Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 1: The Development of a Profession MULTIPLE CHOICE 1. Identify the most important element in nursing’s attempt to gain full autonomy of practice.

A) Economic exploitation of nurses B) Maintaining the education system for nurses as it is now C) Gaining and maintaining control of nursing practice by nurses D) Restricting the latitude of decisions made by nurses ANS: C PTS: 1 DIF: Medium TOP: The Development of a Profession KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. In its attempt to gain freedom and independence, what corresponding factors must the nursing

profession embrace?

A) Health and happiness B) Chaos and disorder C) Loss of control and negative feedback D) Responsibility and accountability ANS: D PTS: 1 DIF: Easy TOP: The Development of a Profession KEY: Cognitive Domain: Comprehension | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment 3. Select the most effective method that nurses can use to gain power over their practice.

A) Use strikes and union tactics to increase pay.

B) Join professional organizations in large numbers.

C) Leave nursing as soon as better jobs come along.

D) Confront hospital administrators about poor staffing.

ANS: B PTS: 1 DIF: Medium TOP: The Development of a Profession KEY: Cognitive Domain: Analysis | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 4. What allows a nurse to exert referent power over a client when providing nursing care?

A) The ability to withhold pain medication if the client does not comply with routines B) The ability to provide the client with additional food when he or she does comply

with the nurse’s requests C) The power given to the nurse by reason of state licensure D) The establishment of a professional and personal relationship with the client ANS: D PTS: 1 DIF: Medium TOP: The Development of a Profession KEY: Cognitive Domain: Analysis | Integrated Process: Implementation | Client Need: Psychosocial 5. What is a group of jobs that is similar in type of work and found throughout an industry or

country?

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) Position B) Occupation C) Profession D) Stint ANS: B PTS: 1 DIF: Easy TOP: The Development of a Profession KEY: Cognitive Domain: Knowledge | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 6. Which of the following types of nurses are classified as technical nurses?

A) BSNs and MSNs B) LPNs and ADNs C) LVNs and BSNs D) UAPs and BSNs ANS: B PTS: 1 DIF: Easy TOP: The Development of a Profession KEY: Cognitive Domain: Knowledge | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 7. Identify the approach that describes a profession as being in a continual state of development

along a continuum.

A) Trait approach B) Power approach C) Process approach D) Educational approach ANS: C PTS: 1 DIF: Easy TOP: The Development of a Profession KEY: Cognitive Domain: Knowledge | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 8. A nursing student is approached by a friend who is not majoring in nursing. The friend asks

why the nursing profession does not seem to be actively involved in the women’s rights movement. How can the student best respond to this question?

A) Nurses do take an active part in leading the women’s rights movement, but it is done very quietly.

B) The women’s rights movement shuns participation by nurses because of nursing’s subservient image.

C) The health-care industry discourages nurses from becoming involved in women’s rights issues.

D) Nurses avoid becoming involved in women’s rights issues because of their traditional role as “helpers.”

ANS: D PTS: 1 DIF: Hard TOP: The Development of a Profession KEY: Cognitive Domain: Synthesis | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment 9. Identify the element that is the best indicator of increasing accountability in the profession of

nursing.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) Increasing pay scale for staff nurses B) Improved public image of nurses on TV and in movies C) Demonstration of competency and high-quality care through peer review D) Taking care of larger numbers of clients with the help of unlicensed assistive

personnel ANS: C PTS: 1 DIF: Medium TOP: The Development of a Profession KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 10. What is the best method for nurses to prepare for future professional practice?

A) Take additional courses in the use of computers.

B) Understand and explore the issues involved in professionalism as nurses.

C) Accept that nursing is a profession.

D) Cross-train with other health-care providers such as physical therapists, laboratory

technicians, and radiologists.

ANS: B PTS: 1 DIF: Medium TOP: The Development of a Profession KEY: Cognitive Domain: Evaluation | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment 11. What allows a nurse to exert coercive power over a client when providing nursing care?

A) The ability to withhold pain medication if the client does not comply with routines B) The ability to provide the client with additional food when he or she does comply

with the nurse’s requests C) The power given to the nurse by reason of state licensure D) The establishment of a professional and personal relationship with the client ANS: A PTS: 1 DIF: Hard TOP: The Development of a Profession KEY: Cognitive Domain: Analysis | Integrated Process: Implementation | Client Need: Physiological Integrity 12. What allows a nurse to exert legitimate power over a client when providing nursing care?

A) The ability to withhold pain medication if the client does not comply with routines B) The ability to provide the client with additional food when he or she does comply

with the nurse’s requests C) The power given to the nurse by reason of state licensure D) The establishment of a professional and personal relationship with the client ANS: D PTS: 1 DIF: Medium TOP: The Development of a Profession KEY: Cognitive Domain: Application | Integrated Process: Implementation | Client Need: Physiological Integrity 13. Select the trait of a profession that requires the most improvement in the promotion and

recognition of nursing as a full and equal profession.

A) Activities involve a high level of individual responsibility.

B) Activities are based on a specialized body of knowledge.

C) Activities serve the public and are generally altruistic in nature.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano D) Activities are learned in institutions of higher education.

ANS: D PTS: 1 DIF: Medium TOP: The Development of a Profession KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 14. Which statement is the best description of a profession from the power approach method of

defining a profession?

A) The members of the profession attain all the traits required for that profession.

B) The members of the profession have high income levels.

C) The profession is near the end of its developmental process.

D) The education for the members of the profession must be attained in graduate

schools.

ANS: D PTS: 1 DIF: Medium TOP: The Development of a Profession KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment COMPLETION 1. List in correct order the progression of the levels of health-care providers from the most

educated to the least educated. (Enter the letter of each in the proper sequence; do not use commas or spaces.)

A) APRN B) LPN-VN C) ADN-RN D) UAP E) BSN-RN ANS: EBCAD PTS: 1 DIF: Medium TOP: The Development of a Profession KEY: Cognitive Domain: Application | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment 2. Fill in the blank with the appropriate word to complete the statement:

The overall goal of nurses who work as case managers is to health-care services in the most efficient and cost-effective manner possible.

the use of

ANS: coordinate PTS: 1 DIF: Medium TOP: The Development of a Profession KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 2: Historical Perspectives

MULTIPLE CHOICE 1. The early Christian era brought which of these important changes in health care?

A) The development of aqueducts and sewage systems B) A belief in the sanctity of life C) A deep understanding of the anatomy of the human body D) The shift of care from the home to large hospitals ANS: B PTS: 1 DIF: Medium TOP: Historical Perspectives | KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Which development during the European Middle Ages led to a major improvement in health

care?

A) A rapid growth in medical knowledge B) Establishment of large central hospitals C) Growth of religious orders to care for the sick D) A shift to care of ill persons by women ANS: C PTS: 1 KEY: Cognitive Domain: Analysis

DIF:

Hard

TOP: Historical Perspectives

3. Who is called the “father of modern medicine”?

A) William Harvey B) Hippocrates C) Cyrus the Great D) Emperor Darius ANS: A PTS: 1 DIF: Easy TOP: Historical Perspectives KEY: Cognitive Domain: Comprehension | Integrated Process: Planning| Client Need: Safe and Effective Care Environment 4. What are the dates of Florence Nightingale’s birth and death?

A) March 3, 1578; June 10, 1657 B) January 9, 1715; September 30, 1785 C) May 12, 1820; August 13, 1910 D) April 15, 1932; December 10, 1957 ANS: C PTS: 1 DIF: Easy TOP: Historical Perspectives KEY: Cognitive Domain: Comprehension| Integrated Process: Planning| Client Need: Safe and Effective Care Environment 5. Identify a key element in the success of Nightingale’s school of nursing.

A) It was not under control of the hospital.

B) Large amounts of private funds were paid to well-qualified teachers.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:25:53 GMT -05:00

https://www.coursehero.com/file/15253901/ch02/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) The Watson Model for nursing was used.

D) The primary goal was service to the hospital rather than education.

ANS: A PTS: 1 DIF: Medium TOP: Historical Perspectives KEY: Cognitive Domain: Analysis| Integrated Process: Intervention| Client Need: Safe and Effective Care Environment 6. What was a major goal of Lavinia Dock?

A) Establish a new nursing organization.

B) Publish a nursing journal.

C) Obtain the right to vote for women.

D) Improve the education for nurses.

ANS: C PTS: 1 DIF: Medium TOP: Historical Perspectives KEY: Cognitive Domain: Application| Integrated Process: Intervention| Client Need: Safe and Effective Care Environment 7. Which belief about what nurses needed to do shaped Lillian D. Wald’s nursing practice?

A) Spend more time in clinical preparation and less time in the classroom.

B) Fight political corruption to procure the types of legislation needed to improve

social conditions.

C) Conduct more research into the conditions of hospital patients.

D) Stand up to medical doctors who were arrogant and obnoxious.

ANS: B PTS: 1 DIF: Medium TOP: Historical Perspectives KEY: Cognitive Domain: Analysis| Integrated Process: Planning| Client Need: Safe and Effective Care Environment 8. Which problem had the most severe effect on nursing education during the 1920s and 1930s?

A) Too many college-based schools of nursing B) A lack of qualified nursing instructors C) Too many nursing students from the lower and middle classes D) Not enough demand for educated nurses ANS: B PTS: 1 DIF: Hard TOP: Historical Perspectives KEY: Cognitive Domain: Application| Integrated Process: Implementation| Client Need: Safe and Effective Care Environment 9. Identify a negative effect that World War II had on health care in the United States.

A) A rapid increase in medical knowledge B) Expanded health-care services C) Increased use of LPNs and aides to substitute for a lower number of RNs D) Increases in pay for nurses ANS: C PTS: 1 DIF: Medium TOP: Historical Perspectives KEY: Cognitive Domain: Analysis| Integrated Process: Problem Identification| Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:25:53 GMT -05:00

https://www.coursehero.com/file/15253901/ch02/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 10. Select the statement that most accurately states the effects of increasing populations on health

care.

A) Economically depressed populations have fewer health-care needs.

B) Larger populations often lead to large numbers of well-educated and wellnourished people.

C) Large groups of economically depressed people tend to live in rural areas.

D) Crowded living conditions in cities lead to the spread of communicable diseases.

ANS: D PTS: 1 DIF: Easy TOP: Historical Perspectives KEY: Cognitive Domain: Comprehension| Integrated Process: Planning| Client Need: Safe and Effective Care Environment 11. Which characteristic of health care in ancient civilizations distinguishes it from the health care

of today?

A) Health care was closely related to religious practices.

B) Most health care was provided by women.

C) Health care focused on curing the sick and injured.

D) Physicians received extensive education in formal schools.

ANS: A PTS: 1 DIF: Medium TOP: Historical Perspectives KEY: Cognitive Domain: Knowledge| Integrated Process: Problem Identification| Client Need: Intervention 12. What are two similarities between the health care provided by the ancient Hebrews and that

practiced by the ancient Egyptians?

A) The belief that disease was caused by evil spirits and the use of health spas B) Trained women as the primary care providers and the use of many medications C) Majority of health care provided in hospitals and the use of medical specialization D) Emphasis on sanitation and well-developed knowledge of surgical techniques ANS: D PTS: 1 DIF: Hard TOP: Historical Perspectives KEY: Cognitive Domain: Evaluation| Integrated Process: Evaluation| Client Need: Safe and Effective Care Environment 13. Select the element of the medical practice of Hippocrates that remains appropriate for the

health-care providers of the 21st century.

A) Belief that disease is a result of failure to comply with the natural law B) The whole client needs to be treated: the mind, body, and spirit C) Only physicians have enough education to provide safe health care D) Hospitals should be avoided unless there are no other treatment options ANS: B PTS: 1 DIF: Hard TOP: Historical Perspectives KEY: Cognitive Domain: Analysis| Integrated Process: Evaluation| Client Need: Safe and Effective Care Environment 14. Identify the characteristic of ancient Roman society that distinguished the health-care

practices of the empire from those of its surrounding neighbors.

A) Use of slaves to provide basic health care

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:25:53 GMT -05:00

https://www.coursehero.com/file/15253901/ch02/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) Belief that the Roman Emperor was a descendent of a god C) Lack of concern about the sanctity of life D) Relatively high social status allotted to Roman women ANS: D PTS: 1 DIF: Medium TOP: Historical Perspectives KEY: Cognitive Domain: Analysis| Integrated Process: Implementation| Client Need: Safe and Effective Care Environment 15. To what event and to which period of history is the disappearance of male nurses usually

attributed?

A) The Crusades during the Dark Ages B) The use of medical inventions during the Renaissance C) The Protestant Reformation during the Middle Ages D) The rapid population growth during the Industrial Revolution ANS: C PTS: 1 DIF: Medium TOP: Historical Perspectives KEY: Cognitive Domain: Application| Integrated Process: Problem Identification| Client Need: Psychosocial Integrity 16. For which contribution to professional nursing is Isabel Adams Hampton Robb most noted?

A) Raising the standards for nursing education B) Developing storefront clinics in New York City C) Advocating the use of MASH units during the Korean War D) Changing the laws that affect health care of the poor ANS: A PTS: 1 DIF: Medium KEY: Cognitive Domain: Comprehension| Integrated Process: Intervention| Client Need: Safe and Effective Care Environment 17. Who is credited with the development of the nurse practitioner role?

A) Anne Goodrich B) Loretta Ford C) Isabel Robb D) Barak Obama ANS: B PTS: 1 DIF: Medium TOP: Historical Perspectives KEY: Cognitive Domain: Application| Integrated Process: Planning| Client Need: Safe and Effective Care Environment 18. What situation led to the development of the nurse practitioner role?

A) Not enough regular nurse jobs for the excessive number of BS graduates.

B) Nurses with advanced degrees recognizing they could function in a primary

physician role.

C) A shortage of health care providers in rural areas of the county.

D) Hospitals seeking a less expensive source of primary care providers.

ANS: C PTS: 1 DIF: Medium TOP: Historical Perspectives KEY: Cognitive Domain: Application| Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:25:53 GMT -05:00

https://www.coursehero.com/file/15253901/ch02/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

COMPLETION 1. List the following civilizations in their correct time sequence. (Enter the letter of each in the

proper sequence; do not use commas or spaces.)

A) Greek Empire B) Ancient Hebrews C) Roman Empire D) Egyptian Empire E) Taoism ANS: DCEBA PTS: 1 DIF: Hard TOP: Historical Perspectives KEY: Cognitive Domain: Analysis| Integrated Process: Intervention| Client Need: Safe and Effective Care Environment 2. Complete the following statement by filling in the blank with the correct word.

The Dark Ages brought the advent of that were composed exclusively of men who wore suits of armor to protect themselves and their hospitals.

ANS: military; nursing; orders PTS: 1 DIF: Medium TOP: Historical Perspectives KEY: Cognitive Domain: Comprehension| Integrated Process: Problem Identification| Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:25:53 GMT -05:00

https://www.coursehero.com/file/15253901/ch02/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 3: Theories and Models of Nursing MULTIPLE CHOICE 1. What can be expected of a system that has a high degree of nonsummativity?

A) There is a low degree of interdependence of components.

B) The system goes from the complex to the simple.

C) Little exchange takes place between the system and the environment.

D) There is a high degree of interdependence of components.

ANS: D PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 2. How can most living organisms be classified in general systems theory?

A) Open systems B) Closed systems C) Subsystems D) Macrosystems ANS: A PTS: 1 DIF: Easy TOP: Theories and Models of Nursing KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. Identify the major component for the maintenance of health used in the Roy Adaptation

Model of nursing.

A) Systems B) Lack of illness C) Adaptation D) Use of medicine ANS: C PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Assessment | Client Need: Implementation 4. “Stimuli” in the Roy Adaptation Model is synonymous with which element in systems theory?

A) Output B) Feedback C) Input D) Coping ANS: C PTS: 1 DIF: Hard TOP: Theories and Models of Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 5. How is health described in the Roy Adaptation Model of nursing?

A) A continuum B) A lack of illness

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:16 GMT -05:00

https://www.coursehero.com/file/15253887/ch03/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) A state or process of being and becoming an integrated, whole person D) A state of physical and mental well-being ANS: C PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Implementation 6. Identify the two concepts upon which the framework for assessment is based in the Roy

Adaptation Model of nursing.

A) Cognator and regulator B) Input and stimuli C) Output and behavioral responses D) Focal and contextual ANS: A PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 7. In the Roy Adaptation Model of nursing, the second-level assessment modes are most closely

related to which part of the system?

A) Input B) Output C) Ventral system D) Feedback loop ANS: B PTS: 1 DIF: Hard TOP: Theories and Models of Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 8. Why is it important for nurses to understand and use a nursing theory or model in practice?

A) Nurses with this knowledge automatically provide higher quality care.

B) Understanding models of theories demonstrates a nurse’s knowledge level.

C) Keeping within the practice limits provided by a model or theory protects nurses

from legal action because of failure to follow the scope of nursing practice.

D) Using models or theories of nursing aids practitioners in providing their care in an

organized manner.

ANS: D PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 9. Identify the four concepts that are common in most nursing theories.

A) Client, health, environment, nursing B) Care, adaptation, system, cure C) Nurse, physician, client, other providers D) Hospital, nursing home, clinic, physician’s office ANS: A PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:16 GMT -05:00

https://www.coursehero.com/file/15253887/ch03/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Care Environment 10. What belief forms the basis for the Orem Self-Care Model?

A) The nurse helps the client adapt to his or her illness.

B) The primary goal of health care is cure of the client.

C) Health care is the responsibility of each individual.

D) Health-care goals must be established for each client.

ANS: C PTS: 1 DIF: Easy TOP: Theories and Models of Nursing KEY: Cognitive Domain: Comprehension | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 11. Identify the primary goal of nursing in the Orem Self-Care Model.

A) Reestablish the absolute state of health the client had before his or her illness.

B) Help the client conduct self-care activities to reach the highest level of functioning.

C) Prevent further injury to the client’s biosystems.

D) Help balance technological care with humanistic aspects of care.

ANS: B PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 12. Select a major contribution that King’s model made to the practice of nursing.

A) Formalization of the use of goals to guide client care B) Introduction of the concept of care as a key element in nursing care C) Use of the idea of adaptation as an important client goal D) Integration of systems theory into nursing care ANS: A PTS: 1 DIF: Hard TOP: Theories and Models of Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Implementation | Client Need: Physiological Integrity 13. What aspect of Watson’s Model of Human Caring distinguishes it from most other nursing

models?

A) Understanding health as a dynamic state rather than a static goal B) Viewing nursing as a process to help clients achieve their greatest potential rather

than as a curing profession C) Use of a philosophical approach rather than a systems theory approach D) Defining environment as both internal and external rather than just external ANS: C PTS: 1 DIF: Hard TOP: Theories and Models of Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 14. Identify the most important aspect of caring according to Watson’s Model of Human Caring.

A) Assisting the client to adapt to health changes B) Assessing the client’s health-care needs C) Identifying self-care problems and needs D) Establishing a helping and trusting relationship

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:16 GMT -05:00

https://www.coursehero.com/file/15253887/ch03/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

ANS: D PTS: 1 DIF: Hard TOP: Theories and Models of Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment 15. How is a “client” most accurately described in Johnson’s Behavioral System Model?

A) An individual who is responsible for his or her own health care B) A behavioral system that is an integrated whole C) A dynamic entity with both input and output D) An individual who must adapt to illness ANS: B PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 16. Upon which principle is Neuman’s Health-Care Systems Model based?

A) Use of systems theory only B) Behavior as the key to preventing illness C) Nurse-centered rather than client-centered D) Alteration of environmental stressors leads to health.

ANS: D PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 17. What is a key function of the nurse in Neuman’s Health-Care Systems Model?

A) Identify the level at which a disruption in the client’s internal stability has taken

place.

B) Return the client to a state of adaptation.

C) Set goals for the fulfillment of clients’ needs.

D) Assist the client to reach his or her greatest potential.

ANS: A PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment 18. In what way have advanced practice nurses most contributed to the development of theories

and models in nursing?

A) Using their advanced education to develop new, more realistic theories B) Challenging theorists to publish their theories in language everyone can understand C) Requiring theorists to modify their theories to meet the needs of independent

practice D) Testing theories in actual nursing practice situations ANS: D PTS: 1 DIF: Hard TOP: Theories and Models of Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:16 GMT -05:00

https://www.coursehero.com/file/15253887/ch03/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 19. When a number of middle range theories are used to investigate the same or similar concepts

over a period of time, they: A) Lose their ability to be identified as independent models.

B) Often produce conflicting results that negate their ability to identify and prove a

basic hypothesis concerning their research topic.

C) Can be woven together to reinforce or even in some cases, to form the fabric of a

new major nursing theory.

D) Are often using the same data.

ANS: C PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 20. Identify the statement below that is not an accurate characterization of middle range nursing

theories.

A) Middle range theories and models are recent developments in nursing research.

B) A middle range theory is a set of relatively concrete concepts or propositions.

C) Middle range theories are less comprehensive and more focused than the major

nursing theories.

D) Middle range models develop from middle range theories.

ANS: A PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 21. Identify the statement that is most accurate concerning middle range nursing theories.

A) They are not used extensively in high-level nursing research.

B) They form the foundation for the current evidenced-based practice movement.

C) Nursing researchers dislike them because they do not focus on abstract concepts.

D) They often are developed into major nursing theories.

ANS: B PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 22. Identify the primary role of the nurse in Swanson’s Theory of Caring.

A) To motivate clients to maintain and improve their health B) To guide clients in finding and understanding the meaning of their lives C) To guide the client through discussions of their experiences so that they believe that

their problems are understood D) To reinforce all of the client’s actions that they undertake to protect themselves

from harm, either internal or external and are shown in actions toward others and the environment in general ANS: C PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:16 GMT -05:00

https://www.coursehero.com/file/15253887/ch03/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 23. Which of the following is an essential element in Parse’s the Man-Living-Health Model?

A) Understanding the patterns of how clients made the successful transition to

wellness B) Invoking the principle of nonsummativity C) Viewing the client as an open system that exchanges energy and information with

the environment D) The client’s ability to make free choices ANS: D PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 24. Identify the primary role of the nurse in Parse’s the Man-Living-Health Model.

A) To motivate clients to maintain and improve their health B) To guide clients in finding and understanding the meaning of their lives C) To guide the client through discussions of their experiences so that they believe that

their problems are understood D) To reinforce all of the client’s actions that they undertake to protect themselves

from harm, either internal or external and are shown in actions toward others and the environment in general ANS: B PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Select all of the factors that are key to Pender’s Health Promotion Model that are linked to a

person’s motivation to improve his or her health status.

A) How important it is to be healthy B) How much control he or she has over his or her health C) How the health-care system addresses his or her needs D) What it means to him or her to be healthy E) What types of diseases and illnesses he or she overcame in the past F) What the benefits and barriers are to health improvement ANS: A, B, D, F PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Select all of the caring processes that are essential in Swanson’s Theory of Caring for the

successful transition to health experienced by clients.

A) Loving B) Maintaining hope C) Knowing D) Being with E) Doing for F) Enabling

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:16 GMT -05:00

https://www.coursehero.com/file/15253887/ch03/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: C, D, E, F PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 3. Select all of the characteristics of middle range nursing theories.

A) They contain only a few basic ideas or concepts.

B) They have a large number of variables.

C) They tend to focus on one or two problems at a time.

D) Their primary focus is human beings, environment, health care, or nursing.

E) They are more abstract than the major nursing theories.

F) They are more easily applied to practice hypotheses.

ANS: A, C, D, F PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 4. Select all of the elements that are considered key to the King’s model of nursing.

A) Action B) Transaction C) Rejection D) Feedback E) Teaching F) Interaction ANS: A, B, D, F PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Comprehension | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blank with the correct word(s) to complete the following statement:

The nursing profession uses the term when attempting to explain apparent relationships between observed behaviors and their effects on a client’s health.

ANS: theory PTS: 1 DIF: Medium TOP: Theories and Models of Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:16 GMT -05:00

https://www.coursehero.com/file/15253887/ch03/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 4: The Process of Educating Nurses MULTIPLE CHOICE 1. What is a type of nursing education program conducted in junior and community colleges that

is nominally 2 years in length?

A) Diploma program B) Baccalaureate program C) Associate degree program D) Professional nursing program ANS: C PTS: 1 DIF: Easy TOP: The Process of Educating Nurses KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Identify an important similarity between the various types of educational programs for nurses.

A) There is homogeneity of entering students.

B) No state or national approval is required.

C) The same courses are taught in all programs.

D) Clinical experience is required to gain certain knowledge and skills.

ANS: D PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Analysis | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment 3. Select an important element found in baccalaureate nursing programs that is usually not found

in other types of nursing education programs.

A) Use of both classroom and clinical experiences for learning B) Limiting enrollment to students with the highest ability C) Comprehensive curriculum D) Development of the total intellectual skills of the individual ANS: D PTS: 1 DIF: Hard TOP: The Process of Educating Nurses KEY: Cognitive Domain: Synthesis | Integrated Process: Planning |Client Need: Safe and Effective Care Environment 4. Which contribution of Florence Nightingale had the greatest impact on nursing education?

A) Recognizing that formal, systematic education in both theory and practice was

essential for the preparation of high-quality nurses B) Advocating that all nurses be educated in universities so that nursing care would

meet the standards established by the government C) Forcing physicians and hospitals to recognize that clinical practice was not as

important as the theory-based learning obtained in the classroom D) Enforcing the requirement that all nursing instructors have a master’s degree in

nursing to provide the highest quality education possible for students ANS: A PTS: 1 TOP: The Process of Educating Nurses

DIF:

Medium

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:34 GMT -05:00

https://www.coursehero.com/file/15253891/ch04/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 5. Which statement best describes nursing education in the United States during the 1800s and

early 1900s?

A) It was high quality with a balance between classroom education and clinical

practice.

B) Strict criteria were established for nursing education by the NLN and the ANA to

guarantee high-quality education.

C) There were no formal nursing education programs during this time period; nurses

were trained in apprenticeships only.

D) There was little or no classroom education, and students learned through hands-on

experience during their 12- to 14-hour shifts on the hospital units.

ANS: D PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 6. Identify a major benefit of the diploma-type training programs for nurses.

A) Nurses from these programs were assertive and could stand up to physicians who

made unrealistic demands.

B) Nurses from diploma programs were proficient in basic nursing skills and could

assume a hospital position with minimal orientation.

C) Nurses trained in diploma programs were often limited to employment in the

institutions where they were trained.

D) All diploma schools were regulated by the NLN criteria and met strict standards for

educating students.

ANS: B PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Psychosocial Integrity 7. Which practice of diploma nursing programs most concerned the state boards of nursing?

A) Excessive use of classroom time during the program B) Mandatory housing of the students in a closed dormitory near the hospital C) Use of the students as unpaid hospital personnel during their education programs D) High failure rates of diploma graduates on the NCLEX examinations ANS: C PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 8. How can the concept of a career ladder in education best be described?

A) Specialized programs for associate degree or diploma RNs to attain a baccalaureate

degree B) The ability of staff nurses to be promoted based on their clinical skills C) The relationship between one level of nursing education and the next level of

education D) After nurses pass the NCLEX examination, they are all considered professionals.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:34 GMT -05:00

https://www.coursehero.com/file/15253891/ch04/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

ANS: A PTS: 1 DIF: Hard TOP: The Process of Educating Nurses KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 9. What are common characteristics usually found in LPN educational programs?

A) Located on college campus, 2 years in length, require no clinical experiences B) Theory-oriented curriculum, wide scope of practice, highly selective admission C) Technically oriented, located in vocational technical schools or community

colleges, 9 to 12 months in length D) Clinical experience in advanced care areas, located in community colleges, prepare

nurses for professional practice ANS: C PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 10. Which category of advanced practice nurses is the most widely accepted by the public?

A) Expanded practice nurses B) Clinical nurse specialists C) Certified nurses D) Nurse practitioners ANS: D PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 11. Identify the primary position advocated by the 1964 ANA Position Paper on Education for

Nurses.

A) Any nursing education program is acceptable as long as the graduates take and pass the NCLEX examination.

B) Baccalaureate education should be the basic level of preparation for professional nurses.

C) Associate degree education should be the basic level of preparation for professional nurses.

D) Only nurses educated at the master degree or higher level should be considered professional nurses.

ANS: B PTS: 1 DIF: Hard TOP: The Process of Educating Nurses KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Physiological Integrity 12. What is the most important consequence of the ANA Position Paper on Education for Nurses?

A) Increased numbers of associate degree programs B) Large numbers of students graduating with baccalaureate degrees in nursing C) Resistance to the proposal by hospitals and diploma nursing programs D) Demand for a clear distinction between technical and professional nursing

programs

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:34 GMT -05:00

https://www.coursehero.com/file/15253891/ch04/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: D PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 13. Identify two key requirements for entry into a master’s degree nursing program.

A) Baccalaureate degree in nursing, satisfactory score on the GRE or MAT B) At least 3 years of experience as an RN, associate degree in nursing C) Three letters of reference, certificate of health status D) Associate degree in nursing, 3.0 or higher GPA ANS: A PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 14. What is a trend found in doctoral-level programs that has developed since the 1970s?

A) Movement toward generalization of knowledge B) More emphasis on the clinical than on the academic nature of nursing C) Increased use of research-based teaching strategies D) Movement away from the independence of educational needs ANS: B PTS: 1 DIF: Hard TOP: The Process of Educating Nurses KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 15. Identify an important function that a nurse serving as a case manager would be required to

perform.

A) Overseeing client care during rehabilitation at home B) Using provider-centered models to control health-care costs C) Guiding the care provided by physicians over the course of an illness D) Ensuring the high quality of care at all points of interaction with the health-care

system ANS: A PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Physiological Integrity 16. What is the key element in relationship-centered nursing care?

A) Focus on care as it is given in the community setting B) Use of high-level advanced nursing skills in the care of the client C) Clients’ trust in the role and skills of the nurse in the healing process D) Responsiveness to societal changes in a consumer-driven economy ANS: C PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 17. Identify the primary purpose for the development of the Quality and Safety Education for

Nurses (QSEN) project?

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:34 GMT -05:00

https://www.coursehero.com/file/15253891/ch04/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) Increase the number of students in nursing programs.

B) Shift nursing education to a more medical model due to the increased client acuity.

C) Focus nursing education on competencies to reduce the number of medical errors.

D) Decrease the number of associate degree nursing programs.

ANS: C PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Select all of the elements that are found in the Pew Health Professions Commission Report on

the reform for nursing education.

A) Increasing the use of computer technology and interactive software B) Preparing all nursing faculty at the doctoral level C) Promoting interdisciplinary education D) Developing cultural sensitivity E) Limiting nursing class size to no more than 40 students F) Expanding the scientific basis of the programs ANS: A, C, D, F PTS: 1 DIF: Hard TOP: The Process of Educating Nurses KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Select all of the elements that were found as assumptions in the ANA Position Paper on

Nursing Education.

A) Nursing education should meet the increasing need for nurses as quickly as

possible.

B) The professional practitioner is responsible for the nature and quality of all nursing

care clients receive.

C) Education for those in the health-care professions must increase in depth and

breadth as scientific knowledge expands.

D) Community colleges are able to prepare nurses just as well as 4-year colleges.

E) The demand for the services of nurses will continue to increase.

ANS: B, C, E PTS: 1 DIF: Hard TOP: The Process of Educating Nurses KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. Select all of the elements that are QSEN competencies.

A) Quality Improvement B) Outcome Based Education C) Teamwork and Collaboration D) Informatics ANS: A, C, D PTS: 1 DIF: Medium TOP: The Process of Educating Nurses KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:34 GMT -05:00

https://www.coursehero.com/file/15253891/ch04/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

Nursing care that is client-focused and revolves around the client’s trust in, value of, and understanding of the nurse’s skills is called .

ANS: relationship; centered PTS: 1 DIF: Hard TOP: The Process of Educating Nurses KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Fill in the blank with the correct word(s) to complete the following statement:

In 1996, the American Association of Colleges of Nursing presented a position paper emphasizing the belief that the degree should be the minimal requirement for entry into the nursing profession.

ANS: baccalaureate PTS: 1 DIF: Hard TOP: The Process of Educating Nurses KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:34 GMT -05:00

https://www.coursehero.com/file/15253891/ch04/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 5: The Evolution of Licensure, Certification, and Nursing Organizations MULTIPLE CHOICE 1. What measure can nurses use to establish a nurse support network?

A) Insist that all nurses follow the same path to success.

B) Avoid criticizing each other in public.

C) Set very high standards for care.

D) Advocate for a multi-entry level education system.

ANS: B PTS: 1 DIF: Medium TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. What is the primary goal for establishing licensure of nurses?

A) Guarantee high-quality nurses.

B) Increase tax revenues for the state.

C) Set a minimum level of competency to protect the public.

D) Maintain high numbers of nurses in the profession.

ANS: C PTS: 1 DIF: Medium TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. Identify the basic requirement found in a mandatory nurse practice act.

A) Nurses must be employed under the general supervision of a licensed physician.

B) Nurses must be currently licensed in the state where they wish to practice nursing.

C) Nurses must graduate from a school accredited by a national nursing organization.

D) Nurses must be enrolled at least yearly in courses approved by the state to meet

requirements for continuing education.

ANS: B PTS: 1 DIF: Medium TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 4. What is the primary form of RN licensure currently used in the United States?

A) Optional B) Compulsory C) Customary D) Traditional ANS: B PTS: 1 DIF: Easy TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 5. In relationship to a profession, what is the primary purpose of professional organizations?

A) Collect dues and fund research.

B) Monitor professional practice and discipline incompetent practitioners.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:56 GMT -05:00

https://www.coursehero.com/file/15253885/ch05/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) Fund political actions groups.

D) Establish standards for maintaining high-quality practice in the profession.

ANS: D PTS: 1 DIF: Medium TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Integrity 6. Which term is used to identify the listing of names of individuals on an official roster when

they have met certain pre-established criteria?

A) Certification B) Licensure C) Registration D) Practitioner ANS: C PTS: 1 DIF: Medium TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 7. Identify the primary function of permissive licensure.

A) Protects only the title “Registered Nurse” B) Allows anyone to use the title “Registered Nurse” C) Used by states to maintain quality and control over nurses D) Allows institutions to use foreign nurses as RNs ANS: A PTS: 1 DIF: Hard TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Physiological Integrity 8. Select the most serious problem encountered when institutional licensure is used.

A) The standards are too difficult for most nurses to meet.

B) It makes moving from one institution to another more difficult.

C) Many qualified individuals are excluded from the profession.

D) There are no external controls to determine a minimum level of ability.

ANS: D PTS: 1 DIF: Hard TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 9. What type of credentialing indicates that an individual has achieved a high level of expertise

and knowledge in an area of practice?

A) Licensure B) Certification C) Professionalism D) Registration ANS: B PTS: 1 DIF: Medium TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:56 GMT -05:00

https://www.coursehero.com/file/15253885/ch05/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 10. Identify the primary purpose of the National League for Nursing.

A) Establish standards of practice to ensure high-quality care.

B) Maintain and improve the standards of nursing education.

C) Increase the political power of nurses to influence legislation.

D) Prevent unqualified nurses from practicing in hospitals.

ANS: B PTS: 1 DIF: Easy TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 11. Identify a primary goal of the American Nurses Association.

A) Promote the professional growth and development of all nurses.

B) Maintain and improve the standards of nursing education.

C) Limit access to health-care services to individuals in need.

D) Control the independence of practice by nurses to those with BS degrees.

ANS: A PTS: 1 DIF: Easy TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 12. Which group composes the primary membership in the American Nurses Association?

A) Schools of nursing B) Health-care facilities such as hospitals C) Individual nurses D) State nursing organizations ANS: D PTS: 1 DIF: Medium TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 13. Identify a key service provided by the American Nurses Association.

A) Accrediting schools of nursing B) Improving the standards for higher education in nursing C) Improving health and nursing care throughout the world D) Testing and certifying advanced practice nurses ANS: D PTS: 1 DIF: Easy TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 14. What is the primary goal of the National Student Nurses Organization?

A) Changing curricula in schools of nursing to allow more students to graduate B) Eliminating poor and unprofessional nursing professors from schools of nursing C) Maintaining high standards of education in schools of nursing D) Keeping unqualified students from entering the profession ANS: C PTS: 1 DIF: Medium TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:56 GMT -05:00

https://www.coursehero.com/file/15253885/ch05/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Care Environment 15. What is the most significant benefit to a student who belongs to the National Student Nurses

Association?

A) Receiving the official publication, Imprint, along with the membership B) Experiencing firsthand the operation, activities, and professionalism of a national

organization C) Obtaining one of the many large cash scholarships available through the organization D) Joining an elite group that has a great deal of power and a wide range of control over other students ANS: B PTS: 1 DIF: Medium TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 16. Identify the primary advantage that grassroots organizations have over large, well-established

organizations.

A) Members are very passionate about only one or two issues.

B) The organization is usually well funded from local sources.

C) Membership is drawn from a diverse, more representative population.

D) The organization deals with issues that have national significance.

ANS: A PTS: 1 DIF: Hard TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 17. Why is it important to determine if the goals and purposes of a specialty organization are at

odds with the goals and purposes of the American Nurses Association?

A) Divergent goals produce better dialog between groups of nurses to improve both the quality and the options for care.

B) Nurses will have a choice between several distinct options and can make more informed decisions about which organization to belong to.

C) Legislators can become easily confused if they receive conflicting information from several different groups of nurses.

D) The health-care system has become so complex that only a wide range of options for the provision of health care can successfully be used.

ANS: C PTS: 1 DIF: Hard TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

One of the most important factors in recent changes that have occurred in the health-care system is demands by for higher quality care.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:56 GMT -05:00

https://www.coursehero.com/file/15253885/ch05/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: health-care; consumers PTS: 1 DIF: Medium TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Fill in the blanks with the correct word(s) to complete the following statement:

The primary driving force in the history of the development of licensure for nurses was of nursing care and protection of the public.

ANS: inconsistent; quality PTS: 1 DIF: Hard TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Select all of the items characteristics of the New York State Licensure Bill of 1904.

A) Required hospitals to accept nursing students for training B) Required nursing schools to be registered with the state board of regents C) Formulated rules for the examination of nurses D) Established the minimum length of basic nursing programs at 1 year E) Established a State Board of Nursing ANS: B, C, E PTS: 1 DIF: Hard TOP: The Evolution of Licensure, Certification, and Nursing Organizations KEY: Cognitive Domain: Analysis | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:26:56 GMT -05:00

https://www.coursehero.com/file/15253885/ch05/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 6: Ethics in Nursing MULTIPLE CHOICE 1. What is best described as the concepts, ideals, behaviors, and significant themes that give

meaning to a person’s life?

A) Morals B) Values C) Laws D) Ethics ANS: B PTS: 1 DIF: Easy TOP: Ethics in Nursing KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. What are rules of conduct that protect the social fabric?

A) Morals B) Values C) Laws D) Ethics ANS: C PTS: 1 DIF: Easy TOP: Ethics in Nursing KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. What term is best defined as standards of right and wrong that often are based on religious

beliefs?

A) Morals B) Values C) Laws D) Ethics ANS: A PTS: 1 DIF: Easy TOP: Ethics in Nursing KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. Identify the term defined as systems of valued behaviors and beliefs.

A) Morals B) Values C) Laws D) Ethics ANS: D PTS: 1 DIF: Easy TOP: Ethics in Nursing KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 5. As nurses achieve increased professional autonomy, what must they also accept?

A) Legal immunity B) Decrease in workload C) Ethical accountability D) Ethical freedom

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:10 GMT -05:00

https://www.coursehero.com/file/15253871/ch06/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: C PTS: 1 DIF: Medium TOP: Ethics in Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 6. What is the primary function of an ethical code?

A) A framework for decision-making B) A collection of static rules C) A group of legally binding values D) The “ball and chain” of the profession ANS: A PTS: 1 DIF: Medium TOP: Ethics in Nursing KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 7. Identify the system of ethical decision-making that has as its focus a concern for efficiency

and utility.

A) Deontological B) Jurisdictional C) Teleological D) Theological ANS: C PTS: 1 DIF: Medium TOP: Ethics in Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 8. Provision number 1 of the 2001 Code of Ethics for Nurses states: “The nurse, in all

professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health-care problems.” On which ethical principle is this statement primarily based?

A) The right to privacy B) Distributive justice C) Client autonomy D) Nurse veracity ANS: B PTS: 1 DIF: Hard TOP: Ethics in Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 9. Identify the statement that most accurately compares the ethical code for nurses with the law.

A) If a law is not broken, then the nurse is following the ethical code.

B) If the ethical code and the law have a discrepancy, it is always better to follow the

law.

C) The ethical code encompasses all the pertinent laws.

D) If the ethical code is violated, a law is also violated.

ANS: C PTS: 1 DIF: Hard TOP: Ethics in Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:10 GMT -05:00

https://www.coursehero.com/file/15253871/ch06/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 10. Provision number 6 of the 2001 Code of Ethics for Nurses states: “The nurse participates in

the advancement of the profession through contributions to practice, education, administration, and knowledge development.” On which ethical principle is this statement primarily based?

A) Veracity B) Autonomy C) Accountability D) Beneficence ANS: C PTS: 1 DIF: Hard TOP: Ethics in Nursing KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 11. Identify the name of the system of ethical decision-making that is based on the “greatest

good” principle.

A) Egoism B) Utilitarianism C) Deontological D) Jurisdictional ANS: B PTS: 1 DIF: Medium TOP: Ethics in Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 12. Identify the system of ethical decision-making that is based on the discovery and confirmation

of a set of morals or rules that govern the ethical dilemma.

A) Deontological B) Jurisdictional C) Teleological D) Theological ANS: A PTS: 1 DIF: Medium TOP: Ethics in Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 13. What is the ethical principle that requires that the primary goal of health care and nursing is to

do good for others?

A) Autonomy B) Fidelity C) Beneficence D) Veracity ANS: C PTS: 1 DIF: Medium TOP: Ethics in Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 14. What is the best definition of the ethical principle of nonmaleficence?

A) Health-care workers avoiding harm to clients B) Telling the truth to clients in all matters C) Being faithful to commitments made to clients D) The right of self-determination of clients ANS: A

PTS: 1

DIF:

Easy

TOP: Ethics in Nursing

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:10 GMT -05:00

https://www.coursehero.com/file/15253871/ch06/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Comprehension | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 15. Identify the term used when an ethical situation arises in which there is a choice between two

equally unfavorable alternatives.

A) A tort B) Ethical antagonism C) Contraindication D) Ethical dilemma ANS: D PTS: 1 DIF: Medium TOP: Ethics in Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 16. What is the first step in the ethical decision-making process?

A) Consider the alternatives.

B) Collect, analyze, and interpret the data.

C) Consider the consequences of the actions.

D) Make a decision.

ANS: B PTS: 1 DIF: Easy TOP: Ethics in Nursing KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 17. Identify the outcome that best demonstrates a critical care nurse’s successful application of the

ethical principle of nonmaleficence to the care of a client who has experienced a cerebrovascular accident.

A) The client is aware of his or her diagnosis despite attempts of the family to withhold that information.

B) The client is beginning to be able to use simple words to express his or her needs.

C) The family has been taught the necessary skills to care for the client at home with the supervision of a home health-care nurse.

D) There is no evidence of skin breakdown on bony pressure points, and the client’s shoulder and hip on the affected side remain intact.

ANS: D PTS: 1 DIF: Hard TOP: Ethics in Nursing KEY: Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Physiological Integrity 18. Identify the best method for a nurse to acknowledge a client’s autonomy.

A) Follow only the instructions of the client’s family.

B) Know and understand the state’s laws that address living wills.

C) Use the ethical principle of best interest when making decisions about the client’s

care needs.

D) Incorporate the ethical principle of paternalism into all client care activities.

ANS: B PTS: 1 DIF: Hard TOP: Ethics in Nursing KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Psychosocial Integrity COMPLETION

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:10 GMT -05:00

https://www.coursehero.com/file/15253871/ch06/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 1. Arrange the steps of the ethical decision-making process in their correct order. (Enter the

letter of each step in the proper sequence; do not use commas or spaces.)

A) Consider the choices of action.

B) Act on the decision.

C) Collect, analyze, and interpret data.

D) Analyze the advantages of each action.

E) State the dilemma.

ANS: CEADB PTS: 1 DIF: Medium TOP: Ethics in Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Fill in the blanks with the correct word(s) to complete the following statement:

Over time, popular acceptance of rights.

rights can give them force of

ANS: ethical; legal PTS: 1 DIF: Medium TOP: Ethics in Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:10 GMT -05:00

https://www.coursehero.com/file/15253871/ch06/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 7: Bioethical Issues MULTIPLE CHOICE 1. What conclusion can be drawn about abortion based on the Roe v. Wade decision?

A) Abortion is both moral and ethical.

B) The right to an abortion is guaranteed by the Constitution of the United States.

C) The right to self-determination includes the right to have an abortion.

D) When there is a conflict between the rights of the mother and the rights of the fetus,

abortion is one of the options.

ANS: C PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 2. How does the deontological approach to ethics consider abortion?

A) It is the greatest good for the greatest number of individuals and therefore is ethical.

B) It involves the conflicts of the right of the mother to self-determination with the

right of the fetus to life.

C) It can be performed for any reason because the law makes it legal and ethical.

D) It can be performed in situations in which the mother is unwed and already has

several other children.

ANS: B PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Health Promotion and Maintenance 3. How does the teleological approach to ethics consider abortion?

A) It is ethical only when the mother is pregnant because of rape or incest.

B) It is never allowed for any reason because of the violation of the rights of the fetus.

C) It can be performed anytime if the mother wants it.

D) It may or may not be ethical depending on the issues and circumstances that

surround the individual situation.

ANS: D PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Health Promotion and Maintenance 4. What are the primary ethical issues involved in genetic research?

A) Production of mutant organisms and dangerous diseases B) Violations of confidentiality and informed consent C) Breeding of a “super-race” of humans because of purification of genetic material D) Loss of control of reproduction by the human species ANS: B PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Health Promotion and Maintenance 5. Identify the nursing action that is most important for nurses to ensure when assisting in

genetic screening procedures such as amniocentesis.

A) Informed consent is given freely by the client.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:26 GMT -05:00

https://www.coursehero.com/file/15253880/ch07/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) The client understands the nature of the procedure.

C) The client understands the type of information that will be produced by the

procedure.

D) The confidentiality of the information will be maintained.

ANS: D PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 6. A 9-month-old baby who is developmentally delayed is tested for genetic abnormalities. After

the results are back from the laboratory, a representative from the client’s medical insurance company calls the nurses’ station on the phone and asks for the results of the tests. How can the nurse best respond to this request?

A) Refuse to give the information over the phone.

B) Give a noncommittal response that “everything is normal” even though it is untrue.

C) Give the results as they are reported on the laboratory sheet because the insurance company is paying for the tests anyway.

D) Tell the representative that the test results are not back yet.

ANS: A PTS: 1 DIF: Hard TOP: Bioethical Issues KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 7. A nurse who works in a federally funded abortion clinic becomes aware that aborted second-

trimester fetuses are being sent to a nearby university for research and transplantation. What should this nurse do with this knowledge?

A) Keep quiet about the finding because she might lose her job.

B) Confront the medical director of the clinic that this practice is both illegal and unethical.

C) Tell her supervisor that she knows about what is going on and ask for a raise.

D) Report the practice the Department of Health and Human Services.

ANS: D PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 8. Identify the two most important ethical issues surrounding organ transplantation.

A) Beneficence and nonmaleficence B) Self-determination and distributive justice C) Veracity and informed consent D) Fidelity and option rights ANS: B PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Physiological Integrity 9. A 16-year-old boy brought to the emergency room with a gunshot wound to the head is

declared brain dead. His driver’s license identifies him as an organ donor, but the hospital staff is unable to locate his family for permission to take his organs. Another client in the same hospital will die within 24 hours without a heart transplant. The tissues of both clients match sufficiently for a transplant. What is the ethical course of action in this case?

A) Take the donor’s organs per permission of his driver’s license.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:26 GMT -05:00

https://www.coursehero.com/file/15253880/ch07/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) The organs cannot be taken without the family’s permission because the client is

underage.

C) Continue to attempt to locate the client’s family while preparing for the transplant.

D) Only remove organs that will not kill the client.

ANS: C PTS: 1 DIF: Hard TOP: Bioethical Issues KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 10. An unresponsive 94-year-old woman who has recently had a leg amputated for terminal

cancer develops renal failure. She has no living relatives. Although hemodialysis will prolong her life for several weeks to several months, her health-care team is having difficulty deciding if it should be initiated. What is the key ethical issue involved in this dilemma?

A) Distributive justice B) Veracity C) Fidelity D) Nonmaleficence ANS: A PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Physiological Integrity 11. A client in the intensive care unit has a do not resuscitate (DNR) order on his chart. What does

the nurse caring for him need to recognize about DNR orders?

A) DNR orders may be given orally by the physician.

B) There is no specific time limit to DNR orders.

C) DNR orders protect the client’s family from making difficult decisions.

D) DNR orders must be written by the physician.

ANS: D PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Physiological Integrity 12. A physician writes a DNR order for a competent client. Which individual may give

permission for this order?

A) The client’s spouse B) The client’s only child C) The client D) Any close blood-related relative ANS: C PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Judgment | Integrated Process: Problem Identification | Client Need: Physiological Integrity 13. Which treatment modality would most likely be considered extraordinary?

A) IV fluids by subclavian catheter B) Oxygen by face mask at 60 percent C) Counter-pulsating intra-aortic balloon pump D) Chest tubes ANS: C PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Planning | Integrated Process: Application | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:26 GMT -05:00

https://www.coursehero.com/file/15253880/ch07/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

14. What is the practice of allowing a client to die without the use of any extraordinary measures

sometimes called?

A) Active euthanasia B) Passive euthanasia C) Mercy killing D) Assisted suicide ANS: B PTS: 1 DIF: Easy TOP: Bioethical Issues KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Physiological Integrity 15. Identify the two most important ethical issues that surround clients infected with HIV and

those who have AIDS. A) Confidentiality and right to care B) Self-determination and distributive justice C) Veracity and informed consent D) Fidelity and option rights ANS: A PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 16. What is a potential serious problem when living wills are formulated long before they are to

be used?

A) Questions may arise about how informed the client is about current treatment

modalities.

B) Witnesses to the document may have died, thereby rendering it invalid.

C) The attending physician may not be willing to recognize a living will that is more

than 5 years old.

D) The client’s family may forget that the living will was made and refuse to honor it.

ANS: A PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Physiological Integrity 17. Upon what ethical principle do supporters of assisted suicide base their support for the

practice?

A) Beneficence includes acts that will help to permanently end a client’s suffering.

B) The health-care provider is permitted to use paternalism when the client is unsure

about the best course of treatment.

C) Only by allowing the client to decide among all possible options will the principle of informed consent be fulfilled.

D) The right to self-determination includes the decision to end one’s life.

ANS: D PTS: 1 DIF: Hard TOP: Bioethical Issues KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 18. What ethical principles are sometimes overlooked in attempting to identify and report

suspected child abuse?

A) Best interest and nonmaleficence

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:26 GMT -05:00

https://www.coursehero.com/file/15253880/ch07/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) Privacy and self-determination C) Paternalism and beneficence D) Veracity and obligation ANS: B PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Physiological Integrity 19. Identify the outcome that best demonstrates a critical care nurse’s successful application of the

ethical principle of veracity to the care of a client who was diagnosed with late stage pancreatic cancer.

A) The client is aware of his or her diagnosis despite attempts of the family to withhold that information.

B) The client is beginning to be able to use simple words to express his or her needs.

C) The family has been taught the necessary skills to care for the client at home with the supervision of a home health-care nurse.

D) There is no evidence of skin breakdown on bony pressure points, and the client’s shoulder and hip on the affected side remain intact.

ANS: A PTS: 1 DIF: Hard TOP: Bioethical Issues KEY: Cognitive Domain: Synthesis | Integrated Process: Judgment | Client Need: Physiological Integrity 20. Identify the best method for a nurse to acknowledge a client’s autonomy.

A) Follow only the instructions of the client’s family.

B) Know and understand the state’s laws that address living wills.

C) Use the ethical principle of best interest when making decisions about the client’s

care needs.

D) Incorporate the ethical principle of paternalism into all client care activities.

ANS: B PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Select all the elements that should be included in a living will.

A) Statement that the document was freely written B) Section that specifies what general health-care measures are to be excluded from

care C) List of people who should have input into the decisions on funeral arrangements D) Section specifying the diseases for which the will should apply E) Notary seal ANS: A, B, E PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blank with the correct word(s) to complete the following statement:

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:26 GMT -05:00

https://www.coursehero.com/file/15253880/ch07/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

The essential ethical principle of for the use of advanced directives.

is the legal and ethical foundation

ANS: self-determination (or autonomy) PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Fill in the blanks with the correct word(s) to complete the following statement:

As a general ethical principle, the and the excluded from the selection of an organ transplant recipient.

should be

ANS: donor; donor’s family PTS: 1 DIF: Hard TOP: Bioethical Issues KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 3. Fill in the blanks with the correct word(s) to complete the following statement:

The ethical principle of clients, including clients who are HIV positive.

requires nurses to provide care for all

ANS: distributive; justice PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. Place the events in the list below in their correct chronological order. (Enter the letter of each

step in the proper sequence; do not use commas or spaces.)

A) Extension of directive to prevent use of federal money for genetic research B) Beginning of fetal tissue research C) Directive to prevent the use of federal money for genetic research issued D) Human Genome Project completed ANS: DABC PTS: 1 DIF: Medium TOP: Bioethical Issues KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Health Promotion and Maintenance

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:26 GMT -05:00

https://www.coursehero.com/file/15253880/ch07/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 8: Nursing Law and Liability MULTIPLE CHOICE 1. Which type of tort may occur if a client is not allowed to leave the hospital after receiving

emergency care until the bill is paid?

A) Assault B) Battery C) Invasion of privacy D) False imprisonment ANS: D PTS: 1 DIF: Easy TOP: Nursing Law and Liability KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. A nurse tells several friends and coworkers that a client, who is also a physician, is unsafe for

medical practice because he is paralyzed from the waist down and acts “slightly silly.” What type of tort does the nurse’s action represent?

A) Libel B) Fraud C) Slander D) Malpractice ANS: C PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 3. If the nurse is sued for negligence after the administration of an injection, which one of the

following persons will most likely be asked to serve as an expert witness to describe standards of care?

A) An experienced nursing supervisor or instructor B) A lawyer who has successfully defended another nurse sued for negligence C) A judge who is considered to be an expert in the field of professional negligence D) Another patient who had received an injection by the same nurse but without complications ANS: A PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 4. The nurse working in an emergency room is of the opinion that to carry out a certain order

written by a physician could possibly constitute unethical or illegal behavior. Which one of the following courses of action would be best for the nurse to take in this situation?

A) Carry out the order and then discuss it with the physician.

B) Carry out the order and then discuss it with the supervisor.

C) Do not carry out the order and report the situation to the physician.

D) Do not carry out the order and report the situation to the supervisor.

ANS: D PTS: 1 DIF: Hard TOP: Nursing Law and Liability KEY: Cognitive Domain: Judgment | Integrated Process: Problem Identification | Client Need: Physiological Integrity

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:38 GMT -05:00

https://www.coursehero.com/file/15253896/ch08/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

5. What is the best definition of assault as a tort?

A) Application of force to another person without lawful justification B) Threats to do bodily harm to the person or another person C) A legal wrong committed by one person against the property of another D) A legal wrong committed against the public and punishable by law ANS: B PTS: 1 DIF: Easy TOP: Nursing Law and Liability KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 6. Identify the best description of battery from the standpoint of civil law.

A) Doing something that a reasonable person with the same education or preparation

would not do B) A legal wrong committed by one person against the property of another C) Application of force to the person or another person without lawful justification or

permission D) Maligning the character of an individual while threatening to do bodily harm ANS: C PTS: 1 DIF: Easy TOP: Nursing Law and Liability KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 7. Under which category are nursing licensure laws included?

A) Criminal laws B) Contract laws C) Federal laws D) Civil laws ANS: D PTS: 1 DIF: Easy TOP: Nursing Law and Liability KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 8. Clients’ charts are considered legal documents that are of vital importance in the care of

clients. Which of these statements should the nurse avoid charting?

A) The client does not keep follow-up appointments.

B) The client discontinues treatment.

C) The client refuses medication.

D) The nurse thinks the client is hostile.

ANS: D PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Physiological Integrity 9. In which situation would an emergency room nurse be justified in proceeding without

obtaining consent, verbal or otherwise?

A) An unconscious, profusely bleeding victim is brought in by ambulance.

B) A 13-year-old child is brought to the emergency room after suffering a fractured

arm while at school.

C) A construction worker comes into the emergency room to have a boil lanced.

D) A 15-year-old high school girl comes in for treatment of psoriasis.

ANS: A

PTS: 1

DIF:

Hard

TOP: Nursing Law and Liability

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:38 GMT -05:00

https://www.coursehero.com/file/15253896/ch08/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Judgment | Integrated Process: Intervention | Client Need: Physiological Integrity 10. In which situation is the nurse allowed to breech a client’s right of confidentiality?

A) A local politician is admitted after an automobile accident in which he was

inebriated.

B) An 18-year-old unwed teenager seeks an abortion at an abortion clinic.

C) A 32-year-old housewife comes to the emergency room for care after being raped

in a parking lot.

D) An important member of the business community is treated for cuts and bruises

after a fight with his neighbor.

ANS: C PTS: 1 DIF: Hard TOP: Nursing Law and Liability KEY: Cognitive Domain: Judgment | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 11. An 18-month-old infant is brought into the emergency room with several recent cigarette

burns on his chest and legs. He cannot move his left arm, which is edematous. What is the nurse’s legal responsibility in this case?

A) Do nothing immediately but plan to check the child carefully if it occurs again.

B) Notify the attending physician or the emergency room supervisor.

C) Tell the mother that he or she suspects abuse and chastise her about her actions.

D) Since the nurse only has suspicions, remember that an individual is innocent until proven guilty.

ANS: B PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 12. The newborn nursery is desperately short of staff. A nurse agrees to work an extra shift.

During the 14th hour on duty, the nurse makes a medication error. Because the nurse was filling a “desperate” staffing need, and therefore was fatigued, what is the legal responsibility of the nurse?

A) The hospital accepts full responsibility for the negligent act.

B) The nurse is held to the same standard of care as any nurse with her education and experience.

C) No legal action can be brought against the nurse because it was an issue of extreme need.

D) The nurse’s legal responsibilities are met if an incident report is filed.

ANS: B PTS: 1 DIF: Hard TOP: Nursing Law and Liability KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 13. How can the legal term tort best be defined?

A) It is a violation of the criminal law.

B) If proven guilty, the defendant will go to prison.

C) It is a violation of the civil law.

D) It is something that is good to have for breakfast.

ANS: C PTS: 1 DIF: Easy TOP: Nursing Law and Liability KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:38 GMT -05:00

https://www.coursehero.com/file/15253896/ch08/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Effective Care Environment 14. Which statement made by a nursing student during a class about legal issues in health care

about the term tort indicates that the student requires additional instruction?

A) “If the plaintiff wins, he will be awarded money.”

B) “Intentional torts can sometimes be considered crimes.”

C) “It is considered to be a violation of a personal right.”

D) “It is considered to be a legal wrong against the public.”

ANS: D PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 15. Mr. Smith, a former client of the hospital, alleges that a surgical instrument was left inside his

abdominal cavity after surgery. A radiograph reveals the presence of a hemostat in his abdomen. Under which legal principle will the client’s lawyer most likely base his lawsuit?

A) Defense of the fact B) Voir dire C) Tort-feassor D) In re ipsa ANS: D PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Physiological Integrity 16. Which statement is most accurate regarding nursing students and the legal responsibilities

they incur?

A) They do not need to have professional liability insurance.

B) They can perform any skill, even if they have not been taught that skill in nursing

skills laboratory.

C) They are accountable for all actions they perform.

D) They practice on the license of their instructors.

ANS: C PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 17. What is the underlying legal concept that protects health-care professionals under the Good

Samaritan Act? A) Informed consent B) Moral consent C) Implied consent D) Because it is the ethical thing to do ANS: C PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 18. In which situation might the tort of invasion of privacy most likely exist?

A) Notifying the police of Mr. Jones’s gunshot wound B) Discussing Mrs. Green’s surgery in the hospital cafeteria C) Calling the police concerning an obvious child abuse case

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:38 GMT -05:00

https://www.coursehero.com/file/15253896/ch08/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano D) Notifying the public health department concerning Mr. Smith’s diagnosis of

gonorrhea ANS: B PTS: 1 DIF: Hard TOP: Nursing Law and Liability KEY: Cognitive Domain: Judgment | Integrated Process: Intervention | Client Need: Physiological Integrity 19. Identify the situation in which a nurse would likely be charged with negligence.

A) Slapping a client across the face for using foul language B) Leaving the side rails down on a bed of a confused client C) Using restraints on a client without a doctor’s order D) Telling the local newspaper of a client’s diagnosis ANS: B PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 20. A nurse is accused of professional negligence. In determining if he or she is guilty, a jury

would compare the nurse to what standard?

A) What a physician would have done in the same situation B) What a well-educated layperson would have done in the same situation C) What a reasonable and prudent nurse would have done in the same situation D) What a lawyer would have done in the same situation ANS: C PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 21. What is another term that can be used for professional negligence?

A) Crime B) Consent C) Misdemeanor D) Malpractice ANS: D PTS: 1 DIF: Easy TOP: Nursing Law and Liability KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 22. Ms. Jones, RN, is the night charge nurse on your unit. She has come to work obviously drunk.

What would your legal obligations be as a professional nurse?

A) Ignore her condition out of professional etiquette.

B) Have a second person validate your observation.

C) Give her several cups of strong coffee to sober her up.

D) Have her “sleep it off” in an empty room and cover for her.

ANS: B PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Judgment | Integrated Process: Application | Client Need: Safe and Effective Care Environment 23. Identify the primary role that the SBAR system (Situation, Background, Assessment,

Recommendation) plays in the clinical setting.

A) Establishes the physician as the primary and sole source of authority during codes B) Reduces confusion in the communication between nurse and physician in

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:38 GMT -05:00

https://www.coursehero.com/file/15253896/ch08/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

emergencies C) Aids nurses in independent practice when necessary D) Reduces the number of lawsuits associated with the care of critically ill clients ANS: B PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Based on accepted standards of care for documentation, identify all the elements that nurses

should include in clients’ medical records.

A) Blank spaces between the lines for late entries B) Date and time on all entries C) Opinions about the client’s behaviors D) Statements about the physician’s attitude toward the nurses E) Direct observations F) Quotes of statements made by clients and families ANS: B, E, F PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 2. Select all the items that are considered appropriate when giving a deposition.

A) Be familiar with the client’s medical record.

B) Volunteer additional information so the statement is complete.

C) Look the questioning lawyer in the eye as much as possible.

D) Avoid using absolutes in the answers to questions.

E) Speculate about what really happened.

F) Clarify all questions before answering.

ANS: A, C, D, F PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

When someone is accused of violating a , the government at the county, city, state, or federal level imposes appropriate punishments.

ANS: criminal; law PTS: 1 DIF: Medium TOP: Nursing Law and Liability KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:27:38 GMT -05:00

https://www.coursehero.com/file/15253896/ch08/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 9: NCLEX: What You Need to Know MULTIPLE CHOICE 1. What statement is most accurate about the NCLEX-CAT, RN? A) It is a certification examination taken by all nurses.

B) It is too difficult for most new graduates to pass the first time.

C) It is unnecessary in states where institutional licensure is the rule.

D) It is required of all nurses for licensure.

ANS: D PTS: 1 DIF: Easy TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. How is the nursing process treated by the NCLEX-CAT, RN? A) It is a five-step process that involves assessment, analysis, planning,

implementation, and evaluation.

B) It is a four-step process that involves assessment, planning, implementation, and

evaluation.

C) It is unimportant, and no questions are asked about it.

D) It is the most important part of the examination.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. Identify the question stem that best indicates that an “Evaluation” category question is being

asked.

A) Which of these actions should the nurse perform first?

B) You know your teaching concerning colostomy care was successful if the client

makes which statement?

C) Identify the data that are most important to obtain for a client with cardiac disease.

D) Which nursing diagnosis has the highest priority?

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 4. Identify the question stem that best indicates that an “Assessment” category question is being

asked.

A) Which action should the nurse perform first?

B) You know your teaching concerning colostomy care was successful if the client

makes which statement?

C) Identify the data that are most important to obtain for a client with cardiac disease.

D) Which nursing diagnosis has the highest priority?

ANS: C PTS: 1 TOP: NCLEX: What You Need to Know

DIF:

Medium

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 5. Which question stem best indicates that an “Analysis” category question is being asked?

A) Which action should the nurse perform first?

B) You know your teaching concerning colostomy care was successful if the client

makes which statement?

C) Identify the data that are most important to obtain for a client with cardiac disease.

D) Which nursing diagnosis has the highest priority?

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Analysis | Client Need: Safe and Effective Care Environment 6. Which question stem best indicates that an “Implementation” category question is being

asked?

A) Which action should the nurse perform first?

B) You know your teaching concerning colostomy care was successful if the client

makes which statement?

C) Identify the data that are most important to obtain for a client with cardiac disease.

D) Which nursing diagnosis has the highest priority?

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 7. In which health needs categories of the NCLEX-CAT, RN examination would the student find

questions about a pregnant woman?

A) Safe and effective care environment B) Psychosocial needs C) Health promotion and maintenance needs D) Physiological needs ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Health Promotion and Maintenance 8. A question stem asks: “A client admitted with BUN of 64 and a creatinine of 6 would require

which nursing actions first?” What cognitive level does this question stem indicate?

A) Level 1, recall question B) Level 2, analysis question C) Level 3, synthesis question D) Level 4, advanced question ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Physiological Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 9. What is the maximum number of questions that a graduate may answer on the NCLEX-RN,

CAT? A) 60 B) 75 C) 265 D) 355 ANS: B PTS: 1 DIF: Easy TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Memory | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 10. In the abbreviation NCLEX-CAT, RN, what does CAT stand for?

A) Computerized assistive testing B) Complex assessment technique C) Computerized assessment testing D) Computerized adaptive testing ANS: D PTS: 1 DIF: Easy TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Comprehension | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 11. Which statement made by a student after a class on the NCLEX-CAT, RN test indicates that

the student has a good understanding of the examination?

A) “Partial credit is given for close answers.”

B) “The sequence of questions is determined by the difficulty level.”

C) “High levels of computer skills are needed to successfully complete the test.”

D) “The graduate is allowed to go back and change the answers of questions answered previously on the examination.”

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 12. Identify the correct procedure that a graduate who fails the NCLEX-CAT, RN must follow.

A) Wait 45 days before retaking the examination.

B) Retake only the portion of the examination that was failed.

C) Repeat an approved “refresher” course before taking the examination a second

time.

D) Retake the examination immediately.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Comprehension | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 13. What is an important factor to remember for graduates who decide to use group study as a

means of preparing for the NCLEX-CAT, RN examination?

A) A group of at least 15 students is needed for optimal study.

B) Make sure that study sessions are at least 3 hours long for the most efficient use of

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

time.

C) Have each group member prepare a section of the topic for study during that session.

D) Bring large quantities of chips, candy, pizza, and soda to the session to maintain energy levels.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 14. Which test-taking tip is most important to remember when taking a multiple-choice

examination such as the NCLEX-CAT, RN? A) Read each question four times so that related information can be remembered.

B) To save time, select the first answer that is correct.

C) Ignore negative words in the question stem because they confuse the issue.

D) Avoid reading into the question information that is not included in the client

situation.

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 15. Which word found in a question stem would make the question negative?

A) First B) Atypical C) Highest priority D) Appropriate ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 16. While taking the NCLEX-CAT, RN examination, a graduate encounters a question about a

disease process that had not been covered in any class in nursing school. Which strategy would be best for the graduate to use in answering this question?

A) Look for an unfamiliar answer and select it because it probably relates to the unknown disease process.

B) Select answer A and move on to the next question.

C) Try to remember a question earlier in the examination that dealt with a similar situation and apply that information to the current question.

D) Select the answer that appears logical and involves general nursing care.

ANS: D PTS: 1 DIF: Easy TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 17. The mother of four children brings her 6-year-old girl to the public health well-child clinic

because the child has “scratched herself raw.” The public health nurse diagnoses the child as having scabies and gives the mother appropriate medication for the child’s treatment. Select the most appropriate instructions by the nurse to the mother of these four children.

A) Avoid sharing towels and linens with the infected child.

B) Treat the other children immediately.

C) Treat the other children only if symptoms develop because the medication has many side effects.

D) Wash the family’s hair in strong detergent shampoo.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 18. A 28-year-old woman is diagnosed with systemic lupus erythematosus. Select the discharge

instructions by the nurse that best help prevent exacerbation of the disease.

A) Avoid using birth control pills and stay out of bright sun.

B) Make sure to take your penicillin and sulfa antibiotics as prescribed.

C) Avoid foods that are high in potassium or protein.

D) Once you go into remission, you can stop taking your prednisone.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 19. Identify the action that the nurse should take first when a 12-year-old boy who is sitting in a

chair begins to have a tonic-clonic seizure.

A) Restrain the child to prevent injury to his arms and legs.

B) Pad the environment around the chair.

C) Quickly insert an oral airway in his mouth to keep the airway patent.

D) Move him to a flat surface and position him on his side.

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 20. Select the discharge instruction to a client diagnosed with multiple sclerosis that most reduces

the risk potential for complications.

A) Take cool baths or showers only.

B) Midday naps will interfere with your ability to sleep at night.

C) Avoid high-fiber foods such as fresh fruits and vegetables.

D) Limit your fluid intake to 1,000 mL a day to prevent incontinence.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 21. After a third episode of cystitis, a client asks the nurse what she can do to prevent another

infection. The nurse recommends that the client follow an acid-ash diet and avoid which of the following foods?

A) Cranberry and orange juice B) Milk and apples C) Coffee and tea D) Prune juice and plums ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Physiological Integrity 22. Identify the instructions by the nurse that best help prevent complications from renal disease

in a client who is being prepared for hemodialysis due to end-stage renal disease secondary to polycystic kidney disease.

A) Make sure you drink 2 to 3 liters each day to prevent cramps.

B) Increase your intake of fresh fruits such as bananas and oranges.

C) Limit your sodium intake and avoid using a salt substitute.

D) Eat 3 to 5 ounces of meat at each meal to prevent catabolism.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 23. Identify the action by the public health nurse that best reduces the risk for infection of a man

who now has a positive purified protein derivative (PPD) and whose wife was recently diagnosed with active pulmonary tuberculosis.

A) Obtain a list of names of other persons his wife has come into contact with.

B) Instruct the man that he has to remain in isolation for 1 week.

C) Begin a 6- to 12-month course of treatment with rifampin (Rifadin).

D) Re-administer the PPD because it may be a false positive.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 24. After a stab wound to the chest, a client develops a pneumothorax and has a chest tube

inserted in the emergency room (ER) that is connected to a self-contained underwater-seal drainage system (pleur-evac). Select the action the ER nurse should take first when she notices that the second chamber has stopped bubbling.

A) Remove any blockages from the drainage tube.

B) Tape all connections to eliminate leaks in the system.

C) Change out the drainage system because the first one is obviously defective.

D) Increase the suction to 120 mm Hg negative pressure.

ANS: A PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

25. Choose the position that the nurse should place a client in to best relieve the midsternal chest

pain caused by pericarditis secondary to a viral infection.

A) Head elevated 30 to 40 degrees B) Flat in bed in the supine position C) Trendelenburg’s to help promote drainage of the excessive pericardial fluid D) Sitting up 90 degrees and leaning forward ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 26. Identify the nursing intervention that has the highest priority for a client who is experiencing

hemiparesis secondary to an intercerebral blood clot (stroke).

A) Position the client on the affected side.

B) Encourage the client to perform active range of motion exercises every 4 hours.

C) Place hand rolls in the hands to prevent contractures.

D) Keep the head of the bed flat to prevent dizziness.

ANS: A PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Physiological Integrity 27. Select the action by the nurse that best helps promote the adaptation of a client in Addisonian

crisis.

A) Assign the client to a private room.

B) Cover the client with one or two extra blankets to keep him or her warm.

C) Ambulate the client four times per day to maintain exercise tolerance.

D) Encourage the client to take a shower instead of a bed bath.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 28. Identify the initial action that the nurse should take to treat an acute episode of diabetic

ketoacidosis in a client with type 1 insulin-dependent diabetes mellitus.

A) Administer 50 units of regular insulin IV. B) Start an IV of 0.45 percent normal saline at 150 mL per hour.

C) Administer 2 amps of sodium bicarbonate.

D) Ask the client if he or she has taken his insulin that morning.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Physiological Integrity 29. Identify the statement made by the nurse during the discharge instructions to a client with a

hiatal hernia that best aids in the prevention of gastrointestinal discomfort.

A) “You may eat three large meals a day but limit carbohydrate intake.”

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) “If you lie down right after you eat, the food will digest more thoroughly.”

C) “Try to eat six bland small meals per day that are high in fiber.”

D) “Drinking two to three glasses of water with each meal will prevent reflux.”

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 30. A client is admitted to the medical-surgical unit with acute pancreatitis secondary to a viral

infection. Select the action by the nurse that is most important in promoting healing of the pancreas.

A) Place the client in the prone position to increase comfort.

B) Maintain the client in a strict NPO status.

C) Decrease the IV intake to prevent cardiac overload.

D) Administer prescribed IV antibiotics on schedule.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 31. Select the action that the nurse should take after finding a firm nodule during a scrotal

examination of a 32-year-old man.

A) Notify the client’s urologist.

B) Perform a rectal examination for abnormalities of the prostate gland.

C) Prepare the client for a follow-up ultrasound to confirm the diagnosis.

D) Use a flashlight to transilluminate the scrotum.

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Physiological Integrity 32. A client receives an autograph of skin from his abdomen to his right arm after suffering a

third-degree burn from a campfire. Select the instructions by the nurse that best ensure that the newly grafted skin is not rejected.

A) Decrease your protein intake to 60 grams per day.

B) Increase your fluid intake to 2 to 3 liters per day.

C) Avoid going outside for 2 weeks after you are discharged from the hospital.

D) Keep your right arm in a sling with minimal range of motion for 2 weeks.

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 33. Identify the action by the nurse that would promote the optimal effectiveness of Bryant’s

traction for a 3-year-old child in the pediatric unit who sustained a fractured femur in a fall from his front porch.

A) Maintain the hips at a 90-degree angle to the body.

B) Allow the parents to remain with the child as much as possible.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) Place a sheep-skin pad under the child to prevent skin breakdown.

D) Make sure the traction weights were resting against the side of the crib to reduce

the excessive pull on the bones.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 34. Identify the activity instructions given by the nurse at the time of discharge to a client with

acute hepatitis A that best promote the client’s recovery.

A) Except for going to the bathroom, you should stay in bed.

B) Start walking short distances as soon as you feel strong enough.

C) Active, isometric-type exercises performed four times a day will help prevent

muscle atrophy.

D) You may work at your computer for no more than 4 hours per day.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 35. Select the most effective action a nurse can take to protect a client who has been recently

diagnosed with thrombocytopenia.

A) Have the client use a wheelchair whenever the client must leave the room.

B) Increase the client’s fluid intake to 3 liters per day to prevent a urinary tract

infection.

C) When giving IM injections, use the smallest needle possible to administer the

medication.

D) Limit visits to immediate family only for 10 minutes per hour.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Physiological Integrity 36. Select the position that is best for the nurse to keep a client who received a head injury in a

sports accident and has his neck stabilized in a neck collar.

A) Flat in the supine position B) Trendelenburg’s position C) Low Fowler’s position with the head elevated 30 degrees D) Side-lying position with the legs flexed slightly ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 37. Identify the nursing action that is most appropriate when the nurse assesses a small amount of

clear, watery fluid oozing from the nose of a client who received a blow to the head in a barroom fight.

A) Encourage the client to blow his nose to clear the sinuses.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) Use a dip-stick to test the drainage for glucose.

C) Keep the client’s head flat.

D) Ask the client about with what type of object he was struck.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 38. A 32-year-old woman who has a fractured T7 following an automobile accident develops

urinary retention. The physician orders intermittent catheterizations every 6 hours, and the nurse obtains between 600 and 830 mL of urine each time. Select the most appropriate nursing action for this client.

A) Notify the physician and obtain an order for a Foley catheter.

B) Restrict the client’s fluid intake to 500 mL per shift.

C) Obtain an order to catheterize the client every 3 to 4 hours.

D) Continue catheterizing the client per the physician’s order.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 39. Identify the action by the nurse caring for a client who has just returned from extracorporeal

shock wave lithotripsy that best promotes the client’s physiological adaptation.

A) Increase fluid intake to 2 to 3 liters per day.

B) Evaluate vital signs every 2 hours.

C) Use an antimicrobial ointment and sterile dressing on the incision site.

D) Report any blood in the urine to the physician immediately.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Physiological Integrity 40. The pulse oximeter connected to a client with viral pneumonia, but who has no other

underlying respiratory disease, has had readings between 79 and 88 percent for the last half hour. Identify the type of oxygen delivery system that is most effective for the nurse to initiate when the client complains of shortness of breath.

A) Nonrebreather mask B) Nasal cannula C) Rebreather mask D) High-humidity face tent ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 41. Select the nursing action that takes highest priority in the care of a client with a chest tube

connected to a closed underwater-seal drainage system.

A) Strip or milk the chest and drainage tube every 2 hours.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) Make sure there is continuous bubbling in the underwater-seal chamber.

C) Record the amount of drainage in the drainage collection chambers every 8 hours.

D) Hang the drainage collection system at chest level to promote optimal function.

ANS: C PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 42. Identify the client the triage nurse would send first for treatment after a severe motor vehicle

accident that involves four clients who are brought to the ER for treatment.

A) A 23-year-old third-trimester pregnant woman who is having contractions B) A 42-year-old man who has a crushed cranium and no blood pressure or pulse C) A 61-year-old woman having gurgling respirations secondary to a maxillofacial

injury D) An 8-year-old boy with lower extremity paralysis secondary to a lumbar spinal

cord injury ANS: C PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 43. Select the action that the clinic nurse should take first when an adult client with a severe

sunburn of the chest, back, face, and legs is seen in the clinic.

A) Begin an IV of D5/0.45NS to run at 150 mL per hour.

B) Give the client a prescribed pain medication.

C) Apply a prescribed antimicrobial ointment to the burn areas to prevent infection.

D) Discuss with the client the risks of developing skin cancer related to repeated sun exposure.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 44. Select the action by the nurse that best helps reduce intracranial pressure in a client who

sustained a head injury after a diving accident.

A) Use a manual respirator (Ambu bag) to hyperventilate the client.

B) Have the client breathe slowly into a paper bag.

C) Administer 1 amp of sodium bicarbonate IV slowly.

D) Maintain the client in a supine position.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 45. Identify how the nurse can best assess the blood pressure of a client who develops

lymphedema in both arms after a bilateral mastectomy.

A) Take the blood pressure in the arm, but alternate arms each time it is taken.

B) Take the blood pressure in the thigh using a thigh cuff.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) Assess the client’s capillary refill and extremities for color, warmth, and sensation.

D) Use an arm cuff for consistency, but take the blood pressure in the thigh area.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 46. Select the teaching point the nurse should include in the discharge instructions for a client

with asthma about the mode of action of the home medication cromolyn sodium (Intal).

A) Produces bronchodilation B) Reduces the production of mucus C) Liquefies and thins thick mucus secretions so they can be coughed out D) Blocks the release of bronchoconstrictors from the mast cells ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Physiological Integrity 47. Identify the initial action by the ER nurse that is most appropriate for a 42-year-old woman

diagnosed with a mood disturbance disorder who overdosed on amitriptyline (Elavil).

A) Induce vomiting by administering 30 mL of syrup of Ipecac.

B) Initiate an IV of normal saline at 200 mL per hour.

C) Lavage the stomach with a #14 nasogastric tube to prevent trauma.

D) Administer activated charcoal 50 g every 4 hours for 24 hours.

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Psychosocial Integrity 48. Select the action by the nurse that is most appropriate for a 32-year-old woman diagnosed

with Sjögren’s syndrome.

A) Select a diet for the client with foods high in potassium, such as oranges and

bananas.

B) Use a moisturizing emollient on the client’s skin after a shower.

C) Instruct the client to take a multivitamin plus iron each day when discharged.

D) Maintain the client’s bed so that the head is elevated 30 to 45 degrees.

ANS: B PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 49. During her first month postpartum, a woman who is breastfeeding her baby develops

unilateral mastitis. Select the statement by the nurse that demonstrates an appropriate use of the therapeutic communication technique called self-disclosure.

A) “I remember the discomfort I had after my first child and how quickly it went away after I started taking antibiotics.”

B) “You seem to be very anxious about the condition. Tell me how you think it will affect your ability to breastfeed.”

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) “This is a common and relatively minor problem, and you should be better in 2 to 4

days.”

D) “The infection is not your fault. The organism probably came from the respiratory

tract of your baby.”

ANS: A PTS: 1 DIF: Easy TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 50. Identify the nursing action that best prevents the introduction of air into a subclavian IV when

the nurse is changing the tubing on the IV solution.

A) Keep the head of the bed elevated 45 degrees.

B) Have the client turn his head away from the insertion site.

C) Encourage the client to do the Valsalva’s maneuver during the procedure.

D) Make sure the tubing on the old IV is turned off before changing.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 51. Select the action the nurse should take first when a client becomes short of breath, pale,

diaphoretic, and complains of localized chest pain after a new bottle of total parenteral nutrition (TPN) has been hung.

A) Bring the code cart into the room and prepare for cardiopulmonary resuscitation.

B) Place the bed in Trendelenburg’s position and turn the client on the left side.

C) Keep the head and body flat and elevate the legs.

D) Notify the physician that the client is having an myocardial infarction.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 52. Identify the initial action by the nurse that is most appropriate for a 10-year-old boy who is

seen in the ER with a partially detached retina on the left side of the left eye after sustaining a head injury during a baseball game.

A) Cover both eyes with a soft eye patch.

B) Position the client on the right side with his head slightly elevated.

C) Irrigate the left eye with a gentile stream of normal saline.

D) Position the client on the left side with his head flat.

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 53. Select the communication technique that is most appropriate for the nurse to use when

working with a client who has both eyes patched.

A) Speak loudly and clearly so the client can understand better.

B) Identify himself or herself each time the nurse enters the client’s room.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) Enter and leave the room quietly so as not to startle the client.

D) Touch the client only when absolutely necessary.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 54. Identify the discharge instructions by the nurse for a client diagnosed with Addison’s disease

that most accurately describes how the client should take fludrocortisone acetate and hydrocortisone at home.

A) Take two-thirds of the dose when you wake in the morning and the remaining onethird late in the afternoon.

B) Take the hydrocortisone in the morning with breakfast and the fludrocortisone in the afternoon on an empty stomach.

C) Take both medications before you go to bed at night.

D) Take both medications when you wake up in the morning.

ANS: A PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Physiological Integrity 55. Select the position that is most appropriate for a client who just returned from a myelogram in

which a water-soluble contrast medium (metrizamide) was used.

A) Trendelenburg’s B) Prone C) Supine/flat D) Head elevated 45 degrees ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 56. Choose the nursing action that is most appropriate for the collection of a stool specimen from

a 3-year-old child who has had diarrhea for the past 4 days.

A) Use a preservative solution after the specimen is obtained.

B) Store the specimen in the refrigerator until it can be taken to the laboratory.

C) Place the specimen in a sterile container.

D) Collect an entire stool.

ANS: C PTS: 1 DIF: Easy TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 57. Identify the intervention by the nurse that is most appropriate in caring for a client with a

recent diagnosis of acute pancreatitis.

A) Administer a prescribed leave it in prn pain medication.

B) Reduce the IV rate to 50 mL per hour to prevent fluid overload.

C) Encourage the client to increase intake of protein to promote healing.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano D) Position the client with the head elevated 45 degrees.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 58. A post–C-section client who had the procedure under an inhalation anesthetic begins to

experience severe shivering in the recovery room. In addition to covering the client with extra blankets, select another appropriate action to be taken by the nurse.

A) Raise the temperature of the room by increasing the thermostat.

B) Call the surgeon and notify of the deterioration in the client’s condition.

C) Apply the prescribed oxygen by face tent.

D) Decrease the IV rate to reduce the amount of cold fluid entering the client’s cardiovascular system.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 59. A client with pancreatitis complains of abdominal pain. If the physician has prescribed all of

the following medications prn for pain for this client, identify the one the nurse should give.

A) Morphine sulfate, 5 to 10 mg IV B) Propoxyphene HCL (Darvon), 65 mg PO C) Meperidine (Demerol), 25 to 50 mg IV D) Acetaminophen (Tylenol), 650 mg PO ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 60. Choose the dietary recommendations that are most appropriate for the nurse to make to a

client who was diagnosed with hypoparathyroidism.

A) Increase your intake of vitamin D and calcium.

B) Increase your intake of potassium and iron.

C) Decrease your intake of calcium and phosphate.

D) Increase your intake of folic acid and decrease your intake of sodium.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 61. Select the instructions by the nurse to a postoperative client who had a transsphenoidal

hypophysectomy that best promote his recovery.

A) If you have any ringing in your ears, let me know right away.

B) Please keep your head flat for the first 12 hours after surgery.

C) Do not blow your nose, cough, or sneeze for the first 48 hours after surgery.

D) You must increase your fluid intake to 2 liters of fluid per day.

ANS: C

PTS: 1

DIF:

Hard

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 62. Identify the dietary instructions by the nurse that are most appropriate for a client who has a

positive Trousseau’s sign.

A) Decrease your intake of calcium and phosphate.

B) Increase your intake of potassium and iron.

C) Increase your intake of vitamin D and calcium.

D) Increase your intake of folic acid and decrease your intake of sodium.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Physiological Integrity 63. Identify the action by the nurse that is most important in providing care for a client who has a

Fiberglas cast on her right arm.

A) Cover the cast with a pillowcase to keep the arm warm.

B) Keep a cast cutter at the bed side.

C) Assess the fingers of the right hand for movement and sensation every 2 hours.

D) Elevate the cast 45 degrees for the first 48 hours.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 64. A 30-month-old boy with acute bronchitis and respiratory distress is admitted to the pediatric

unit for croup (mist) tent treatment. Choose the intervention by the nurse that is developmentally most appropriate when the child refuses to stay in the tent.

A) Take away his favorite toy until he decides to remain in the tent.

B) Tell him a story about how a little boy died because he did not stay in the tent.

C) Medicate him with a sedative to reduce anxiety and calm him.

D) Instruct his mother to play a board game with him while sitting in the tent.

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 65. A 44-year-old woman who is diagnosed with paranoid personality disorder is seen in the clinic

for treatment. Select the intervention by the nurse that best achieves the goal of promoting consensual validation of reality.

A) Challenge her delusional perceptions by joking in a nonthreatening way about how unrealistic they are.

B) Use reality reinforcement and avoid arguing with the client about her perceptions.

C) Use distraction when the client begins to expound about her perceptions.

D) Administer a prescribed prn antianxiety medication 1 hour before attempting to council with the client.

ANS: B

PTS: 1

DIF:

Hard

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Physiological Integrity 66. Select the instructions given by the nurse to a group of senior citizens attending a class on

aging at a senior center that best addresses the normal age-related changes in vision.

A) You may have problems seeing blue or black objects against a yellow wall.

B) Your central vision is poorer, so you may not see objects in front of you.

C) Try to avoid driving at night due to decreased night vision.

D) It is not unusual to see rainbows or halos around artificial lights.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Health Promotion and Maintenance 67. Choose the most therapeutic response by the nurse to a new mother who verbalizes

uncertainty about her ability to breastfeed her new baby boy.

A) Breastfeeding a baby is best. Bottle feeding is only a poor substitute for women

who can’t produce enough milk.

B) Let’s try the breastfeeding first and see how you do. I’ll be right here to help you

with the process.

C) We can give him a bottle until your milk comes in and you feel more sure about

your ability to breastfeed.

D) If you don’t make up your mind right away, we’ll be forced to bottle feed him.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 68. Identify the intervention by the nurse that is most appropriate when providing care for a client

who has just returned to the surgical unit with a below-the-knee amputation.

A) Keeping the stump elevated for the first 24 hours B) Removing and reapplying the pressure dressing every 2 hours to prevent necrosis C) Keeping the client on complete bedrest for the first 48 hours D) Treating the phantom limb pain by applying a warm compress to the stump ANS: A PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Physiological Integrity 69. Select the intervention that the nurse places highest priority on when caring for an adult client

with severe impetigo.

A) Using a circular motion to apply prescribed topical antibiotic ointment B) Covering the client’s hands with gauze or mitts to prevent scratching C) Administering prescribed systemic antibiotics D) Giving the client two tepid baths, one in the a.m. and one in the p.m.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Integrity 70. A 23-year-old woman with partial and full thickness burns over 28 percent of her body is

being treated with the “open method” of burn treatment. Select the nursing action that best helps prevent discomfort caused by air currents over the burn areas.

A) Keeping her well sedated B) Adding humidity to the room air C) Supporting her upper linens on a bed cradle D) Keeping the doors and windows tightly closed in her room ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Physiological Integrity 71. Identify the nursing action that is most appropriate for the nurse to take when caring for a

newborn who has tremors and a high-pitched cry and is diaphoretic.

A) Obtain urine for drug screen for cocaine.

B) Perform a finger stick blood sugar.

C) Cover the infant’s head with a cap.

D) Give the infant 1 ounce of sterile water.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 72. Identify the teaching point the nurse should include in the discharge plan for a renal transplant

client about the risks of infection postoperatively.

A) If you develop fever, chills, joint pain, or headache, contact the physician

immediately.

B) You can stop taking your tacrolimus (Prograf) if you start to feel sick or if you are

very tired.

C) You will never be able to go to church or go any place where there are crowds of people.

D) You should avoid going to the dentist or the gynecologist for at least a year after your surgery.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 73. Select the action by the nurse that has the highest priority in the care of several clients who are

receiving postoperative pain management by epidural analgesia on the surgical unit.

A) Change the IV tubing with each bag of medication.

B) Keep the head of bed elevated 30 degrees to prevent hypotension.

C) Monitor peripheral pulses every 2 hours.

D) Assess for movement and sensation of the feet and legs each shift.

ANS: D PTS: 1 TOP: NCLEX: What You Need to Know

DIF:

Medium

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 74. For the past three exchanges, a client who is receiving continuous ambulatory peritoneal

dialysis (CAPD) has retained between 250 and 400 mL with each exchange. He has no urine output and has not moved his bowels in 3 days. The returned CAPD fluid is clear. Select the most appropriate action by the nurse at this time.

A) Increase the glucose concentration of the fluid to pull off more fluid.

B) Cap the catheter and notify the physician.

C) Evaluate the patient for possible constipation.

D) Skip the next exchange and allow the fluid to drain.

ANS: C PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 75. Identify the best measure the nurse can take to limit the complications of a client who is

developing compartment syndrome after a splint is applied to a fractured ankle.

A) Remove the splint, clothing, socks, and other external sources of pressure.

B) Assess the pulses and skin color every 2 hours.

C) Make sure the ankle is below the level of the heart.

D) Apply ace bandages to the foot to decrease the swelling.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 76. A client in chronic renal failure asks the nurse, “Why must I drink this awful-tasting

Kayexalate 4 times a day?” Which of the following explanations by the nurse would be most appropriate?

A) “If you do not drink it, we’ll have to give it as an enema.”

B) “It will help lower your potassium level by exchanging sodium ions for potassium ions in your intestines.”

C) “It will help increase your urine output by stimulating your kidneys and promoting the movement of water into the tubule system.”

D) “It will prevent infections by decreasing the bacteria in your intestinal tract.”

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 77. Select the action by the nurse in the obstetric clinic that is most appropriate in preparing a

client at 18 weeks’ gestation for an amniocentesis.

A) Encourage her to void just before the procedure.

B) Post all blood work on the chart.

C) Give her a prescribed sedative medication 1 hour before the procedure.

D) Have her drink two glasses of water to make sure her bladder is full.

ANS: A

PTS: 1

DIF:

Medium

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Implementation | Client Need: Health Promotion and Maintenance 78. Identify the nursing action that takes the highest priority in the care of a 2-year-old boy in the

edematous phase of nephrotic syndrome.

A) Increase fluid intake to 1,000 mL per day.

B) Encourage the child to play actively for 10 minutes each hour.

C) Clean and powder the skin folds every 2 hours.

D) Monitor intake and output every 24 hours.

ANS: C PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Physiological Integrity 79. Choose the nursing intervention that is most appropriate in providing care to a 28-year-old

mother of two children who is in the terminal stages of ovarian cancer but is still able to communicate.

A) Instruct her in the benefits and risks of new experimental cancer treatments.

B) Give her as much opportunity as possible for control over her care.

C) Allow her to verbalize her regrets and shortcomings of her life.

D) Limit the number of visits by her children to two per day.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 80. Identify the additional changes in the ventilator settings the nurse needs to make when

changing a ventilator client from full-control mode to assist/control mode.

A) Increase in the sensitivity setting B) Decrease in the FIO2 C) Increase in the FIO2 D) Decrease in the sensitivity setting ANS: A PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 81. Identify the action the nurse should take first when the low tidal volume alarm on a positive

pressure, volume-cycled ventilator begins and continues to sound.

A) Check for water buildup in the ventilator tubing.

B) Disconnect the oxygen supply to the ventilator.

C) Check for separation of the ventilator tube from the endotracheal tube.

D) Encourage the client to cough to remove excessive secretions.

ANS: C PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Evaluation | Integrated Process: Problem Identification | Client Need: Physiological Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 82. A 78-year-old client who experiences angina after even minimal activity is treated with

medications. Identify the medication mode of action that the nurse would give to best decrease myocardial oxygen consumption and reduce chest pain.

A) Increase preload.

B) Reduce afterload.

C) Reduce preload.

D) Increase contractility.

ANS: B PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Evaluation | Client Need: Physiological Integrity 83. Select the nursing action that takes highest priority in providing care for a client diagnosed

with an organic brain syndrome.

A) Place the client in a group of clients to maintain his social skills.

B) Order foods for the client that are attractive and tasty to maintain nutritional status.

C) Provide a safe environment to prevent injury.

D) Encourage as much self-care as possible to maintain independence.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Psychosocial Integrity 84. Identify the nursing action that is most appropriate for a client who is diagnosed with injury to

cranial nerves IX and X after a blow to the head.

A) Use enemas to maintain normal bowel function.

B) Maintain the client in an NPO status.

C) Cover both of the client’s eyes with soft eye patches to prevent corneal abrasions.

D) Keep the head of bed flat for 24 hours after admission.

ANS: B PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Physiological Integrity 85. Select the instruction given by the nurse to a group of senior citizens attending a class on

aging at a senior center that best addresses the normal age-related changes in the skin.

A) Avoid using emollients because of the increased elasticity of your skin.

B) Because of the increase in the activity of the sweat glands, you will have to take

more baths and use deodorant more often.

C) Even minor cuts will require special attention because of slower healing.

D) As you age, your fingernails and toenails grow more quickly and require more

frequent cutting to prevent ingrown nails.

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Health Promotion and Maintenance

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 86. Choose the action the nurse should take to elicit the oculocephalic response in a motor vehicle

accident victim who is unconscious.

A) Use a wisp of cotton to stimulate the cornea.

B) Hold the eyelids open while turning the client’s head.

C) Squirt ice water into the client’s ear canal.

D) Hold both eyelids open and shine a bright light into the eyes.

ANS: B PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Comprehension | Integrated Process: Problem Identification | Client Need: Physiological Integrity 87. Identify the action the nurse takes to best prevent contractures in a client with second- and

third-degree burns of the legs.

A) Hyperextend the client’s legs by elevating them on two pillows.

B) Apply ace bandages to the entire leg.

C) Have the client perform active range of motion exercises every hour.

D) Apply knee splints.

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 88. A 37-year-old woman has an internal radioactive implant placed for the treatment of uterine

cancer. Select the action the nurse should take first when she finds the implant in the bed linens during routine care.

A) Quickly leave the room and call for help.

B) Use plastic forceps to replace the implant after donning a lead apron.

C) Place the implant in a lead-lined container with a pair of long-handled forceps.

D) Tell the client how to re-insert the implant.

ANS: C PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 89. Identify the action by the nurse that would best promote a positive therapeutic community

milieu when several clients in the psychiatric inpatient unit ask the unit manager if she could extend the visiting hours until 9 p.m.

A) Explain that she cannot make that decision, and it must be referred to the administrator.

B) Ask the clients to offer their suggestion during individual therapy sessions.

C) Suggest that the clients elect two members of their group as representatives to speak for the whole group.

D) Encourage the clients to bring their concerns to the next community meeting.

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Psychosocial Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 90. Select the teaching point the community health nurse should emphasize as a clue to possible

attempted suicide when conducting a parenting class about suicidal ideation in school-aged children.

A) Poor grades in school B) Children giving away favorite CDs or toys C) Insisting that smoking cigarettes is “cool” D) Becoming more aggressive with classmates ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Psychosocial Integrity 91. Choose the action by the nurse that takes highest priority in the treatment of a child with

sickle cell anemia.

A) Maintain hydration at two times the normal intake.

B) Assist the child in range of motion exercises to increase joint mobility.

C) Medicate frequently with analgesics to reduce pain.

D) Initiate and maintain reverse isolation.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 92. Identify the statement made by a client that would indicate to the nurse that additional

teaching was required for a client who was scheduled for a lumbar puncture.

A) “This procedure will be done in my room.”

B) “I can get up and go to the bathroom within 1 hour after the procedure.”

C) “My body will replace the fluid taken by the physician within 12 hours.”

D) “I have to sign a special procedures permit before the procedure can be done.”

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 93. Which finding on the admission assessment would make the nurse question the order for a

cerebral angiogram for the client?

A) Intermittent memory loss and dizziness for 2 months.

B) History of hypertension controlled with angiotensin-converting enzyme inhibitor.

C) Presence of a permanent pacemaker implanted 6 months ago.

D) Client breaks out in hives when eating shrimp or clams.

ANS: D PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Assessment | Client Need: Physiological Integrity 94. After a client is connected to a heart monitor in the ER, the nurse notes an elevated ST

segment on the electrocardiogram strip. What nursing action would have the highest priority for this client?

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) Assess the vital signs and the degree and location of any chest pain.

B) Administer a stat dose of sublingual nitroglycerine spray to dilate the coronary

arteries.

C) Notify the physician of the client’s dire condition.

D) Place the client in the prone position to reduce the workload of the heart.

ANS: A PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 95. After reviewing the laboratory results for the clients to which the nurse is assigned, select the

client the nurse should assess first.

A) 53-year-old man with a CPKMB of 3 percnet B) 33-year-old man with a cTnT2 of 0.8 ng/mL C) 48-year-old woman with a LDH1 of 25 percent D) 64-year-old woman with a triglyceride level of 175 mg/dL ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 96. During the 0700 beginning of the shift assessment, the nurse finds a male client who was

diagnosed with type 1 diabetes mellitus to be difficult to arouse. Per unit protocol, arterial blood gases and a blood glucose are performed. The results show pH 7.01, PO2 92, PCO2 36, HCO3 9, blood glucose 873. What action should the nurse take first?

A) Administer the client’s 0800 dose of NPH insulin immediately.

B) Notify the physician and the house supervisor of the client’s condition.

C) Begin an IV with 0.5 percent normal saline and prepare sodium bicarbonate for administration.

D) Attempt to arouse the client and determine what he ate the previous evening to raise his blood glucose.

ANS: C PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 97. While reviewing the laboratory results for a client, the RN notes that pulmonary function test

values are as follows: residual volume 1,800 mL, vital capacity 2,300 mL, and tidal volume 275 mL. Identify the nursing action included in the care plan developed by the LPN that the RN would change.

A) Increase fluid intake to 3,500 mL per day.

B) Position the client in the high-Fowler’s position.

C) Contact the dietitian to arrange for a six-feeding, small-portion diet.

D) Increase the oxygen flow rate to 10 L/min by rebreather mask for shortness of breath.

ANS: D PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Integrity 98. Which postbronchoscopy assessment observed by the nurse in a 54-year-old woman would

require immediate intervention?

A) Coughing up a moderate amount of dark, blood-tinged mucus B) Negative gag reflex 15 minutes postprocedure C) Presence of a stridor in the upper airway D) Difficulty to arouse with initial disorientation ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 99. In reviewing the chart of a 15-year-old client who suffered a head trauma in a sports accident,

the nurse notes a serum potassium of 2.8 mEq/L and a serum sodium of 122 mEq/L. What addition to the nursing care plan would be most appropriate for the nurse to make based on this information?

A) Strict intake and output (I & O) each shift B) Passive range of motion exercises each shift C) Six-feeding, small-portion diet D) Assessment of flank region every 12 hours for kidney tenderness ANS: A PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Physiological Integrity 100. Identify the additional assessment the nurse should make when the serum uric acid level of a

64-year-old man is 12.8 mg/dL. A) Glasgow coma scale each shift B) Heart sounds every 4 hours for murmurs and clicks C) Flank region every 12 hours for kidney tenderness D) Joints for tenderness and swelling ANS: D PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Assessment | Client Need: Physiological Integrity 101. During a prenatal visit, the nurse is teaching a pregnant client about sources of complete

protein. Identify the food with the highest amount of this nutrient.

A) Two boiled eggs B) 1 cup whole-grain cereal C) 1 cup red beans D) One fried chicken leg ANS: A PTS: 1 DIF: Easy TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Health Promotion and Maintenance

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 102. Which nursing action is most important in the care of a client who is receiving 300 mL of

Isocal by nasogastric feeding tube every 4 hours?

A) Keep the head of bed elevated 35 to 45 degrees at all times.

B) Check the tube for placement prior to each feeding.

C) Obtain daily weights and accurate I & O to monitor status.

D) Monitor the client for dumping syndrome.

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 103. Select the nursing action that would best help reduce the cramping experience by a client who

was receiving intermittent feedings though a gastric tube (percutaneous endoscopic gastrostomy tube).

A) Warm the feeding to near body temperature prior to administration.

B) Elevate the client’s head to 35 to 45 degrees during feedings.

C) Encourage the client to suck on a hard candy 5 to 10 minutes prior to the feeding.

D) Assess the tube for placement prior to each feeding.

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 104. The nurse notes that the primary health-care provider has prescribed that the TPN that a client

had been receiving for the past 10 days be discontinued and changed to 0.9 percent normal saline. Which action would be most appropriate for the nurse to take?

A) Stop the TPN and change the solution to 0.9 percent normal saline as soon as it was available.

B) Allow the remaining TPN to infuse until the bag was empty and then change the solution to 0.9 percent normal saline.

C) Gradually reduce the rate of the TPN over the next 4 to 6 hours, then change the solution to 0.9 percent normal saline.

D) Question the primary health-care provider about the change because the solution is inappropriate.

ANS: C PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 105. A client receiving TPN through a central line reports chest discomfort and mild dyspnea. The

nurse notes a churning sound over the Point of Maximal Impulse and tachycardia. Which action should the nurse take first?

A) Replace the tubing and the TPN solution immediately.

B) Clamp the central catheter and place the client on the left side with the head lower than the body.

C) Start oxygen by mask to reduce the hypoxia and notify the primary health-care provider immediately.

D) Assess the client for cough and cyanosis while evaluating the central catheter site for signs of infection.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 106. A one-day postoperative client has both morphine sulfate and meperidine (Demerol)

prescribed for pain. Upon which assessment would the nurse decide to give the meperidine rather than the morphine sulfate?

A) Pain has increased from a 2/10 to a 6/10 B) BP 90/58, pulse 62 bpm C) Temperature 99.2°F, respirations 10/min D) Awake, alert, and oriented 3 ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 107. Which statement by a nurse working with a client who is suffering from paranoid delusions

and who is not very talkative would block therapeutic communication?

A) “You seem to be more suspicious of the other clients today.”

B) “I feel you have made progress by speaking about your fears”.

C) “I know just how you feel. I often see the head nurse waiting for me to make a

mistake.”

D) “You mentioned that you see them looking through the window. Please tell me

more about that.”

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Psychosocial Integrity 108. Identify the statement made by a psychiatric clinical nurse specialist to a client with anorexia

nervosa that best demonstrates the use of cognitive therapy.

A) “You seem to feel much better about yourself when you eat something.”

B) “Being thin doesn’t seem to solve your problems, since you’re thin now and still unhappy.”

C) “It must be difficult to talk about private matters with someone you just met.”

D) “What are your feelings about not eating the food that you prepare?”

ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Psychosocial Integrity 109. A client is being treated for depression with phenelzine (Nardil). Which statement by the

client indicates that the goal for the client to understand the potential side effects of the antidepressant has been achieved?

A) “I should wear sturdy and supportive shoes when I’m outside” B) “My legs should be elevated when I’m sitting.”

C) “I must avoid eating at Chinese restaurants.”

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano D) “Colognes and perfumed soaps can cause allergic reactions.”

ANS: C PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Psychosocial Integrity 110. A client with severe anxiety is being treated with lorazepam (Ativan) and outpatient therapy.

Which statement indicates that the client requires additional discharge instructions for this medication?

A) “If I become drowsy or have blurred vision, I need to stop the medication immediately.”

B) “This medication can be habit forming, so I should take it only as directed.”

C) “I need to add foods such as fresh fruits and grain to my diet.”

D) “If I get a cold I should check with my primary health-care provider before taking cold medicines.”

ANS: A PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Synthesis | Integrated Process: Evaluation | Client Need: Psychosocial Integrity 111. Identify the assessment found by a nurse on a client who is admitted with a possible

accidental overdose of imipramine (Tofranil) that would require the most immediate intervention.

A) Depressed deep tendon reflexes and Glasgow Coma Scale rating of 9 B) Sinus tachycardia of 128 with a QRS complex of 0.14 second C) Ecchymotic areas on arms and a hematocrit of 33 percent D) Distended abdomen and decreased bowel sounds ANS: B PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 112. Based on accepted standards of care for documentation, identify the element that the nurse

should avoid placing in the client’s medical record.

A) Blank spaces between the lines for late entries B) Date and time on all entries C) Observation about the client’s behaviors D) Direct quotes from the family ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 113. An otherwise healthy 40-year-old woman who is brought into the emergency room (ER) with

an overdose is declared brain dead and evaluated for organ donation. On her driver’s license, the “Organ Donor” box is checked and there is a legal witness signature present. Identify the action to be taken next by the ER nurse.

A) Prepare the body for transfer to the operating room for organ removal.

B) Order appropriate tests for tissue typing.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) Attempt to notify the client’s family and ask their permission for donation.

D) Pack the body in ice to lower metabolism and prevent deterioration of the organs.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 114. A psychiatric nurse employed in a busy outpatient psychiatric clinic notes that the foreign-

born psychiatrist who covers the clinic in the afternoons regularly bills clients for 60-minute sessions that only last 30 to 40 minutes. Under the Federal False Claims Act, select what the nurse must report concerning the physician.

A) Upcoding B) Overbilling C) False representation of services D) Medicare fraud ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 115. The hospital administration has just notified all the unit managers that the care delivery model

is to be changed from team nursing to modular nursing because of budget restraints. Identify the action by the unit managers that is essential to the successful implementation of the modular nursing care model.

A) Hire nurses who are self-directed and concerned with consistency of care.

B) Obtain the cooperation and input from respiratory therapy, radiology, dietary, and laboratory departments and other support services.

C) Develop total quality management studies to determine risk areas.

D) Initiate a training program for ancillary health workers, such as nurse aides and orderlies.

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 116. An HIV-positive client with Pneumocystis carinii pneumonia (PCP) is confused and keeps

removing the IV piggy back (IVPB) needle during the administration of his trimethoprimsulfamethoxazole (Bactrim). Select the instructions by the charge registered nurse to the licensed practical nurse administering medications that would best rectify this situation.

A) Give the client his prn sedative a half hour before the IVPB medication.

B) Assign one of the certified nursing assistants to stay with the client during the medication administration.

C) During the 30 minutes the medication infuses, place the client in bilateral wrist restraints.

D) Call the physician and request the medication by mouth.

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 117. After her first week on a busy medical surgical unit, the new charge nurse notes that the

individual nurses are highly competent but seem to be unable to function productively as a team. Select the action by the charge nurse that would best facilitate team building among the staff.

A) Provide an opportunity for the nurses to express feelings and emotions.

B) Hire more staff to reduce stress and fatigue from understaffing.

C) Allow the staff more input into important policy decision-making.

D) Give the staff more time to adjust to the change in charge nurses.

ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 118. The nurses on the 7 a.m. to 3 p.m. shift have been complaining to the head nurse that the

nurses on the 9 p.m. to 7 a.m. shift have not been doing the ordered client daily weights, and the physicians are very upset when they make their early morning rounds. Identify the initial action the head nurse should take to resolve this conflict.

A) Post a stern memo that reminds the night shift nurses to do the daily weights.

B) Review the daily weight flow sheet.

C) Change the time for daily weights to the late morning.

D) Hold a meeting with the physicians to discuss their attitudes.

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 119. Select the statement by a unit manager to the vice president of nursing during a budget

meeting that would be most effective in decreasing the staffing ratio on her unit from one nurse for every nine clients to one nurse for every seven clients. “This proposed change will: A) have a positive effect on the usage of institutional resources.”

B) better meet current national standards of practice.”

C) help with the recruitment of new nurses to the facility.”

D) improve the quality of care for the clients on the unit.”

ANS: D PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Judgment | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 120. A particularly vocal staff nurse on a busy obstetrical unit has been complaining to the other

nurses about the unit manager’s preferential treatment of the night shift nurses. Select the action the unit manager should take to resolve this problem that best demonstrates the use of the assertive approach to conflict resolution.

A) Note that the vocal staff nurse is not intelligent enough to understand the situation and disregard her comments as worthless.

B) Arrange for the transfer of the staff nurse to the night shift.

C) Set up a time and place for a one-on-one meeting with the staff nurse.

D) Wait until there is an opportunity to use the incident to confront the staff nurse in front of her colleagues.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

121. The oxygen saturation on a client with acute infective bronchitis drops to 84 percent, and he

develops severe dyspnea. There is a standing order for a handheld nebulizer (HHN) treatment prn for shortness of breath, and respiratory therapy is designated to give all respiratory treatments in the facility. When the nurse calls the respiratory therapist, he states that he has several more treatments to give but he should be there in 10 or 15 minutes. Select the action by the nurse that would be most appropriate at this time.

A) Increase the flow rate of the client’s oxygen until the respiratory therapist can arrive.

B) Call the respiratory therapist back and insist that he come immediately.

C) Give the HHN treatment himself or herself.

D) Give the client a prescribed leave it in prn sedative to reduce anxiety.

ANS: C PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Judgment | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 122. A client infected with hepatitis C becomes confused, pulls out his IV catheter, and bleeds

profusely on the bed rail and floor. Select the instructions by the nurse to the housekeeper that would best prevent the spread of the infection.

A) Clean the area with 70 percent alcohol.

B) Mop the floor with a strong ammonia solution.

C) Let the blood dry first before cleaning to limit the spread of the infection.

D) Wipe all contaminated surfaces with a 5 percent chlorine bleach solution.

ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 123. An 8-year-old girl is brought by her mother to the outpatient clinic with complaints of

abdominal cramping and greenish diarrhea. A diagnosis of shigellosis is made after a stool culture. Identify the discharge instruction by the nurse that best explains the requirement for enteric precautions at home.

A) Enteric precautions only have to be maintained until the diarrhea stops.

B) The child must remain on enteric precautions until she has three stool cultures negative for shigella.

C) After the child has been taking the antibiotics for 48 hours, you can stop the enteric precautions.

D) The child must remain on enteric precautions for 30 days or until her viral titer is normal.

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 124. Select the instructions given by the nurse to a preoperative client going for a hiatal hernia

repair about the use of an incentive spirometer that best describes its use postoperatively.

A) If you use it as prescribed, you won’t need a nasogastric (NG) tube.

B) You will not need as much postoperative pain medication if used every 2 hours.

C) Using it every 2 hours will help increase your respiratory effectiveness.

D) You will be able to begin eating much sooner if you use it every 4 hours.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: C PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Judgment | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 125. Select the instructions by the nurse that would best prevent postoperative complications in a

client who has just undergone a stapedectomy for a bone conduction hearing loss.

A) Leave the mouth open when sneezing.

B) Use a soft, cotton-tipped applicator to clean the blood and drainage from the affected ear to prevent infection.

C) Bend over very slowly during the first 48 hours postoperative.

D) Keep the head of bed flat for the first 24 hours.

ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 126. Identify the position in which an adult client in the recovery room should be placed when he

or she complains of a sore throat and is lethargic after a tonsillectomy.

A) Side-lying B) High Fowler’s C) Trendelenburg’s D) Batrachian ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Judgment | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 127. After eye surgery, a client is alert, oriented, and has eye patches over both of his eyes. Select

the action by the nurse that would have the highest priority in preventing injury to this client.

A) Keep the client restrained to prevent him from falling out of bed.

B) Walk the client around the room so he knows where the obstacles are located.

C) Make sure the bed is in the low position with the side rails down so that the client

can exit the bed more easily.

D) Show the client how to use the call bell signal and place it within easy reach.

ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 128. After a bicycle accident that caused a fractured tibia, a client has a fiberglass cast applied and

is discharged to home with crutches. Select the instructions by the nurse about climbing stairs with crutches that would best prevent an additional injury.

A) Place the unaffected leg on the first step, then move the crutches and injured leg up to the step together.

B) Move the injured leg to the first step, then place the crutches and uninjured leg on the step together.

C) Place the injured leg and the crutch on the opposite side on the first step, then move the injured leg and the other crutch up to the step.

D) Place both crutches on the first step together, then swing through both legs to the next step.

ANS: A

PTS: 1

DIF:

Medium

TOP: Bonus NCLEX Questions

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 129. During a well-child visit to the clinic, the nurse notes that a 4-month-old girl is alert,

responsive, and has a positive Moro reflex. Identify the statement by the nurse to the mother about the child’s growth and development that is most appropriate.

A) “Your child is developing normally, so bring her back in 1 month for a checkup.”

B) “There appears to be a neurological delay in your child’s development. We will need to refer her to a pediatrician.”

C) “Your child needs more stimulation at home. Play lively music when she is in her crib.”

D) “Your child has a severe developmental delay due to lack of proper care. I’m going to have to report you to social services.”

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Judgment | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 130. The parents of a 10-year-old boy ask the nurse about his acting-out behavior. Select the

behavior(s) that best identifies when a child this age requires professional help.

A) Peer relationships are affected.

B) Family relationships are affected.

C) Multiple aspects of the child’s life are affected.

D) The child’s grades in school show a decline.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 131. A 15-year-old girl is brought by her mother to the pediatric clinic because she has not yet

started her menstrual cycles and shows minimal physical development typical of puberty.

When the diagnosis of delayed puberty is made, the girl begins to cry, stating, “Everybody at school makes fun of me because I’m so flat.” Select the response by the nurse that best addresses the girl’s concerns.

A) “Don’t worry. This a very common problem and you will soon catch up with your classmates.”

B) “You are a very beautiful girl just the way you are. You’ll probably get zits when you start your development.”

C) “If you keep busy in band and sports, you won’t worry so much about how you look.”

D) “Let’s see if we can figure out what type of clothes you can wear that won’t accent your lack of physical development so much.”

ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 132. A 42-year-old man comes to the outpatient clinic with complaints of joint swelling in his

knees and pain in his feet. Select the type of arthritis that is most common in men in the 30 to 50 age range.

A) Gouty arthritis B) Rheumatoid arthritis

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) Osteoarthritis D) Septic arthritis ANS: A PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Health Promotion and Maintenance 133. During her routine annual physical examination, a 48-year-old woman tells the nurse that she

worries about her health all the time, spends 8 to 10 hours at the health center every week, and has spent a larger than usual amount of money on cosmetics over the past 6 months. Select the most appropriate response by the nurse to this client.

A) “Your concerns and actions are normal because you are trying to maintain your health and youth.”

B) “How are you doing at your work? Did you get that promotion you wanted?”

C) “Is your husband still helping with the household chores? Support systems are very important.”

D) “You seem very healthy. You should avoid excessive exercise because it can cause more damage in the long run.”

ANS: B PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 134. A 72-year-old woman is injured in a fall down a flight of steps at home and is placed on

bedrest in the hospital. Select the intervention(s) by the nurse for this client that best prevent the complications of immobility.

A) Limiting the fluid intake to 200 mL per shift to prevent dependent edema.

B) Giving the client a full bed bath and feeding her all meals to reduce potential injury to fragile bones.

C) Massaging bony prominences and turning the client every 2 hours.

D) Ambulating the client to the bathroom instead of using the bedpan.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 135. During a “Health Promotion” class at a senior citizen center, one of the elderly attendees asks

the nurse teaching the class, “I know older persons fall frequently. What types of fractures are most common in people in our age group?” Select the type of fracture the elderly most often experience.

A) Pelvis B) Lumbar spine C) Hand and wrist D) Tibia ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 136. While climbing over a barbed wire fence, a 22-year-old man received a deep laceration on his

arm and hand. After washing and dressing the laceration with an antibiotic ointment, the emergency department nurse notes that the client has had all his immunizations, with his last tetanus at age 18 for another injury. Select the action that should be taken by the nurse at this time.

A) Instruct the client on care of the laceration at home.

B) Give a tetanus toxoid injection.

C) Order a serum tetanus titer test.

D) Advise the client to get another tetanus immunization in 2 years.

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application |Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 137. A couple who has been unable to conceive seeks counseling from the nurse in a family

planning clinic. In discussing solutions to the couples’ difficulties, identify what information the nurse should emphasize.

A) Care for health problems not related to pregnancy B) Data supporting the incidences of pregnancy in their age and ethnic groups C) How the couple can better improve their communication skills D) New positions and techniques to use during intercourse ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 138. At the family planning clinic, a 19-year-old woman who has recently become HIV positive is

given counseling by the clinic nurse. Identify the instructions by the nurse that are most effective in preventing the transmission of HIV during sexual intercourse.

A) You can have unprotected sex if both you and your partner(s) are HIV positive.

B) The use of contraceptive measures, such as birth control pills and hormone injections, will limit the spread of the virus.

C) The only way to prevent the transmission of HIV is to have an intrauterine device placed.

D) Using a latex condom with a potent spermicide during intercourse is one of the best ways to prevent the spread of HIV. ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 139. A 24-year-old woman comes to the family planning clinic with dysuria, purulent vaginal

drainage, and perineal pruritus and has a positive culture for a sexually transmitted disease (STD). Identify the STD that the nurse is required to report to the public health department.

A) Genital herpes B) Vaginal warts C) Gonorrhea D) Chlamydia ANS: C PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Identification | Client Need: Health Promotion and Maintenance

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

140. Select the instructions given by the nurse that are most accurate for a woman who is HIV

positive and 3 months pregnant who comes to the prenatal clinic for care.

A) You will need a C-section to prevent the transmission of the virus to your baby.

B) There is a good chance that your baby will not be infected with the virus if you take

your medications.

C) In a large percentage of the cases, the virus is transmitted through the placenta.

D) Your baby will be very ill from the HIV infection when it is born.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 141. During the assessment of a 35-week gestation client admitted to the obstetrics unit in active

labor, the nurse notes the following: estimated fetal weight less than 2,500 grams; membranes ruptured 12 hours ago; blood type AB negative; positive rubella titer; positive vaginal culture for Group B streptococcus; current vital signs: T 99.2°F, P 104, R 26, BP 128/88. Identify the most appropriate action by the nurse at this time.

A) Administer a measles, mumps, and rubella vaccine.

B) Call the on-call pediatrician to warn him about a premature infant delivery.

C) Order a type and crossmatch for two units of blood.

D) Administer an ordered IV antibiotic.

ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Judgment | Integrated Process: Problem Identification | Client Need: Health Promotion and Maintenance 142. Select the instruction by the nurse that is most helpful in relieving the pain from an

episiotomy in a 1-day postpartum client.

A) Increase fluid intake to 2,000 mL per day.

B) Keep the head of bed elevated 45 degrees.

C) Apply an ice pack to her perineum.

D) Use a sitz bath twice a day.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 143. Select the recommendation given by a nurse to a group of clients at a cancer prevention

seminar that is most effective in reducing the risk for colon cancer in persons who have a family history of the illness.

A) Avoiding obesity and losing weight reduces the incidence of colon cancer.

B) Limit or stop smoking because it places a person at a high risk for colon cancer.

C) There is a direct link between using saccharin-containing products and colon cancer, so avoid using the sweetener.

D) Limit alcohol intake to one glass of wine per day.

ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 144. The nurse in an outpatient clinic notes that a client with a persistent nagging cough has come

in for treatment after hearing about the seven signs of cancer on the TV show Dr. Oz. Identify the statement by the nurse that best reinforces this client’s understanding of the warning signs of cancer.

A) All the signs have to be present to detect cancer.

B) Other signs to look for include indigestion, difficulty swallowing, and changes in the size or shape of a mole.

C) If you develop persistent nausea, skin rash, or acute pain, you are at high risk for having a cancer.

D) The warning signs you hear about are just to scare people who do not schedule regular appointments into visiting the physician.

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 145. While evaluating a postcolon cancer surgery client who has a new colostomy, the nurse notes

that the client is in the denial stage of the grieving process. Select the response by the nurse that best facilitates the client’s progression through the grieving process.

A) Interpret the denial for the client and point out it is part of the grieving process.

B) Confront the client’s denial as an unrealistic response.

C) Support the client in his denial.

D) Accept the denial as one of the stages in the grieving process.

ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 146. Identify the nursing action that best prevents autonomic dysreflexia in a client with a spinal

cord injury.

A) Giving the client his prn dose of oxazepam (Serax) before the muscle spasms begin B) Maintaining the patency of the Foley catheter C) Keeping the client in the sitting position as much as possible D) Monitoring the client’s electrolyte levels ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 147. Using crisis intervention theory in the care of a 26-year-old woman who was raped 1 week

ago, select the intervention by the nurse that best achieves successful treatment.

A) Preventing rape trauma syndrome B) Helping the woman grow to a higher level of functioning C) Referring the woman to a rape victims’ group therapy session D) Restoring the woman to her prerape level of functioning ANS: D PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Psychosocial Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 148. A 22-year-old man is recovering from injuries obtained in an automobile accident in which he

was the driver and his 20-year-old girlfriend was killed. His parents have requested that information about the girl’s death be withheld from the client, including restricting visitors and phone calls. While bringing the client a leave-it prn pain medication, the nurse notices that the local television lead news story is about the accident. Select the best action by the nurse in response to this situation.

A) Talk loudly to the client so that he will not be able to hear the news.

B) Turn the TV off stating that the pain medication will work better with less environmental stimuli.

C) Leave the TV on and then answer any questions the client has.

D) “Accidentally” change the channel while raising the head of the bed.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Psychosocial Integrity 149. A 32-year-old man who is HIV positive and in the later stages of AIDS is hospitalized for

treatment of PCP. While the nurse is administering the IV medication, the client begins to cry and states, “None of my friends and relatives visit or call me anymore because of this disease.” Select the response by the nurse that best promotes a positive self-concept for this client.

A) “I’ll talk with your physician and arrange a consultation with a psychologist so you can deal with these negative feelings.”

B) “You seem very down today. Let’s talk about what’s going on.”

C) “I’m sure they want to visit and call, but may be afraid they’ll say the wrong thing.

I can call them for you.”

D) “It sure seems that if they don’t call or visit, they are not really friends to begin with. Just forget about them.”

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Psychosocial Integrity 150. A 34-year-old mother of three young children who works as an administrative assistant at a

university comes to the crisis center due to the inability to sleep, increasing disorganization at her job, and feelings of guilt about her ability to care for her children and house. She tells the nurse that her husband used to help with the children and house a lot, but because of a recent job promotion and additional work hours required, he can no longer do this. The client feels that they cannot afford a full-time housekeeper and has become overwhelmed and depressed over the condition of her house. Select the therapeutic technique to be used by the nurse that best helps this client deal with her altered role performance.

A) Environmental modification B) Anticipatory guidance C) Confrontation D) Cognitive restoration ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Psychosocial Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 151. A 48-year-old woman had become increasingly depressed since her youngest son left for

college 4 months ago. She has been a stay-at-home mother who has focused most of her time and energy on her children and now has little to do. Identify the response by the nurse that best helps the client deal with the spiritual aspects of her concerns.

A) “You need to find other outlets for your energy, such as helping at the church soup kitchen.”

B) “What is it that sustains you when all else fails? You need to rely on yourself for your happiness.”

C) “You need to focus your anger away from yourself onto a harmless third party.”

D) “Once you begin to take antidepressants, you will feel better in about a week.”

ANS: B PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Psychosocial Integrity 152. A 5-foot, 5-inch tall, 15-year-old girl who weighs 88 lb is admitted to the hospital with a

diagnosis of anorexia nervosa. After the second day in the hospital, the child gains 1 lb.

Select the nurse’s response to the weight gain that most enhances the child’s recovery.

A) “Now that little amount of weight didn’t kill you!”

B) “If you follow your diet plan and the goals we established, you will be back to normal in no time.”

C) “It must be scary for you to think that you gained that much weight.”

D) “Your family and I are very happy and pleased about your weight gain.”

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Comprehension | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance 153. A 22-year-old man who is diagnosed with obsessive-compulsive disorder (OCD) that includes

a compulsion to check all faucets to make sure they do not drip is hospitalized when he is no longer able to function at home or work due to his behavior. In the psychiatric unit, his actions consume a major part of his waking hours, and often he misses meals and other scheduled activities. Identify the intervention by the nurse that is most likely to precipitate a panic attack in this client.

A) Asking the client about his repressed feelings after he completes his ritual B) Requiring the client to participate in scheduled meal times even if his rituals are not complete C) Pointing out to the client that his actions are meaningless D) Using thought stopping and aversion therapy to block the ritualistic actions ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Psychosocial Integrity 154. Identify the initial intervention by the nurse that is most effective in treating a 23-year-old

woman who is diagnosed with a dependent personality disorder.

A) Encouraging the client to make more decisions, starting with simple ones like what

to select from a menu B) Teaching the client about the nature of the disorder and what the usual treatments

are for it C) Placing the client in a group therapy session with other clients who have dependent

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

personality disorder D) Working with the client to identify and express feelings of anger ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Psychosocial Integrity 155. A client with an antisocial personality disorder is caught shoplifting and as part of his

probation agreement is required to spend 1 month at a psychiatric facility for treatment. Select the intervention by the nurse that has the highest probability of success in treating this disorder.

A) Using daily one-on-one sessions with the nurse B) Placing the client in group peer therapy with strong external controls C) Initiating treatment with antianxiety medications D) Quickly placing the client in isolation when he acts out ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Psychosocial Integrity 156. Identify the intervention by the nurse that would be most therapeutic for a client diagnosed

with schizophrenia who has delusions about extraterrestrial spacecraft invading the earth.

A) Use distraction to reduce the client’s focus on the delusions.

B) Ask the client to talk about the delusion and his feelings when he is having it.

C) Agree with the delusion to prevent angering the client.

D) Point out the absurdity of the delusion and refocus in reality.

ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Judgment | Integrated Process: Intervention | Client Need: Psychosocial Integrity 157. Identify the action by the nurse that is most appropriate when caring for a client hospitalized

with chronic schizophrenia who has been taking clozapine (Clozaril) for the past 2 weeks.

A) Limit the client’s fluid intake to 500 mL per day.

B) Check the client’s white blood cell count and differential every week.

C) Obtain a serum cholesterol every month.

D) Make sure the client spends at least 30 minutes outside each day in the sun.

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Psychosocial Integrity 158. Identify the intervention by the nurse that best maintains a safe hospital environment for a

client diagnosed with Korsakoff’s syndrome who is hospitalized because of several falls due to an unsteady gate.

A) Reinforcing activity restrictions by repeating instructions frequently B) Placing the client in a quiet, nonstimulating room away from the busy nurses’ station C) Providing assistance as needed, including walker or cane, when the client ambulates D) Limiting the client’s visitors to immediate family only ANS: C

PTS: 1

DIF: Medium

TOP: Bonus NCLEX Questions

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Psychosocial Integrity 159. Choose the instructions to an elderly woman with osteoarthritis that best help her maintain

normal activities of daily living (ADLs) and complete her usual household chores.

A) Try to complete all your chores before lunch because the pain and soreness is less

serious in the morning.

B) If you rest in the morning and afternoon, you will be able to complete your chores

in the evening with less discomfort.

C) Make sure you do warm-up and stretching exercises before you do your chores to

maximize your agility.

D) Do your chores at a pace that is comfortable for you, resting frequently after

periods of activity.

ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 160. Identify the intervention by the nurse that has the highest priority when assisting with ADLs

for a client diagnosed with multiple myeloma.

A) Keep the client on oxygen by nasal cannula at all times.

B) Use great care in transferring the client from bed to chair to prevent bone injury.

C) Allow the client to rest for 10 minutes before and after each activity.

D) Encourage the client to be as independent as possible.

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 161. Select the recommendation by the nurse that is most helpful in restoring a normal sleep

pattern to a 58-year-old man who has chronic insomnia.

A) A regular waking time in the morning will help re-establish your circadian sleep

cycle.

B) Using an occasional sleeping pill will be of some benefit.

C) A light snack before bed will help encourage sleep.

D) I am going to refer you to a sleep specialist for further evaluation.

ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 162. Identify the best response by the nurse to a physician’s prescription for temazepam (Restoril)

15 mg PO, prn for a hospitalized client.

A) Question the order because the dose is too large.

B) Give it as ordered when the client is restless.

C) Schedule the medication for half strength.

D) Question the order because the dose is too small.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Judgment | Integrated Process: Problem Identification | Client Need: Physiological Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 163. Identify the dietary teaching by the nurse that best promotes the comfort of a client in the late

stages of cirrhosis who has ascites.

A) You must increase your daily fluid intake to 3 liters per day to avoid dehydration.

B) Your protein intake should be between 100 and 120 grams per day.

C) Keep your sodium intake to 1 to 2 grams per day.

D) Extra fats in your diet are necessary to maintain your energy levels.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Comprehension | Integrated Process: Intervention | Client Need: Physiological Integrity 164. Identify the diet change recommendation by the nurse that best helps reduce the cramping

experienced by a client who is diagnosed with chronic renal failure and has severe abdominal and leg cramping during hemodialysis treatments.

A) You need to increase your fluid intake between treatments to 4 liters per day.

B) Restrict your potassium intake to 80 mEq per meal.

C) Your fluid intake should not exceed 1 liter per 24 hours.

D) Low biological quality protein foods will help reduce muscle spasms.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 165. A 14-year-old girl is admitted to the ER with a suspected overdose of an unknown drug.

Arterial blood gasses are drawn with the following results: pH 7.31, PO2 88, PCO2 59, HCO3 22. Identify the initial action to be taken by the nurse.

A) Insert a large gage NG tube for gastric lavage.

B) Insert a Foley catheter and obtain a urine for drug screen.

C) Use a manual ventilator (Ambu bag) to assist with ventilation.

D) Attach the client to a cardiac monitor and watch for dysrhythmia.

ANS: C PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 166. Select the statement by the nurse that is most accurate when instructing a client with a newly

formed permanent colostomy on how to use the irrigation set to prevent constipation.

A) “Make sure the irrigation bag is above the level of your head for best results.”

B) “Insert the lubricated catheter 2 to 4 inches into the stoma.”

C) “Dilate the stoma prior to beginning the procedure by using one finger.”

D) “Use cold water to best stimulate colon peristalsis.”

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 167. Identify the instructions about the care of the urinary system the nurse should give to a 44-

year-old hospitalized woman who has an indwelling urinary catheter and IV who insists on going to the smoking room for a cigarette every few hours.

A) Place the drainage bag on the floor when you are sitting to prevent pulling on the catheter.

B) Clamp the catheter before you leave and unclamp it when you return.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) Loop the drainage tubing around the IV pole to keep it in place.

D) Hang the drainage bag on the pole at a level to keep it below your bladder at all

times.

ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Physiological Integrity 168. Identify the action the nurse should take when he notes that a client who is receiving captopril

(Capoten) for congestive heart failure has developed hyperkalemia.

A) Give the next dose with a full 240 mL glass of water.

B) Hold the next dose and notify the physician.

C) Increase the client’s intake of fresh fruits and vegetables.

D) Reduce the dose by half and give both a.m. and p.m.

ANS: B PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Judgment | Integrated Process: Evaluation | Client Need: Physiological Integrity 169. A 73-year-old man receives hydralazine (Apresoline) 20 mg PO at 0800. When the nurse

checks his blood pressure at 0900, she obtains a reading of 72/44 mm Hg. The client has been taking this same dose of medication for 3 years. The nurse finds all of the following data in the client’s chart. Identify the finding that is most significant for producing the client’s current blood pressure.

A) Pedal pulses 1 + and weak B) 24-hour fluid intake 1,000 mL 3 days C) Serum potassium 3.3 mEq/L D) Apical pulse 150 bpm, slightly irregular ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 170. Select the medication that the ER nurse should give to an unconscious client experiencing a

severe hypoglycemic reaction.

A) Hydrocortisone B) D50W C) Sodium bicarbonate D) Glucagon ANS: D PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 171. Prior to discharge, a client diagnosed with a gastric ulcer is given prescriptions for cimetidine

(Tagamet) and aluminum-magnesium complex (Riopan). Identify the instructions that the nurse should emphasize to the client about these two medications.

A) To achieve maximum effectiveness, take them at the same time.

B) Take the Riopan with meals and the Tagamet on an empty stomach.

C) Make sure to take the medications with a full 8-ounce glass of orange juice.

D) The Tagamet can be taken with meals; then wait 1 to 2 hours to take the Riopan.

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 172. Select the response by the nurse to a 22-year-old woman that best answers her question on

why she must take two antibiotics, ceftriaxone (Rocephin) and doxycycline (Vivox), for a gonorrhea infection.

A) These two antibiotics taken together lessen the side effects of each other.

B) Many people who have gonorrhea also have a Chlamydia infection, and these two medications will eliminate both.

C) The medications potentiate each other and are stronger together than separately.

D) The course of treatment can be shortened to 5 days when two antibiotics are used.

ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 173. Select the discharge instructions by the nurse to a client diagnosed with pruritus that most

increase the effectiveness of a prescribed emollient.

A) Apply the medication at night before you go to bed.

B) To keep it in contact with the skin longer, wrap the area with a gauze dressing after

applying the cream.

C) Apply the cream immediately after a bath or shower.

D) To protect your skin from the drying effects of hot water, apply the cream just

before you take a bath or shower.

ANS: C PTS: 1 DIF: Easy TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 174. Identify the statement by the public health nurse that most accurately describes treatment with

immune globulin for the wife and two children of a client who was diagnosed with hepatitis A. A) One injection provides immunity for life.

B) If the family has not been in close contact with the client, they do not need the medication.

C) The medication conveys active immunity.

D) If administered more than 2 weeks after exposure, it may not be effective.

ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 175. Select the best time for the nurse to administer a prn dose of morphine sulfate, 5 mg IV, to a

client who is experiencing leg pain after an open reduction for a fractured femur.

A) When the pain is in the moderate to severe range B) When the pain first starts, before it becomes severe C) No more than every 6 hours to prevent morphine addiction D) Regularly every 4 hours ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Comprehension | Integrated Process: Problem Identification | Client Need:

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Physiological Integrity 176. A client with a urinary tract infection is given a prescription for sulfamethoxazole (Gantanol),

1 gram by mouth three times a day. Choose the common side effects that can be expected after 3 days.

A) Diarrhea and gastrointestinal bloating B) Anxiety and inability to concentrate C) Drowsiness and dizziness D) Headache and hyperactivity ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 177. Identify the teaching point that has the highest priority when the nurse is instructing a client

about the home use of respiratory medications for treatment of his emphysema.

A) If you stop taking expectorants suddenly, there will be a rebound effect.

B) Avoid driving your car for 2 hours after using the nasal decongestant.

C) Never use glass, stainless steel, or plastic when taking mucolytics.

D) Be sure to use water either orally or inhaled with mucous secretions to decrease the

amount of the secretions.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Physiological Integrity 178. A client with a history of prolapsed mitral valve complains to the ER nurse that he is having

palpitations (pounding heart) even at rest. Identify the discharge instructions by the nurse that are most effective in reducing future episodes of this symptoms.

A) Make sure you eat foods high in potassium, like oranges and bananas.

B) You will need to increase your fluid intake to 2 to 3 liters per day.

C) Avoid beverages that contain caffeine, like coffee and colas.

D) Limit your activity as much as possible.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Physiological Integrity 179. A client with myeloid metaplasia is experiencing joint pain, guaiac-positive stools, and a

platelet count of 31,000 per mm3. If a prn dose of meperidine (Demerol) is ordered by all of the following routes, choose the route the nurse should avoid using to give the medication.

A) Intramuscular B) Intravenous C) Oral D) Subcutaneous ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 180. Identify the discharge instructions by the nurse that best help prevent potential complications

related to the pacemaker for a 65-year-old man who received an implanted ventricular demand pacemaker for treatment of a complete atrioventricular block secondary to an anterior myocardial infarction.

A) Avoid all activities that require raising your arms over your head.

B) When a microwave oven is in use, stay out of the room.

C) You will not be able to fly because the airport metal detectors will disrupt the pacemaker function.

D) Avoid using a cellular phone.

ANS: D PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 181. Identify the instructions by the nurse in charge of a diabetic clinic about exercises that are

most effective in maintaining the cardiovascular system integrity of a newly diagnosed diabetic client.

A) You should avoid all isometric exercises because they place too much demand on your heart.

B) You should exercise at least five to seven times a week for best effect.

C) Exercising at least three times a week will help meet the goals of weight and blood sugar maintenance.

D) Only vigorous aerobic exercises for an hour at a time will help you maintain your blood pressure and heart rate.

ANS: C PTS: 1 DIF: Hard TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity 182. Identify the nutrient that the nurse should increase in the diet of a client who is 3 days

postoperative after a thyroidectomy and is experiencing muscle twitching and tremors.

A) Potassium B) Calcium C) Magnesium D) Iodine ANS: B PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Physiological Integrity 183. A client’s throat was sprayed with a topical local anesthetic prior to a bronchoscopy. Select the

action that the nurse should take when the client returns from the procedure and has an absent gag reflex.

A) Use an oral airway to maintain a patent airway.

B) Place the client in the side-lying position to facilitate respirations.

C) Hold the breakfast tray and all fluids.

D) Position the client in a low Fowler’s position.

ANS: C PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 184. Identify the instructions by the nurse to a client with a history of pancreatitis that best aid in

the prevention of discomfort associated with diet.

A) Drink 2 liters of fluid at each meal and eat a high-fat diet.

B) Avoid caffeine beverages and eat a low-fat diet.

C) You need to keep your energy levels up by eating a high-carbohydrate and high-fat

diet.

D) A high-sodium, high-protein diet best prevents abdominal discomfort.

ANS: B PTS: 1 DIF: Easy TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 185. Identify the action by the nurse in the care of a client with cervical cancer who has a vaginal

applicator of radioactive material in place that poses the highest risk potential for a radiation hazard.

A) Giving the client a complete bed bath each morning B) Maintaining the client on strict bedrest C) Checking the applicator for placement every 4 hours D) Elevating the head of bed 30 degrees for meals ANS: A PTS: 1 DIF: Medium TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Physiological Integrity 186. Select the instructions by the clinic nurse that are most effective in preventing back injury for

a client with chronic low back pain.

A) Stand close to a heavy object before attempting to lift it.

B) Use your arms to lift objects to prevent back strain.

C) A narrow base of stance is most effective for lifting.

D) Make sure to bend at the waist when lifting objects more than 30 lb.

ANS: A PTS: 1 DIF: Easy TOP: Bonus NCLEX Questions KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity SHORT ANSWER 1. An adult client with Hodgkin’s disease who weighs 168 lb is to receive vincristine (Oncovin),

25 mcg/kg IV. Calculate the correct medication dosage and type the answer in the box.

ANS:

1,900 mcg PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 2. A client is to receive a heparin drip at 800 units per hour. The medication is mixed heparin

20,000 units in 500 mL of D5W. At what rate should the nurse set the volumetric pump?

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

ANS:

20 mL/hr PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Physiological Integrity 3. While performing a physical examination during a well-child check on a 6-month-old infant,

the nurse hears a loud machinery murmur. Identify the area on the child’s chest where this abnormal heart sound can best be heard. (Place cursor on correct area and click.)

ANS:

Second intercostals space on the left sternal border PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Health Promotion and Maintenance COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

A client who is to receive external radiation therapy asks the nurse why the cancer cells in his body are so harmful. The nurse responds that a characteristic found in all cancer cells, called , allows the cells to reproduce in a different manner that is harmful to the healthy body tissues.

ANS: anaplasia PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Psychosocial Integrity 2. Fill in the blanks with the correct word(s) to complete the following statement:

A client with lung cancer has a lobectomy of the left lung and is returned to the recovery room with a chest tube connected to a closed, underwater-seal drainage system. The nurse observes that the system is functioning correctly when he or she notes that the pressure in the suction control chamber of the systems remains at pressure.

ANS: 20 cm of water

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Physiological Integrity| Client Need: Physiological Adaptation 3. Identify the proper sequence for the steps the nurse should follow in changing the dressing on

an incision that is closed with surgical staples. (Enter the letter of each step in the proper sequence; do not use commas or spaces.)

A) Apply antiseptic ointment to the suture line.

B) Cleanse the area around the incision with an appropriate cleansing solution.

C) Explain the procedure to the client.

D) Teach the client how to minimize stress on the incision line.

E) Note characteristics of any drainage.

F) Remove the old dressing using clean technique.

G) Apply the new dressing using sterile technique.

ANS: EDAGCBF PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Physiological Integrity MULTIPLE RESPONSE 1. Hospice care is often used for the treatment of terminally ill clients with cancer. Identify the

basic characteristics found in hospice programs. (Select all that apply.)

A) Control of client symptoms and relief of pain B) Treatment of the client as a separate entity from the family to reduce grief C) Services provided on the ability to pay D) Use of trained volunteers to augment staff services E) Bereavement follow-up F) Care provided in the home independent of physicians ANS: A, D, E PTS: 1 DIF: Medium TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Physiological Integrity 2. Identify the primary complications for which the nurse should monitor clients who have had a

subtotal thyroidectomy for treatment of hyperthyroidism. (Select all that apply.)

A) Vomiting B) Airway obstruction C) Thrombocytopenia D) Hidden bleeding E) Hypothyroidism F) Hypocalcemia ANS: B, D, E, F PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Health Promotion and Maintenance

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 3. A client with colon cancer has surgery with a colostomy. Which assessments indicate to the

nurse that the client is developing postoperative complications? (Select all that apply.)

A) Urine output greater than 30 mL/hr B) Dusky appearance of the stoma C) Stoma protrusion from the skin D) Small amount of blood-tinged liquid stool in colostomy bag E) Edema of the stoma during the first 24 hours postoperative F) Sharp abdominal pain ANS: B, C, F PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Analysis | Integrated Process: Evaluation | Client Need: Health Promotion and Maintenance 4. A client who had a kidney transplant experiences myelosuppression as one of the side effects

of the antirejection medication. Select the points the nurse should include in the client’s home discharge plan. (Select all that apply.)

A) Avoid people who have recently received attenuated vaccines.

B) Use ibuprofen (Motrin) or acetaminophen (Tylenol) every 4 hours for pain.

C) Wash your hands frequently.

D) Clean the cat-litter box daily.

E) Avoid going to the shopping mall.

F) Gargle with a mouthwash for a sore throat because it is an expected side effect.

ANS: A, C, E PTS: 1 DIF: Hard TOP: NCLEX: What You Need to Know KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 10: Reality Shock in the Workplace MULTIPLE CHOICE 1. What is the best definition for what the nurse actually does while practicing nursing?

A) Ideal role B) Perceived role C) Performed role D) Practice role ANS: C PTS: 1 DIF: Easy TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Identify what a new graduate nurse who is having unresolved role conflicts may experience.

A) Pleasure in the work setting B) Cooperation with fellow employees C) Fulfillment of basic needs D) High levels of anxiety ANS: D PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 3. How can a nursing student best lessen role conflict after graduation?

A) Become involved in an internship between the junior and senior years in nursing

school.

B) Avoid contact with nurses in the hospital because they have a very negative

attitude.

C) Seek psychological counseling with a qualified psychotherapist.

D) Discuss emotions and feelings about nursing school with other nursing students at

least once a week.

ANS: A PTS: 1 DIF: Easy TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. Which personality characteristics would make a person more susceptible to burnout?

A) Average intelligence, procrastinator, poor health B) Above average intelligence, idealistic, perfectionist C) Below average intelligence, procrastinator, excellent health D) Average motivation level, high income, idealistic ANS: B PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:06 GMT -05:00

https://www.coursehero.com/file/15253883/ch10/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 5. When evaluating the applications of several new nursing graduates, which career

characteristics would a nurse manager consider most positive and least likely to cause burnout?

A) Demand for high-quality performance and unclear expectations B) Unrealistic expectations and little control over work situations C) High degree of responsibility and appreciation of work being done D) Inadequate financial rewards and high stress levels ANS: C PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 6. Identify the most common emotion experienced by nurses who are developing burnout.

A) Eagerness B) Powerlessness C) Compassion D) Sympathy ANS: B PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 7. What should a new graduate nurse consider the most important characteristic when

developing personal long-term goals?

A) Are planned for at least 10 years in the future B) Can be achieved exactly as planned C) Remain flexible D) Consider every possible contingency along the way ANS: C PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 8. When should a nurse expect to complete short-term personal goals?

A) 6 to 24 months B) 3 to 4 years C) 5 to 10 years D) 10 to 20 years ANS: A PTS: 1 DIF: Easy TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 9. Identify the most important aspect of good time management.

A) Doing the job yourself B) Doing the job well no matter how long it takes C) Setting priorities D) Establishing long-term goals

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:06 GMT -05:00

https://www.coursehero.com/file/15253883/ch10/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: C PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 10. Which tasks are designated as category A tasks that the nurse needs to complete on time?

A) Cleaning up the room and combing the client’s hair B) Charting and daily bath C) Lunch break and changing the linens D) Administering medications and changing dressings ANS: D PTS: 1 DIF: Easy TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Knowledge | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 11. What role does a résumé play when seeking a first job in nursing?

A) It is of little use because most hospitals have a job application form.

B) It should be as long as possible to impress the interviewer.

C) It provides the hospital with a complete picture of the graduate in as little space as

possible.

D) It usually has a negative effect on the chance of employment.

ANS: C PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 12. Identify the individuals whom the graduate nurse should avoid listing on the “References”

sheet attached to the résumé.

A) The applicant’s mother and father B) The dean of the school of nursing where the applicant graduated C) One of the applicant’s professors D) One of the applicant’s fellow students ANS: A PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 13. Which question should the new graduate anticipate being asked during a job interview?

A) What would make you more desirable as an employee than the other applicants for

this job?

B) Do you attend church regularly, and what church do you go to?

C) Are you planning to become pregnant in the near future?

D) Are you married to the person you are presently living with?

ANS: A PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 14. Which question should the new graduate ask first during the interview for a new job?

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:06 GMT -05:00

https://www.coursehero.com/file/15253883/ch10/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) “What is the salary for this position?”

B) “What responsibilities are involved in this position?”

C) “How much vacation will I get during the first year?”

D) “What are my chances for promotion?”

ANS: B PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 15. Identify the earliest indications that a nurse may be experiencing burnout.

A) Alcohol abuse B) Physical complaints C) Attitude that work is to be tolerated D) Feelings of helplessness and guilt ANS: C PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 16. Which activity tends to increase nurses’ satisfaction during work?

A) Multitasking to complete all assigned work B) Taking time to talk with clients about their needs C) Doing all important tasks themselves to make sure they are done correctly D) Putting off difficult activities until the end of the shift ANS: B PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 17. A nurse employed in an acute care hospital is experiencing a high level of anxiety related to

work stress. In identifying and ranking the nurse’s sources of stress, which one would receive the lowest priority?

A) Lack of adequate staffing and mandatory overtime B) Lack of control in decision making and autonomy C) Receiving a 2.5 percent annual raise because of revenue loss by the hospital D) Frequent deaths of critically ill clients ANS: C PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 18. What is the first step in applying for a job through an institution’s website?

A) Prepare a well-written and visually appealing résumé.

B) Attach the résumé to the e-mail address given on the institution’s Web page.

C) Call and find out if they are still accepting applications.

D) Go to the institution’s website and find the link that identifies where to apply.

ANS: D PTS: 1 TOP: Reality Shock in the Workplace

DIF:

Medium

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:06 GMT -05:00

https://www.coursehero.com/file/15253883/ch10/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 19. To have the best looking electronic résumé on an institution’s website, it is important to: A) Copy the résumé just as it is in your files.

B) Use the least amount of formatting possible.

C) Include a number of pictures and graphics to separate it from other résumés.

D) Hire a professional who specializes in developing résumés.

ANS: B PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 20. Identify the item that would likely cause a formatting change in a résumé by an institution’s

computer system.

A) Using the tab key to indent lines B) Using all capital letters to emphasize information or headings C) Keeping all lines justified to the left side of the page D) Using the “Enter” key to separate headings and lines ANS: A PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Application | Integrated Process: Problem Solving | Client Need: Safe and Effective Care Environment 21. Identify the type of exercise that researchers have found to be most effective in reducing

stress.

A) Short sprint-type walking such as nurses usually do working the floors B) Aerobic exercises such as weight lifting C) Knee squats and pushups D) Any aerobic exercise that raises the heart rate for an extended period of time ANS: D PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Identify all of the nonproportional fonts.

A) Times New Roman B) Arial C) Courier D) Letter Gothic E) MonoTxt F) Adobe G) Monospace ANS: C, D, E, G PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:06 GMT -05:00

https://www.coursehero.com/file/15253883/ch10/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Care Environment 2. Select all of the positive results of exercise.

A) Distraction from problems B) Raising cortisol levels C) Strengthening the immune system D) Decreasing epinephrine levels E) Redirecting anger and anxiety F) Decreasing the production of endorphins ANS: A, C, D, E PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Application | Integrated Process: Problem Solving | Client Need: Safe and Effective Care Environment 3. Select all of the items that should be included in a résumé.

A) Letters of reference B) Educational background C) List of professional memberships D) Telephone number E) Ages and sex of children ANS: B, C, D PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. Select all of the items that would be considered mistakes during a job interview.

A) Smoking B) Arriving 5 minutes early C) Knowing your strengths and weaknesses D) Not asking any questions E) Criticizing your present employer F) Looking the interviewer in the eye ANS: A, D, E PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

The purpose of a résumé is to provide the facility with a in as

as possible.

ANS: complete picture; little space PTS: 1 DIF: Medium TOP: Reality Shock in the Workplace KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:06 GMT -05:00

https://www.coursehero.com/file/15253883/ch10/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 11: Leadership, Followership, and Management MULTIPLE CHOICE 1. The hospital administration has just notified all the unit managers that the care delivery model

is to be changed from team nursing to modular nursing because of budget restraints. Identify the action by the unit managers that is essential to the successful implementation of the modular nursing care model.

A) Hire nurses who are self-directed and concerned with consistency of care.

B) Obtain the cooperation and input from the respiratory therapy, radiology, dietary, and laboratory departments and other support services.

C) Develop total quality management studies to determine risk areas.

D) Initiate a training program for ancillary health workers, such as nurse aides and orderlies.

ANS: B PTS: 1 DIF: Hard TOP: Leadership and Followership KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. After her first week working on a busy medical-surgical unit, a new charge nurse notes that

the individual nurses are highly competent but seem to be unable to function productively as a team. Select the action by the charge nurse that would best facilitate team building among the staff.

A) Provide an opportunity for the nurses to express their feelings and emotions.

B) Hire more staff members to reduce stress and fatigue from understaffing.

C) Allow the staff more input into important policy decision-making.

D) Give the staff members more time to adjust to the change in charge nurses.

ANS: A PTS: 1 DIF: Hard TOP: Leadership and Followership KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 3. The nurses on the 7 a.m. to 3 p.m. shift have been complaining to the head nurse that the

nurses on the 11 p.m. to 7 a.m. shift have not been doing the ordered client daily weights, and the physicians are very upset when they make their early morning rounds. Identify the initial action the head nurse should take to resolve this conflict.

A) Post a stern memo that reminds the night shift nurses to do the daily weights.

B) Review the daily weight flow sheet.

C) Change the time for daily weights to the late morning.

D) Hold a meeting with the physicians to discuss their attitudes.

ANS: B PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 4. Select the statement by a unit manager to the vice president of nursing during a budget

meeting that would be most effective in decreasing the staffing ratio on her unit from one nurse for every nine clients to one nurse for every seven clients. “This proposed change will: A) have a positive effect on the usage of institutional resources.”

B) better meet current national standards of practice.”

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:20 GMT -05:00

https://www.coursehero.com/file/15253888/ch11/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) help with the recruitment of new nurses to the facility.”

D) improve the quality of care for the clients on the unit.”

ANS: D PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 5. The oxygen saturation for a client with acute infective bronchitis drops to 84 percent, and the

client develops severe dyspnea. There is a standing order for a handheld nebulizer (HHN) treatment prn (as needed) for shortness of breath. The respiratory therapy department is designated to give all respiratory treatments in the facility. When the nurse calls the respiratory therapist, he states that he has several more treatments to give but he should be there in 10 or 15 minutes. Select the action by the nurse that would be most appropriate at this time.

A) Increase the flow rate of the client’s oxygen until the respiratory therapist can arrive.

B) Call the respiratory therapist back and insist that he come immediately.

C) Give the HHN treatment himself or herself.

D) Give the client a prescribed prn sedative to reduce anxiety.

ANS: C PTS: 1 DIF: Hard TOP: Leadership and Followership KEY: Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 6. What is the primary drawback to using the trait theory of management in developing

management skills?

A) It does not take into account how the person responds in specific situations.

B) A person has to have all of the traits to be an effective manager.

C) Only persons with many years of experience can master the required traits.

D) It is not reflective of the traits that are required for management.

ANS: A PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 7. Identify a typical response for a manager who uses the laissez-faire approach to leadership

when faced with a difficult decision.

A) Consult with the coworkers on the best way to resolve the problem.

B) Make the tough decision by himself or herself and accept the responsibility.

C) Appeal to a higher authority to make the decision.

D) Postpone making the decision in the hopes that it will resolve itself.

ANS: D PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 8. Select an important principle that guides managers who use the democratic leadership style of

management.

A) The leader performs the same tasks as the rest of the members of the group.

B) Each member of the group respects all of the other members as unique and

valuable.

C) The members of the group must carry out decisions made by the leader without

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:20 GMT -05:00

https://www.coursehero.com/file/15253888/ch11/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

question.

D) The leader must be methodical and able to sift through complicated information.

ANS: B PTS: 1 DIF: Easy TOP: Leadership and Followership KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 9. A leader who is paternalistic and attempts to include the group’s feelings and concerns in

making a final decision about how to accomplish a task is best identified as using which approach?

A) Benevolent authoritarian B) Democratic C) Laissez-faire D) Dictatorial authoritarian ANS: A PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 10. A leader with a low relationship/low task orientation presents a leadership style that is most

similar to which leadership approach?

A) Democratic B) Laissez-faire C) Authoritarian D) Benevolent ANS: B PTS: 1 DIF: Hard TOP: Leadership and Followership KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 11. A manager who always achieves the tasks given to him or her, uses verbal putdowns and poor

performance evaluations to motivate employees, and expects all orders to be carried out without question is using which style of leadership?

A) High relationship/low task B) Low relationship/low task C) Low relationship/high task D) High relationship/high task ANS: C PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 12. Identify the element that would be considered a needs motivator or satisfier in Herzberg’s

motivation hygiene theory.

A) Career advancement B) Job security C) Salary D) Status in the organization ANS: A PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Comprehension | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:20 GMT -05:00

https://www.coursehero.com/file/15253888/ch11/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 13. A nurse terminates employment without giving the facility the required 2-week notice. One

month later, the nurse manager receives a call from the personnel director at a different hospital requesting a reference for this nurse. How can the nurse manager best respond to this request?

A) “The nurse was irresponsible and did not give a 2-week notice.”

B) “The nurse worked here for several months before leaving abruptly.”

C) “You will be lucky to hire a nurse of his or her caliber.”

D) “The nurse worked here from November 1, 1993, to April 9, 2002.”

ANS: D PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 14. A hospital administrator has decided to turn an underused medical-surgical unit into a

rehabilitation unit. What will be necessary to implement this strategic decision?

A) Allocate extra money for the staff to work overtime.

B) Follow existing policies and procedures used in the rest of the facility.

C) Perform a needs assessment and evaluate the data.

D) Develop long-term goals and identify key individuals.

ANS: D PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 15. What is the first action the nurse manager should take when changing a procedure for the

distribution of cardiac telemetry units when there are more clients than units available?

A) Review the current standards of care.

B) Rewrite applicable policies and procedures.

C) Designate the most critical clients as the ones to receive the units first.

D) Poll the physicians who commonly use telemetry for their opinions.

ANS: A PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 16. A unit manager is preparing the time schedule for the summer holiday season. Approximately

one-half of the staff has requested 1 to 2 weeks’ vacation. Granting all the requested time will lead to severe staffing shortages. What is the nurse manager’s primary consideration in developing this schedule?

A) Nurses’ satisfaction and work performance B) Establishing good communication with staff members to reduce resentment C) Granting requests by seniority and performance evaluations D) Client safety needs ANS: D PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 17. A proposed change in the management structure of the nursing unit is explained during a staff

meeting, and several nurses express antagonistic comments about the proposed changes to the nurse manager. Identify the best response by the nurse manager.

A) “We need to look at all of the aspects of the proposal even though some of you may

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:20 GMT -05:00

https://www.coursehero.com/file/15253888/ch11/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

not think it is wise.”

B) “I will not continue with the presentation until the room is quiet.”

C) “If you cannot hold your comments until the end of the presentation, please leave

now.”

D) “There seems to be some disagreement with the proposal. Let’s discuss the good

and bad points.”

ANS: D PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Analysis| Integrated Process: Intervention| Client Need: Psychosocial 18. A newly appointed nurse manager observes that the unit she is supervising functions in a

manner that suggests the previous manager used a laissez-faire approach to supervision. Select the practice that indicates that more direction is required in the leadership style.

A) The experienced nurses work through lunch breaks.

B) Most tasks are being performed by new graduates.

C) Nurses from the float pool are assigned to the low acuity clients.

D) Staff members are resistant to proposed changes.

ANS: B PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 19. Which objective best indicates that a vice president of nursing services has a good

understanding of methods to decrease staff turnover rate?

A) Postdischarge questionnaires will show increased levels of client satisfaction.

B) During the next 6 months, attrition rates will be the national average.

C) During the next 3 months, retention rates will increase by 10 percent.

D) Nurses will feel more control over their work environment.

ANS: C PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 20. During a staff meeting, an elderly physician is very negative and disagrees with any proposals

for change, directing belittling statements at the unit manager such as, “No wonder this hospital is such a mess. You generation-X nurses have no commitment to working hard!” How can the unit manager most appropriately deal with this situation?

A) Ask the physician to leave the meeting before proceeding.

B) Reply to the physician with equally belittling remarks.

C) Allow the physician to express his or her opinions, and then ask for input from others at the meeting.

D) Walk out of the room and report the physician to the hospital’s chief of medicine.

ANS: C

PTS: 1

DIF:

Medium

TOP: Leadership and Followership

21. Identify the major differences between followers as individuals and followers as a group. As a

group of followers, they: A) Link the leader to their perceptions of what a good leader should be.

B) Bring a collection of past experiences and knowledge when considering a leader’s

abilities.

C) Identify themselves as followers in the organizational structure.

D) Are not always obedient and compliant.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:20 GMT -05:00

https://www.coursehero.com/file/15253888/ch11/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

ANS: B PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 22. Which of the following is an effective way of motivating followers in an organization?

A) Withholding vacation days until the follower is motivated to comply with the leader B) Assigning the follower the most difficult clients on the unit so that he or she

understands their skill levels C) Showing the followers that they are important to the organization D) Selecting the best nurses to receive a special reward that the others do not receive ANS: C PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Select all of the characteristics of effective managers.

A) Optimistic B) Insensitive to negative comments C) Identifies restraining forces D) Distrusts everyone E) Goal directed ANS: A, C, E PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Comprehension | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 2. Select all of the characteristics of followers who are found in the health-care professions.

A) Critical of leaders B) Defiant in the face of change C) Believes in the traditional social hierarchy of the institution D) The source of the leader’s power E) Avoids identifying themselves as followers F) Can also be leaders ANS: A, C, D, F PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

Based on a task-oriented philosophy, requires each person to perform a specific job that is narrowly defined according to the needs of the unit.

ANS: functional nursing PTS: 1 DIF: Medium TOP: Leadership and Followership KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:20 GMT -05:00

https://www.coursehero.com/file/15253888/ch11/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 12: Communication, Negotiation, and Conflict Resolution MULTIPLE CHOICE 1. Identify an important communication difference between men and women.

A) Men have a larger and better-developed vocabulary at an earlier age than women.

B) Women prefer the face-to-face communication style.

C) Men prefer close proximity when communicating important information.

D) Women tend to be more physical when communicating.

ANS: B PTS: 1 DIF: Easy TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Comprehension | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 2. Which factor contributes most to an 82-year-old client’s understanding of the discharge

teaching given by a nurse?

A) The client believes he knows all of the information already and is not really paying

attention.

B) The client asks so many questions that the nurse loses his or her train of thought.

C) The nurse attempts to communicate at the client’s knowledge level.

D) The client believes that asking questions may be perceived as a threat to the nurse’s authority.

ANS: D PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Psychosocial Integrity 3. Which behavior would the nurse expect an adult who is the youngest child of several children

to display?

A) Assertive and competitive B) Organized and directive C) Submissive and quiet D) Angry and hostile ANS: A PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 4. Identify the characteristics required in a person who is able to resolve difficult crises.

A) Has decreased self-esteem and motivation B) Uses newly developed coping skills to resolve future crises C) Views the experience as personally destructive D) Avoids difficult situations in the future ANS: B PTS: 1 DIF: Easy TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Psychosocial Integrity

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:32 GMT -05:00

https://www.coursehero.com/file/15253884/ch12/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 5. What may cause some people to make responses that seem inappropriate or overemotional?

A) The lack of an opportunity to develop coping skills B) The successful resolution of a crisis situation C) A group response to a minor situation D) A mature attitude developed by resolving past crises ANS: A PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 6. What function do personal standards fulfill in a person’s life?

A) Determining a person’s sense of right and wrong B) Forming the basis for a code of ethics C) Acting as more specific criteria for behavior D) Determining how a person responds to individual situations ANS: C PTS: 1 DIF: Easy TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Psychosocial Integrity 7. Identify what the act of making a decision based on an analysis of the available information is

called.

A) Bias B) Prejudice C) Stereotyping D) Judgment ANS: D PTS: 1 DIF: Easy TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Psychosocial Integrity 8. What role does anger play in communication?

A) It is always negative and destructive.

B) It can be used positively to produce change.

C) It should be held in as a controlled rage.

D) It needs to be expressed immediately.

ANS: B PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 9. Identify an important characteristic of informal norms found in most nursing units.

A) Expressed clearly so that everyone knows what is expected B) Promulgated through memos C) Unclear but often used for informal evaluation of work behaviors D) Logical and well organized ANS: C PTS: 1 DIF: Easy TOP: Communication, Negotiation, and Conflict Management

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:32 GMT -05:00

https://www.coursehero.com/file/15253884/ch12/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Knowledge | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 10. What result can be anticipated when nurses do not participate in changes in their work

environment?

A) Feelings that the most qualified individuals will make the best decisions B) A sense of increased security C) Decreased stress levels because they are not required to perform difficult tasks D) Feelings of insecurity ANS: D PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Psychosocial Integrity 11. When does the encoding process of communication take place?

A) The receiver thinks about the information, understands it, and forms an idea based

on the message.

B) The receiver responds to the message and gives feedback.

C) The sender sends the message.

D) The message is sent in a way that causes confusion in the receiver.

ANS: A PTS: 1 DIF: Easy TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Psychosocial Integrity 12. Identify a communication style that involves interpersonal behaviors that permit people to

defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others.

A) Submissive B) Assertive C) Aggressive D) Dishonest ANS: B PTS: 1 DIF: Easy TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Psychosocial Integrity 13. Which behavior indicates that a nurse who is forced to confront a conflict situation is using a

submissive approach to communication?

A) Sets up a one-on-one meeting at a specific time B) Confronts the other person loudly and in front of an audience C) Refers the problem to a supervisor D) Uses the incident as a threat ANS: C PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Psychosocial Integrity

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:32 GMT -05:00

https://www.coursehero.com/file/15253884/ch12/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 14. A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other

nurses about the unit manager’s preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution.

A) Notes that the vocal staff nurse is not intelligent enough to understand the situation, and disregards her comments as worthless B) Arranges for the transfer of the staff nurse to the night shift C) Sets up a time and place for a one-on-one meeting with the staff nurse D) Waits until there is an opportunity to use the incident to confront the staff nurse in front of his or her colleagues ANS: C PTS: 1 DIF: Hard TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Psychosocial Integrity 15. During a discussion between the nurse manager and a staff registered nurse (RN) about the

RN’s recent erratic performance on the unit, the RN states, “After my husband announced that he was leaving me, I thought I was dying.” Identify the best response by the nurse manager.

A) “Tell me how you were feeling.”

B) “That was a pretty unrealistic way to feel. There are a lot of fish in the sea.”

C) “Your personal life should not affect the way you perform your job.”

D) “You didn’t die, did you? You seem okay now.”

ANS: A PTS: 1 DIF: Hard TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Psychosocial Integrity 16. Which statement by a nurse manager during a staff meeting best demonstrates use of an

assertive style of communication?

A) “I am the manager and we will do it my way.”

B) “I’m sorry, but your suggestion was useless to solving the problem.”

C) “I really don’t care; do it the way you think is best.”

D) “You have made some good points, but I have another suggestion.”

ANS: D PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 17. Identify the most important factor in the initial negotiation of a contract.

A) Discussion of the important issues B) Posturing and showmanship C) Resolution of key conflicts D) Lack of willingness to negotiate ANS: B PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:32 GMT -05:00

https://www.coursehero.com/file/15253884/ch12/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 18. What is usually considered to be an unfair labor practice?

A) Being fired because a physician does not like a nurse’s attitude B) Being passed over for a promotion with an explanation of the rationale C) Being assigned to work five weekends in a row when the policy states that nurses

will be required to work as needed D) Only being allowed 2 weeks of vacation during the first year of work ANS: A PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 19. Select a practice that is an indication of failure to bargain in good faith.

A) Agreeing to meet at reasonable times B) Sending individuals to negotiate who cannot make binding decisions C) Unwillingness to negotiate on all issues D) Exchanging lists of demands by both sides ANS: B PTS: 1 DIF: Easy TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Knowledge | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 20. What is the primary role of the Federal Mediation and Conciliation Service?

A) To bring both sides together to work out a settlement B) To prevent nurses and other health-care groups from going on strike C) To develop a solution to the conflict that is binding on both sides D) To force management into accepting the employee demands ANS: A PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 21. What is the most important advantage that a union has over an Student Nurses Association as

a bargaining unit for nurses?

A) The union has a good understanding of the complex needs of the profession.

B) The union has more power as a bargaining unit than an SNA. C) Unions have skilled representatives with much experience in negotiating contracts.

D) Hospitals and nursing homes are more afraid of unions than SNAs. ANS: C PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 22. Identify the most important element to look for in a good contract.

A) Description of the official bargaining group B) Description of the benefits included in the contract, such as wages, overtime pay,

and holidays C) Description of what is expected of the professional D) Timeframe for the implementation of the contract

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:32 GMT -05:00

https://www.coursehero.com/file/15253884/ch12/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: C PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 23. What is the most important feature of the shared governance model?

A) Nursing administration retains most of the power over nurses to better regulate

practice.

B) Power and authority are transferred to the nursing staff rather than being located

primarily in nursing administration.

C) Clients are billed for nursing care as a separate item similar to the way they are

billed for physician services.

D) The nursing staff hierarchy structure is similar to the medical staff structure.

ANS: B PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 24. Identify the key element in the fee-for-service model of governance.

A) Clients are billed separately for nursing services.

B) All clients are billed the same amount for nursing services.

C) Nursing care is included in the overall room bill sent to the client.

D) A functional nursing model is required to implement fee for service.

ANS: A PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

If mediation fails, the Federal Mediation and Conciliation Service may appoint a to investigate the conflict and make recommendations.

ANS: fact-finding-panel PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Fill in the blank with the correct word(s) to complete the following statement:

Depending on how it is channeled, expressed, and used, negative force within the group.

can be a positive or

ANS: competition PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Psychosocial

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:32 GMT -05:00

https://www.coursehero.com/file/15253884/ch12/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Integrity MULTIPLE RESPONSE 1. Select all of the items that are found in a good contract.

A) Description of the official collective bargaining group B) Statement outlining the objectives of both management and employees C) Description of grievance procedures D) List of all the employees covered by the contract E) List of what is expected of the professional ANS: A, B, C, E PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Select all of the items that constitute barriers to clear communication.

A) Retaliation B) Desire for power C) Comfort D) Increased Knowledge E) Preoccupation ANS: A, B, E PTS: 1 DIF: Medium TOP: Communication, Negotiation, and Conflict Management KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:32 GMT -05:00

https://www.coursehero.com/file/15253884/ch12/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 13: Understanding and Dealing Successfully With Difficult Behavior MULTIPLE CHOICE 1. Learning forgiveness is a skill that tends to counteract which of the following childhood

survival mechanisms?

A) Self-centeredness B) Jealousy C) Hording D) Anxiety ANS: A PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 2. Which one of the following is a key to understanding people displaying difficult behavior?

A) Understanding how they use communication blockers B) Avoiding their sharp vocal barbs C) Identifying what goals they are trying to achieve D) Recognizing that perception is 90 percent of behavior ANS: C PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 3. What is a primary tactic that is used by a person displaying persecutor behavior?

A) Backstabbing B) Inconsistent behavior C) Leading gossip sessions D) Finger-pointing ANS: B PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. Which of the following goals has the highest priority for the nurse to achieve when helping a

patient work through the stages of grief?

A) Help the patient work his or her way through the stages of grief until he or she

reaches resolution.

B) Monitor the patient’s emotional expressions for signs of suicide.

C) Keep contact sessions with the patient short and to the point.

D) Provide the best care possible so that the patient will survive and recover from his

or her illness by meeting physiological and safety needs.

ANS: D PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:42 GMT -05:00

https://www.coursehero.com/file/15253877/ch13/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 5. What is one of the major differences between coworkers’ difficulty behavior and the difficult

behavior displayed by patients?

A) Coworkers’ behavior is driven by work-oriented goals.

B) Patients’ difficult behavior is much easier to resolve.

C) Patients’ difficult behavior usually involves meeting the needs of the lower levels

of Maslow’s hierarchy of needs.

D) Coworkers’ difficulty behavior must be addressed directly for best results.

ANS: C PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 6. The best way to establish trust with a client who is displaying difficult behavior is to always: A) show compassion and sympathy to what the client is talking about.

B) be honest in answering the client’s questions.

C) use therapeutic communication skills when talking with the client.

D) be judgmental about the client’s feelings.

ANS: B PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 7. A patient who was just told he has stage four lung cancer blurts out to the nurse, “This can’t

be happening. I’ve never smoked. I want a second opinion from somebody who knows what they’re talking about!” What is the primary goal for the use of denial by this patient?

A) Gives the patient time to adjust to the diagnosis B) Lets the nurse know that he is in charge of the situation C) A second diagnosis may show that he does not have cancer.

D) Keeps the physicians at the top of their skills ANS: A PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 8. Which statement by a nurse manager during a staff meeting best demonstrates use of an

aggressive style of communication?

A) “I am the manager and we will do it my way.”

B) “I’m sorry, but your suggestion was useless to solving the problem.”

C) “I really don’t care; do it the way you think is best.”

D) “You have made some good points, but I have another suggestion.”

ANS: A PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 9. An angry patient says to the nurse, “You’re so incompetent, I’d rather have a monkey taking

care of me!” What should the nurse keep in mind when dealing with this patient?

A) Stopping this type of behavior with a sharp response will keep it from escalating.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:42 GMT -05:00

https://www.coursehero.com/file/15253877/ch13/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) Leaving the room immediately will express the nurse’s displeasure with the

statement without direct confrontation.

C) Reporting this patient’s behavior to a superior is the first step in filing a complaint.

D) The statement made by the angry patient was not a personal attack on the nurse.

ANS: D PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

Communicating with people who have skills.

behaviors requires a special set of

ANS: difficult; communication PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Fill in the blank with the correct word(s) to complete the following statement:

Depending on how it is channeled, expressed, and used, negative force within the group.

can be a positive or

ANS: anger PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Psychosocial Integrity MULTIPLE RESPONSE 1. Select all of the items that constitute barriers to communication with a person displaying

difficult behavior.

A) Retaliation B) Desire for power C) Comfort D) Increased knowledge E) Preoccupation ANS: A, B, E PTS: 1 DIF: Medium TOP: Understanding and Dealing Successfully With Difficult Behavior KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:42 GMT -05:00

https://www.coursehero.com/file/15253877/ch13/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 14: Health-Care Delivery Systems MULTIPLE CHOICE 1. What is acute care of sick persons that is provided in hospitals called?

A) Primary intervention B) Secondary intervention C) Tertiary intervention D) Assistive intervention ANS: B PTS: 1 DIF: Easy TOP: The Health-Care Delivery System KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Identify a negative effect of the centralization of health care in hospitals rather than the home

setting.

A) Minimized individual responsibility B) Increased concerns about the cost of health care C) Professionalization of nursing D) Increased reliance on advanced technology ANS: A PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 3. Which element is usually excluded in the current trend toward decentralized health care?

A) Provision of care on an outpatient basis B) Emphasis on the cure of illness C) Promotion of responsible self-care practices D) Cost containment measures by health-care providers ANS: B PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 4. Which demographic factor has the most significant effect on the health-care delivery system

of the future?

A) Large numbers of babies being born to minority women B) Increasing use of alcohol and tobacco among teenagers C) Rapidly increasing average age of the population D) Oversupply of nurses ANS: C PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 5. Identify the most significant element in the continued rise in health-care costs in the United

States.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:55 GMT -05:00

https://www.coursehero.com/file/15253892/ch14/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) Expensive new technology B) Increasing need for long-term care C) Lack of motivation for consumers to comparison shop D) Expensive new medications ANS: B PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 6. What is the most important reason why nurses should be familiar with health-care

reimbursement methods?

A) It allows nurses to be informed client advocates.

B) Nursing care plans can be developed based on financial incentives to lower costs.

C) Nurses can decide which tests do and do not need to be conducted for particular clients.

D) Decisions can be made about when a client can be discharged based on reimbursement restrictions.

ANS: A PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 7. What is a major problem identified with self-insured health-care plans?

A) Increased cost to the members B) Shielding from many state tax regulations C) Exclusion of potential employees based on their health history D) Elimination of outside regulators to supervise private insurance plans ANS: C PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 8. What is a result of past difficulties with the Blue Cross/Blue Shield insurance plans?

A) Increased emphasis on preventative health care B) Involvement of the hospital boards of directors to lower costs C) More private insurance companies administering Blue Cross/Blue Shield programs D) Transfer of more power to physicians’ groups to monitor the flow of money within

the program ANS: C PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 9. Identify where diagnosis-related groups (DRGs) are primarily used.

A) Private insurance companies B) Prospective payment systems C) Retrospective payment systems D) Current reimbursement systems

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:55 GMT -05:00

https://www.coursehero.com/file/15253892/ch14/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: B PTS: 1 DIF: Easy TOP: The Health-Care Delivery System KEY: Cognitive Domain: Knowledge | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 10. Which methods are used by health maintenance organizations (HMOs) to reduce the cost of

health-care delivery?

A) Increasing the number of diagnostic studies to detect diseases early B) Encouraging clients to remain in the hospital longer so that they can recover

completely and not be readmitted C) Referring more clients to specialists so that complex health-care problems can be

treated better D) Providing more health promotion and illness prevention services ANS: D PTS: 1 DIF: Easy TOP: The Health-Care Delivery System KEY: Cognitive Domain: Comprehension | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 11. The primary difference between HMOs and independent practice associations (IPAs) is that

under the IPA system: A) physicians lose much of their control over health-care delivery.

B) clients pay on a fee-for-service basis rather than prepaid premiums.

C) nurses receive reimbursement on an individual basis for the care they provide.

D) the number of services provided is not limited.

ANS: B PTS: 1 DIF: Hard TOP: The Health-Care Delivery System KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 12. The major advantage that preferred provider organization (PPO) payment systems have over

HMOs is that the PPOs: A) extend benefits beyond the use of their services at an increased rate.

B) require copayment fees each time a service is rendered.

C) have services that are used by a smaller number of clients, which reduces the wait

for services.

D) have a system that reduces costs more.

ANS: A PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 13. What is the key element in the horizontal integration of health-care services?

A) The use of a fee-for-service payment method B) One hospital providing the entire scope of services, so clients can be cared for

without referral outside the system C) Several health-care agencies working together to cut costs by sharing resources D) The development of clinics outside the hospital to provide services traditionally found in the hospital

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:55 GMT -05:00

https://www.coursehero.com/file/15253892/ch14/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: C PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 14. What is the primary focus of nurse-run clinics?

A) Health promotion B) Disease cure C) Pregnancy counseling services D) Cost control ANS: A PTS: 1 DIF: Easy TOP: The Health-Care Delivery System KEY: Cognitive Domain: Knowledge | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 15. Identify the factor that is most important in the increased development of alternative

ambulatory services.

A) Increased length of hospital stays B) New technology that enables complicated and dangerous procedures to be

performed on an outpatient basis C) Consumer demand for more technology in the cure of disease D) Establishment of satellite clinics in suburbs and rural communities ANS: B PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 16. Identify a type of care delivery model that is task oriented in that each person performs a

specific job to meet a particular need of the unit.

A) Modular nursing B) Team nursing C) Primary care nursing D) Functional nursing ANS: D PTS: 1 DIF: Easy TOP: The Health-Care Delivery System KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 17. Identify a type of care delivery model that focuses on the whole person and gives the nurse

responsibility for all of the client’s nursing needs.

A) Modular nursing B) Team nursing C) Primary care nursing D) Functional nursing ANS: C PTS: 1 DIF: Easy TOP: The Health-Care Delivery System KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:55 GMT -05:00

https://www.coursehero.com/file/15253892/ch14/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 18. What is a type of care delivery model based on a decentralized organizational system that

emphasizes close interdisciplinary collaboration?

A) Modular nursing B) Team nursing C) Primary care nursing D) Functional nursing ANS: A PTS: 1 DIF: Easy TOP: The Health-Care Delivery System KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 19. Which care delivery model takes a unified approach to client care involving different levels of

care providers working together to achieve client health-care goals?

A) Modular nursing B) Team nursing C) Primary care nursing D) Functional nursing ANS: B PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 20. Cross-trained personnel are an integral part of which of the following care delivery models?

A) Team nursing B) Modular nursing C) Primary care nursing D) Functional nursing ANS: B PTS: 1 DIF: Easy TOP: The Health-Care Delivery System KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 21. What is the primary advantage of the case method of care delivery?

A) It is inexpensive and cost effective.

B) It allows several health-care providers trained at different levels to provide care at

the same time.

C) It gives nurses a high degree of autonomy and responsibility.

D) It allows nurses with minimal education to provide high-quality care for all clients.

ANS: C PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 22. Which two types of care delivery models are commonly used in managed care?

A) Functional and team nursing B) Case management and functional nursing C) Modular nursing and primary care nursing D) Case management and primary care nursing

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:55 GMT -05:00

https://www.coursehero.com/file/15253892/ch14/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: D PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 23. What is the primary goal of using the Six Sigma process in the health-care setting?

A) Providing a reliable process of care in all cases by eliminating errors B) Helping nurses increase the number of clients for which they can safely care C) Increasing data collection used in evidenced-based practice D) Organizing client care based on a reliable statistical model ANS: A PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blank with the correct word(s) to complete the following statement:

The health-care system uses tax dollars to pay for health services through health insurance available from a nonprofit agency (e.g., government).

ANS: Type II PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Select all of the components that are found in the Canadian Federal-Provincial Arrangements

and Established Programs Financing Act. A) Per capita payments are made based on previous expenditures and adjusted

regularly in relation to the gross national product (GNP).

B) No out-of-pocket expenses are required for any health care.

C) Tax points are transferred by the federal government, allowing provinces to reduce

their tax contribution to the federal government and at the same time increase the portion of tax collected at the provincial level.

D) Equalization of tax points is distributed among poorer provinces.

E) Coverage is not extended to government employees because they have their own system of health-care payment.

F) Additional per capita payments are indexed to help pay for nursing home, residential care, home care, and ambulatory care.

ANS: A, C, D, F PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 2. Select the primary goals of the Patient Protection and Affordable Care Act (PPACA) of 2010.

A) Increasing the tax rate on the wealthy

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:55 GMT -05:00

https://www.coursehero.com/file/15253892/ch14/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) Addressing inequities in insurance coverage C) Helping the struggling elderly D) Providing a way to insure all Americans E) Increasing the number of large hospitals F) Breaking the insurance industry’s strangle hold on health care ANS: B, C, D, F PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 3. Select the phases used in the Six Sigma process.

A) Define B) Measure C) Verify D) Analyze E) Implement F) Control ANS: D, F PTS: 1 DIF: Medium TOP: The Health-Care Delivery System KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:28:55 GMT -05:00

https://www.coursehero.com/file/15253892/ch14/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 15: Ensuring Quality Care MULTIPLE CHOICE 1. In the Institute of Medicine’s (IOM) 2000 report, what was the estimated number of clients

who die every year due to hospital related mistakes?

A) 2,500 B) 75,000 C) 98,000 D) 135,000 ANS: C PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Judgment | Client Need: Safe and Effective Care Environment 2. Total quality improvement is based upon which of the following beliefs?

A) Client satisfaction will direct the organization to improve health-care quality.

B) The organization with the higher-quality service will capture a greater share of the

market than competitors with lower-quality services.

C) Faulty systems, processes, and conditions lead to mistakes that injure and kill

clients.

D) Implementing safety systems at the point of care delivery in health-care

organizations will improve overall quality of care and lower morbidity and mortality rates.

ANS: B PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Judgment | Client Need: Safe and Effective Care Environment 3. Which initiative focuses on equipping prelicensure nursing students with knowledge, skills,

and attitudes for ensuring quality and safety of health-care delivery?

A) Sigma Six B) Case Management C) Quality and Safety Education for Nurses D) Competency Outcomes and Performance Assessment Model ANS: C PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 4. A blame-free nursing environment or just culture contributes to quality and safety by focusing

on: A) analyzing system errors to identify possible improvements.

B) identifying variances from a predetermined plan for clients.

C) releasing staff from responsibility in error occurrences.

D) making health care more efficient.

ANS: A PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:07 GMT -05:00

https://www.coursehero.com/file/15253889/ch15/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 5. Research supports the relationship of improved quality of care to: A) increased levels of continuing education.

B) increased levels of nursing education.

C) more nursing experience.

D) obtaining specialty certifications.

ANS: A PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 6. As of fall 2007, Medicare no longer pays for reasonably preventable errors that occur in the

hospital. These occurrences are referred to as: A) National Client Safety Goals.

B) Benchmarks.

C) Quality Indicators.

D) Never Events.

ANS: D PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 7. The Joint Commission sets mandatory National Client Safety Goals so that hospitals can

improve quality and safety by: A) making these goals a priority in client care.

B) improving reimbursement.

C) tracking and reporting errors.

D) comparing actual performance to performance standards.

ANS: A PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 8. The analysis that tracks events leading to error, identifies faulty systems and processes, and

develops a plan to prevent further errors in a blame-free environment is called: A) leapfrog.

B) case management.

C) quality improvement.

D) root cause analysis.

ANS: D PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Judgment | Client Need: Safe and Effective Care Environment 9. Client care surveys that provide a comparison of comparable client satisfaction data between

similar institutions in efforts to increase transparency of quality care are an example of: A) total quality management.

B) continuous quality improvement.

C) benchmarking.

D) risk management.

ANS: C PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:07 GMT -05:00

https://www.coursehero.com/file/15253889/ch15/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

10. Evidence-based practice (EBP) relates to quality because it links research support to: A) risk reduction.

B) improved health-care outcomes.

C) quality improvement.

D) benchmarking.

ANS: B PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 11. All of the following are tiers in IOM 2000 report “To Err is Human: Building a Safer Health

System” except: A) Implement safety systems at the point of care delivery in health-care organizations.

B) Develop a public mandatory national reporting system and encourage participation

in voluntary reporting systems.

C) Provide services based on scientific knowledge to all who could benefit, and refrain

from providing services to those not likely to benefit.

D) Establish leadership, research, tools, and protocols to enhance the safety knowledge

base.

ANS: C PTS: 1 DIF: Hard TOP: Ensuring Quality Care KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 12. What belief serves as the foundation for total quality management?

A) The organization with the higher quality service will capture a greater share of the

market than competitors with lower quality services.

B) Meeting the minimal expectations of the client will maintain current quality and

save money.

C) Saving money to reinvest in infrastructure and technology is valued above all else.

D) Quality health care must include evidence-based decision-making, safety, client as

source of control, individualized client-centered care, transparency, anticipated needs, decreased waste, interdisciplinary cooperation, collaboration, and communication.

ANS: A PTS: 1 DIF: Hard TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 13. The Leapfrog Group and its recommendations are now referred to as: A) the best measures of healthcare quality in the nation.

B) continuous quality improvement (CQI).

C) benchmarking.

D) the gold standard for comparison of hospital performance.

ANS: D PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 14. Why are nurses in the perfect position to reinforce the proactive approach that is called for by

CQI?

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:07 GMT -05:00

https://www.coursehero.com/file/15253889/ch15/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) They are the primary source of comparable client satisfaction data.

B) On a daily basis, nurses assess the functioning of the health-care delivery system

and the effectiveness of specific treatment approaches.

C) By focusing efforts on potential quality concerns, nurses ask questions that may be

addressed by further investigation and can be used to track changes over time.

D) Nurses have the knowledge and skills to analyze how client care and client progress

vary from a predetermined plan that enables more accurate assessment of clientcare costs and maintenance of quality-control measures.

ANS: B PTS: 1 DIF: Hard TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 15. Which of the following has been identified as a drawback to Six Sigma?

A) It focuses on identifying and eliminating waste in health-care systems.

B) Improving the flow of processes in health-care systems is a major goal.

C) It seeks to achieve perfection at the statistical 3.5 errors per million level for client

satisfaction and nurse retention.

D) Trained employees of Six Sigma, called Black Belts, serve as well-paid consultants for hospitals and other institutions that believe Six Sigma may be the answer to their problems.

ANS: C PTS: 1 DIF: Hard TOP: Ensuring Quality Care KEY: Cognitive Domain: Synthesis | Integrated Process: Judgment | Client Need: Safe and Effective Care Environment 16. The primary goal for the Center for Quality Improvement and Patient Safety called for by the

Affordable Care Act is to: A) conduct research on the best quality-improvement practice innovations and strategies.

B) develop new technologies to help elderly clients retain their independence for as long as possible.

C) improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries.

D) award grants to schools of nursing that incorporate QSEN into their curriculums.

ANS: A PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Analysis | Client Need: Safe and Effective Care Environment 17. Identify the statement that is not a category for reaching the goal of the Transforming Care at

the Bedside taskforce to improve care and staff satisfaction.

A) Improvement of safe and reliable care B) Awarding grants to agencies with expertise in providing assistance to health

providers in quality-improvement activities C) Encouraging vitality and teamwork among hospital staff D) Developing value-added care processes to increase motivation ANS: B PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:07 GMT -05:00

https://www.coursehero.com/file/15253889/ch15/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 18. All of the following are strategies that nurse educators can use to promote safety and quality

in nursing care except: A) using unmooring questions in students’ client assessments.

B) the use of both implicit and explicit thinking to solve problems.

C) awareness of and strategies for approaching authority gradients.

D) recognizing the client as the source of control and full partner in planning care.

ANS: D PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 19. Using errors as learning opportunities is a key element in building a: A) system of improvements and quality care.

B) magnet hospital.

C) just culture organization.

D) shared decision-making environment.

ANS: C PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Judgment | Client Need: Safe and Effective Care Environment 20. What is the primary mission of the Healthy People 2020 campaign?

A) Integrate evidence-based clinical knowledge and research with effective

communication and leadership skills.

B) Work though federal and state governmental agencies to strengthen the policies and practices to make people healthier.

C) Achieve health equity by eliminating disparities and improving the health of all groups.

D) Function effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality client care.

ANS: B PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Select all of the factors that are used to measure quality of care.

A) Client satisfaction B) Sentinel events C) Quality performance measures D) National Client Safety Goals ANS: A, B, C PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 2. Select all of the results that researchers have found about health-care institutions that utilized

client and family advisors to promote client-centered care.

A) Client outcomes were improved.

B) The morale of nurses improved by 27 percent.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:07 GMT -05:00

https://www.coursehero.com/file/15253889/ch15/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) Clients had shorter lengths of stays.

D) Physicians felt that the advisors were interfering with their practice and care.

E) There were higher client satisfaction levels.

F) Hospitals experienced improved levels of reimbursements.

ANS: A, C, E, F PTS: 1 DIF: Hard TOP: Ensuring Quality Care KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. Select all of the components of the Magnet Recognition Model Program.

A) Client-centered care B) Elimination of preventable disease and death C) Developing transformational leadership D) Structural empowerment E) Exemplary professional practice F) New knowledge, innovation, and improvements G) Empirical quality results ANS: C, D, E, F, G PTS: 1 DIF: Medium TOP: Ensuring Quality Care KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:07 GMT -05:00

https://www.coursehero.com/file/15253889/ch15/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 16: Delegation in Nursing MULTIPLE CHOICE 1. A registered nurse (RN) is assigned to a step-down coronary care unit with 20 clients in

various stages of recovery. What is the primary consideration in assigning the unit staff that includes two RNs, two licensed practical nurses (LPNs), and one certified nursing assistant (CNA)?

A) Distance of client rooms from the nurses’ station B) Skill level of each staff member C) Staff preferences for specific clients D) Developmental needs of clients ANS: B PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 2. During the first day assigned to a medical-surgical unit, a newly CNA is unable to obtain a

urine specimen by catheterization. What should the supervising RN do next?

A) Confront the CNA about not being honest concerning his or her ability to perform

the procedure.

B) Assign the CNA to work with a staff RN to observe and learn the skill.

C) Recommend that the CNA be fired because the probation period is still in effect.

D) Assign only basic care clients to the CNA. ANS: B PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 3. Because of short staffing in the intensive care unit, a labor and delivery nurse is floated to the

unit. Identify the most appropriate assignment for this nurse.

A) A 36-year-old woman with steroid-induced cardiomyopathy B) An 86-year-old man in cardiogenic shock C) A 3-year-old girl with an accidental overdose of acetaminophen (Tylenol) D) A 23-year-old man with malignant hypertension ANS: D PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 4. What is the most appropriate assignment for a nurse who has 10 years of experience in a

neurological ICU when floated to a pediatric oncology unit?

A) A 3-year-old boy with leukemia who has contracted bacterial meningitis B) A 6-year-old boy with osteogenic sarcoma C) An 18-month-old infant postsurgery with a neuroblastoma D) A 14-year-old girl with a pheochromocytoma and adrenalectomy ANS: A PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:17 GMT -05:00

https://www.coursehero.com/file/15253886/ch16/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 5. Which assignment is most appropriate for a CNA floated to the medical-surgical unit from the

outpatient clinic?

A) Assisting a 72-year-old man 1 day post–cerebrovascular accident with dysphagia to

eat lunch B) Obtaining a temperature on a 29-year-old woman with gastrointestinal bleeding

during the last 30 minutes of a whole-blood transfusion C) Completing the admission vital signs and assessment on a 44-year-old woman who

just returned from the post anesthesia care unit after nephrectomy D) Changing the sterile dressings on a 22-year-old man 2 days after undergoing skin

graft for burn injuries ANS: B PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 6. An LPN who has been assigned four clients asks the charge nurse which client should be

assessed first after report. Which client should the charge nurse suggest be assessed first?

A) A 66-year-old man with type 1 diabetes with 4 p.m. blood sugar of 92 B) A 77-year-old man with congestive heart failure who has a potassium level of 3.1 C) A 24-year-old woman with pyelonephritis and a fever of 101.1°F D) A 38-year-old man with 22 percent deep partial thickness burns of the legs and

abdomen ANS: B PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 7. Select the most appropriate client for the RN to assign to the CNA. A) A client with difficulty swallowing food and fluids B) A client with constipation who needs tap-water enemas C) A client with a colostomy who requires irrigations D) A client with a percutaneous endoscopic gastrostomy tube who is receiving

continuous tube feedings ANS: B PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 8. To which individual can the charge nurse delegate the task of completing the history and

physical examination for a newly admitted client?

A) RN B) LPN C) CNA, level II D) CNA, level III ANS: A PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 9. When a nurse delegates a task, who is responsible for ensuring that the task was completed as

assigned?

A) The person to whom the task was delegated

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:17 GMT -05:00

https://www.coursehero.com/file/15253886/ch16/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) The physician who ordered the task C) The nurse manager D) The nurse who delegated the task ANS: A PTS: 1 DIF: Easy TOP: Delegation in Nursing KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 10. Identify the task that may be delegated to an LPN (LVN) if all of the clients are stable.

A) Adding potassium to a bag of D6W that was already hanging B) Developing the nursing diagnosis for a newly admitted client C) Teaching a new diabetic patient how to administer insulin injections D) Turning a client with a CVA every 2 hours ANS: D PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 11. What is the first step in the delegation process?

A) Obtaining permission from the client for another care provider to help with the care B) Instructing the person to whom the task is delegated about the assignment C) Determining the skill level of the person to whom the task is to be delegated D) Allowing the person to observe the RN performing the task before making the

assignment ANS: C PTS: 1 DIF: Easy TOP: Delegation in Nursing KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 12. Select the personal characteristic of an RN that would tend to render his or her delegation

ineffective.

A) Many years of experience in delegation B) Demands perfection of employees C) Feels self-confident in his or her ability as a leader D) Trusts in the abilities of others ANS: B PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 13. Identify the characteristics of a task that is to be delegated that would require it to be assigned

to an RN. A) The client is relatively stable.

B) The task is routine in nature and follows hospital policies.

C) The task requires decision-making to complete it.

D) The client requires an assessment at the beginning of the shift.

ANS: C PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 14. Which statement made by a nursing student during a class on delegation indicates that the

student needs additional study of the topic?

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:17 GMT -05:00

https://www.coursehero.com/file/15253886/ch16/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) “The tasks delegated should have expected and predictable outcomes.”

B) “The RN who delegates is also responsible for education about the task to be

performed.”

C) “Assessing clients is a task of the RN.” D) “When nurses delegate, they are delegating nursing.”

ANS: D PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Select all of the items that would constitute barriers to effective delegation.

A) Decisiveness B) Micromanaging C) Policies that tolerate mistakes D) Management-by-crisis mode E) Confidence in self F) Work overload ANS: B, D, F PTS: 1 DIF: Medium TOP: Delegation in Nursing KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

Most state nurse practice acts do not give delegation authority to such as LPNs or unlicensed assistive personnel.

ANS: dependent practitioners PTS: 1 DIF: Medium TOP: Chapter 16 KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:17 GMT -05:00

https://www.coursehero.com/file/15253886/ch16/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 17: Incivility: The Antithesis of Caring MULTIPLE CHOICE 1. What is the underlying principle upon which all definitions of civility are built?

A) Good manners B) The Civil Rights Act of 1974 C) Recognizing the importance of all human beings D) The fight against injustice and oppression ANS: C PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Psychosocial Integrity 2. The caring-civility link is best exemplified by which of the following?

A) Helping in disasters in foreign countries B) Conducting scholarly research into overcoming health-care disparities C) Accepting criticisms from physicians even though unjustified D) Making nursing assignments based on clients’ needs and nurses’ skills ANS: B PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Psychosocial Integrity 3. Which element increases the likelihood of incivility?

A) Using a problem-solving approach B) Using assertive communication C) Internalizing workplace issues D) Increased levels of stress ANS: D PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Analysis | Client Need: Safe and Effective Care Environment 4. Why are interpersonal bonds important in establishing an environment of civility?

A) It provides individuals with a feeling that they have a duty to each other B) Individuals are less likely to demonstrate incivility to others they know well C) A close family atmosphere always enhances civility D) People are more likely to overlook individuals imperfections ANS: A PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Psychosocial Integrity 5. What has been identified as a key element to effective education of nursing students A) A feeling of personal safety in the classroom setting B) Low stress levels produced by decreased work assignments C) Permitting students to use cell phones during classes

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:28 GMT -05:00

https://www.coursehero.com/file/15253873/ch17/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano D) High-quality interpersonal relationships between students and teachers ANS: D PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment 6. What is an example of horizontal violence?

A) A student talking back to an instructor in the classroom B) Posting false and derogatory information on FaceBook about a fellow student C) Faculty assigning additional homework when students fall asleep during class D) Keying the car of faculty who are unreasonable and unfair ANS: B PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 7. Identify the characteristic that would commonly be found in an individual recognized as a

“violator/tormentor”?

A) Self-absorption and negative attitudes B) High self-esteem and rigid behavior C) Positive attitudes and codependence D) High energy levels and manipulative behavior ANS: A PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Psychosocial Integrity 8. What action would contribute most in preventing experienced nurses from “eating their

young”?

A) Punishing experienced nurses with extra shifts for displaying incivility to new

graduates B) Keeping new graduate nurses segregated as much as possible from hostile

experienced nurses until they gain more on-the-job experience C) Providing in-service training sessions for experienced nurses on civility D) Teaching new nurses to be more assertive and to express their opinions without fear ANS: D PTS: 1 DIF: Hard TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 9. What is the first step in defusing the spiral of incivility?

A) Reflecting on the problem B) Developing a plan to resolve the problem C) Active listening to a fellow worker’s accounts of incivility D) Reporting the incident to a superior ANS: C PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:28 GMT -05:00

https://www.coursehero.com/file/15253873/ch17/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Care Environment 10. How does transformational leadership aid in reversing incivility in the work or school

environment?

A) Nurse leaders learn how to develop plans to deal with incivility when it occurs.

B) It acts as a lens through which leaders can reflect and change inequalities.

C) It creates a more open channel of communication from workers to leaders.

D) It maintains the status quo so that the environment is more predictable, thereby

reducing workers’ stress levels.

ANS: B PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Psychosocial Integrity 11. What is the most serious consequence of bullying and intimidation in the workplace?

A) Client safety is jeopardized.

B) Nurses quit after a short time, which increases the nursing shortage even more.

C) The morale of the workplace becomes very negative.

D) Hospital costs increase and reduce the ability to purchase necessary equipment.

ANS: A PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 12. Identify the primary role of civility in the nursing profession.

A) It allows nurses to practice without fear of retaliation.

B) Unit morale is maintained at a high level, increasing productivity.

C) Civility is simply an expectation of professional behavior.

D) Civility in the profession enables nurses to make caring the focal point of their

practice.

ANS: D PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Evaluation | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 13. Which of the following statements is most accurate about individuals who bully other people?

A) They obtain their reward when the bullied individual stands up to them.

B) They have low self-esteem and poor self-image.

C) They use bullying as a form of entertainment.

D) Their targets usually are strong-willed and confident, and they use bullying as a

way to “bring them down a peg or two.”

ANS: B PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 14. Identify the item that is not a manifestation of covert lateral violence.

A) Making faces behind someone’s back B) Whining

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:28 GMT -05:00

https://www.coursehero.com/file/15253873/ch17/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) Threatening body language D) Fabrication ANS: C PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 15. Which of the following statements is most accurate about lateral violence?

A) It is a new phenomenon for the nursing profession.

B) Oppression theory notes that marginalization is a key contributing factor to lateral

violence.

C) It has not been connected by research to the production of physical symptoms.

D) The concept of inappropriate use of coercive power becomes a key element in lateral violence.

ANS: B PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Psychosocial Integrity 16. Extreme bottom-up vertical violence can sometimes manifest itself as: A) using passive-aggressive ways to decrease productivity.

B) an environment that remains in a constant state of fear.

C) an employee “going postal” and causing physical injury.

D) decreased communication.

ANS: C PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 17. All of the following are methods faculty can use to overcome academic incivility, except: A) become a catalyst and a change agent in one’s own nursing program.

B) make civility and cooperation a key element in the vision, mission statement, and

outcomes of the program.

C) revise the curriculum so that shared values, collegiality, and collaboration are threads that guide students and faculty in the learning process.

D) develop and post a list of uncivil behaviors that nursing faculty display.

ANS: D PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Psychosocial Integrity MULTIPLE RESPONSE 1. Select all of the elements that may make a person a target for bullying.

A) Being highly self-confident B) Having a different sexual orientation C) Possessing physical defects D) Defending himself or herself against bullies

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:28 GMT -05:00

https://www.coursehero.com/file/15253873/ch17/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano E) Unintentionally displaying an attitude of timidity F) Being ostracized from the group ANS: B, C, E, F PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 2. Select all of the elements that are commonly a result of workplace lateral violence.

A) A toxic work environment B) Increased self-esteem C) Workplace physical violence D) Psychological pain E) Positive emotions F) Anxiety ANS: A, C, D, F PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 3. Select all of the actions that the Nursing Organizations Alliance recommends help build a

positive workplace environment and overcome incivility.

A) Developing an action plan to immediately stop lateral violence and bullying B) Training leaders competent in cooperation and communication C) Sharing decision-making with all those it will affect D) Developing professional standards including the development and acquisition of an

appropriate set of values and an ethical framework in the work environment E) Continuously developing employee skills and clinical knowledge F) Recognizing and rewarding employees’ contributions ANS: B, C, E, F PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Problem Solving | Client Need: Psychosocial Integrity COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

When the becomes part of the culture of a unit or institution, it may not even be recognized as bullying.

ANS: bullying; vicious; circle PTS: 1 DIF: Medium TOP: Incivility: The Antithesis of Caring KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Psychosocial Integrity

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:28 GMT -05:00

https://www.coursehero.com/file/15253873/ch17/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 18: Nursing Informatics MULTIPLE CHOICE 1. Identify the health-care area in which the use of computers has improved the efficiency of

care.

A) Documentation B) Interdepartmental communication C) Medication administration D) Physician record keeping ANS: A PTS: 1 DIF: Easy TOP: Nursing Informatics KEY: Cognitive Domain: Knowledge | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 2. What is the primary concern that health-care providers have in the use of computers in client

care?

A) The ability to maintain privacy and confidentiality B) The training and knowledge required by nurses to use the system effectively C) The ability to provide quality care when the computers malfunction D) The legal implications of having a computerized record of every aspect of client

care ANS: C PTS: 1 DIF: Medium TOP: Nursing Informatics KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 3. Identify the element that is not commonly found in information science.

A) Data or tasks that are processed B) Configuration and architecture of the computer system C) How problems are solved D) Where products are produced ANS: B PTS: 1 DIF: Medium TOP: Nursing Informatics KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 4. A client’s blood pressure of 180/110 mm Hg is an example of which of the following?

A) Information B) Knowledge C) Skill D) Data ANS: D PTS: 1 DIF: Easy TOP: Nursing Informatics KEY: Cognitive Domain: Knowledge | Integrated Process: Evaluation | Client Need: Physiological Integrity 5. Which process is used in synthesizing data into information to create knowledge?

A) Circular B) Linear C) Elliptical

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:41 GMT -05:00

https://www.coursehero.com/file/15253879/ch18/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano D) Scientific ANS: A PTS: 1 DIF: Easy TOP: Nursing Informatics KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 6. Function in nursing informatics focuses on which of the following?

A) How the management and processing of information helps nurses enter, organize,

or retrieve information B) A well-articulated theoretical basis to guide the gathering of data C) The levels of special interest, including technology and concepts of nursing theory D) Areas of research that lead to new knowledge ANS: A PTS: 1 DIF: Medium TOP: Nursing Informatics KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 7. What would be a likely result of the development of a universally agreed upon nomenclature

and taxonomy for nursing clinical information and management data?

A) The inability to identify what the nursing staff actually does B) A failure to determine the impact nurses have on outcomes C) The establishment of appropriate reimbursement for nursing activities D) A decrease in the number of nursing diagnoses ANS: C PTS: 1 DIF: Medium TOP: Nursing Informatics KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Physiological Integrity 8. Which system, when developed, is expected to contain client outcomes, indicators, and

measurement activities at five to six levels of abstraction?

A) Nursing Interventions Classification (NIC) B) Nursing Outcomes Classification (NOC) C) Home Healthcare Classification (HHC) D) Omaha Problem Classification Scheme (OPCS) ANS: B PTS: 1 DIF: Hard TOP: Nursing Informatics KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 9. Identify the element that has been found most effective in the reduction of technology-related

errors in client care.

A) Extended periods of training B) Computer-based reminder systems C) Systems involving 8 to 10 steps D) Hiring only the most intelligent nurses ANS: B PTS: 1 DIF: Medium TOP: Nursing Informatics KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Physiological Integrity 10. What advantage does the electronic health record system have over traditional paper systems?

A) More portable B) Unbreakable

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:41 GMT -05:00

https://www.coursehero.com/file/15253879/ch18/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano C) Fewer privacy issues D) Reduces redundancy ANS: D PTS: 1 DIF: Easy TOP: Nursing Informatics KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 11. Identify the underlying premise for evidenced-based practice.

A) Practice based on research produces better client outcomes.

B) Nurses need to provide strong rationales for all their interventions.

C) Nurses who use research to guide practice make fewer errors.

D) Evidence for practice is accumulated over the years when nurses perform the same

skills repeatedly.

ANS: A PTS: 1 DIF: Medium TOP: Nursing Informatics KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 12. Which element of computer design makes a computer user friendly?

A) Addition of multiple advanced functions B) Logical arrangement of user information C) Use of windows for all operating systems D) Focus on only the primary user functions ANS: B PTS: 1 DIF: Easy TOP: Nursing Informatics KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 13. Identify the primary driving force behind the development and use of telehealth or

telemedicine.

A) Large segments of the population located in congested urban areas B) Easy access to computers C) Consumer concerns about access to health care D) Increasing sophistication of physicians’ computer skills ANS: C PTS: 1 DIF: Medium TOP: Nursing Informatics KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Place in the proper sequence the events involved in the recognition of languages for nurses.

(Enter the letter of each event in the proper sequence; do not use commas or spaces.)

A) International Classification for Nursing Practice B) Home Health Care Classification C) NANDA categories D) Omaha System E) Nursing Outcomes Classification ANS: EBACD PTS: 1

DIF:

Medium

TOP: Nursing Informatics

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:41 GMT -05:00

https://www.coursehero.com/file/15253879/ch18/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Fill in the blanks with the correct word(s) to complete the following statement:

One of the major factors limiting the use of telehealth systems is lack of plans to offset the cost to individual clients.

ANS: third-party; payment PTS: 1 DIF: Medium TOP: Nursing Informatics KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:41 GMT -05:00

https://www.coursehero.com/file/15253879/ch18/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 19: The Politically Active Nurse MULTIPLE CHOICE 1. Identify the term that best describes the act or science of influencing public policy.

A) Power B) Nursing C) Politics D) Ethics ANS: C PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. What is the document that provides nurses with the right to practice and specifies the

parameters of professional practice?

A) Nurse Practice Act B) Scope of Practice C) Legislative Law D) State Board of Nursing ANS: A PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. Which phrase best describes decisions that are made by the State Board of Nursing?

A) Influence all aspects of the health-care system B) Have the same force as law C) Considered recommendations that may or may not be followed D) Must be approved by a majority of nurses in the state ANS: B PTS: 1 DIF: Medium TOP: The Politically Active Nurse KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. What is the sphere of political influence where optimum working conditions are created and

quality client care is ensured?

A) Community B) Government C) Workplace D) Organization ANS: C PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 5. What is the best method for nurses to influence those in power?

A) Take an active role in institutional decision-making.

B) Remain current with trends and issues in nursing.

C) Serve on hospital and community health-care committees.

D) Join unions.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:59 GMT -05:00

https://www.coursehero.com/file/15253869/ch19/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: A PTS: 1 DIF: Medium TOP: The Politically Active Nurse KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 6. Identify the most appropriate political activities for nurses at the state level.

A) Introduce legislation and seek sponsors.

B) Vote in the legislature for or against a bill.

C) Make large monetary contributions to candidates who support health-care reform.

D) Keep quiet and let the system work without interference.

ANS: A PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 7. Why is the input of nurses vital to legislators?

A) Most of the bills legislators pass are not related to health care.

B) Voters can be misled easily by special-interest groups.

C) The majority of legislators do not have health-care backgrounds.

D) Legislators need to be aware of the important part nurses play in the health-care

system.

ANS: C PTS: 1 DIF: Medium TOP: The Politically Active Nurse KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 8. What is the best way for nurses to influence the legislative process at the federal level?

A) Organize demonstrations outside the White House when important health-care

issues are discussed.

B) Send telegrams and letters to their Congress members and House representatives.

C) Have the main nursing organizations speak with a unified voice when presenting

their concerns.

D) Join and actively participate in hospital committees on health care.

ANS: C PTS: 1 DIF: Medium TOP: The Politically Active Nurse KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 9. A board of supervisors is usually found in which type of government structure?

A) State B) County C) Federal D) City ANS: B PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 10. What comprises the branches found in the government at the federal level?

A) Legislative and executive B) Executive, judicial, and the president C) Congressional, legislative, and judicial D) Legislative, executive, and judicial

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:59 GMT -05:00

https://www.coursehero.com/file/15253869/ch19/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: D PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 11. Identify the Congressional committee that is responsible for dealing with health legislation in

general.

A) Senate Finance Committee B) Senate Labor and Human Resources Committee C) House Commerce Committee D) House Ways and Means Committee ANS: B PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 12. What is the primary responsibility of the Rules Committee?

A) Schedule bills and determine how much time will be spent on debate.

B) Oversee the whole legislative process to prevent errors in a bill’s development.

C) Decide whether a bill may be reported out favorably or killed.

D) Establish the guidelines for the progression of the bill through a committee.

ANS: A PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 13. If the House and Senate have different versions of the same bill, where does the bill go next?

A) To the president for signature of the bill he favors most B) To the Rules Committee to set up the guidelines for passage of the bill C) To the Conference Committee to resolve the differences between the two bills D) To the Finance Committee to see if there is enough money in the budget for both

forms ANS: C PTS: 1 DIF: Medium TOP: The Politically Active Nurse KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 14. Identify a valuable source of information about political issues that affect the profession of

nursing.

A) The American Nurse B) Nursing 2003 C) Davis Drug Guide D) Nursing Now ANS: A PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 15. What is the primary purpose of the American Nurses Association Political Action Committee

(ANA-PAC)?

A) Persuade public officials to work for legislation nurses consider important.

B) Influence the outcome of elections.

C) Prevent bills that are negative for nursing from being introduced in Congress.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:59 GMT -05:00

https://www.coursehero.com/file/15253869/ch19/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano D) Attempt to change the minds of legislators already serving in Congress.

ANS: B PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 16. What is the primary purpose of targeting endorsements?

A) Prevents nurses from making blind political decisions B) Allows nurses to offer something of value to candidates C) Identifies specific nursing political goals D) Helps nurses understand executive orders ANS: A PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 17. What role do executive orders play in the political process?

A) Actively involve the legislature in key political decisions.

B) Shorten the time it takes to implement a political decision.

C) Help nurses by targeting endorsements.

D) Formulate policy with minimal involvement from the legislature.

ANS: D PTS: 1 DIF: Easy TOP: The Politically Active Nurse KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 18. Identify an issue that would be considered constituent specific.

A) Funding of a new research project B) Universal coverage for prescriptions for the elderly C) Increase in the rates for natural gas D) Passing laws punishing corporate executives who bankrupt their companies ANS: B PTS: 1 DIF: Medium TOP: The Politically Active Nurse KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 19. Which statement best indicates the use of political capital?

A) “I will issue an executive order on that topic.”

B) “Without your vote, the bill will never pass.”

C) “If you vote for my bill, I will vote for your bill.”

D) “Large groups of citizens support this issue.”

ANS: C PTS: 1 DIF: Medium TOP: The Politically Active Nurse KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blank with the correct word(s) to complete the following statement:

Although most voters tend toward the middle of the political spectrum, attempt to force their parties to the extreme ends of the spectrum.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:59 GMT -05:00

https://www.coursehero.com/file/15253869/ch19/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: radicals PTS: 1 DIF: Medium TOP: The Politically Active Nurse KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Select all of the items that are characteristics of a successful organizer.

A) Easy going B) Curious C) Persistent D) Rigid planner E) Imaginative F) Charismatic ANS: B, C, E, F PTS: 1 DIF: Medium TOP: The Politically Active Nurse KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:29:59 GMT -05:00

https://www.coursehero.com/file/15253869/ch19/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 20: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes MULTIPLE CHOICE 1. Identify the most important reason for nurses to be fully informed about the health-care

reform debate.

A) They really do not need to be informed; they just need to do their jobs well.

B) Nurses can affect the decisions made by legislators.

C) Health-care policy affects clients, families, communities, and nurses every day.

D) Nurses must be able to teach clients about the changes in health-care policy to

optimize their benefits.

ANS: C PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. The Institute of Medicine’s (IOM) “Future of Nursing” report states: “Effective workforce

planning and policy making require better data collection and an improved information infrastructure.” Which of the following initiatives best addresses this directive?

A) Nursing-sensitive value-based purchasing B) The Affordable Care Act C) The Children’s Health Insurance Program D) Insurance exchanges in each state ANS: A PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Evaluation | Integrated Process: Application | Client Need: Safe and Effective Care Environment 3. Identify the president who laid the framework for the Medicare program by his vigorous

advocacy of a plan to provide health benefits to the elderly.

A) George W. Bush B) Barack H. Obama C) Lyndon B. Johnson D) John F. Kennedy ANS: D PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. What was the original purpose of health insurance?

A) Provide health care for the poor and homeless.

B) Share the risk across a large group so that health care could be provided when

needed.

C) Prevent hospitals and physicians from offering nonprofit private insurance plans.

D) Develop a large industry that would employ many people when the economy was

in decline.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:11 GMT -05:00

https://www.coursehero.com/file/15253881/ch20/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: B PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 5. Why do commercial for-profit insurance companies prefer using the experience rated system

for selecting their clients?

A) It provides for a larger group of clients across a geographic area.

B) It costs clients less than the community rated insurance system does.

C) It does not depend on how much a specific individual or group will have to spend

on medical care.

D) It sets low premiums for special organizations that have primarily young healthy employees.

ANS: D PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Judgment | Client Need: Safe and Effective Care Environment 6. What was a major shortcoming of government insurance programs of the past?

A) Only people with low incomes or who were unemployed were eligible to

participate.

B) The government took over control of physicians, nurses, and hospitals.

C) The system rewarded health-care providers for increasing the number of services rather than positive health outcomes.

D) Senior citizens had to wait until they reached 65 to receive any benefits.

ANS: C PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 7. The Medicare Part D law signed by President George W. Bush did all of the following except: A) increase the profits of large pharmacological companies.

B) provide the answer to senior citizens’ problems with medication costs.

C) increase the national debt.

D) include major cost-saving measures.

ANS: D PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 8. What is one of the items that both sides can agree on in the health-care reform debate?

A) The realization that there is no perfect health-care system B) Any comprehensive plan is going to increase the national debt.

C) Any plan must limit administrative costs to 15 to 20 percent of a company’s total

income.

D) The plan must provide individual tax cuts for all persons purchasing private health insurance, regardless of where they work.

ANS: A PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:11 GMT -05:00

https://www.coursehero.com/file/15253881/ch20/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Analysis | Integrated Process: Judgment | Client Need: Safe and Effective Care Environment 9. What is the key element that distinguishes those who favor the Affordable Care Act (ACA)

from those who oppose it?

A) Lack of faith in the ability of government to run a large program cost effectively B) The belief that health care should be considered a public good similar to education

and social security C) The realization that the ACA is not a perfect law D) The ACA encourages the practice of cost shifting in which those with insurance and

the government pay for the uninsured through higher premiums and taxes.

ANS: B PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 10. Identify a benefit of the ACA. A) It establishes lifetime limits on how much insurance companies must pay for illness

to one individual.

B) It prohibits states from applying to expand family planning eligibility and decreases

costs for the government.

C) Those participating in clinical trials will no longer be covered due to the excessive

cost of experimental drugs and treatments.

D) It prevents insurers from discriminating against or charging higher rates based on

gender or pre-existing medical conditions.

ANS: D PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 11. All of the following are reasons those opposing the ACA site as flaws in the legislation except: A) it transfers vast powers to governmental bureaucrats.

B) it promotes progress to repair existing unsustainable entitlement programs such as

Social Security and Medicare.

C) it is turning the United States into a socialistic country.

D) death panels will make decisions about who gets care and who is left without it.

ANS: B PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 12. Which of the following is a key element in any alternative Republican plan to the ACA? A) Increasing costs to low income and minority senior citizens by passing on savings

to them B) Establishing the Client-Centered Outcomes Research Institute to save money C) Strengthening premium assistance in Medicaid to enable young families to obtain

private health insurance coverage D) Prohibiting insurers from enforcing client eligibility waiting periods in excess of 90

days for group health plans

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:11 GMT -05:00

https://www.coursehero.com/file/15253881/ch20/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

ANS: C PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Judgment | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 13. All of the following are issues indicating that there is a need for health care reform except: A) economic issues.

B) excessive federal oversight and enforcement.

C) inconsistencies in consumer protection.

D) lack of clearly stated health outcomes for clients.

ANS: B PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Synthesis | Integrated Process: Application | Client Need: Safe and Effective Care Environment 14. Studies have shown that the majority of people with high medical bills usually are: A) well educated, owned homes, and fell into the middle-class.

B) in the lower one-third of the economic scale.

C) workers who are covered by health insurance policies at work.

D) the homeless and those who are unemployed.

ANS: A PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 15. Approximately how many personal bankruptcies are there per year in the United States due to

excessive medical bills?

A) 150,000 B) 500,000 C) 700,000 D) 950,000 ANS: C PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 16. Which of the following is an accurate statement about the cost-shifting phenomenon that

occurs when large numbers of citizens are uninsured?

A) Most serious diseases are detected early on in a physician’s office or clinic.

B) Health-care costs increase for everybody.

C) The uninsured actually paid for about one-half (50 percent) of the total costs of the

care they received.

D) Hospitals usually write-off the care of the uninsured as bad debts.

ANS: B PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Problem Solving | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:11 GMT -05:00

https://www.coursehero.com/file/15253881/ch20/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 17. Which of the following organizations does not support the belief that universal access to

health care is a basic human right?

A) American Family Organization B) World Health Organization C) American Medical Association D) American Nurses Association ANS: A PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 18. Which of the following statements does not accurately describe the Republican Party’s input

into the development of the ACA? A) Before the passage of the ACA, Republicans strongly supported the idea of the individual mandate for purchasing health insurance.

B) Much of the content of the ACA was based on ideas that were proposed by the Republicans in response to the reforms sought by Hillary Clinton in 1993.

C) The basic blueprint for the ACA was the Massachusetts’s health-care reform law advocated by Republican Mitt Romney.

D) Many in the Republican Party wanted to push for a single-payer system.

ANS: D PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 19. Identify which of the following is the least popular of the provisions in the ACA. A) Tax credits to small businesses to buy insurance B) Closing the Medicare “doughnut hole” C) Extending the coverage of dependents to age 26 D) Requiring the individual mandate ANS: D PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 20. A client is immobilized because of a stroke. Immobilized clients should be turned every 2

hours; therefore, this particular client should be turned every 2 hours. What is an accurate statement about the type of reasoning and the conclusion reached?

A) Inductive reasoning with an uncertain conclusion B) Deductive reasoning with a certain conclusion C) Inductive reasoning with a certain conclusion D) Deductive reasoning with an uncertain conclusion ANS: A PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Judgment | Integrated Process: Intervention | Client Need: Physiological Integrity

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:11 GMT -05:00

https://www.coursehero.com/file/15253881/ch20/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 21. Either Florence Nightingale or Lillian Wald cared for soldiers wounded in the Crimean War.

Lillian Wald did not care for soldiers in the Crimean War. Therefore, Florence Nightingale cared for soldiers in the Crimean War. What is an accurate statement about the type of reasoning and the conclusion reached?

A) Inductive reasoning with an uncertain conclusion B) Deductive reasoning with a certain conclusion C) Inductive reasoning with a certain conclusion D) Deductive reasoning with an uncertain conclusion ANS: B PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 22. A client is assessed as having a fever, productive cough, and chest pain. The symptoms of

pneumonia include fever, productive cough, and chest pain. What conclusion can most accurately be drawn about this client?

A) The client has pneumonia.

B) The client needs to be hospitalized.

C) The client probably has pneumonia.

D) The client should be started on antibiotics as soon as possible.

ANS: C PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Synthesis | Integrated Process: Assessment | Client Need: Physiological Integrity 23. All elderly clients need to be placed in nursing homes. Ms. Freely is an elderly client;

therefore, Ms. Freely needs to be placed in a nursing home. Identify the most accurate statement about this argument.

A) Invalid and true B) Valid and true C) Valid and untrue D) Invalid and untrue ANS: C PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Synthesis | Integrated Process: Evaluation | Client Need: Psychosocial Integrity 24. Identify the missing premise in this argument: All nursing students have a high IQ; therefore,

Michelle Clark has a high IQ. A) Michelle Clark goes to a large university.

B) Only nursing students with a high IQ can get into nursing school.

C) A high IQ is required for nurses to practice safely.

D) Michelle Clark is a nursing student.

ANS: D PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:11 GMT -05:00

https://www.coursehero.com/file/15253881/ch20/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 25. Which of the following actions by a registered nurse would be inconsistent with one of the

key messages in the IOM report “The Future of Nursing: Leading Change, Advancing Health”?

A) Participating in a multidisciplinary panel with physicians, pharmacists, and nurses to make recommendations to the state legislature about needed state health-care reform B) Joining the American Nurses Association (ANA) C) Leaving the issue of health-care reform up to the politicians D) Writing a letter to a state or federal legislator regarding the impact of health-care policy on clients ANS: C PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 26. Which statement by the nurse most demonstrates an understanding of the best long-term

outcome for health policy decisions?

A) “It’s important to vote for the political party that I believe has the best health-care

reform policy.”

B) “It’s important for nurses to advocate for their clients by calling for all political

parties to address important health-care policy decisions in an atmosphere of problem solving, compromise, and responsibility.”

C) “Nurses should come together and all vote for the party who comes closest to supporting the plan advocated by the ANA.” D) “Obamacare needs to be completely thrown out and the health-care reform process started all over again.”

ANS: B PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

Many insurance companies in the United States increase their profits by , or services that have been paid for by insurance policies.

ANS: withholding; delaying; denying PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:11 GMT -05:00

https://www.coursehero.com/file/15253881/ch20/

,

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 1. Select all of the statements that accurately describe the results of key measures of outcomes

and quality of health care in the United States.

A) For infant mortality, the United States ranks 23rd out of 23 wealthy countries.

B) Americans have the best survival rate after kidney transplants of 19 wealthy

countries.

C) For overall death rates, the United States ranks 19th out of 19 wealthy countries.

D) For healthy life expectancy at age 60, the United States tied for first place among

23 wealthy countries.

E) For fewest postoperative infections, the United States ranks 3rd among 23 wealthy countries.

F) Americans with diabetes die younger than in any of the other 19 wealthy countries.

ANS: A, C, F PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Select all of the statements that are myths about the ACA. A) The ACA took away $716 billion from Medicare and Medicaid services and

benefits to the elderly and the poor.

B) The ACA allows the government to take over health care, thereby destroying the

health insurance industry.

C) The ACA will force the hard-working middle class to pay for the health care of

poor people and illegal immigrants in the form of higher taxes and insurance costs.

D) The ACA limits insurance company’s administrative costs to 15 to 20 percent of

their total income.

E) The ACA links physician and hospital payments to pre-established quality

outcomes.

F) By removing insurance malpractice lawsuit caps, the ACA is increasing the cost of

health care since malpractice suits are a major factor in the high cost of health care.

ANS: A, B, C, F PTS: 1 DIF: Hard TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. Select all of the statements that describe why nurses need to know about health-care reform.

A) Health-care policy decisions can affect staffing levels, reimbursement levels, and

practice settings of nurses.

B) Health-care reform will affect a patient’s ability to receive care in different settings,

afford care, and afford prescribed medications.

C) The outcome of health-care reform efforts will affect the economy and the health

outcomes of the United States as a whole.

D) Nurses are not trusted very much by the general public.

ANS: A, B, C PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. Health care reform “myths” influence people by: (Select all that apply.)

A) informing and interpreting facts to reveal the truth.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:11 GMT -05:00

https://www.coursehero.com/file/15253881/ch20/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) scaring people into thinking they have something to lose.

C) playing on people’s prejudices.

D) using respected people or people of authority to influence opinion.

ANS: B, C, D PTS: 1 DIF: Medium TOP: The Health-Care Debate: Best Allocation of Resources for the Best Outcomes KEY: Cognitive Domain: Synthesis | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:11 GMT -05:00

https://www.coursehero.com/file/15253881/ch20/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 21: Spirituality and Health Care MULTIPLE CHOICE 1. Identify the term used when a person lives with consciousness of a reality beyond what is

knowable through the five senses and is aware of a transcendent reality.

A) Religion B) Spirituality C) Truth D) Meditation ANS: B PTS: 1 DIF: Easy TOP: Spirituality and Health Care KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. What are clients experiencing major life transitions least likely to encounter?

A) Anxiety and vulnerability B) Spiritual abandonment C) Stagnation and apathy D) Spiritual enlightenment ANS: C PTS: 1 DIF: Easy TOP: Spirituality and Health Care KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. What must the nurse recognize when trying to understand the concept of “truth”?

A) Truth is always supported by facts.

B) Hypothetical-deductive reasoning and quantitative research are the only ways to

arrive at truth.

C) Spirituality cannot be proved, so it is not truth.

D) Truth is a relative concept.

ANS: D PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Synthesis | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 4. When nurses appreciate the belief that the client’s observations may be more objective than

the nurses’ because they are attached to the client’s past experiences and knowledge, including rich descriptions of the person’s experiences of life transitions, they are recognizing which approach to health care?

A) Scientific B) Phenomenological C) Deontological D) Religious ANS: B PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Comprehension | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 5. What is involved in a secular approach to spirituality?

A) A set of positive values, such as love, honesty, and truth, chosen by an individual

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:29 GMT -05:00

https://www.coursehero.com/file/15253876/ch21/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

that ultimately becomes that person’s supreme focus of life and organizing framework B) The ideology of the imago Dei (i.e., image of God), or soul, that exists in every person C) A profound sense of transcendence and awe D) Integrative energy that is capable of producing internal human harmony or holism ANS: A PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 6. Identify the principle upon which Nightingale’s spirituality was based.

A) The beliefs of her Unitarian and Anglican parents B) Scientific rationalism C) Adherence to a set of rules of behavior, the participation in prescribed rituals,

prayer, and the study of sacred texts D) A sense of a divine intelligence who creates and sustains the cosmos as well as an awareness of her own inner connection with this higher reality ANS: D PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Analysis | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 7. What is a disruption in the life principle that pervades a person’s entire being and integrates

and transcends one’s biological and psychosocial nature?

A) Mental illness B) Anxiety C) Spiritual distress D) Alterations in individual coping ANS: C PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 8. What do clients practice when they meditate using an image of a desired outcome or the

process of attaining it?

A) Wishful thinking B) Visualization C) Relaxation techniques D) Religion ANS: B PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 9. Identify the purpose of spiritual modes of healing.

A) They always produce physical cure.

B) They are used only with clients who have a strong belief in God. C) They enhance comfort and produce an inner peace with disability or death.

D) They are used only by members of the clergy.

ANS: C PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:29 GMT -05:00

https://www.coursehero.com/file/15253876/ch21/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Effective Care Environment 10. What is the least effective measure for nurses to use to maintain an internal state of balance

and prevent burnout?

A) Multitasking at work B) Taking time to feed their spirits C) Using periodic retreats D) Playing basketball ANS: D PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 11. Identify a statement made by a client who has a nocebo effect.

A) “My father died at age 55, so I will also.”

B) “The food on this tray is nutrition to help me heal.”

C) “I’ll take my medication because it will help my lungs.”

D) “I should be able to walk by the end of the week.”

ANS: A PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 12. Choose the nursing intervention that is of limited effectiveness in addressing the needs of a

client with a nursing diagnosis of Spiritual Distress.

A) Communicate acceptance of the client’s spiritual needs and acknowledge their importance.

B) Express a willingness to assist and cooperate with religious practices that are not detrimental to the client’s health in the treatment setting.

C) Contact an appropriate spiritual leader or community for conduct of spiritual rituals sought by the client.

D) Explain the nurse’s religious beliefs and values immediately when requested to do so by the client.

ANS: D PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 13. A nurse employed in a critical care unit is experiencing a high level of anxiety related to work

stress. In identifying and ranking the nurse’s sources of stress, which would receive the lowest priority?

A) Lack of adequate staffing and mandatory overtime B) Lack of control in decision-making and autonomy C) Receiving a 2.5 percent annual raise because of revenue loss by the hospital D) Frequent deaths of critically ill clients ANS: C PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 14. Which question would be most appropriate for a nurse to ask in assessing the spiritual distress

of a client in the critical care unit?

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:29 GMT -05:00

https://www.coursehero.com/file/15253876/ch21/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) “Do you believe that God has sent this illness to you as a punishment for your past

sins?”

B) “When was the last time you went to church to ask for God’s help?”

C) “What do you do to feel hope or feel stronger?”

D) “Would you like to talk with the hospital chaplain about any spiritual concerns you

have?”

ANS: C PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blank with the correct word(s) to complete the following statement:

As a philosophical approach to understanding truth, that consciousness determines reality and truth in space and time.

advocates the view

ANS: phenomenology PTS: 1 DIF: Medium TOP: Spirituality and Health Care KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:29 GMT -05:00

https://www.coursehero.com/file/15253876/ch21/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 22: Cultural Diversity MULTIPLE CHOICE 1. Which is an accurate statement about the expressions of culture?

A) They are primarily unconscious.

B) They become more evident as a person ages.

C) They are usually written down in formal documents.

D) They have little to do with a group’s values.

ANS: A PTS: 1 DIF: Easy TOP: Cultural Diversity KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. When do subcultures develop?

A) Life in the country of origin becomes too difficult.

B) People marry people from other cultures.

C) Members of the group do not accept all the values of their dominant culture.

D) Cultural expressions become primarily conscious.

ANS: C PTS: 1 DIF: Easy TOP: Cultural Diversity KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. Identify the elements included in the primary characteristics of cultural diversity.

A) Socioeconomic status and education B) Skin color and gender C) Occupation and residence D) Sexual orientation and language ANS: D PTS: 1 DIF: Easy TOP: Cultural Diversity KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. Select the term used for an oversimplified belief, conception, or opinion about another person

or group based on a limited amount of information.

A) Judgment B) Stereotype C) Bias D) Prejudice ANS: B PTS: 1 DIF: Easy TOP: Cultural Diversity KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 5. Identify the phenomenon that occurs when individuals coming to the United States from other

countries cling tenaciously to their traditional cultural practices and languages.

A) Acculturation B) Cultural diversity C) “Melting pot” D) Multiculturalism

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:39 GMT -05:00

https://www.coursehero.com/file/15253866/ch22/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: D PTS: 1 DIF: Medium TOP: Cultural Diversity KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 6. What would identify a person who is demonstrating heritage consistency?

A) Accepting all the elements of the dominant culture and attempting to fit in as much

as possible B) Rejecting the dominant culture and clinging to the traditional ways of behavior C) Going along with the dominant culture during the workday but reverting to his or

her own cultural practices when at home D) Refusing to learn the language of the dominant culture ANS: C PTS: 1 DIF: Medium TOP: Cultural Diversity KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 7. Which statement accurately describes minority nurses in the United States?

A) They mirror the ethnic composition of the country as a whole.

B) They compose about 10 percent of all nurses.

C) They are increasing in numbers proportional to the general population.

D) They are expected to outnumber nonminority nurses by the year 2080.

ANS: B PTS: 1 DIF: Medium TOP: Cultural Diversity KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 8. What indicates that a nurse has developed cultural awareness?

A) Recognizes and values all aspects of a client’s culture B) Learns about the client’s cultural background C) Understands her or his own cultural actions D) Uses a cultural assessment tool with all clients ANS: A PTS: 1 DIF: Medium TOP: Cultural Diversity KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 9. Identify the outcome that is usually excluded from the purposes of cultural beliefs and

practices.

A) Explanation of unusual or unpredictable events B) Protection of the group members from harm C) Expression of religious beliefs D) Revelation of beliefs to strangers ANS: D PTS: 1 DIF: Easy TOP: Cultural Diversity KEY: Cognitive Domain: Comprehension | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 10. What is the most important factor in obtaining an accurate cultural assessment of a client?

A) Using a comprehensive assessment tool B) Establishing a warm, trusting relationship C) Using a translator D) Asking pointed questions about the client’s beliefs and values

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:39 GMT -05:00

https://www.coursehero.com/file/15253866/ch22/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: B PTS: 1 DIF: Medium TOP: Cultural Diversity KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 11. A client from an Asian background responds to the nurse’s discharge instructions by nodding

and smiling. How should the nurse interpret this response?

A) The client understands the information and will be compliant when discharged.

B) The client really does not understand the instructions and has no intention of following them at home.

C) It is a way of showing respect for the nurse’s authority and avoiding confrontation.

D) All friendly and happy Asian clients express themselves this way.

ANS: C PTS: 1 DIF: Medium TOP: Cultural Diversity KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 12. What generally can be excluded from the common causes for noncompliance among

culturally diverse clients?

A) Use of treatments that are similar to traditional treatments B) Lack of external symptoms of disease C) Inconvenient or painful treatments D) Lack of external support from family members or close friends ANS: A PTS: 1 DIF: Medium TOP: Cultural Diversity KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 13. What indicates that a nurse has achieved cultural synergy?

A) Learning about another culture’s beliefs and customs B) Selectively including the values, customs, and beliefs of other cultures into his or

her own worldview C) Ability to use the knowledge that he or she has obtained about other cultures to

provide culturally competent care D) Rejecting his or her own culture and adopting new cultural practices from a

different culture ANS: B PTS: 1 DIF: Medium TOP: Cultural Diversity KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 14. A woman of Mexican–American background who is in labor asks that her husband not be

allowed in the delivery room and that he not see the baby until after the baby has had his or her initial bath. How can the nurse best respond to this request?

A) Insist that it is hospital policy for the husband to be present during the delivery.

B) Explain that the first hour after the birth of the baby is the most critical to promote bonding.

C) Honor the request by recognizing that these are the cultural norms of the client.

D) Ask the husband if he is willing to wait in the waiting room until the delivery is completed ANS: C

PTS: 1

DIF:

Medium

TOP: Cultural Diversity

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:39 GMT -05:00

https://www.coursehero.com/file/15253866/ch22/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Health Promotion and Maintenance COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

Developed from a long-term process and based on a need for group survival, are neither right nor wrong.

ANS: cultural; values PTS: 1 DIF: Medium TOP: Cultural Diversity KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:39 GMT -05:00

https://www.coursehero.com/file/15253866/ch22/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 23: Impact of the Aging Population on Health-Care Delivery MULTIPLE CHOICE 1. A client asks what the Affordable Care Act is. The nurse’s best response is: A) “The law is only for those on Medicare Part D.” B) “The law requires that most of the assets be absorbed.”

C) “The law has been written for those seniors who are under Medicaid.”

D) “The law has been written for seniors and those of all ages for a positive outcome.”

ANS: D PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 2. The student nurse asks, “Why is there such an emphasis on spirituality in health care?” Which

of the following is the most appropriate response by the nurse preceptor?

A) The Joint Commission has a standard of patient care with inclusion of spirituality.

B) The American Association of Colleges of Nursing mandates a policy related to

spirituality in health care.

C) Each hospital establishes its own policy regarding spirituality.

D) Spirituality remains at the discretion of the chaplain or pastoral care.

ANS: A PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Analysis | Client Need: Safe and Effective Care Environment 3. The elderly client is being discharged to a skilled nursing acility. The client asks the nurse if

she can choose the facility. The nurse’s best response is: A) “I will contact your primary care provider.”

B) “You need to receive services from a Medicare-certified skilled facility.”

C) “Medicare clients need to file for Medicaid before admission.”

D) “Speak to your attorney about becoming your health-care proxy.”

ANS: A PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Analysis | Integrated Process: Application | Client Need: Safe and Effective Care Environment 4. Identify which of the following statements is most accurate about the vast majority of the

elderly.

A) They all have chronic diseases and are in assisted-care facilities.

B) They make up the single largest expenditure for the federal government budget.

C) They are relatively healthy and most manage their chronic conditions at home.

D) They have high levels of depression and are usually in bad spirits.

ANS: C PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:50 GMT -05:00

https://www.coursehero.com/file/15253878/ch23/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 5. What is the most common finding in states that have invested in home support services?

A) They find it very difficult to balance their budgets due to excessive costs.

B) They spend much less and reduce the growth rate of long-term institutional care

than states that do not make the investment.

C) The overall quality of care for the elderly is reduced markedly as compared to

states that do not spend a lot of resources on home care.

D) Older adults soon become dependent on these services, which reduces their sense

of comfort and belonging.

ANS: B PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 6. What is the most common result experienced by states that have cut their Medicaid budgets

over the past few years?

A) State governments have become much smaller.

B) Their citizens have become less dependent on free handouts from the government.

C) They lost a significant source of income.

D) It encourages providers to accept more elderly clients for care.

ANS: C PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 7. What is a major benefit for the elderly who now have easy access to and use of technology

such as the Internet and smartphones?

A) They have opportunities to obtain screening and treatment that they might not

otherwise seek.

B) They can reach hospitals and family if they need help.

C) They generally are so confused by the technology, they abandon it.

D) They now have a new source of entertainment to keep their minds active and delay

the effects of dementia.

ANS: A PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 8. When do most health-care expenditures occur in a person’s life?

A) During and shortly after being born B) During childhood due to the large number of broken bones and traumatic injuries C) As old age sets in due to the development of multiple chronic illnesses D) During the last 6 months of life ANS: D PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Analysis | Integrated Process: Judgment | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:50 GMT -05:00

https://www.coursehero.com/file/15253878/ch23/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 9. Identify which of the following results researchers have found not to occur when nurses work

multiple back-to-back shifts.

A) There is a higher incident of medication errors.

B) Nurses have an increased level of satisfaction since their income is increased.

C) The quality of client care decreases.

D) Long-term fatigue becomes a factor in care giving.

ANS: B PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 10. What is the best way to increase the motivation to learn in the elderly population?

A) Use negative reinforcements when an elderly person does not change behavior

appropriately B) Ignore their life experiences so that the learning is not contaminated by

misinformation from the past.

C) Use the power disparity between the teacher and the client to reinforce basic

principles.

D) Link positive reinforcement to changes in behavior.

ANS: D PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 11. What is the primary reason some nurses have difficulty in their role of managing the needs of

the elderly or dying client?

A) They become very emotional when clients they are caring for die.

B) They have an internal conflict in coping with their own fears of death.

C) Their education has focused them on keeping clients alive and promoting health.

D) Death of a client may indicate that the care they were providing was insufficient.

ANS: B PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 12. Select the element in managed care that has contributed to the need for increased client

education.

A) Use of the team method of nursing care B) High rates of nosocomial infections C) Emphasis on increased client responsibility for care D) Physician control of the health-care environment ANS: C PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 13. Which is a Joint Commission requirement for client education?

A) Hospital staff must act as skilled client educators.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:50 GMT -05:00

https://www.coursehero.com/file/15253878/ch23/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) All clients must receive some type of education during their care.

C) Physicians are primarily responsible for client education.

D) Documentation of client education must use a flow sheet.

ANS: A PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 14. What was the key evidenced-based finding that resulted from a study conducted in Denver in

1994 that compared the teaching of professional nurses with the teaching conducted by paraprofessional health-care providers in home health-care situations?

A) The teaching was comparable between the two groups.

B) Paraprofessionals teaching were much more cost effective than registered nurses (RNs).

C) Caution should be used in allowing health-care providers other than RNs to make home health-care visits.

D) The rates of readmissions were lower for the clients who were taught by paraprofessionals than it was with those taught by RNs. ANS: C PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment 15. Which is an important element for the nurse to remember when conducting a client language

assessment?

A) Did the client bring an interpreter to the hospital?

B) What is the client’s fluency in both the primary and secondary languages?

C) How long has the client been living in America?

D) What cultural health-care practices does the client use on a regular basis?

ANS: B PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 16. Select the factor that is most likely to increase a client’s motivation to learn.

A) A severe illness with the potential to be fatal B) The presence of the client’s significant other during teaching session C) A college education D) A high socioeconomic level ANS: C PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 17. What is the primary reason a nurse should develop learning objectives for all client teaching?

A) The nurse clarifies what actions or behaviors are expected.

B) It is a requirement by the Joint Commission.

C) Learning objectives help the nurse to organize the teaching materials.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:50 GMT -05:00

https://www.coursehero.com/file/15253878/ch23/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano D) Clients who do not have objectives will learn material poorly.

ANS: A PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 18. Learning objectives that address positive attitudes, constructive feelings, and values (ethics)

fall into which domain?

A) Cognitive B) Affective C) Psychomotor D) Intellectual ANS: B PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 19. A client tells the nurse that she has been using a health information website to find

information about her illness. Which statement by the client does the nurse need to correct?

A) “Some of the websites do not have very accurate information.”

B) “All of my personal information will be kept secure.”

C) “I should speak to my physician before using any alternative therapies.”

D) “Other clients seem to be having the same symptoms that I have.”

ANS: B PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 20. Which statement by the nurse would best indicate the nurse’s use of the shared power concept

in client teaching?

A) “If you do the procedure just as I showed you, you will not have any infections.”

B) “The physician wants you to take this medication at the same time every day.”

C) “Once you get home, you can do whatever you want.”

D) “Tell me what your greatest concern is about being discharged.”

ANS: D PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Select all of the reasons why the older population is living longer.

A) New technology B) More availability of prescription drugs C) New facilities for long-term care D) Decrease in salaries and increase in newer equipment ANS: A, B, C PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:50 GMT -05:00

https://www.coursehero.com/file/15253878/ch23/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 2. A nurse is planning to conduct a disaster preparedness class at a senior citizen center. Select

all of the elements regarding the audience that the nurse must consider when planning this class.

A) Mobility issues B) Ability to drive a car C) Chronic health-care needs D) Disaster risk awareness ANS: A, B, C, D PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 3. The client inquires about the value of spirituality related to health. Select all of the responses

that the nurse should include about spirituality.

A) Improves coping skills and social support.

B) Is religion and the chaplain needs to be contacted.

C) Relieves stress and promotes healing.

D) Focuses only on the elderly who are ill.

E) Strengthens the immune system.

F) Promotes better healthy behaviors.

ANS: A, C, E, F PTS: 1 DIF: Medium TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 4. Identify all of the elements that are considered essential to include in an electronic client

education tracking system.

A) Client control B) Physician input C) Customized to each client D) Continuous tracking E) Successful outcomes ANS: A, C, D PTS: 1 DIF: Hard TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 5. Select all of the key element(s) that the Pew Commission Final Report identified as key to

constructive interpersonal encounters.

A) Relationship centered B) Education based C) Culturally sensitive D) Caring E) Evaluated F) Collaborative

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:50 GMT -05:00

https://www.coursehero.com/file/15253878/ch23/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: A, B, C, E PTS: 1 DIF: Hard TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

A client’s reading comprehension level and ability to follow through on health instructions is called .

ANS: health; literacy PTS: 1 DIF: Hard TOP: Impact of the Aging Population on Health-Care Delivery KEY: Cognitive Domain: Application | Integrated Process: Implementation | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:30:50 GMT -05:00

https://www.coursehero.com/file/15253878/ch23/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 24: Nursing Research and Evidence-Based Practice MULTIPLE CHOICE 1. Nurses are accountable for all decisions they make regarding client care. Identify the best

defense for initiating or changing any specific nursing intervention.

A) Nursing administration has informed all units that they must update all current interventions.

B) A new intervention has been identified as less costly to the client and hospital.

C) The success of a new intervention is supported by strong empirical evidence.

D) The charge nurse has read a particularly good idea for a new intervention in a reputable nursing journal.

ANS: C PTS: 1 DIF: Medium TOP: Nursing Research and Evidence-Based Practice KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 2. Identify the best and most inclusive definition of nursing research.

A) A rigorous method of scientific inquiry B) A study that will be implemented after a review by the institutional review board of

the hospital C) Scientific knowledge generated through an exhaustive review of the literature D) A systematic process to test or discover information with the goal of improving

client care ANS: D PTS: 1 DIF: Medium TOP: Nursing Research and Evidence-Based Practice KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. Over the past several decades, nursing research has expanded and its direction has altered

somewhat as demographics change and health care evolves. Along with conducting research, what are the current focus and a priority for nursing?

A) Plan and implement studies directly related to meeting specific client care needs.

B) Conduct research addressing the profession of nursing and nursing education.

C) Develop evidence-based practice by evaluating and applying the credible research findings of other nurse researchers.

D) Collaborate with other health-care workers to implement research related to client satisfaction.

ANS: C PTS: 1 DIF: Medium TOP: Nursing Research and Evidence-Based Practice KEY: Cognitive Domain: Analysis | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 4. In nursing research, what is the critical link necessary to connect the researcher’s framework

with the appropriate type of data collection?

A) The research design B) The research question C) The nursing diagnosis statement

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:00 GMT -05:00

https://www.coursehero.com/file/15253875/ch24/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano D) The propositional statement ANS: A PTS: 1 DIF: Medium TOP: Nursing Research and Evidence-Based Practice KEY: Cognitive Domain: Analysis | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 5. What is the purpose of qualitative inquiry research?

A) Gaining an understanding of how individuals find meaning in their world B) Measuring the variables identified as dependent C) Testing an identified hypothesis and proving a theory D) Generalizing relationships between concepts ANS: A PTS: 1 DIF: Medium TOP: Nursing Research and Evidence-Based Practice KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 6. It is important to the future of nursing research that clinical practice areas find ways to support

scientific inquiry. What has been identified as a significant barrier to the implementation of research findings in client care?

A) Skilled clinical nurses may not be skilled at accessing and understanding research findings.

B) Nurses may feel that available research does not provide the practical solutions for which they are searching.

C) Published research is often written in a way that is difficult to understand.

D) Any or all of the above may constitute barriers.

ANS: D PTS: 1 DIF: Medium TOP: Nursing Research and Evidence-Based Practice KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 7. A doctoral-prepared nurse researcher employed by your acute care facility has recently

completed a rigorous research study. Your clinical director has proposed that one of her findings be used in the development of a procedure and implemented on your unit. What is the best argument for questioning this decision?

A) The hospital should wait until the research findings are published.

B) Single studies are rarely sufficient for making decisions regarding clinical practice.

C) The hospital’s institutional review board must first make a determination that implementing the findings would be safe.

D) Studies must be peer reviewed before they are determined valid.

ANS: B PTS: 1 DIF: Medium TOP: Nursing Research and Evidence-Based Practice KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 8. Nursing research has been expanding as opportunities for graduate education in nursing

increases. Which of the following is true regarding primary research roles by education level?

A) The associate degree nurse is qualified to share research finding with colleagues.

B) The baccalaureate degree nurse may read, interpret, and evaluate research for its

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:00 GMT -05:00

https://www.coursehero.com/file/15253875/ch24/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

application to nursing practice.

C) Nurses prepared at the master’s level provide leadership in conducting independent investigations in nursing.

D) The doctoral-prepared nurses assist others in applying scientific knowledge in nursing practice.

ANS: B PTS: 1 DIF: Medium TOP: Nursing Research and Evidence-Based Practice KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 9. Ethical issues present a challenge in any health-care situation. Nurses must follow specific

guidelines to protect and advocate for clients. Identify the statement that capsulizes every nurse’s responsibility to clients.

A) Nurses must follow the Nuremberg code of ethics in determining if certain research is safe for a client.

B) The National Research Act provides the criteria that must be met to safeguard clients during nursing research.

C) If all criteria set by the institutional review board are met, the nurse can be satisfied that the client will be protected.

D) The responsibility of professional nurses to protect every client extends beyond research to any client-related issue.

ANS: D PTS: 1 DIF: Medium TOP: Nursing Research and Evidence-Based Practice KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 10. As nurses accept the responsibility of implementing research findings, they will begin plans to

implement changes in their practice setting. What suggestion might help smooth the transition on a hospital unit?

A) Involve the nursing leaders to plan how the changes will be implemented.

B) Have the unit manager include the changes in the policy and procedure manual.

C) Seek input from all nurses who have a stake in the intervention or changes.

D) Have a staff education meeting, talk about great change, and serve pizza.

ANS: C PTS: 1 DIF: Medium TOP: Nursing Research and Evidence-Based Practice KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blank with the correct word(s) to complete the following statement:

It is important for nurses to develop the skill of so that they will have the ability to understand the research process, and then be able to sift through and carefully assesses all available and credible research findings.

ANS: critical; discernment PTS: 1

DIF:

Medium

TOP: Nursing Research and Evidence-Based Practice

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:00 GMT -05:00

https://www.coursehero.com/file/15253875/ch24/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:00 GMT -05:00

https://www.coursehero.com/file/15253875/ch24/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 25: Integrative Health Practices MULTIPLE CHOICE 1. Why is term healing preferred to medicine when referring to alternative and complementary

modalities?

A) Medicine implies that only physicians can carry out the treatment.

B) The treatments are based on holistic philosophies that go beyond treatment or cure of the physiological dimensions of care.

C) Clients might associate alternative treatments with hospital care.

D) Nurses have had a strong influence in naming this modality.

ANS: B PTS: 1 DIF: Medium TOP: Integrative Healing Practices KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Health Promotion and Maintenance MULTIPLE RESPONSE 1. Select all of the health-care methods that are considered alternative.

A) Self-care B) Wellness C) Illness recovery D) Self-healing E) Health promotion F) Illness prevention ANS: A, B, D, E, F PTS: 1 DIF: Medium TOP: Integrative Healing Practices KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Health 2. Select all of the reasons for the increasing use of alternative and complementary healing

practices.

A) Dissatisfaction with conventional health care B) Desire for greater control over one’s health C) Desire for cultural and philosophical congruence with personal beliefs about health and illness D) Growing understanding of the philosopy behind alternative practices E) Belief in the effectiveness of alternative therapies F) Traditions passed on from parents ANS: A, B, C, E PTS: 1 DIF: Medium TOP: Integrative Healing Practices KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Health Promotion and Maintenance COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:11 GMT -05:00

https://www.coursehero.com/file/15253867/ch25/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

With the goal of restoring the natural movement of vital forces, life essences, or other such vitalities, bring balance back to factors disturbed by diseases or trauma.

ANS: energy; therapies PTS: 1 DIF: Medium TOP: Integrative Healing Practices KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Fill in the blank with the correct word(s) to complete the following statement:

Some cultures do not prescribe herbs based on the biological effects of their chemical ingredients but rather use the by which they are prescribed based on their physical and taste characteristics; for example, herbs with heart-shaped leaves are used to treat heart problems.

ANS: doctrine of signatures PTS: 1 DIF: Easy TOP: Integrative Healing Practices KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:11 GMT -05:00

https://www.coursehero.com/file/15253867/ch25/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 26: Preparing for Functioning Effectively in a Disaster MULTIPLE CHOICE 1. A catastrophic event that leads to major property damage, a large number of injuries,

displaced individuals, or major loss of life is most appropriately named a(n): A) Act of God B) Calamity C) Disaster D) Catastrophe ANS: C PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Which of the following statements is most accurate?

A) There is a relatively long lead time for most natural and man-made disasters.

B) The aftermath of all disasters is very similar and preparations can be made to deal

with those circumstances.

C) “Doomsday Preppers” are the only ones who are really prepared for all disasters.

D) A person should have enough food and water for 30 days after an event.

ANS: B PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 3. The first step in planning for any type of disaster is to: A) Prepare a disaster kit.

B) Build an underground storm shelter.

C) Make a list of important phone numbers.

D) Get as much information as possible about local disaster plans.

ANS: C PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. What is the best way to be notified of an impending disaster?

A) Early warning sirens or horns B) National Oceanic and Atmospheric Administration and Emergency Alert System

radio systems C) National news broadcasts on TV D) Phone call from a close neighbor ANS: B PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 5. Which of the following statements is most accurate about making a phone call after a disaster?

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:22 GMT -05:00

https://www.coursehero.com/file/15253874/ch26/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) Text messages can often get through when phone calls cannot.

B) A landline phone is better than a cell phone because the wires are underground.

C) Local phone calls are easier to get through than long distance calls because they are

closer.

D) Never try to call after a disaster because it jams up the emergency communication

system.

ANS: A PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 6. Identify the element that would be inappropriate in planning for the care of a disabled person

in the event of a disaster.

A) Notify the power company ahead of time if the person is dependent on a ventilator.

B) Have a several-day supply of important medications ready to take if the person is to

be moved.

C) There is no need to plan for a long-term backup supply of power because all

devices have backup batteries and the power company gets the power on quickly.

D) Keep assistive devices in the same place.

ANS: C PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Physiological Integrity 7. A nurse is teaching a class about the preparation and use of an emergency disaster kit. Identify

the statement made by a student that would indicate that more instruction is required.

A) “I need to check every item in the kit at least once a year.”

B) “Normally, a person uses about 1 quart of water per day.”

C) “The kit needs to be kept near or in the storm shelter.”

D) “I should keep some cash in the kit.”

ANS: B PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 8. Which statement is most accurate for dealing with the aftermath of a disaster?

A) Always run emergency generators in the garage so they do not get wet and short

out.

B) Use shortcuts and secondary routes instead of identified escape routes for

evacuation because the main roads are always clogged with cars.

C) Use candles or matches to light the way after a disaster if the power is out.

D) If a downed power line is not sparking, it still may be energized and dangerous.

ANS: D PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Analysis | Integrated Process: Judgment | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:22 GMT -05:00

https://www.coursehero.com/file/15253874/ch26/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 9. The primary purpose for having disaster drills in health-care facilities and by first responders

is to: A) Meet the requirements by insurance companies who insure health-care providers.

B) Demonstrate to the public that health-care providers are well prepared.

C) Build the skills and knowledge disaster responders must have to meet the needs of

the population.

D) Provide a high-stress practice environment similar to a real disaster.

ANS: C PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 10. What is a primary source for the turf arguments sometimes seen among disaster agencies?

A) Agreements among the agencies that outlines their specific responsibilities in a

disaster B) Poor communication between the various agencies C) Interference by the news media in reporting misleading facts D) Ego conflicts among the leaders of the various agencies ANS: B PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 11. The chief nursing officer has been selected to speak for the health-care facility after a major

disaster. Which action should she or he avoid when talking to the press and public?

A) Allowing as much time as required to clearly answer all questions during the

question and answer period B) Conveying the information clearly and in terms that the general public can

understand C) Providing regular updates every 30 to 60 minutes, even if there is little new

information D) Being direct, honest, and to the point ANS: A PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Evaluation | Integrated Process: Application | Client Need: Safe and Effective Care Environment 12. What is the most important principle for the nurse to remember when providing triage for a

large number of victims?

A) Care should be provided to the most critical victims first using all available

resources.

B) The overriding goal in a disaster is to provide the best care possible for the greatest

numbers of victims.

C) Palliative care is never an option in a mass casualty disaster.

D) The walking wounded are treated first.

ANS: B PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:22 GMT -05:00

https://www.coursehero.com/file/15253874/ch26/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano Care Environment 13. The nurse triages a victim using the Systematic Alien Verification for Entitlements system and

the victim is placed in Category 1. What type of care should the victim receive?

A) Aggressive and immediate care using multiple resources B) Placement in a holding area until treatment of more severely injured victims are

completed C) Palliative treatment only D) Treatment of superficial wounds and cuts ANS: C PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Evaluation | Integrated Process: Problem Identification | Client Need: Physiological Integrity 14. Poisonous compounds produced by biological organisms are known as: A) toxins.

B) neurological agents.

C) weapons of mass destruction.

D) nonlethal.

ANS: A PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Physiological Integrity 15. What is the most common method of identifying biological agents used by terrorists?

A) High-tech devices such as “sniffers” that can detect the organism in the air B) Blood tests, cultures, and symptoms of victims C) Discovery of the organism on the devices used to release it in the environment D) Enhanced interrogation techniques used on suspected terrorists ANS: B PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 16. What makes the early detection of a bioterrorism attack difficult for health-care providers?

A) Many of the victims die at home before seeking professional help.

B) Only small groups of people get sick at one time.

C) Many of the earliest symptoms of many organisms are “flu-like.”

D) Incubation periods vary from person to person.

ANS: C PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 17. Why is it important for a nurse to know into which category a biological agent belongs?

A) The categories differentiate which organisms are most lethal.

B) By knowing the category, the nurse will know what type of protective equipment to

wear.

C) Only organisms in Category A can be treated effectively with antibiotics.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:22 GMT -05:00

https://www.coursehero.com/file/15253874/ch26/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano D) The categories indicate which organisms are most likely to be used in a bioterrorist

attack.

ANS: D PTS: 1 DIF: Hard TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 18. Why is it sometimes difficult to detect the early symptoms of exposure to toxic nerve agents?

A) The victim dies almost immediately.

B) The early symptoms mimic the symptoms of a myocardial infarction.

C) First responders are not familiar with the effects of nerve agents.

D) Nerve agents kill very slowly and the victim can go for days without symptoms.

ANS: B PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 19. Identify the first treatment used for all exposures to nerve gas.

A) Atropine sulfate injection IV or IM B) Immediate decontamination with soap and water C) Maintaining the airway with an endotracheal tube D) Assessment of the victim for secondary serious injuries ANS: A PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Application | Client Need: Physiological Integrity 20. What is the primary mode of action for choking agents?

A) Produce blisters and burns on the skin.

B) Paralyze the parasympathetic nervous system.

C) Produce massive pulmonary edema.

D) Suppress the immune system.

ANS: C PTS: 1 DIF: Hard TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Synthesis | Integrated Process: Problem Identification | Client Need: Physiological Integrity 21. How long should health-care providers wear protective equipment when there is an exposure

to a chemical contamination?

A) Until the victim is stable and able to be transported B) Only during the initial assessment of the victim C) Until the victim arrives at the hospital D) Until the source of the toxic chemical has been completely eliminated ANS: D PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:22 GMT -05:00

https://www.coursehero.com/file/15253874/ch26/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 22. Which of the following steps of decontamination should be avoided?

A) Removing all contaminated clothes and jewelry from the victim B) Using hot water and vigorous scrubbing of the skin to remove all traces of toxin C) Decontaminating all victims who have been exposed even if it is unknown whether

it was a vapor or liquid D) Decontaminating victims as close as possible to the site of exposure ANS: B PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 23. How can nurses best deal with the value systems of clients for whom they are providing care?

A) Nurses must learn to disregard the value systems of the clients they work with to

provide the best care.

B) The nurse’s value system must be set aside when working with clients who have

different value systems.

C) Nurses must adapt and change their value systems to conform to the value systems

of the clients being cared for.

D) Nurses must recognize that their personal value system influences how situations

are perceived and what decisions are made.

ANS: D PTS: 1 DIF: Hard TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Synthesis | Integrated Process: Intervention | Client Need: Physiological Integrity 24. Identify the best sources of support for nurses’ beliefs about health care.

A) Opinions and stereotypes B) News programs and documentaries C) Written reports and published surveys D) Discussions and informal feedback from clients ANS: C PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 25. What is a common element found in biases in health care?

A) Documented beliefs B) Confirmation of facts C) Information consistent with reality D) Unjustified personal opinions and prejudices ANS: D PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Psychosocial Integrity 26. What is an important role that the nursing process fulfills in professional nursing?

A) Identifying specific nursing actions for which nurses can be held publicly

accountable

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:22 GMT -05:00

https://www.coursehero.com/file/15253874/ch26/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano B) Distinguishing nursing care from medical care C) Preventing nurses from making errors in care that can lead to malpractice suits D) Forming the ethical basis for nursing practice ANS: A PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 27. Which step of the nursing process identifies the success or failure of the plan of care

developed by a nurse?

A) Assessment B) Evaluation C) Analysis D) Implementation ANS: B PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Evaluation | Integrated Process: Evaluation | Client Need: Safe and Effective Care Environment 28. Which type of information obtained by a nurse during the assessment step in the nursing

process is considered subjective in nature?

A) Vital signs B) Laboratory test values C) Information from old hospital records D) Description of symptoms by the client ANS: D PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment 29. Identify the primary distinction between nursing diagnosis and medical diagnosis.

A) Nursing diagnosis is based on information gathered from the assessment of the

client.

B) Medical diagnosis identifies client care problems that affect the whole client.

C) Nursing diagnosis identifies client problems that nurses can treat independently.

D) Medical diagnosis is vague and confusing.

ANS: C

Chapter: Chp 25-TOP: Preparing for Functioning Effectively in a Disaster PTS: 1 DIF: Hard KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 30. How does a nurse best begin the planning step in the nursing process?

A) Formulate and establish goals or outcomes for the client.

B) Collect all the data available about the client’s condition.

C) Prioritize the steps of the nursing care to be provided.

D) Write down the nursing diagnosis.

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:22 GMT -05:00

https://www.coursehero.com/file/15253874/ch26/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano ANS: A PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 31. If all of these goals were appropriate for a client, which would have the highest priority?

A) Prevent injury from falls caused by confusion.

B) Re-establish the role as primary provider for the family.

C) Improve body image after leg amputation.

D) Control postoperative bleeding.

ANS: D PTS: 1 DIF: Hard TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Judgment | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement:

With the exception of the emphasis on , response to bioterrorist attacks is similar to the traditional public health response to naturally occurring outbreaks of communicable diseases.

ANS: early; detection PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Fill in the blanks with the correct word(s) to complete the following statement:

In a disaster situation, a nurse often functions as a assessing several victims and prioritizing care for the best use of resources.

,

ANS: triage; practitioner PTS: 1 DIF: Medium TOP: Preparing for Functioning Effectively in a Disaster KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:22 GMT -05:00

https://www.coursehero.com/file/15253874/ch26/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano

Chapter 27: Developments in Current Nursing Practice MULTIPLE CHOICE 1. In addition to role expectation, what other factor is used to identify forensic nursing?

A) Independence of practice B) Role setting C) Educational preparation D) Role interdependence ANS: B PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 2. Which element is usually excluded from forming the scientific knowledge base of forensic

nursing?

A) Criminal justice B) Police science C) Theological concepts D) Legal studies ANS: C PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 3. Identify a secured setting for the practice of forensic nursing.

A) Correctional institutions B) Crime scenes C) Women’s shelters D) Emergency rooms ANS: A PTS: 1 DIF: Easy TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 4. Which factor has served to limit the strategies for prevention of secondary victimization from

the health-care system?

A) The trend of treating violence as a major criminal justice and health problem B) The use of a health-oriented model for understanding victims C) The view that violence and victimization are only caused by criminals D) The focus on public education and early detection of victimization ANS: C PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 5. Which characteristics displayed by an inmate at a correctional facility would indicate

destructive or antisocial manipulation?

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:32 GMT -05:00

https://www.coursehero.com/file/15253870/ch27/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano A) Always considers the feelings of others.

B) Treats others as individuals.

C) Needs are fulfilled only after others’ needs have been considered.

D) Manipulation is the primary method used to have needs fulfilled.

ANS: D PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 6. What is the primary concern of all procedures and policies of correctional institutions?

A) Constitutional rights of the inmates B) What is best for the institution C) Rehabilitation of the inmates D) Inmates’ returns to society ANS: B PTS: 1 DIF: Easy TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 7. Why do forensic nurses practicing in an institutional setting commonly face basic value

conflicts?

A) Health care is the primary goal.

B) Inmates do not regard the nurse as an authority figure.

C) Resources for health-care services are severely limited.

D) The principles of security are often at odds with the principles of treatment.

ANS: D PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 8. Which ethical dilemma is a sexual assault nurse examiner (SANE) most likely to encounter

when working with rape victims?

A) The client’s right to beneficence and self-determination versus the nurse’s

obligation to protect the public B) The nurse’s obligation to veracity versus the client’s right to privacy C) Society’s right to public disclosure versus the perpetrator’s right to privacy D) The perpetrator’s right to a fair trial versus the victim’s right to justice ANS: A PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Synthesis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 9. Identify an important aspect of the role of forensic psychiatric nurses.

A) Conduct deep analyses of perpetrators to determine what caused the crime.

B) Provide intervention to prevent crimes before they occur.

C) Identify changes in behaviors linking criminals to criminal offenses.

D) Promote functional disabilities.

ANS: C

PTS: 1

DIF:

Easy

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:32 GMT -05:00

https://www.coursehero.com/file/15253870/ch27/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Comprehension | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 10. What is the most accurate description of clinical forensic nursing?

A) Management of crime victims from trauma to trial B) Collection of both physical and psychosocial evidence C) Provision of mental health treatment for victims D) Recognizing and guaranteeing the human rights of those who are incarcerated ANS: A PTS: 1 DIF: Easy TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Knowledge | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 11. Why is it important for nurses in general practice to have an awareness of forensic

knowledge?

A) They may one day wish to become certified in forensic nursing.

B) With the increasing involvement of nurses in malpractice suits, forensic knowledge will help them win their cases.

C) Nurses are often in positions to report crimes or preserve evidence.

D) Forensic knowledge is a part of nursing curricula and is necessary for passing the National Council Licensure Examination.

ANS: C PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Analysis | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 12. What is the primary goal of the nurse navigator role?

A) Elimination of the barriers to care to make moving through the treatment maze

easier B) Starting a business by combining nursing experience and knowledge with business knowledge C) Provide health care for inmates in correctional facilities such as juvenile centers, jails, and prisons D) Lower the risk factors that cause poor or adverse client outcomes ANS: A PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 13. What is the most important element for the nurse navigator to include in the planning of care

for a client?

A) The distance the client lives from the primary health-care facility B) The age difference between the client and the nurse C) The client’s perceptions and beliefs about the disease process and the modalities of treatment D) What type of insurance coverage the client has ANS: C

PTS: 1

DIF:

Medium

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:32 GMT -05:00

https://www.coursehero.com/file/15253870/ch27/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Evaluation | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 14. All of the following actions are appropriate for the nurse navigator to perform, except: A) Using an interprofessional approach to care by involving other members of the

health-care team B) Avoiding too frequent personal contacts to promote client independence and

participation in rehabilitation programs C) Accompanying the client to the office or clinic for follow-up visits D) Writing up a summary of the interaction with the care provider ANS: C PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment 15. Identify the primary change that increased the need for many more certified RN-coders and

certified RN-auditors.

A) The new regulations that came into effect with the Affordable Care Act B) The closing of many college programs that teach or offer degrees in health-care coding C) The development of new oversight procedures for Medicare and Medicaid D) The switch to the new ICD-10 coding system ANS: D PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 16. Why is there a current trend to switch from the traditional non-nurse coder to RN-coders?

A) Mistakes in coding were costing health-care facilities huge sums of money from

third-party payers.

B) Remembering all of the codes and the process for coding was too complicated for

individuals who did not have an educational background in health care.

C) Non-nurse coders did not comply with the coding requirements.

D) Non-nurse coders have much higher incidents of fraud and abuse of the system.

ANS: A PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment 17. According to the U.S. Bureau of Labor Statistics, what is the annual growth rate for the

position of RN-coder?

A) 10 percent B) 15 percent C) 20 percent D) 25 percent ANS: C PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:32 GMT -05:00

https://www.coursehero.com/file/15253870/ch27/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano 18. What is the primary element that distinguishes an RN client safety officer from a

quality control nurse?

A) The quality control nurse is responsible for all of the clients in the hospital, not just

a few.

B) The client safety officer plans and implements protocols and procedures to

eliminate health-care errors.

C) The quality control nurse focuses on carelessness and incompetence.

D) Client safety officers are required by the Joint Commission, but quality control

nurses are not a requirement for accreditation.

ANS: B PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Analysis | Client Need: Safe and Effective Care Environment MULTIPLE RESPONSE 1. Identify the most difficult tasks of the RN client safety officer.

A) Writing long and complicated reports for the accrediting agencies B) Dealing with the unexpected deaths of clients C) Attempting to establish a new culture of safety in which both individual health-care

providers and the organization as a whole see safety in all elements of care D) Passing the client safety officer certification examination to demonstrate that they are able to identify the causes of errors and how to eliminate them using evidencebased safety strategies ANS: B, C PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Problem Solving | Client Need: Safe and Effective Care Environment 2. Select all of the activities that would be appropriate for the client safety officer to routinely

perform.

A) Provide a more inclusive approach to safety.

B) Write-up and report adverse events.

C) Analyze trends for unsafe activities.

D) Correct nurses and other health-care workers when they commit errors.

E) Implement risk reduction activities.

F) Develop medication error reduction strategies.

ANS: A, B, C, D, F PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment 3. Select all of the categories that are appropriate for nurse entrepreneurs.

A) Nurse attorneys B) Nurse death investigators C) Nurse epidemiologists D) Psychiatric nurses E) School nurses

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:32 GMT -05:00

https://www.coursehero.com/file/15253870/ch27/

Test Bank for Nursing Now Today’s Issues, Tomorrows Trends 8th Edition Catalano F) Legal nurse consultants ANS: A, B, D, F PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Application | Integrated Process: Planning | Client Need: Safe and Effective Care Environment COMPLETION 1. Fill in the blank with the correct word(s) to complete the following statement:

Nurse case managers act as for clients and their families by coordinating care and linking the client with the physician, other members of the health-care team, resources, and the payer.

ANS: advocates PTS: 1 DIF: Medium TOP: Developments in Current Nursing Practice KEY: Cognitive Domain: Analysis | Integrated Process: Planning | Client Need: Safe and Effective Care Environment

This study source was downloaded by 100000761823232 from CourseHero.com on 04-19-2021 22:31:32 GMT -05:00

https://www.coursehero.com/file/15253870/ch27/