Introduction to Nursing Practice
Final Exam Questions
Course Introduction
Introduction to Nursing Practice provides students with foundational knowledge and skills essential for entry-level nursing. The course covers fundamental nursing concepts, basic clinical skills, ethical and legal considerations, infection control, patient safety, and effective communication within healthcare settings. Students will engage in classroom learning and hands-on practice to develop clinical reasoning, teamwork, and a patient-centered approach to care. Emphasis is placed on the nursing process, health assessment, and the roles and responsibilities of professional nurses in diverse healthcare environments.
Recommended Textbook
Fundamentals of Nursing Two Volume Set 3rd Edition by Judith M. Wilkinson
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46 Chapters
1461 Verified Questions
1461 Flashcards
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Chapter 1: Evolution of Nursing Thought Action
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37 Verified Questions
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Sample Questions
Q1) The nursing staff on the surgical unit complains to the manager that they do not have enough time to complete all wound care and dressing changes.What is the manager's most appropriate action to take?
A) Decrease the patient-to-nurse ratio within budget limits
B) Offer an in-service session on time-management strategies
C) Suggest a continuing quality improvement committee to assess the issue
D) Report the complaints to the director of nurses at the next management meeting
Answer: C
Q2) Which of the following is an example of a complementary and alternative form of treatment or medicine?
A) Herbal medicines
B) Sterile dressing changes
C) Pain medications
D) Influenza (flu) vaccine
Answer: A
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Chapter 2: Critical Thinking: Nursing Process
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Sample Questions
Q1) A few nurses on a unit have proposed to the nurse manager that the process for documenting care on the unit be changed.They have described a completely new system.Why is it important for the nurse manager to have a critical attitude? It will help the manager to:
A) Consider all the possible advantages and disadvantages
B) Maintain an open mind about the proposed change
C) Apply the Nursing Process to the situation
D) Make a decision based on past experience with documentation
Answer: B
Q2) It is important for nurses to be critical thinkers because:
A) All clients are unique and have individual needs and differences
B) All nursing actions are based on theoretical knowledge
C) Nurses choose their actions primarily by following professional guidelines
D) Nurses provide care based on individual client preferences
Answer: A
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4
Chapter 3: Nursing Process: Assessment
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A nursing instructor asked his nursing students to discuss their experiences with charting assessment data.Which comment by the student indicates the need for further teaching?
A) "I find it difficult to avoid using phrases like 'the patient tolerated the procedure well.'"
B) "It's confusing to have to remember which abbreviations this hospital allows."
C) "I need to work on charting assessments and interventions right after they are done."
D) "My patient was really quiet and didn't say much, so I charted that he acted depressed."
Answer: D
Q2) Why is it important to obtain information about nutritional and herbal supplements as well as about complementary and alternative therapies?
A) To determine what type of therapies are acceptable to the client
B) To identify whether the client has a nutrition deficiency
C) To help you to understand cultural and spiritual beliefs
D) To identify potential interaction with prescribed medication and therapies
Answer: D
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Chapter 4: Nursing Process: Diagnosis
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Sample Questions
Q1) Which of the following describes the most important use of making a nursing diagnosis? Assume all are true.
A) Differentiates the nurse's role from that of the physician
B) Identifies a body of knowledge unique to nursing
C) Helps nursing develop a more professional image
D) Describes the client's needs for nursing care
Q2) The nurse documents in the progress notes: "Admitted to emergency department accompanied by wife.Patient is alert and oriented,blood pressure is 120/80 mm Hg,and pulse is 80 beats/min.The patient is anxious.He becomes nervous and when asked about his smoking history." Which statement from the nurse's note is the best example of an inference?
A) Blood pressure reading 120/80 mm Hg
B) Patient is accompanied by wife.
C) Patient has a history of smoking.
D) The patient is anxious.
Q3) Which of the following is the best example of a nursing diagnosis statement?
A) Pain related to appendicitis
B) Fractured left leg related to impaired mobility
C) Impaired mobility related to fractured left leg
D) Acute pain related to out of bed activities
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Chapter 5: Nursing Process: Planning Outcomes
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Sample Questions
Q1) How are critical pathways and standardized nursing care plans similar? Both:
A) Specify daily, or even hourly, outcomes and interventions
B) Prescribe minimal care needed to meet recommended lengths of stay
C) Describe care common to all patients with a certain condition or situation
D) Emphasize medical problems and interventions
Q2) The nursing diagnosis is: Impaired Memory related to fluid and electrolyte imbalances AMB inability to Knowledge recent events.Which of the following goals/outcomes must be included on the care plan?
A) Checks current medications for mind-altering side effects
B) Demonstrates use of techniques to help with memory loss
C) Drinks at least 1,500 mL of fluid per day
D) Takes electrolyte supplements with meals
Q3) The nurse is planning care for a patient.She is using a standardized care plan for Impaired Walking related to left-side weakness.Which of the following activities will the nurse perform when individualizing the plan for the patient?
A) Validating conflicting data with the patient
B) Transcribing medical orders
C) Stating the frequency for ambulation
D) Performing a comprehensive assessment
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Page 7
Chapter 6: Nursing Process: Planning Interventions
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Sample Questions
Q1) The nurse has completed the plan of care for her patient with a medical diagnosis of Gall Bladder Disease.In selecting nursing interventions that will best serve to help the patient achieve the desired goals,the nurse will consider which of the following? Select all that apply.
A) Age of the patient
B) Patient abilities and preferences
C) Education levels of the nursing staff
D) Medical orders
E) None of the above
Q2) Which of the following is the best example of a well-written nursing order?
A) Administer pain medication 30 minutes prior to physical therapy exercises.
B) Teach patient how to give insulin injections prior to discharge.
C) The nurse will assess vital signs and report changes as needed.
D) Consider patient and family cultural preferences in diet order.
Q3) Which of the following is the best example of a well-written nursing order?
A) Provide emotional support to patient and family as needed.
B) Bathe patient every day.
C) Follow fluid restriction of 1,500 mL per day.
D) Insert Foley catheter if patient has not voided within 8 hours.
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Page 8
Chapter 7: Nursing Process: Implementation Evaluation
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Sample Questions
Q1) The nurse and nursing assistive personnel (NAP)are caring for a group of patients on the medical-surgical floor.For which of the following patients can the nurse delegate to the NAP the task of bathing? Select all that apply.
A) 75-year-old patient newly admitted with dehydration
B) 65-year-old patient hospitalized for a stroke, whose blood pressure reading is 189/90 mm Hg
C) 92-year-old patient with stable vital signs who was admitted with a urinary tract infection
D) 56-year-old patient with chronic renal failure who has vital signs within his normal range
Q2) Who is responsible for evaluating the outcome of a task delegated to the nursing assistive personnel (NAP)?
A) Nurse who delegated the task
B) LPN working with the NAP
C) Unit nurse manager
D) Charge nurse for the shift
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9
Chapter 8: Evidence-Based Practice: Theory Research
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Sample Questions
Q1) Which theorist developed the nursing theory known as the Science of Human Caring?
A) Florence Nightingale
B) Patricia Benner
C) Jean Watson
D) Nola Pender
Q2) The nurse and other hospital personnel strive to keep the patient care area clean.This most directly illustrates the ideas of which nursing theorist?
A) Virginia Henderson
B) Imogene Rigdon
C) Katherine Kolcaba
D) Florence Nightingale
Q3) In his later work,Maslow identified growth needs that must be met before reaching self-actualization.These needs include:
A) Cognitive and aesthetic needs
B) Love and belonging needs
C) Safety and security needs
D) Physiological and self-esteem needs
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Chapter 9: Life Span: Infancy Through Middle Adulthood
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Sample Questions
Q1) The nurse teaches a mother of a preschool-age child about expected development.Which comment by the parent indicates she understands the information?
A) "She understands that the monsters in books are not real."
B) "When I mention her birthday is in a week, she understands."
C) "I am saving to buy her the roller skates she's been asking for."
D) "I can't expect her to understand when a friend doesn't agree with her."
Q2) The parents of an adolescent client ask about strategies that can be used to aid in obesity prevention.Which strategies should the nurse present to them? Select all that apply.
A) Maintain a well balanced diet but eat smaller portions.
B) Teach the adolescent how to healthier snacks.
C) Do not eat fast foods or drink sodas.
D) Try to have 30 minutes of outdoor activity every day.
E) Follow a popular diet trend (e.g., low-carbohydrate diet).
Q3) Which behavior by the mother is most likely to help the infant to develop trust?
A) Talking to the infant
B) Breastfeeding instead of bottle feeding
C) Promptly responding to the infant's crying
D) Having the infant sleep in the same room with the parent
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Page 11
Chapter 10: Life Span: Older Adults
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Sample Questions
Q1) The nurse is preparing to teach an older adult woman strategies to reduce the risk of osteoporosis.What will the nurse include as part of her teaching plan? Select all that apply.
A) Begin a daily walking plan
B) Begin to take supplemental hormones
C) Avoid cigarette smoking
D) Increase calcium in the diet
Q2) The nurse suspects that an older adult patient may have difficulty hearing.What strategies will the nurse use in communicating with this patient until he is certain that there is hearing loss? Select all that apply.
A) Look directly at the patient when speaking
B) Speak more slowly than usual
C) Speak loudly toward the patient's ears
D) Allow some extra time for the patient to respond
Q3) Which of the following is the most common major challenge for older adults?
A) Dealing with the needs of their children
B) Chronic health problems leading to the loss of independence
C) Loss of the ability to reminisce about the past
D) Decline of intellectual abilities
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Page 12
Chapter 11: Experiencing Health Illness
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Sample Questions
Q1) A 76-year-old patient is admitted with an acute myocardial infarction (heart attack).The doctor tells the patient that an angioplasty is necessary.The patient agrees and signs the informed consent.This patient is experiencing which stage of illness behavior?
A) Sick-role behavior
B) Seeking professional care
C) Experiencing symptoms
D) Dependence on others
Q2) Living in a healthy family is an important dimension of wellness.Which of the following most accurately describes a characteristic of healthy families?
A) A family in which individual members live a health-promoting lifestyle
B) A family that responds to its members' needs only during serious illness
C) A family that sometimes avoids or withholds the truth for fear of hurting someone's feelings
D) A family that understands that a family member is powerless when experiencing severe illness
Q3) Health is defined as the absence of illness related to mind,body,and spirit.
A)True
B)False
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Page 13
Chapter 12: Stress Adaptation
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Sample Questions
Q1) An 18-year-old female has just been accepted to nursing school in another state.She says to her parents,"I know I am going away to college,but I am nervous about going." What type of stressor is this student most likely experiencing?
A) External
B) Developmental
C) Situational
D) Biophysical
Q2) After sustaining injuries in a motor vehicle accident,a patient experiences a decrease in blood pressure and an increase in heart rate and respiratory rate despite surgical intervention and fluid resuscitation.Which stage of the general adaptation syndrome is the patient most likely experiencing?
A) Alarm
B) Resistance
C) Exhaustion
D) Recovery
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Chapter 13: Psychosocial Health Illness
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Sample Questions
Q1) The nurse is assessing a patient admitted with a newly diagnosed bleeding duodenal ulcer.He is exhibiting physiological signs of anxiety and seems to have difficulty concentrating.During the interview,the patient tells the nurse that he is often "short of breath" and says,"I lie awake nights worrying about everything." He has been unable to work or care for his family for the past 6 months.What is the nurse's priority after documenting this information in the nurses' notes?
A) Provide emotional support for the patient using reflective listening technique.
B) Do nothing; people with duodenal ulcers typically cannot work.
C) Question the patient's family about the information received from the patient.
D) Notify the primary care provider and ask for a referral to a mental health professional.
Q2) Which of the following explanations by the nurse would be the best description of personal identity?
A) A continually evolving sense of individuality and uniqueness
B) The same as demographic data
C) A person's genetic and cultural heritage
D) Individual information guarded to avoid identity theft
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Chapter 14: The Family
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Sample Questions
Q1) For which patient in the emergency room is it most important that the nurse conduct a thorough assessment for abuse and neglect?
A) 6-year-old African American male with complaints of abdominal pain
B) 2-year-old Caucasian male with injuries from a fall
C) 7-year-old Caucasian female with a broken arm from a motor vehicle accident
D) 4-year-old Hispanic female who complains of an earache.
Q2) The nurse has scheduled a meeting with a family to assess and assist with improving the family's communication patterns.What is of primary importance for the nurse to focus on during the assessment?
A) Identifying how family decisions are made
B) Documenting the number of family members attending the meeting
C) Assessing for the most frequently used means of communication between family members
D) Making careful observations of body language and nonverbal expressions during the meeting
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16
Chapter 15: Culture Ethnicity
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Sample Questions
Q1) The nurse is caring for a Native American in a rural rehabilitation facility.The nurse notices that the patient has eaten very little since his admission 10 days ago.When she asks the patient about his eating,he states,"I can't eat any of this food.It just isn't what I eat at home and we don't prepare our foods this way." The nurse explains that the patient is on a very specific cardiac diet as a result of his heart attack and that he has lost 7 pounds since admission.Based on this scenario,what is/are the most appropriate nursing diagnosis(es)for this patient? Select all that apply.
A) Noncompliance related to difficulty adhering to the medical regimen
B) Possible Knowledge deficit related to disease process
C) Imbalanced nutrition: less than body requirement related to cultural dietary practices
D) Decreased appetite related to anxiety secondary having a heart attack
Q2) The nurse is caring for a patient who emigrated from Puerto Rico.She can best care for this patient by learning about the:
A) Practices of the patient's ethnic group
B) Patient's individual cultural beliefs
C) Values of her own culture
D) Spanish-speaking community
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Page 17
Chapter 16: Spirituality
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Sample Questions
Q1) Over the past few centuries,nurses have placed less attention on spiritual care primarily because:
A) Nurses providing care are less religious and spiritual now
B) Spirituality and religion are unproven with regard to influencing health
C) Greater emphasis has been placed on science and scientific evidence
D) Nurses are uncomfortable when discussing spiritual aspects of care
Q2) What are some activities nurses can do to gain a broader view of spirituality? Select all that apply.
A) Develop critical and reflective thinking abilities
B) Participate in religious and spiritual practices regularly
C) Increase knowledge base of religion and spirituality
D) Recognize that all spirituality is deeply ingrained in religion
Q3) Which type of medicine do those of the Hindu faith typically practice?
A) Ayurvedic medicine
B) Western medicine
C) Chiropractic medicine
D) Tribal medicine
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Chapter 17: Loss,Grief, Dying
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Sample Questions
Q1) To be eligible for insurance benefits covering hospice care,a physician must certify that which of the following apply to the patient? Choose all that apply.
A) Life expectancy is not more than 6 months.
B) Life expectancy is not more than 12 months.
C) Condition is expected to improve slightly.
D) Condition is not expected to improve.
Q2) During a health history,a patient whose wife died unexpectedly 6 months ago in a motor vehicle accident admits that he drinks at least six bourbon and waters every night before going to bed.Which type of grief does this best illustrate?
A) Delayed
B) Chronic
C) Disenfranchised
D) Masked
Q3) Which dysrhythmia confirms death?
A) Asystole (absence of heart activity)
B) Pulseless electrical activity
C) Ventricular fibrillation
D) Ventricular tachycardia
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Chapter 18: Documenting Reporting
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Sample Questions
Q1) At the end of a 12-hour shift,the nurse gives a verbal report to the oncoming nurse.This face-to-face reporting,using the acronym "CUBAN," does which of the following?
A) Ensures that the nurse is able to finish the shift as quickly as possible
B) Provides a guide for the nurse's report to the oncoming nurse
C) Requires the nurses to engage in walking rounds for the report
D) Provides a detailed cultural report for Latino patients
Q2) Knowing that discharge summary information is integral to the client's ongoing care,which of the point(s)regarding discharge summaries must the nurse be aware?
Select all that apply.
A) The discharge summary is important because many clients require follow-up care.
B) A complete discharge summary is a guide for healthcare professionals in the community.
C) The nurse can give a verbal transfer report, which is the same as a discharge summary.
D) The discharge summary is the final note in the client's health record
E) A complete discharge summary must be handwritten using the narrative note format.
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Chapter 19: Teaching Learning
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Sample Questions
Q1) Assume all of the following written instructions about digoxin provide correct information for patient care.Which one is best worded for patient understanding?
A) Obtain your radial pulse every morning before taking your digoxin dose.
B) Return to your healthcare provider for monthly laboratory studies of your digoxin levels.
C) Call your provider if you notice that objects look yellow or green.
D) Always take the same brand of medication because certain brands may not be interchangeable.
Q2) The nurse manager is devising a teaching schedule for the staff who are about to begin using a new type of patient bed in the ICU.Implementation is planned in 6 weeks.When is the best time for the manager to schedule the teaching sessions?
A) Immediately
B) One week before implementation
C) Two weeks before implementation
D) Four weeks before implementation
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21
Chapter 20: Measuring Vital Signs
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Sample Questions
Q1) The client has an order for the drug digitalis,which has the effect of decreasing the heart rate.Which site should the nurse use to obtain a pulse rate prior to administering the medication?
A) Radial
B) Temporal
C) Apical
D) Brachial
Q2) Comparing the changes in vital signs as a person ages,which statement(s)is/are correct? Select all that apply.
A) Blood pressure decreases, but less than heart rate and respiratory rate.
B) Respiratory rate remains fairly stable throughout a person's life.
C) Blood pressure increases; heart rate and respiratory rate decline.
D) Men have higher blood pressure than women until after menopause.
Q3) The nurse is obtaining vital signs on a newborn infant and notes respirations at 56 breaths/min.What is the most appropriate action by the nurse?
A) Apply oxygen immediately.
B) Document the finding and continue the assessment.
C) Contact the obstetrician for orders.
D) Compare the finding with other infants in the nursery.
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Page 22
Chapter 21: Communication Therapeutic Relationships
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Sample Questions
Q1) After a physician discusses cancer treatment options with a patient,the patient asks the nurse which treatment he should choose.Which response by the nurse is best?
A) "If I were you, I'd go with chemotherapy."
B) "What do you think about radiation therapy?"
C) "Why don't you see what your wife thinks?"
D) "I'll give you some information about each option."
Q2) Which of the following is a nonverbal behavior that enhances communication?
A) Keeping a neutral expression on the face
B) Maintaining a distance of 6 to 12 inches
C) Sitting down to speak with the patient
D) Asking mostly open-ended questions
Q3) Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?
A) Small group
B) Interpersonal
C) Group
D) Intrapersonal
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23
Chapter 22: Health Assessment
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Sample Questions
Q1) A 6-week-old infant is brought to the pediatrician's office for a well-baby checkup.The nurse notes a flattening of the skull.Flattening of the skull in the infant might suggest:
A) The baby has been lying in the same position for several hours a day
B) A disorder associated with excessive growth hormone
C) An accumulation of excessive cerebrospinal fluid
D) Temporomandibular joint syndrome
Q2) When performing a skin assessment,the nurse notices a mole on the patient's upper back.What are the appropriate actions by the nurse in further investigation of the mole?
Select all that apply.
A) Ask the patient about any new moles or changes in moles.
B) Do not alarm the patient by asking questions about the mole.
C) Measure the mole's diameter and elevation.
D) Assess for any exudate on or around the mole.
Q3) Which assessment question helps assess immediate memory?
A) "How did you get to the hospital today?"
B) "Can you repeat the numbers 2, 7, 9 for me?"
C) "Do you Knowledge the three items I mentioned earlier?"
D) "What was your birth date including the year?"
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Page 24
Chapter 23: Promoting Asepsis Preventing Infection
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Sample Questions
Q1) The nurse caring for several patients on the intermediate care unit considers which of the following patients to be most at risk for developing an infection? A patient with a/an:
A) Centrally venous catheter
B) Indwelling urinary catheter
C) Colostomy
D) Nasoenteric feeding tube
Q2) While donning sterile gloves,the nurse notices the edges of the glove package are slightly yellow.The yellow area is more than 1 inch away from the gloves and only appears to be on the outside of the glove package.What is the best action for the nurse to take at this point?
A) Continue using the gloves inside the package because the package is intact.
B) Remove gloves from the sterile field and use a new pair of sterile gloves.
C) Throw all supplies away that were to be used and begin again.
D) Use the gloves and make sure the yellow edges of the package do not touch the client.
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Chapter 24: Promoting Safety
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Q1) The community health nurse is preparing a teaching plan on motor vehicle accidents.What information will the nurse include in the plan? Select all that apply.
A) The risk of being injured or killed in a car crash increases for older adult drivers.
B) Young children should be placed in the front seat of a motor vehicle so the driver can watch them.
C) Air bags have no effect on injury or death related to motor vehicle accidents.
D) Cell phone use while driving is directly correlated with an increase in motor vehicle accidents.
Q2) While teaching a session at the local library,the nurse emphasizes that according to the National Weather Service,which of the following is the leading cause of weather-related fatalities?
A) Floods
B) Lightning strikes
C) Hurricanes
D) Tornadoes
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Chapter 25: Facilitating Hygiene
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Sample Questions
Q1) After receiving a course of chemotherapy,a patient begins losing hair.This adverse effect of chemotherapy should be documented as:
A) Pediculosis
B) Alopecia
C) Dandruff
D) Hirsutism
Q2) A patient with diarrhea is incontinent of liquid stool.The nurse documents that he now has excoriated skin on his buttocks.Which finding by the nurse led to this documentation?
A) Skin was softened from prolonged exposure to moisture.
B) Superficial layers of skin were absent.
C) Epidermal layer of skin was rubbed away.
D) Lesion caused by tissue compression was present.
Q3) For which patient is it most important to provide frequent perineal care? The patient:
A) With active lower gastrointestinal bleeding
B) Who has had an episode of diabetic ketoacidosis
C) Who has a circumcised penis
D) With a history of acute asthma
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Chapter 26: Administering Medications
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Q1) The primary care provider orders peak and trough levels for a patient who is receiving intravenous vancomycin every 12 hours.When should the nurse obtain a blood specimen to measure the trough?
A) With the morning routine laboratory studies
B) Approximately 30 minutes before the next dose
C) Two hours after the next dose infuses
D) While the drug is infusing
Q2) The physician prescribes warfarin 5 mg orally at 1800 for a patient.After administering the medication,the nurse realizes that she administered a 10 mg tablet instead of the prescribed 5 mg PO.Which of the following actions by the nurse is appropriate?
A) No action is necessary because an extra 5 mg of warfarin is not harmful.
B) Call the prescriber and ask her to change the order to 10 mg.
C) Document on the chart that the drug was given and indicate the drug was given in error.
D) Complete an incident report according to the facility's policy.
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Chapter 27: Nutrition
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Sample Questions
Q1) Which portion of a nutritional assessment must the registered nurse complete?
A) Analyzing the data
B) Obtaining intake and output
C) Weighing the patient
D) Obtaining the history
Q2) Which instructions should the nurse give to the patient complaining of constipation?
Select all that apply.
A) Drink at least eight glasses of water or fluid per day.
B) Include a minimum of four servings of meat per day.
C) Gradually increase your fiber intake to 25 grams per day.
D) Exercise at least 60 minutes per day as you feel necessary.
E) Use the restroom when you feel the urge to defecate.
Q3) A patient is brought to the emergency department experiencing leg cramps.He is irritable,his temperature is elevated,and his mucous membranes are dry.Based on these findings,the patient most likely has excess levels of which mineral?
A) Sodium
B) Potassium
C) Phosphorus
D) Magnesium
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Page 29
Chapter 28: Urinary Elimination
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Source URL: https://quizplus.com/quiz/47149
Sample Questions
Q1) The nurse is caring for a patient who underwent a bowel resection 2 hours ago.His urine output for the past 2 hours totals 50 mL.Which action should the nurse take?
A) Do nothing; this is normal postoperative urine output.
B) Increase the infusion rate of the patient's IV fluids.
C) Notify the provider about the patient's oliguria.
D) Administer the patient's routine diuretic dose early.
Q2) A patient complains that she passes urine whenever she sneezes or coughs.How should the nurse document this complaint in the patient's healthcare record?
A) Transient incontinence
B) Overflow incontinence
C) Urge incontinence
D) Stress incontinence
Q3) Which urinary system structure is considered the functional unit responsible for filtration and water absorption?
A) Collecting duct
B) Ureter
C) Nephron
D) Tubular system
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Chapter 29: Bowel Elimination
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/47150
Sample Questions
Q1) The nurse is instructing a patient about performing home testing for fecal occult blood.The nurse should explain that ingestion of which substance may cause a false-negative fecal occult blood test?
A) Vitamin D
B) Iron
C) Vitamin C
D) Thiamine
Q2) Which of the following populations are considered high risk for the development of hemorrhoids? Select all that apply.
A) Pregnant women
B) School bus drivers
C) Marathon runners
D) Intensive care unit nurses
Q3) A patient is diagnosed with an intestinal infection after traveling abroad.The nurse should encourage the intake of which food to promote healing?
A) Yogurt
B) Pasta
C) Oatmeal
D) Broccoli
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Page 31
Chapter 30: Sensation,Perception, Cognition
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39 Flashcards
Source URL: https://quizplus.com/quiz/47151
Sample Questions
Q1) The nurse is assessing an elderly male in the nursing home.What question will the nurse ask this patient to best assess his level of orientation?
A) "Will you please repeat these three words for me: glasses, rocket, truck?"
B) "Can you tell me the date of your retirement from your workplace?"
C) "What is your name and today's date? Can you tell me where you are?"
D) "What did you eat for breakfast this morning?"
Q2) Which actions can the nurse take to prevent sensory overload? Select all that apply.
A) Leave the television on low volume to block out other noises.
B) Minimize ambient light in the patient's room.
C) Plan care to provide periods of sleep.
D) Speak with a moderate tone of voice.
E) Restrict caffeine intake during hospitalization.
Q3) Which intervention is appropriate for the patient with a nursing diagnosis of Disturbed Sensory Perception: Gustatory?
A) Limit oral hygiene to one time a day.
B) Teach the patient to combine foods in each bite.
C) Assess for sores or open areas in the mouth.
D) Instruct the patient to avoid salt substitutes.
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Chapter 31: Pain
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Sample Questions
Q1) The nurse conducting a pain assessment for a patient would recognize deep somatic pain as which of the following?
A) Achy
B) Superficial
C) Radiating
D) Crampy
Q2) What is the primary reason the nurse incorporates pain assessment as a part of vital signs measurement?
A) Asking about pain may prompt patients to report pain more readily.
B) Frequent pain assessment is required by the state's nurse practice act.
C) Pain is a vital sign much like blood pressure and heart rate.
D) Pain assessment indicates the nurse cares about the patient.
Q3) The nurse is caring for a patient with chronic low back pain.The patient reports taking 800 mg of ibuprofen tid for the past 12 years.For this patient,which lab result is most important for the nurse to review?
A) WBC with differential
B) Serum sodium, potassium, chloride, and CO<sub>2</sub>
C) Hemoglobin and hematocrit
D) Platelet count
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Page 33
Chapter 32: Physical Activity Mobility
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Sample Questions
Q1) A nurse is assessing a healthy,older adult patient for an exercise program to be offered at the local hospital.During the evaluation,the nurse notes the following vital signs: P = 72,RR = 16,BP = 132/70.After 3 minutes of moderate-intensity running on the treadmill,the patient becomes short of breath and states,"I have to stop.I can't do this anymore." The nurse measures his vital signs again: P = 152,RR = 40,BP = 172/98.She instructs him to rest.Vital signs return to baseline after 15 minutes.The nurse should recognize his symptoms as associated with which of the following?
A) Anxiety
B) Orthostatic hypotension
C) Limited activity tolerance
D) Respiratory distress
Q2) What action is most important in limiting the nurse's risk of back injuries?
A) Use good body mechanics at all times.
B) Work with another nurse or an aide when lifting and turning patients.
C) Avoid manual lifting by using assistive devices as often as possible.
D) Develop a lift team at the clinical site.
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Chapter 33: Sexual Health
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33 Flashcards
Source URL: https://quizplus.com/quiz/47154
Sample Questions
Q1) When evaluating the treatment plan for a patient with erectile dysfunction (ED),you would deem the treatment successful if the patient made the following statement:
A) "I feel very good about the treatment; I am now comfortable with my sexual orientation."
B) "I am happy with the treatment as I can now maintain an erection through orgasm."
C) "Now I can communicate my sexual needs to my partner without embarrassment."
D) "I now know how to prevent further sexually transmitted infections."
Q2) Which of the following are considered sexual response cycle disorders? Select all that apply.
A) Arousal disorder
B) Date rape
C) Orgasmic disorder
D) Low libido
Q3) Which statement below is a myth regarding sexuality and bodily functions?
A) Douching after intercourse does not prevent pregnancy.
B) Wearing a condom during intercourse does not prevent pregnancy.
C) Celibacy is 100% effective in the prevention of pregnancy.
D) Antibiotics can cure all types of sexually transmitted infections.
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Chapter 34: Sleep and Rest
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Sample Questions
Q1) Which is a major factor regulating sleep?
A) Electrical impulses transmitted to the cerebellum
B) Level of sympathetic nervous system stimulation
C) Amount of sleep a person has become accustomed to
D) Amount of light received through the eyes
Q2) The expected outcome (goal)for a patient with Disturbed Sleep Pattern is that she will:
A) Limit exercise to 1 hour per day early in the day.
B) Consume only one caffeinated beverage per day.
C) Demonstrate effective guided imagery to aid relaxation.
D) Verbalize that she is sleeping better and feels less fatigued.
Q3) The primary focus of your interventions for a 6-year-old child who sleepwalks would be to:
A) Maintain patient safety during episodes of somnambulation.
B) Administer and teach about medications to suppress stage III sleep.
C) Encourage the child to verbalize feelings regarding sleep pattern.
D) Provide a quiet environment for nighttime sleep.
Q4) ____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.
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Chapter 35: Skin Integrity-Wound Healing
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48 Flashcards
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Sample Questions
Q1) The nurse in the emergency department admits a patient with a gunshot wound to the lower abdomen accompanied by heavy bleeding.What type of drainage does the nurse expect to see on the dressing?
A) Serous
B) Sanguineous
C) Purosanguineous
D) Purulent
Q2) Why is an accurate description of the location of a wound important? Select all that apply.
A) Influences the rate of healing
B) Determines the appropriate treatment choice
C) Will affect the frequency of dressing changes
D) Affects patient movement and mobility
Q3) Pressure ulcers are directly caused by which of the following conditions at the site?
A) Compromised blood flow
B) Edema
C) Shearing forces
D) Inadequate venous return
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Chapter 36: Oxygenation
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Sample Questions
Q1) The nurse is caring for a patient admitted with a diagnosis of muscular dystrophy resulting in inadequate muscle strength to draw enough air into the lungs.What nursing diagnosis would be most appropriate for this patient?
A) Ineffective Breathing Pattern
B) Ineffective Airway Clearance
C) Impaired Gas Exchange
D) Impaired Spontaneous Ventilation
Q2) When using sterile technique to perform tracheostomy care of a new tracheostomy,which of the following is correct?
A) You will need a single pair of sterile gloves.
B) Place the patient in semi-Fowler's position, if possible.
C) Clean the stoma under the faceplate with hydrogen peroxide.
D) Cut a slit in sterile 4 in. ´ 4 in. gauze halfway through to make a dressing.
Q3) Which of the following is/are accurate about nasotracheal suctioning? Select all that apply.
A) Apply suction for no longer than 15 sec during a single pass.
B) Apply suction while inserting and removing the catheter.
C) Reapply oxygen between suctioning passes for ventilator patients.
D) Gently rotate the suction catheter as you remove it.
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Page 38
Chapter 37: Circulation
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Sample Questions
Q1) The nurse analyzes the patient's ECG and compares it with a baseline ECG recorded before the patient began having chest pain.What finding indicates a problem with the ventricle?
A) Prolonged QRS segment
B) Elevated P wave
C) Absence of T wave
D) Prolonged PR interval
Q2) The nurse admits to the coronary care unit a patient diagnosed with an acute myocardial infarction.The patient's blood pressure reading is 86/38 secondary to an infusing nitroglycerine drip.Pulse rate is 120 beats/min and respirations are 14 breaths/min.The patient is pale and grimacing,and moans occasionally.What nursing diagnoses would the nurse anticipate for this patient? Select all that apply.
A) Acute Pain
B) Anxiety related to shortness of breath
C) Risk for shock
D) Decreased Cardiac Output
E) Decreased Cardiac Perfusion
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Chapter 38: Fluids,Electrolytes, Acidbase Balance
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Sample Questions
Q1) The nurse is caring for a patient with heart failure.The patient has chronic fluid volume excess secondary to ineffective pumping action of the heart.When teaching this patient about fluid and electrolyte balance,which diet is most important for the nurse to explain?
A) High calcium
B) Low sodium
C) Low potassium
D) High magnesium
Q2) A patient is admitted to the emergency department (ED)in respiratory distress.The results of his first arterial blood gases were pH = 7.30; PCO<sub>2</sub> = 40; HCO<sub>3</sub> = 19 mEq/L; PO<sub>2</sub> = 80.The nurse evaluates the patient's treatment plan by examining repeat arterial blood gases (ABGs).The results are pH = 7.38; PCO<sub>2</sub> = 32; HCO<sub>3</sub> = 19 mEq/L.The nurse concludes which of the following?
A) Respiratory acidosis; the treatment plan is ineffective.
B) Metabolic alkalosis; the treatment plan is effective.
C) Partial compensation; the treatment plan is ineffective.
D) Complete compensation; the treatment plan is effective.
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Chapter 39: Perioperative Care
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37 Flashcards
Source URL: https://quizplus.com/quiz/47160
Sample Questions
Q1) The patient is scheduled for an outpatient cholecystectomy (gall bladder removal)in 2 weeks.Based on the patient's history,the nurse includes which of the following in the preoperative plan of care?
A) Tell the patient to avoid smoking on the day of surgery.
B) Use a safety razor to shave the abdomen the day before surgery.
C) Ask the surgeon to prescribe antibiotics to be given preoperatively.
D) Tell the patient to inform the surgeon of allergies and chronic health conditions.
Q2) The focus of nursing care in the intraoperative phase is to:
A) Prepare the patient for surgery
B) Maintain the sterile field
C) Ensure patient safety during the surgery
D) Obtain a signed informed consent
Q3) The focus of nursing activities in the preoperative phase is to:
A) Admit the patient to the surgical suite
B) Prepare the patient mentally and physically for surgery
C) Set up the sterile field in the operating room
D) Perform the primary surgical scrub to the surgical site
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Chapter 40: Leading Managing
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Sample Questions
Q1) The unit nurse manager notices that nurse retention has steadily declined since she assumed the management position.What is the most appropriate action for the nurse manager to take?
A) Assess the staff's perception of the manager's leadership style.
B) Throw monthly pizza parties for the unit.
C) Give all of the nurses on the unit a 5% raise in pay.
D) Consult the manager's supervisor for guidance.
Q2) The nurse is working to manage time effectively and has created a to-do list.What is the first thing the nurse should do?
A) Prioritize list items.
B) Question item effectiveness.
C) Practice self-reliance.
D) Get a treat.
Q3) What source of power can an experienced staff nurse effectively use to convince other nurses to follow her?
A) Authority
B) Reward
C) Expert
D) Coercion
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Page 42
Chapter 41: Nursing Informatics
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25 Flashcards
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Sample Questions
Q1) The nurse is looking for the most current evidence related to safe medication administration.What source provides the most reliable information?
A) Peer-reviewed scholarly journals
B) Popular periodicals
C) Social media Internet sites
D) Online drug formulary
Q2) Which of the following are main functions of a computer? Select all that apply.
A) Process
B) Storage
C) Memory
D) Output
Q3) Which classification system promotes standardized language that will improve computer interoperability in nursing?
A) NANDA-I nursing diagnoses
B) National Patient Safety Goals
C) QSEN competencies
D) Patient Bill of Rights
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Chapter 42: Promoting Health
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Source URL: https://quizplus.com/quiz/47163
Sample Questions
Q1) According to Pender's Health Promotion Model,which variables must be considered when planning a health promotion program for a client? Select all that apply.
A) Individual characteristics and experiences
B) Levels of prevention
C) Behavioral outcomes
D) Behavior-specific cognition and affect
Q2) Which type of health promotion programs seeks to raise the level of knowledge and awareness of individuals and groups about health habits?
A) Environmental evaluation and protection
B) Information dissemination
C) Wellness assessment and appraising health risk
D) Lifestyle and behavior changes
Q3) Hardiness is a quality in which an individual experiences high levels of stress yet does not fall ill.What are the general characteristics of a hardy person? Select all that apply.
A) Contemplation
B) Control
C) Commitment
D) Challenge
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Page 44
Chapter 43: Community-Home Health Nursing
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Sample Questions
Q1) The nurse has been assigned to a caseload of home health clients.Before making home visits,which two planning activities must she perform first?
A) Order supplies for the home care services.
B) Review the cases to determine the reasons for the visits.
C) Contact the clients to arrange for the visits.
D) Develop a schedule for the day so that all visits can be made.
Q2) Which of the following clients would most likely require home health services? Select all that apply.
A) 45-year-old man with an injured rotator cuff that requires surgery
B) 32-year-old terminally ill woman with a supportive family
C) 92-year-old man living independently with multiple medical problems
D) 6-year-old with a fractured hip requiring a leg and pelvic cast
Q3) Documentation in home healthcare may take many forms.Some nurses use NANDA-I terminology for diagnoses,whereas others use the Clinical Care Classification (CCC)system.The chief benefit of the CCC system is that it:
A) Contains diagnoses specific to home care, whereas NANDA-I does not
B) Is simpler to use and more readily understood by other disciplines
C) Is linked to the OASIS reporting forms required by Medicare
D) Uses standardized terminology, whereas NANDA-I does not
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Page 45
Chapter 44: Ethics Values
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31 Flashcards
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Sample Questions
Q1) The nurse is a member of the ethics committee.An alert,oriented,and competent 87-year-old man has asked to have a DNAR (AND)prescription put on his chart.The patient's family does not agree with his decision and requests the ethics committee to intervene on their behalf.The ethics committee would most likely use which model in this patient's case?
A) Social justice
B) Patient benefit
C) Autonomy
D) DNAR (AND) determination
Q2) Which of the following is an example of whistleblowing? Select all that apply.
A) Reporting fraudulent billing practices
B) Reporting patient's health status against the patient's wishes
C) Reporting unsafe work practices
D) Reporting a coworker for working under the influence of drugs
Q3) Confidentiality will be maintained by a nurse who believes in and values the ethical principle of:
A) Fidelity
B) Veracity
C) Beneficence
D) Autonomy
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Chapter 45: Legal Accountability
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Sample Questions
Q1) Under the American Nurses Association (ANA)Code of Ethics,the nurse has the professional responsibility to uphold ethical behavior.Choose the statements below that are accurate about the Code of Ethics.Select all that apply.
A) ANA Code of Ethics is a law.
B) Nurse actions are to be at the level expected by the profession.
C) Nurses are not held accountable for their actions.
D) Nurses are professionally bound to give correct information to the patient.
E) Nurses do not need to collaborate to meet a patient's healthcare needs.
F) ANA Code of Ethics will protect the nurse even if the law is broken.
Q2) Which of the following are examples of invasion of privacy by nurses? Select all that apply.
A) Searching a patient's belongings without permission
B) Reviewing the plan for patient care in the lunchroom
C) Discussing healthcare issues for an unconscious patient with the person who holds his power of attorney
D) Releasing patient health information to local newspaper reporters
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Chapter 46: Holistic Healing
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Sample Questions
Q1) Which of the following are reasons for the popularity of biologically based therapies,such as dietary supplements and herbal products? Select all that apply.
A) They are almost all readily available to consumers.
B) They can be practiced as self-care measures.
C) It is easy to know what dosage is being obtained from a product.
D) Products on the market have been proved to be safe to use.
Q2) A client wishes to avoid taking blood pressure medications.He is watching his diet and exercising.In addition,a CAM therapist has recommended an alternative therapy that will allow him to learn voluntary control over his blood pressure.What type of therapy is the therapist probably recommending?
A) Homeopathy
B) Naturopathy
C) Biofeedback
D) Hypnosis
Q3) The concept of holism focuses on which of the following?
A) Relationship between nurse and patient
B) Practice of spiritualism
C) Relationships among all living things
D) Totality of the body
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Page 48