Foundations of Nursing Practice Exam Preparation Guide
Course Introduction
Foundations of Nursing Practice introduces students to the essential concepts, principles, and skills fundamental to the nursing profession. Emphasizing holistic, patient-centered care, this course covers the nursing process, ethical and legal responsibilities, communication techniques, and health assessment. Students will explore the roles and functions of nurses within diverse healthcare settings, focusing on safety, evidence-based practice, and cultural sensitivity. Through a combination of theoretical learning and practical experiences, students gain the foundational knowledge and basic clinical competencies necessary to provide safe, effective care across the lifespan.
Recommended Textbook
Professional Nursing Concepts Challenges 8th Edition by Beth Black
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16 Chapters
415 Verified Questions
415 Flashcards
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Page 2
Chapter 1: Nursing in Todays Evolving Health Care Environment
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Despite the variety of work settings available to the RN,data indicate that the primary work site for RNs is
A) ambulatory care settings.
B) community health settings.
C) long-term care facilities.
D) acute care hospitals.
Answer: D
Q2) Which of the following best describes trends in nursing education?
A) Numbers of RNs with bachelor's and higher degrees are increasing.
B) Numbers of RNs with associate degrees are decreasing.
C) Foreign-born nurses practicing in the United States are seen as less knowledgeable because of their lesser educational preparation.
D) Numbers of RNs with diploma educations are increasing.
Answer: A
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Chapter 2: The History and Social Contexts of Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Despite the caring efforts of early public health nurses in the Henry Street Settlement,racial disparity left many people underserved.Which of the following African-American public health nurses was instrumental in providing excellent nursing care to underserved families despite these social challenges?
A) Jessie Sleet Scales
B) Margaret Sanger
C) Lavinia Lloyd Dock
D) Anita M. McGee
Answer: A
Q2) What were some of the application requirements of nursing education programs in the 1900s?
A) Male, intelligent, strong
B) Female, sensitive, subservient
C) Female, docile, from poor background
D) Male, high breeding, independent
Answer: B
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Chapter 3: Nursings Pathway to Professionalism
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The process of professionalization of an occupation typically follows a pattern of developmental stages.One of the stages is collective identity.Which of the following is an example of collective identity?
A) Legal right to practice profession to protect unique skills from outsiders
B) Apprenticeship programs to develop skills
C) A loose association of practitioners
D) Definition of the profession's mission related to full-time work
Answer: A
Q2) A major challenge to full autonomy for nurses is/are
A) state nurse practice acts.
B) lobbyists for the American Medical Association (AMA) and hospital associations.
C) the status of nurses in hospital hierarchy.
D) the view of physicians as the gatekeepers in health care.
Answer: B
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Chapter 4: Nursing Education in an Evolving Health Care Environment
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) All levels of nursing educational programs can be accredited by which organization?
A) American Association of Colleges of Nursing (AACN)
B) Commission on Collegiate Nursing Education (CCNE)
C) Accreditation Commission for Education in Nursing (ACEN)
D) National League for Nursing Councils of Education Programs (NLNCEP)
Q2) Which of the following is the primary distinction between licensure and certification?
A) Certification is required to practice nursing.
B) Licensure is granted automatically on completion of an accredited nursing program.
C) Certification validates a high level of proficiency.
D) Licensure is voluntary.
Q3) Which of the following is a part of the history of doctoral education in nursing?
A) The nurse scientist program was discontinued after more universities began offering doctoral programs in nursing.
B) The first doctoral degree (PhD) was offered at the University of Pittsburgh.
C) The number of doctoral programs in nursing has doubled since 1990.
D) The largest numbers of doctoral programs are practice-focused.
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Chapter 5: Becoming a Professional Nurse: Defining Nursing and
Socialization Into Practice
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A mother asks the nurse if her 5-year-old can visit his twin brother in the PICU after cardiac surgery.The nurse denies the request because hospital policy states that children younger than 12 years of age are not allowed to visit the PICU but suggests that the mother visit with the child in the visitor's lounge and talk to him about what is happening with his brother.This illustrates which of Benner's stages of nursing proficiency?
A) Novice
B) Advanced beginner
C) Competent practitioner
D) Proficient practitioner
Q2) Which of the following is an example of Henderson's definition of nursing?
A) Performing a hearing screening in preschool children
B) Interacting with depressed men to learn new strategies for reducing their symptoms
C) Setting goals for weight loss with a patient
D) Teaching a person with frequent constipation about high-fiber foods
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Chapter 6: Legal Aspects of Professional Nursing Practice
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A competent resident in a long-term care facility refuses an ordered antidepressant medication.The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient.This illustrates negligence by failure to
A) follow the standard of care.
B) assess and monitor a patient.
C) communicate with a patient.
D) document.
Q2) Which of the following actions is acceptable as an exception to a nurse's obligation regarding confidentiality?
A) Reporting certain diseases to public health authority
B) Discussing a patient's care with someone who does not know the patient
C) Leaving printouts of lab reports on the desk in the physicians' lounge as a convenience
D) Discussing a patient's condition in a public place as long as the patient's name is not mentioned
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8
Chapter 7: Ethics: Basic Concepts for Professional Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse is involved in an ethically challenging case.To use an ethical decision-making model,which step should the nurse perform first?
A) Gather and examine all possible solutions.
B) Identify the ethical dilemma in the case.
C) Identify all parties who will be impacted by the decision.
D) Gather all information important to the situation
Q2) Which of the following is the best description of a code of ethics?
A) A document that describes the correct course of action and does not change regardless of societal changes
B) A document that all professions must have even if not representative of practice
C) A document that permits others to know what principles guide professional decision making
D) A document widely open to interpretation by professionals in various settings
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Chapter 8: Conceptual and Philosophical Foundations of Professional Nursing Practice
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse is assessing a patient's level of social support.How can the nurse best determine the adequacy of the patient's social support system?
A) Noticing the number of visitors the patient has
B) Asking for the patient's perception of support
C) Counting the number of community groups with which the patient is involved
D) Assessing the patient's family structure and roles
Q2) Which of the following describes one of the five levels of human needs identified by Maslow?
A) Equilibration
B) Love and belonging
C) Growth and development
D) Adaptation
Q3) An 18-month-old child has been in three foster homes within the past 9 months.When the child is seen for a well-child visit,the nurse notices the child vigilantly watches everyone.This child may not have which of Maslow's basic needs met?
A) Basic physiologic needs
B) Safety needs
C) Love and belonging needs
D) Self-actualization
Page 10
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Chapter 9: Nursing Theory: The Basis for Professional Nursing
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Peplau's theory focuses on the therapeutic relationship as the key to successful nursing intervention.Which of the following is correct about Peplau's theory?
A) It is a grand theory that demonstrates that defining nursing was more important than application to practice.
B) Her theory developed from her work with oncology patients.
C) The theory describes six key nursing roles that are flexibly used, depending on the practice setting.
D) Her theory describes nursing roles as mother, technician, salesman, scholar, and advocate.
Q2) A patient who had a broken neck in an automobile accident and was paralyzed,but eventually went back to college,obtained a law degree,and became a practicing lawyer could be said to be demonstrating
A) adaptation.
B) caring.
C) self-care.
D) homeostasis.
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11
Chapter 10: The Science of Nursing and Evidence-Based Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) What body has been established to protect participants of research?
A) Institutional review board
B) State board of nursing
C) Nursing research board
D) Peer review panel
Q2) Which research design has the goal of determining a cause-and-effect relationship?
A) Experimental design
B) Nonexperimental design
C) Pure research
D) Applied research
Q3) Which of the following is not a necessary step in the research process?
A) Review of the literature
B) Review of best practice guidelines
C) Design of the study
D) Dissemination of results
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Chapter 11: Developing Nursing Judgment Through Critical Thinking
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which of the following is an independent nursing intervention?
A) Teaching a patient with congestive heart failure to weigh herself daily
B) Recommending an extra dose of diuretic to the patient whose weight has increased 2 pounds overnight
C) Changing the first surgical dressing on a patient after surgery
D) Transferring a patient out of the intensive care unit 2 days after vascular surgery
Q2) In the nursing process,the evaluation phase is used to determine the A) value of the nursing intervention.
B) accuracy of problem identification.
C) the quality of the plan of care.
D) degree of outcome achievement.
Q3) A nurse is admitting a non-English speaking patient to the hospital unit.Which is the best method of obtaining data from the patient?
A) Asking the other family members to help interpret
B) Performing a physical examination on the patient
C) Interviewing the patient using a professional interpreter
D) Attempting to obtain past medical records for this patient
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Page 13
Chapter 12: Communication and Collaboration in Professional Nursing Practice
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) The nurse says to a newly diagnosed diabetic patient,"I will be working with you during your 3-day stay to help you practice insulin injections and to review your new diet.I'm wondering if we could find a time of day to begin the teaching sessions that is good for us." This conversation would occur in which phase of the nurse-patient relationship?
A) Acquaintance phase
B) Orientation phase
C) Working phase
D) Termination phase
Q2) A new mother says to the nurse,"It really hurts me to breastfeed.I think I should wean my baby." The nurse responds,"If I understand you,it hurts when you breastfeed.Tell me how and when it hurts." This response best represents which criterion of successful communication?
A) Appropriateness
B) Efficiency
C) Feedback
D) Flexibility
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14
Chapter 13: Nurses,patients Families: Caring at the
Intersection of Health,Illness Culture
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A patient states,"I am so upset that I need a knee replacement.I should have done those exercises that the physical therapist told me to do years ago." In which stage of illness is the patient?
A) Disbelief and denial
B) Irritability and anger
C) Attempting to gain control
D) Depression and despair
Q2) A patient states,"I have knowledge about my diet and how to do my insulin injections,so I can get on with my life." In which stage of illness is this patient?
A) Disbelief and denial
B) Irritability and anger
C) Attempting to gain control
D) Acceptance and participation
Q3) Which statement about acute illness is true?
A) Most people with acute illness develop chronic illness.
B) Most people with acute illness return to their previous level of wellness.
C) All people with an acute illness need medical care.
D) Acute illnesses are usually catastrophic in nature.
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Chapter 14: Health Care in the United States
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A nurse caring for a preoperative patient is told by the patient,"The doctor just had me sign a paper.I wish I knew what it was all about." The nurse goes to report this to the physician.The nursing role adopted by the nurse is
A) provider of care.
B) counselor.
C) change agent.
D) patient advocate.
Q2) Which of the following is an example of diagnosis and treatment?
A) Attending smoking cessation classes
B) Computerized tomography (CT) scan to rule out gallbladder inflammation
C) Screening in the workplace for tuberculosis
D) Prenatal classes
Q3) An impact of health care cost-containment measures on nursing has been
A) adding more registered nurses to the skill mix of the nursing team.
B) the concern about the assurance of quality care.
C) large annual salary increases for nurses.
D) development of standards of nursing practice
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Chapter 15: Political Activism in Nursing: Communities,
Organizations, Government
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A nurse is contemplating a political leadership position and wonders if she/he has the desired characteristics to make a good leader.Which of the following traits is inconsistent with a good leader?
A) Has a developed sense of systems thinking
B) Solves problems methodically using a strict model
C) Holds high moral and ethical standards
D) Adapts quickly to new situations
Q2) A nurse has applied for a job and during the interview was told that the health care facility is a "closed shop." What does that phrase mean to the nurse?
A) The nurse must join a union to be employed there.
B) The nurse can join the union if desired, but it is not required.
C) This facility is closed to all union activities.
D) The facility is negotiating with several unions for control of the employees.
Q3) The American Nurses Association (ANA)serves as the
A) clearinghouse of standards set by clinical specialty organizations.
B) regulatory agency setting the guidelines for the scope of practice.
C) source of dissemination of nursing research.
D) professional organization for all nurses regardless of practice setting or level of practice.
Page 17
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Chapter 16: Caring for Self, Caring Globally:
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following are including in the basic beliefs set forth in the ANA's Nursing's Agenda for the Future?
A) Health care is a basic human right.
B) Health policies should be based on outcomes research.
C) Government should be the only health care insurer.
D) Health care should provide more balance by including preventive and community care.
E) All people should have access to an all-inclusive package of health care.
Q2) A new manager is hired and is reviewing unit records.The manager finds a list of accidents,errors,and interpersonal problems on the staff.Which action by the manager is best?
A) Investigating the educational credentials and experience of the staff
B) Hiring more registered nurses and assistive personnel
C) Comparing this unit's records with similar units in the hospital
D) Researching alternative staffing patterns and the effects of shift work
Q3) Approximately what percentage of today's nurses belong to the ANA?
A) 10%
B) 20%
C) 25%
D) 30%
Page 18
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