell the patient that his dinner tray will be ready in 15 minutes.
Q3) Before implementing any intervention,the nurse uses critical thinking to
A) Determine whether an intervention is correct and appropriate for the given situation.
B) Evaluate the effectiveness of interventions.
C) Establish goals for a particular patient without the need for reassessment.
D) Read over the steps and perform a procedure despite lack of clinical competency.
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Chapter 68: Evaluation
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20 Flashcards
Source URL: https://quizplus.com/quiz/36951
Sample Questions
Q1) A nursing student asks her nursing instructor to describe the primary purpose of evaluation.Which of the following statements made by the nursing instructor is most accurate?
A) "During evaluation, you determine whether all nursing interventions were completed."
B) "During evaluation, you determine when to downsize staffing on nursing units."
C) "Nurses use evaluation to determine the effectiveness of nursing care."
D) "Evaluation eliminates unnecessary paperwork and care planning."
Q2) In which step of the nursing process does the nurse determine if the patient's condition has improved and whether the patient has met expected outcomes?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
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Chapter 69: Managing Patient Care
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20 Flashcards
Source URL: https://quizplus.com/quiz/36953
Sample Questions
Q1) A new nurse expresses frustration at not being to complete all interventions for a group of patients in a timely manner.The nurse leaves the rounds report sheets at the nurse's station when caring for patients and reports having to go back and forth between rooms several times looking for equipment and supplies.This nurse could benefit from practicing better _____ skills.
A) Clinical decision-making
B) Organizational
C) Evaluation
D) Interpersonal communication
Q2) In which nursing care delivery model are clinicians held accountable for some standard of cost-effectiveness and quality of care?
A) Total patient care
B) Primary nursing
C) Team nursing
D) Case management
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Chapter 70: Ethics and Values
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36955
Sample Questions
Q1) The nurse has become aware of missing narcotics in the patient care area.Which ethical principle obligates the nurse to report the missing medications?
A) Advocacy
B) Responsibility
C) Confidentiality
D) Accountability
Q2) Which issue has increased the attention paid to quality of life concerns in recent history?
A) Health care disparities
B) National movement regarding disabled persons
C) Aging of the population
D) Health care financial reform
Q3) Determinations regarding quality of life are
A) Based on a person's ability to act according to ethical principles.
B) Based on a patient's self-determination.
C) Value judgments that can vary from person to person.
D) Consistent and stable over the course of one's lifetime.
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Chapter 71: Legal Implications in Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36957
Sample Questions
Q1) A nursing student has been written up several times for being late with providing patient care and for omitting aspects of patient care and not knowing basic procedures that were taught in the skills course one term earlier.The nursing student says,"I don't understand what the big deal is.As my instructor,you are there to protect me and make sure I don't make mistakes." What is the best response from the nursing instructor?
A) "You are expected to perform at the level of a professional nurse."
B) "You are expected to perform at the level of a nursing student."
C) "You are practicing under the license of the nurse assigned to the patient."
D) "You are expected to perform at the level of a skilled nursing assistant."
Q2) A nurse gives an incorrect medication to a patient without doing all of the mandatory checks,but the patient has no ill effects from the medication.What actions should the nurse take after reassessing the patient?
A) Notify the health care provider of the situation.
B) Document in the patient's medical record that an occurrence report was filed.
C) Document in the patient's medical record why the omission occurred.
D) Discuss what happened with all of the other nurses and staff on the unit.
E) Continue to monitor the patient for any untoward effects from the medication.
F) Send an occurrence report to risk management after completing it.
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Chapter 72: Communication
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/36959
Sample Questions
Q1) An elderly patient is wearing a hearing aid.Which technique should the nurse use to facilitate communication?
A) Speak clearly and loudly.
B) Turn off the television.
C) Chew gum.
D) Use at least 14-point print.
Q2) A nurse wants to present information about flu immunizations to the elderly in the community.Which type of communication should the nurse use?
A) Interpersonal
B) Public
C) Transpersonal
D) Small group
Q3) Which types of patients can cause challenging communication situations?
A) A male patient who is cooperative with treatments
B) A female patient who is outgoing and flirty
C) An older adult patient who is demanding
D) An elderly patient who can clearly see small print
E) A teenager frightened by the prospect of impending surgery
F) A child who is developmentally delayed
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Page 73
Chapter 73: Patient Education
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/36961
Sample Questions
Q1) Which statements by the nurse indicate a good understanding of patient education/teaching?
A) "Patient education is a standard for professional nursing practice."
B) "Patient teaching falls within the scope of nursing practice."
C) "Patient education is an essential component of safe, patient-centered care."
D) "Patient education is not effective with children."
E) "Patient teaching can increase health care costs."
F) "Patient teaching should be documented in the chart."
Q2) Which statement indicates that the nurse has a good understanding of teaching/learning?
A) "Teaching and learning can be separated."
B) "Learning is an interactive process that promotes teaching."
C) "Learning consists of a conscious, deliberate set of actions designed to help the teacher."
D) "Teaching is most effective when it responds to the learner's needs."
Q3) Which factors should the nurse assess to determine a patient's ability to learn?
A) Developmental capabilities and physical capabilities
B) Sociocultural background and motivation
C) Psychosocial adaptation to illness and active participation
D) Stage of grieving and overall physical health
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Chapter 74: Documentation and Informatics
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/36963
Sample Questions
Q1) A nurse is creating a plan to reduce data entry errors and maintain confidentiality.Which guidelines should the nurse include?
A) Create a password with just letters.
B) Bypass the firewall.
C) Use a programmed speed-dial key when faxing.
D) Implement an automatic sign-off.
E) Impose disciplinary actions for inappropriate access.
F) Shred papers containing personal health information (PHI).
Q2) A nurse preceptor is working with a student nurse.Which behavior by the student nurse will require the nurse preceptor to intervene?
A) The student nurse reviews the patient's medical record.
B) The student nurse reads the patient's plan of care.
C) The student nurse shares patient information with a friend.
D) The student nurse documents medication administered to the patient.
Q3) A nurse is charting on a patient's record.Which action is most accurate legally?
A) Charts legibly
B) States the patient is belligerent
C) Uses correction fluid to correct error
D) Writes entry for another nurse
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Page 75
Chapter 75: Patient Safety
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/36965
Sample Questions
Q1) The nurse is caring for an older adult who presents to the clinic after a fall.The nurse reviews fall prevention in the home.Which of the following should the patient avoid?
A) Watering outdoor plants with a nozzle and hose
B) Purchasing light bulbs with strength greater than 60 watts
C) Missing yearly eye examinations
D) Using bathtubs without safety strips
E) Unsecured rugs throughout the home
F) Walking to the mailbox in the summer
Q2) The nurse identifies that a patient has received Mylanta (simethicone)instead of the prescribed Pepto-Bismol (bismuth subsalicylate)for the problem of indigestion.The nurse's next intervention is to
A) Do nothing, no harm has occurred.
B) Assess and monitor the patient.
C) Notify the physician, treat and document.
D) Complete an incident report.
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Chapter 76: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/36967
Sample Questions
Q1) The nurse is caring for a patient who is susceptible to infection.Which of the following nursing interventions will assist in decreasing the risk of infection?
A) Teaching the patient about fall prevention
B) Teaching the patient to select nutritious foods
C) Teaching the patient to take a temperature
D) Teaching the patient about the effects of alcohol
Q2) The patient experienced a surgical procedure,and Betadine was utilized as the surgical prep.Two days postoperatively,the nurse's assessment indicates that the incision is red and has a small amount of purulent drainage.The patient reports tenderness at the incision site.The patient's temperature is 100.5° F and the WBC is 10,500/mm³.Which nursing action should the nurse take?
A) Plan to change the surgical dressing during the shift.
B) Check to see what solution was used for skin preparation in surgery.
C) Collect supplies to culture the surgical incision.
D) Utilize SBAR to call and communicate the patient's needs to the physician.
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Chapter 77: Vital Signs
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/36969
Sample Questions
Q1) The patient's blood pressure is 140/60.The nurse realizes that this equates to a pulse pressure of
A) 140.
B) 60.
C) 80.
D) 200.
Q2) The posterior hypothalamus helps control temperature by
A) Causing vasoconstriction.
B) Shunting blood to the skin and extremities.
C) Increasing sweat production.
D) Causing vasodilation.
Q3) The nurse is preparing to assess the blood pressure of a 3-year-old.How should the nurse proceed?
A) Choose the cuff that says "Child" instead of "Infant."
B) Obtain the reading before the child has a chance to "settle down."
C) Use the diaphragm portion of the stethoscope to detect Korotkoff sounds.
D) Explain to the child what the procedure will be.
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Chapter 78: Health Assessment and Physical Examination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/36971
Sample Questions
Q1) A nurse suspects an abnormal thyroid shape during the physical examination.The nurse offers the patient a glass of water and observes her drinking to
A) Visualize an enlarged thyroid gland.
B) Evaluate for exostosis.
C) Test the patient's gag reflex.
D) Visualize the uvula and soft palate.
Q2) A school nurse recognizes a belt buckle-shaped ecchymosis on a 7-year-old student.When privately asked about how the injury occurred,the student described falling on the playground.Upon suspecting abuse,the school nurse's best next action is which of the following?
A) Interviewing the patient in the presence of his/her teacher
B) Ignoring the findings because child abuse is a declining problem
C) Realizing that abuse victims usually report abusive situations
D) Contacting Social Services and reporting suspected abuse
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Chapter 79: Medication Administration
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/36973
Sample Questions
Q1) A nurse has withdrawn a narcotic from the medication dispenser.Upon checking the drug against the medication administration record,the nurse notices that the narcotic order has expired.What should be the nurse's first action?
A) Return the medication to the medication dispenser according to protocol.
B) Exit the medication room to call the physician to request a reorder of the narcotic.
C) Assess the patient to see if the narcotic is still needed; if so, administer the medication.
D) Call the pharmacy and request that the narcotic be removed from the patient profile.
Q2) The patient is in severe pain and is requesting a prn medication before the prn time interval has elapsed.The nurse's priority is to
A) Give the medication early for any pain score greater than 8.
B) Call the prescriber and request a stat order.
C) Explain to the patient why he will have to wait for the medication.
D) Document the patient's request and pain score.
Q3) The nurse is administering 250 mg of a medication elixir to the patient.The medication comes in a dose of 1000 mg/5 mL.How many milliliters should the nurse administer?
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Chapter 80: Complementary and Alternative Therapies
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Source URL: https://quizplus.com/quiz/36975
Sample Questions
Q1) A 70-year-old patient is newly admitted to a skilled nursing facility with the diagnoses of Alzheimer's dementia,lipidemia,and hypertension,and a history of pulmonary embolism.Medications brought on admission included lisinopril,hydrochlorothiazide,warfarin,low-dose aspirin,ginkgo biloba,and echinacea.The nurse contacts the patient's medical provider over which potential drug-drug interaction?
A) Lisinopril and echinacea
B) Warfarin and ginkgo biloba
C) Echinacea and warfarin
D) Lisinopril and hydrochlorothiazide
Q2) A holistic nurse would be a nurse who
A) Recommends a vegan diet for all patients.
B) Recognizes the mind-body-spirit connection.
C) Provides spiritual literature to patients.
D) Knows about resources for fresh herbs.
Q3) Physiological symptoms of a stress response include all of the following except
A) Constricted pupils.
B) Tachycardia.
C) Tachypnea.
D) Elevated blood pressure.
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Chapter 81: Self-Concept
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Source URL: https://quizplus.com/quiz/36977
Sample Questions
Q1) Children learn to live an authentic lifestyle through culturally accepted behaviors,values,and role modeling.A child who does this is attempting to create his or her own
A) Body image.
B) Self-esteem.
C) Identity.
D) Role performance.
Q2) A newly hired nurse is struggling with night shift work and caring for multiple family members at home.The nurse manager calls the new nurse in to talk about how the nurse is negatively affecting patient self-concept by ignoring patients' concerns.The nurse manager should focus on the new nurse's
A) Role overload.
B) Self-esteem.
C) Ego integrity.
D) Ethics and morals.
Q3) The nurse can best assess the patient's self-concept by evaluating the patient's
A) Drug abuse history.
B) Nonverbal behavior.
C) Personal journal.
D) Social networking site.
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Chapter 82: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/36979
Sample Questions
Q1) A patient admits that he knew for several months that he had an STI but did not report it.The nurse knows that this is because many people with STIs
A) Do not acknowledge the importance of STI testing and treatment.
B) Are hesitant to admit they contracted an STI.
C) Have lifestyles that subject them to repeated exposure.
D) Are uncomfortable discussing sexual health issues with a same-sex provider.
Q2) An older couple expresses concern because they are easily fatigued during sexual intercourse and cannot reach climax.The nurse knows that older adults may have changes in sexual functioning.What strategies to increase sexual stamina could the nurse offer?
A) Avoid alcohol and tobacco.
B) Encourage intimate touching, such as hugging and kissing.
C) Eat well-balanced meals, and eliminate excess fats and sugars.
D) Plan sexual activity around a time when the couple feels rested.
E) Take pain medication before intercourse.
F) Use extra lubrication to decrease discomfort.
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Chapter 83: Spiritual Health
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36981
Sample Questions
Q1) The patient is admitted with chronic back pain.The nurse who is caring for this patient should
A) Focus on finding quick remedies for the back pain.
B) Look at how pain influences the patient's ability to function.
C) Realize that the patient's only goal is relief of the back pain.
D) Help the patient realize that there is little hope of relief from chronic pain.
Q2) The nurse creates a referral to pastoral care when he/she realizes that the patient is in need of
A) Psychiatric care.
B) Return to religious affiliation.
C) Spiritual care.
D) Transfer to the psychiatric unit.
Q3) A complex concept that is unique to each individual; is dependent upon a person's culture,development,life experiences,beliefs,and ideas about life; and is a unifying theme in peoples' lives is called
A) Spirituality.
B) Religion.
C) Self-transcendence.
D) Faith.
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Page 84
Chapter 84: the Experience of Loss, death, and Grief
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Source URL: https://quizplus.com/quiz/36983
Sample Questions
Q1) A dying patient with liver and renal failure requires pain medication.The nurse anticipates that the medication dose will be
A) Given at appropriate milligrams per kilogram medication levels.
B) A decreased dose from milligrams per kilogram levels.
C) An increased dose from milligrams per kilogram levels.
D) Given at midrange for dosing at recommended levels.
Q2) A patient cancels a scheduled appointment because she will be attending a Shiva for a family member.Recognizing the importance of this cultural ritual,the nurse's best comment would be which of the following?
A) "Congratulations, what's the baby's name?"
B) "I'm so sorry for your loss."
C) "Missionary church outreach is so important."
D) "Can I buy a ticket to this fundraiser?"
Q3) The palliative team's primary obligation to a patient in severe pain includes which of the following?
A) Supporting the patient's nurse in her grief
B) Providing postmortem care for the patient
C) Teaching the patient the stages of grief
D) Enhancing the patient's quality of life
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Page 85
Chapter 85: Stress and Coping
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20 Flashcards
Source URL: https://quizplus.com/quiz/36985
Sample Questions
Q1) A trauma survivor is requesting sleep medication because of "bad dreams." Concerned about posttraumatic stress disorder,the nurse asks
A) "Are you reliving your trauma?"
B) "Are you having chest pain?"
C) "Can you describe your phobias?"
D) "Can you tell me when you wake up?"
Q2) A nurse is teaching guided imagery to a prenatal class.Identify an example of guided imagery from the options below.
A) Singing
B) Back massage
C) Sensory peaceful words
D) Listening to music
Q3) A person states that he was not shoplifting from the store despite very clear evidence on the store surveillance tape.This person is demonstrating which ego defense mechanism?
A) Dissociation
B) Conversion
C) Denial
D) Compensation
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Page 86
Chapter 86: Activity and Exercise
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Sample Questions
Q1) In developing a nursing care plan for increasing activity tolerance in a patient,the nurse should
A) Use generalized therapies because they work for everyone.
B) Consult with members of the health care team.
C) Avoid goals published by the American College of Sports Medicine.
D) Involve the patient and the patient's family in designing an exercise plan.
E) Consider the patient's ability to increase activity level.
Q2) A structural curvature of the spine associated with vertebral rotation is known as A) Scoliosis.
B) Osteogenesis.
C) Osteomalacia.
D) Arthritis.
Q3) Unlike arthritis,joint degeneration
A) Occurs only from noninflammatory disease.
B) Occurs only from inflammatory disease.
C) Involves overgrowth of bone at the articular ends.
D) Affects mostly non-weight-bearing joints
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Chapter 87: Hygiene
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Q1) The nurse is providing a complete bed bath to a patient using a commercial bath cleansing pack (bag bath).In doing so,the nurse should
A) Use one towel for the entire bath.
B) Dry the skin with a towel.
C) Allow the skin to air dry.
D) Not use a bath blanket or towel.
Q2) The patient is being fitted with a hearing aid.In teaching the patient how to care for the hearing aid,the nurse instructs the patient to
A) Wear the hearing aid 24 hours per day except when sleeping.
B) Change the battery every day or as needed.
C) Avoid the use of hairspray, but aerosol perfumes are allowed.
D) Adjust the volume for a talking distance of 1 yard.
Q3) Of the following patients,which are in need of perineal care?
A) A patient with urinary and fecal incontinence
B) A circumcised male who is ambulatory
C) A patient with rectal and perineal surgical dressings
D) A patient with an indwelling catheter
E) A morbidly obese patient
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Chapter 88: Oxygenation
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Sample Questions
Q1) While performing an assessment,the nurse hears crackles in the patient's lung fields.The nurse also learns that the patient is sleeping on three pillows.What do these symptoms most likely indicate?
A) Left-sided heart failure
B) Right-sided heart failure
C) Atrial fibrillation
D) Myocardial ischemia
Q2) A nurse caring for a patient with COPD knows that which oxygen delivery device is most appropriate?
A) Nasal cannula
B) Simple face mask
C) Partial non-rebreather mask
D) Non-rebreather mask
Q3) A 5-year-old who has strep throat was given aspirin for fever.The nurse knows to expect which change in the child's respiratory pattern?
A) Hyperventilation to decrease serum levels of carbon dioxide
B) Hypoventilation to compensate for metabolic alkalosis
C) Flail chest to decrease the work of breathing
D) Shallow respirations to decrease serum pH
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Page 89
Chapter 89: Fluid, electrolyte, and Acid-Base Balance
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Sample Questions
Q1) The nurse would select the dorsal venous plexus of the foot as an IV site for which patient?
A) A 2-year-old child
B) A 22-year-old adult
C) A 50-year-old patient
D) An 80-year-old patient
Q2) Which fluid order should the nurse question for a patient with a traumatic brain injury?
A) 0.45% sodium chloride
B) 0.9% sodium chloride
C) Lactated Ringer's
D) Dextrose 5% in 0.9% sodium chloride
Q3) Which assessment finding would the nurse expect for a patient with the following laboratory values: sodium 145 mEq/L,potassium 4.5 mEq/L,calcium 4.5 mg/dL?
A) Lightheadedness when standing up
B) Weak quadriceps muscles
C) Tingling of the extremities and tetany
D) Decreased deep tendon reflexes
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90
Chapter 90: Sleep
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Q1) The nurse is caring for a patient in the intensive care unit who is having trouble sleeping.The nurse explains the purpose of sleep and its benefits.What points should the nurse include in her teaching?
A) NREM sleep contributes to body tissue restoration.
B) During NREM sleep, biological functions increase.
C) Restful sleep preserves cardiac function.
D) Sleep contributes to cognitive restoration.
E) REM sleep decreases cortical activity.
F) REM sleep assists with memory storage and learning.
Q2) The older patient is visiting the clinic after a fall during the night.Which of the following data points obtained most likely would contribute to this fall?
A) The patient has been taking glucosamine.
B) The patient has been taking a fish oil.
C) The patient has been taking Benadryl (diphenhydramine).
D) The patient has been taking vitamin C.
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Chapter 91: Pain Management
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Sample Questions
Q1) A nurse has brought the patient his scheduled pain medication.The patient asks the nurse to wait to give pain medication until the time for the dressing change,which is 2 hours away.Which response by the nurse is most therapeutic?
A) "This medication will still be providing you relief at the time of your dressing change."
B) "OK, swallow this pain pill, and I will return in a minute to fill your wound."
C) "Would you like medication to be given for dressing changes on top of your regularly scheduled medication?"
D) "Your medication is scheduled for this time, and I can't adjust the time for you. I'm sorry, but you must take your pill right now."
Q2) A nurse is caring for a patient with rheumatoid arthritis who is now going to be taking 2 acetaminophen (Tylenol)tablets every 6 hours to control pain.Which part of the patient's social history is the nurse most concerned about?
A) Patient drinks 1 to 2 glasses of wine every night.
B) Patient smokes 2 packs of cigarettes a day.
C) Patient occasionally smokes marijuana.
D) Patient takes antianxiety medications.
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Chapter 92: Mobility and Immobility
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Q1) The nurse is assessing the way the patient walks.The manner of walking is known as the patient's
A) Activity tolerance.
B) Body alignment.
C) Range of motion.
D) Gait.
Q2) The nurse is caring for a patient with a spinal cord injury and notices that the patient's hips have a tendency to rotate externally when the patient is supine.To help prevent injury secondary to this rotation,the nurse can use
A) A trochanter roll.
B) The trapeze bar.
C) Hand rolls.
D) Hand-wrist splints.
Q3) What is meant by "concentric tension" of muscles?
A) Increased muscle contraction results in movement.
B) The speed and direction of movement are controlled.
C) Tension causes no shortening or active movement.
D) Tension does not result in isotonic contraction.
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93
Chapter 93: Skin Integrity and Wound Care
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Q1) The nurse is caring for a postoperative medial meniscus repair of the right knee.To assist with pain management following the procedure,which intervention should the nurse implement?
A) Monitor vital signs every 15 minutes.
B) Apply brace to right knee.
C) Elevate right knee and apply ice.
D) Check pulses in right foot.
Q2) The nurse is working on a medical-surgical unit that has been participating in a research project associated with pressure ulcers.The nurse recognizes that the risk factors that predispose a patient to pressure ulcer development include
A) A diet low in calories and fat.
B) Alteration in level of consciousness.
C) Shortness of breath.
D) Muscular pain.
Q3) The nurse is completing an assessment of the skin's integrity,which includes A) Pressure points.
B) All pulses.
C) Breath sounds.
D) Bowel sounds.
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Chapter 94: Sensory Alterations
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Sample Questions
Q1) A new nurse is caring for a patient who is undergoing chemotherapy for cancer.The patient is becoming malnourished because nothing tastes good.Which recommendation by the nurse would be most appropriate for this patient?
A) "Rinse your mouth several times a day to hydrate your taste buds."
B) "Blend foods together in interesting flavor combinations."
C) "Eat soft foods that are easy to chew and swallow."
D) "Avoid adding spices or aromatic ingredients to food to prevent nausea."
Q2) A nurse is caring for a patient with a nursing diagnosis of Hearing deficit related to presbycusis.Which assessment of the patient would indicate an adaptation to the sensory deficit?
A) The patient frequently cleans out his ears with a cotton swab.
B) The patient turns one ear toward the nurse during conversation.
C) The patient isolates himself from social situations.
D) The patient asks the nurse to speak loudly during conversations.
Q3) What is the involuntary motion of retracting the body from painful stimuli?
A) Sensation
B) Reception
C) Perception
D) Reaction
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Page 95
Chapter 49: Nursing Today
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Sample Questions
Q1) The nurse has been working in the clinical setting for several years as an advanced practice nurse and has earned her master's degree as a family nurse practitioner.However,she seems unfulfilled and has a strong desire to do research.To fulfill her desire,the nurse most likely would apply to attend a program that would lead to a
A) Doctor of Nursing Science degree (DNSc).
B) Doctor of Philosophy degree (PhD).
C) Doctor of Nursing Practice degree (DNP).
D) Doctor in the Science of Nursing degree (DSN).
Q2) A bill has been submitted to the State House of Representatives that is designed to reduce the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1.The nurse realizes that
A) Legislation is politics beyond the nurse's control.
B) National programs have no bearing on state politics.
C) The individual nurse can influence legislative decisions.
D) Focusing on nursing care provides the best patient benefit.
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96
Chapter 95: Care of Surgical Patients
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Sample Questions
Q1) The nurse is encouraging the postoperative patient to utilize diaphragmatic breathing.Reasons for this intervention include
A) Management of pain.
B) Decreased healing time.
C) Prevention of atelectasis.
D) Decreased thrombus formation.
Q2) The nurse is precepting a new nurse in the perioperative area.The nurse explains that perioperative nursing is based on certain principles and includes
A) Purchasing the correct equipment.
B) Providing high-quality and patient safety-focused care.
C) Scheduling the right types of patients.
D) Conducting multidisciplinary teamwork.
E) Ensuring effective therapeutic communication.
F) Providing advocacy for the patient.
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