Nursing Process and Critical Thinking Exam
Solutions
Course Introduction
This course introduces students to the foundational concepts of the nursing process and the application of critical thinking in professional practice. Students will learn to systematically assess patient needs, formulate nursing diagnoses, plan and implement appropriate interventions, and evaluate outcomes using an evidence-based approach. Emphasis is placed on developing decision-making skills, prioritizing patient care, and fostering clinical reasoning through case studies and simulated scenarios. By the end of this course, learners will be equipped to apply problem-solving strategies and ethical principles to deliver safe, effective, and patient-centered care across diverse healthcare settings.
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
Source URL: https://quizplus.com/study-set/2375 Page 2
Chapter 1: Evolution of Nursing Thought Action
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47122
Sample Questions
Q1) The 75-year-old patient is preparing for discharge and tells the case manager,"I don't know what I am going to do when I get home.I cannot afford the medications the doctor has ordered for me." What is the case manager's most appropriate response?
A) "We can have a social worker see you when you get home."
B) "Medications are expensive, but you will need to take them."
C) "I can speak with your doctor about discontinuing some of the medications."
D) "The home health nurse will address this when she sees you."
Answer: A
Q2) Each U.S.state has its own state board of nursing responsible for protecting the health,safety,and welfare of the general public.The state board of nursing meets these responsibilities by performing which of the following functions? Select all that apply.
A) Advocating for nursing student issues
B) Determining the nurse's scope of practice
C) Enforcing the rules that govern nursing
D) Writing the laws that regulate nursing
Answer: B,C
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Chapter 2: Critical Thinking: Nursing Process
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse has just been assigned to the clinical care of a newly admitted patient.To know how best to care for the patient,the nurse uses the Nursing Process.Which step would the nurse probably undertake first?
A) Make an assessment
B) Make a diagnosis
C) Plan outcomes
D) Plan interventions
Answer: A
Q2) Which of the following characteristics do the various definitions of critical thinking have in common? Critical thinking:
A) Requires reasoned thought
B) Asks the questions "why" or "how"
C) Is a hierarchical process
D) Demands specialized thinking skills
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) Which of the following questions would be effective for obtaining information from a patient? Select all that apply.
A) How did this happen to you?
B) What was your first symptom?
C) Why didn't you seek healthcare earlier?
D) When did you start having symptoms?
Answer: A,B,D
Q2) The Joint Commission requires which type of assessment to be performed on all patients?
A) Functional ability
B) Pain
C) Cultural
D) Wellness
Answer: B
Q3) Which of the following are cues rather than inferences? Select all that apply.
A) Ate 50% of his meal.
B) Patient feels better today.
C) States, "I slept well."
D) White blood cell count is 15,000/mm<sup>3</sup>.
Answer: A,C,D
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Chapter 4: Nursing Process: Diagnosis
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) What is wrong with the following diagnostic statement? "Impaired Physical Mobility related to laziness and not having appropriate shoes." The statement is:
A) Judgmental
B) Too complex
C) Legally questionable
D) Without supportive data
Q2) Which of the following is an example of a problem that nurses can treat independently?
A) Hemorrhage
B) Nausea
C) Fracture
D) Infection
Q3) Which statement related to prioritizing patient problems is most accurate?
A) Nurses must resolve one problem before addressing another problem.
B) Nurses prioritize problems in order of urgency.
C) Actual problem always take priority over risk problems.
D) Nurses give the highest priority to problems that the patient thinks are most important.
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6
Chapter 5: Nursing Process: Planning Outcomes
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) What do initial,ongoing,and discharge planning have in common?
A) They are based on assessment and diagnosis.
B) They focus on the patient's perception of his needs.
C) They require input from a multidisciplinary team.
D) They have specific time lines in which to be completed.
Q2) The nurse is individualizing Mr.Wu's plan of care by writing a plan for his nursing diagnosis of Anxiety.The nurse needs to write goals/outcomes on the plan of care because outcomes describe:
A) Desirable changes in the patient's health status
B) Specific patient responses to medical interventions
C) Specific nursing behaviors to improve a patient's health
D) Criteria to evaluate the appropriateness of a nursing diagnosis
Q3) Which of the following is true for goals/outcomes for collaborative problems?
A) They are monitored only by other disciplines.
B) They are usually sensitive to nursing interventions.
C) They state that a complication will not occur.
D) They state only broad performance criteria.
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Chapter 6: Nursing Process: Planning Interventions
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following best describes evidence-based practice?
A) Tool developed by a healthcare organization for its own use to guide best nursing practice
B) An approach that uses the best scientific data to guide nursing practice
C) Nurses who uses clinical judgment and expertise to guide nursing practice
D) A method of practice that uses tradition and folklore interventions to guide practice
Q2) The nurse is using electronic care planning.He enters the patient's nursing diagnosis into the computer and chooses desired outcomes.He has validated his data,diagnosis,and goals.When he considers the list of interventions that the program generates,he sees that none of them fits this patient's individual needs.What should the nurse do?
A) Reject them all and type in appropriate interventions.
B) Select the interventions from the program that are most suitable.
C) Ask another nurse to assess the patient and give her recommendation.
D) Restart the computer; it is probably a program malfunction.
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8
Chapter 7: Nursing Process: Implementation Evaluation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A physician orders an indwelling urinary catheter for a client who is mildly confused and has been combative.How should the nurse proceed?
A) Ask a colleague for help, because the nurse cannot safely perform the procedure alone.
B) Gather the equipment and prepare it before informing the client about the procedure.
C) Obtain an order to restrain the client before inserting the urinary catheter.
D) Inform the primary provider that the nurse cannot perform the procedure because the client is confused.
Q2) Which of the following is a client outcome criterion?
A) Central venous catheter site infection does not occur (90% of cases).
B) Client will sit out of bed in the chair for 20 minutes three times per day.
C) Postoperative phlebitis does not occur (95% of cases).
D) Falls in the facility will reduce by 2% this quarter.
Q3) Which criterion might be used in structure evaluation?
A) "Staff refrains from sharing computer passwords."
B) "Healthcare provider washes hands with each client contact."
C) "A defibrillator is present on each client care area."
D) "Nurse verifies client identification before initiating care."
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Chapter 8: Evidence-Based Practice: Theory Research
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/47129
Sample Questions
Q1) 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
Q2) A 56-year-old patient diagnosed with an acute myocardial infarction (heart attack)makes inappropriate sexual comments to the licensed practical nurse (LPN).The LPN is visibly upset.The registered nurse (RN)assigned to the patient informs the patient his behavior is unacceptable and will not be tolerated.Is the RN demonstrating holistic or mechanistic nursing? ____________________
Q3) The PICO question reads,"Is TENS effective in the management of chronic low-back pain in adults?" Which part of this question comes from the "I" in PICO?
A) Adults
B) Management
C) Pain
D) TENS
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Chapter 9: Life Span: Infancy Through Middle Adulthood
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A mother comes to the healthcare clinic for a regular health examination for her 5-year-old son prior to kindergarten admission.Which comment by the mother would indicate the need for follow-up questions to the mother?
A) "He's not a good boy like my other son."
B) "I've had to treat him for lice a couple of times."
C) "He has an imaginary friend he calls Buddy."
D) "He's so funny when he imitates his dad doing things."
Q2) According to Erikson,a behavior demonstrating an important psychosocial task for a toddler would be for the child to:
A) Act defiantly by refusing to hold the mother's hand while crossing the street
B) Recognize it is wrong to take a toy away from someone else
C) Be able to understand the concept of time in hours
D) Express to his parents and playmates that he does not like something
Q3) Which of the following would be a typical priority for an adolescent? Being:
A) A good student
B) Sexually active
C) Picked to be on the soccer team
D) Able to function independently
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11
Chapter 10: Life Span: Older Adults
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47131
Sample Questions
Q1) The nurse in the local nursing home is planning a memory activity for the older adult residents.What is the most effective activity she might use to enhance memory?
A) Reading a book
B) Reading the newspaper
C) Baking a cake
D) Doing a crossword puzzle
Q2) An older adult patient with dementia is seen at the clinic for a physical examination.The son tells the nurse,"I don't know how much more of this I can do.There is so much work involved in just getting my dad out of bed in the morning,and I can't communicate with him.I'm just so tired." The nurse recognizes that the son is most likely experiencing:
A) Symptoms of depression
B) Caregiver role strain
C) Serious frustration
D) Resentment over being the only care provider
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Chapter 11: Experiencing Health Illness
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/47132
Sample Questions
Q1) The nursing student is caring for a group of patients on the medical-surgical unit who need to be ambulated during the day.She tells the primary nurse,"Some of my patients feel so sick but want to get out of bed.Others say they feel well but don't want to get out of bed.What should I do?" What is the most appropriate response by the nurse?
A) "All patients are supposed to be out of bed today so do the best you can with them."
B) "This is not uncommon. Sometimes you have to push some patients more than others."
C) "All patients may respond to illness differently. Explain to them that they must be out of bed today.
D) "Get the patients out of bed who want to get up, and help the others to ambulate later in the day."
Q2) Many health providers define illness as pathology; however,people experience,rather than define,illness.How do most people experience illness?
A) "Feeling lousy," a true sense of not being all right
B) A change in the way they feel or a disruption in their typical life
C) Something to be dreaded and avoided if at all possible
D) An experience that offers the potential for learning and spiritual growth
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Chapter 12: Stress Adaptation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/47133
Sample Questions
Q1) After a patient has an argument with her husband,she becomes verbally abusive to the nurse who is caring for her.Which coping mechanism is this patient exhibiting?
A) Reaction formation
B) Displacement
C) Denial
D) Conversion
Q2) Why is it important for you as a nurse to understand stress and adaptation? Select all that apply.
A) You need to identify your own stressors and develop healthy adaptation responses.
B) Understanding stress will help you identify client stressors and adaptive responses.
C) Understanding stress will help you balance stress for your patients.
D) There are very specific adaptation strategies used for all patients and nurse must know them.
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Chapter 13: Psychosocial Health Illness
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A frail,elderly patient admitted with dehydration to a medical-surgical unit is exhibiting confusion,distractibility,memory loss,and irritability.What is most important for the nurse to do?
A) Recognize these symptoms as signs of normal, physiologic aging.
B) Obtain a urine specimen before notifying the primary care provider.
C) Be sure she is placed in a room occupied with another patient.
D) Interview the patient to screen for clinical depression.
Q2) An adult patient is diagnosed with lung cancer,and surgery to remove the right lung is recommended.The patient is uncertain about whether he should consent to the surgery because of the risks involved.Which nursing diagnosis is most appropriate for this patient?
A) Decisional Conflict
B) Death Anxiety
C) Powerlessness
D) Ineffective Denial
Q3) Which statement best describes self-esteem?
A) View of oneself as a unique human being
B) One's mental image of one's physical self
C) One's overall view of oneself
D) How well one likes oneself
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Chapter 14: The Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient who was newly diagnosed with type 1 diabetes.The patient's wife states,"We are a family of diabetics." The nurse advises the couple to attend the free nutrition,cooking,and exercise classes at the health center near their neighborhood.She also gives them the name of the public health nurse for their area.Which perspective of family nursing is the nurse practicing?
A) Family as a unit of care
B) Family as a system
C) Family as the context of care
D) Family as a resource and stressor
Q2) The nursing student is caring for a patient with diabetes on a medical-surgical unit.During a teaching session with the patient and family,she asks them questions regarding care at home,ability to perform blood glucose testing,and administering insulin.The student is providing family care using which perspective of family nursing?
A) Family as context for care
B) Family as unit of care
C) Family as a system
D) A blend of all of the above
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Page 16
Chapter 15: Culture Ethnicity
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which statement(s)about culture is/are true? Select all that apply.
A) Culture exists on both material and nonmaterial levels.
B) Culture mainly influences food choices and special holidays.
C) Cultural customs change over time at different rates.
D) Culture is learned through life experiences shared by other members of the culture.
Q2) The nurse is teaching a clinic patient about hypertension.Which statement by the patient suggests that he is present-oriented?
A) "I know I need to lose weight; I'll have to begin an exercise program right away."
B) "If I change my diet and begin exercising, maybe I can control my blood pressure without medications."
C) "I know I need to give up foods that contain a lot of salt, but with teenagers in the house it is very difficult."
D) "I will reduce the amount of calories, salt, and fat that I eat; I certainly do not want to have a stroke."
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Chapter 16: Spirituality
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/47137
Sample Questions
Q1) What is the most effective action for the nurse to take when delivering spiritual care to a patient of the same religion as the nurse?
A) Understanding that the patient shares the same beliefs
B) Striving to meet the patient's spiritual needs independently
C) Explaining her own religious beliefs to the patient
D) Developing a greater awareness of her own spirituality
Q2) What are some possible barrier(s)for nurses in providing spiritual care? Select all that apply.
A) Spiritual care is related to end-of-life care and many nurses do not work in this area.
B) Greater emphasis in nursing is placed on meeting patients' physical needs.
C) Many nurses experience time constraints and inadequate staffing.
D) Many nurses lack an understanding of their own spiritual belief systems.
Q3) 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
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Chapter 17: Loss,Grief, Dying
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26 Verified Questions
26 Flashcards
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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) Which patient is at most risk for experiencing difficult grieving?
A) The middle-aged woman whose grandmother died of advanced Parkinson's disease
B) The young adult with three small children whose wife died suddenly in an accident
C) The middle-aged person whose spouse suffered a slow, painful death
D) The older adult whose spouse died of complications of chronic renal disease
Q3) According to the Uniform Determination of Death Act,which bodily function must be lost to declare death?
A) Consciousness
B) Brain stem function
C) Cephalic reflexes
D) Spontaneous respirations
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Chapter 18: Documenting Reporting
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A hospital uses a source-oriented medical record.What is a major disadvantage of this charting system?
A) It involves a cooperative effort among various disciplines.
B) The system requires diligence in maintaining a current problem list.
C) Data may be fragmented and scattered throughout the chart.
D) It allows the nurse to provide information in an unorganized manner.
Q2) The nurse is administering the 0900 dose of heparin 5,000 units subcutaneously ordered every 6 hours to a patient with deep vein thrombosis (DVT).At 0800,the patient's laboratory values show partial thromboplastin time (PTT)and clotting times are four times the normal range.The nurse observes petechiae on the patient's buttocks and back and recognizes these as signs of risk for significant bleeding.The correct nursing actions at this time are below.Select all that apply.
A) Notify the prescriber before giving the medication.
B) Give subcutaneous heparin as ordered.
C) Hold the medication dose at this time.
D) Chart the reason the medication was not given.
E) Assess for other significant signs and symptoms.
F) Record abnormal findings in the patient's health record.
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Chapter 19: Teaching Learning
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse preparing a teaching plan ensures that the information is tailored to the client's life experiences and learning level.These are examples of which right of teaching?
A) Time
B) Context
C) Content
D) Method
Q2) It is a busy day on the medical-surgical floor,and the nurse must teach a patient ready for discharge about his medications.How can the nurse most efficiently use her time and provide this education?
A) Write down instructions so the patient can read them at home.
B) Discuss the information while assisting the patient with his bath.
C) Educate the patient about his medications as each one is given.
D) Follow up with the patient after discharge with a phone call.
Q3) Which statement by the patient demonstrates health literacy?
A) "I speak and understand little English but will do what I am told."
B) "I will take my medications after I ask the nurse a few questions."
C) "I have not taken my prescribed antibiotics because I can't read the labels."
D) "I stopped my medications when I started feeling better."
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21
Chapter 20: Measuring Vital Signs
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44 Verified Questions
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Sample Questions
Q1) The nurse documents a patient's radial pulse rate as 120 beats/min and regular.One hour later,the nurse rechecks the pulse and it is irregular at 120 beats/min.What is the most appropriate nursing action?
A) Ask another nurse to check the pulse.
B) Place the patient on bedrest and administer fluids.
C) Place the patient on a cardiac monitor.
D) Check the pulse in the opposite arm.
Q2) 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.
Q3) Which of these steps in taking a blood pressure is/are correct? Select all that apply.
A) Use a bladder that encircles 40% of the arm.
B) Wrap the cuff snugly around the client's arm.
C) Ask the client to hold the arm at heart level.
D) Have the client sit with feet flat on the floor.
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Chapter 21: Communication Therapeutic Relationships
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse is conducting an assessment while admitting a female Chinese patient to the medical unit.Which of the following actions will best enhance communication between the nurse and patient during the assessment? Select all that apply.
A) Making direct eye contact
B) Keeping 18 inches to 4 feet between nurse and the patient
C) Assessing for any language barrier
D) Including family members in the assessment process
E) Changing the subject during the assessment
Q2) A patient being admitted in hypertensive crisis informs the nurse that he stopped taking his blood pressure medication 3 weeks ago.Which response by the nurse is best?
A) "You're lucky you didn't have a stroke; you really need to take your medication."
B) "Tell me more about your experience with your high blood pressure medication."
C) "Why did you stop taking your high blood pressure medication?"
D) "It's very important to take your blood pressure medication."
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Chapter 22: Health Assessment
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Sample Questions
Q1) An 85-year-old patient is brought to the emergency department with lethargy and hypotension.When the nurse assesses the patient's tongue,she notes that it appears dry and furry.This finding suggests:
A) Fungal infection
B) Dehydration
C) Allergy
D) Iron deficiency
Q2) An older adult's fingernails appear concave and spoon shaped.The nurse associates this observation with:
A) Normal finding in older adults
B) Chronic lung disease
C) An iron deficiency
D) Chronic heart disease
Q3) The nurse notes a small pulsation at the fifth intercostal space midclavicular line.This should be documented as a:
A) Thrill
B) Murmur
C) Normal finding
D) Heave
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Page 24
Chapter 23: Promoting Asepsis Preventing Infection
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Sample Questions
Q1) Alcohol-based solutions for hand hygiene can be used to combat which types of organisms? Select all that apply.
A) Viruses
B) Bacterial spores
C) Yeasts
D) Molds
Q2) A patient is admitted to the hospital with tuberculosis.Which precautions must the nurse institute when caring for this patient?
A) Droplet transmission
B) Airborne transmission
C) Direct contact
D) Indirect contact
Q3) Which of the following behaviors indicates the highest potential for spreading infections among clients? The nurse:
A) Disinfects dirty hands with antibacterial soap
B) Allows alcohol-based rub to dry for 10 seconds
C) Washes hands primarily after leaving each room
D) Uses cold water for medical asepsis
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Chapter 24: Promoting Safety
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Sample Questions
Q1) The nurse is preparing to write her nursing progress notes for a patient who has wrist restraints.Which of the following will the nurse include in her progress notes? Select all that apply.
A) Family teaching initiated regarding the need for patient restraint
B) Restraint removed once per shift to assess skin color, sensation, and movement of extremity
C) A prescription for wrist restraint received from the primary care provider
D) Wrist restraints applied because of the patient's increasing confusion
Q2) A nurse is teaching a group of mothers about first aid.Should poison come in contact with their child's clothing and skin,which action should the nurse instruct the mothers to take first?
A) Remove the contaminated clothing immediately.
B) Flood the contaminated area with lukewarm water.
C) Wash the contaminated area with soap and water and rinse.
D) Call the nearest poison control center immediately.
Q3) Which is the most commonly reported incident in hospitals?
A) Equipment malfunction
B) Patient falls
C) Laboratory specimen errors
D) Treatment delays
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Chapter 25: Facilitating Hygiene
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A client's epidermis has insufficient melanin.Which nursing diagnosis is appropriate?
A) Risk for Infection
B) Risk for Impaired Skin Integrity
C) Risk for Deficient Fluid Volume
D) Impaired Skin Integrity
Q2) The school nurse is teaching a group of middle school students how to prevent tinea pedis.Which remark by a student provides evidence of learning?
A) "I can contract the infection by walking barefoot in the gymnasium's showers."
B) "The best way to avoid contracting the infection is to use good handwashing."
C) "Wearing unventilated shoes prevents the fungus from gaining contact with my feet."
D) "There is really no way to prevent its spread; it's highly contagious."
Q3) Which of the following is a correct step in removing and cleaning a hearing aid?
A) Clean only the external surfaces, not the canal portion.
B) Clean the top part of the canal portion of the device.
C) Insert a wax loop or toothpick into the hearing aid itself.
D) Remove the battery before taking the hearing aid from the ear.
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27
Chapter 26: Administering Medications
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Sample Questions
Q1) The nursing student is preparing to administer lisinopril to her patient but does not know what lisinopril is used for.What is the most appropriate action by the student to obtain the information?
A) Consult the pharmacist.
B) Ask the primary nurse.
C) Ask her nursing instructor.
D) Look up lisinopril in a medication reference text.
Q2) A patient is given furosemide 40 mg orally at 0900.The duration of action for this drug is approximately 6 hours after oral administration.At which time in military hours should the nurse no longer expect to see the effects of this drug?
A) 0930
B) 1000
C) 1100
D) 1500
Q3) Teratogenic drugs should be avoided in which patient population?
A) Pregnant women
B) Elderly
C) Children
D) Adolescents
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Page 28
Chapter 27: Nutrition
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Sample Questions
Q1) The nurse is providing nutrition counseling for a patient planning pregnancy.The nurse should emphasize the importance of consuming which nutrient to prevent neural tube defects?
A) Folic acid
B) Calcium
C) Protein
D) Vitamin D
Q2) The nurse completes the nutrition assessment for a 14-year-old female with a BMI of 15.What physical assessment finding might suggest bulimia nervosa?
A) Loss of enamel on teeth
B) Low level of interest in exercise
C) Slightly elevated temperature
D) Skin excoriation in skinfolds
Q3) 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
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Chapter 28: Urinary Elimination
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40 Flashcards
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Sample Questions
Q1) Which of the following are considered normal processes and changes in the urinary system that occur with aging in older adults? Select all that apply.
A) The number of functional nephrons decreases with age.
B) The volume of urine that the bladder can hold lessens with age.
C) Increased pelvic floor muscle tone contributes to incontinence.
D) Loss of bladder elasticity leads to urinary retention.
E) Prostate enlargement causes urinary incontinence.
Q2) Which task can the nurse safely delegate to the nursing assistive personnel?
A) Palpating the bladder of a patient who is unable to void
B) Administering a continuous bladder irrigation
C) Providing indwelling urinary catheter care
D) Obtaining the patient's history and physical assessment
Q3) What is the best technique for obtaining a sterile urine specimen from an indwelling urinary catheter?
A) Use antiseptic wipes to cleanse the meatus prior to obtaining the sample.
B) Briefly disconnect the catheter from the drainage tube to obtain sample.
C) Withdraw urine through the port using a needleless access device.
D) Obtain the urine specimen directly from the collection bag.
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Chapter 29: Bowel Elimination
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35 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient on the medical-surgical unit.The patient states,"I really don't like to talk about my bowel movements,but what is considered a normal bowel movement?" What is the best response by the nurse? Select all that apply.
A) "We usually like to set an acceptable standard of at least one bowel movement per week."
B) "We can say normal frequency is anything from several times a day to once per week. It depends on your normal pattern."
C) "We also consider whether you have to strain with bowel movements, use laxatives, or have to rush to the toilet."
D) "There is no such thing as normal. All people are different, so don't worry about it."
Q2) 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
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Chapter 30: Sensation,Perception, Cognition
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39 Verified Questions
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) For an unconscious patient,which of the following interventions are necessary to provide for patient safety? Select all that apply.
A) Talk to the patient as you provide care.
B) Incorporate more touch in the plan of care.
C) Give frequent eye care if blink reflex is absent.
D) Keep the siderails up and bed in low position.
E) Perform diligent oral care by irrigating with diluted mouthwash.
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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Page 32
Chapter 31: Pain
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47 Flashcards
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Sample Questions
Q1) A patient who sustained rib fractures in a motor vehicle accident is stating that his pain medication is ineffective.Inadequate pain control places this patient at risk for which complication?
A) Metabolic alkalosis
B) Pneumothorax
C) Pneumonia
D) Hemothorax
Q2) After undergoing dural puncture while receiving epidural pain medication,a patient reports a headache.Which action can help alleviate the patient's pain?
A) Encourage the client to ambulate to promote flow of spinal fluid.
B) Offer caffeinated beverages to constrict blood vessels in his head.
C) Encourage coughing and deep breathing to increase CSF pressure.
D) Restrict oral fluid intake to prevent excess spinal pressure.
Q3) 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.
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Page 33
Chapter 32: Physical Activity Mobility
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47153
Sample Questions
Q1) The nurse is helping the patient to perform leg exercises after surgery to prevent thrombophlebitis.Which type of muscle is the patient using for these exercises?
A) Skeletal
B) Smooth
C) Cardiac
D) Slow-twitch fibers
Q2) A patient has started a fitness program.What program features illustrate that he has started a well-rounded program? Select all that apply.
A) Flexibility
B) Balance exercises
C) Resistance training
D) Aerobic conditioning
E) None of the above
Q3) To achieve balance,body mass must be distributed around which point?
A) Center of body alignment
B) Center of balance
C) Center of gravity
D) Base of support
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34
Chapter 33: Sexual Health
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47154
Sample Questions
Q1) Which is the third stage of sexual arousal?
A) Desire
B) Excitement
C) Plateau
D) Orgasm
Q2) When providing care for a client with concerns about his sexual orientation,you use the PLISSIT model.You recognize that the first step you must take is to:
A) Provide information about sexual orientation and common alterations
B) Plan time to discuss concerns with the client in a private, comfortable setting
C) Permit the client to speak openly by communicating an open, accepting attitude
D) Provide referrals to the client so he can identify resources to assist him in the future
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) ____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.
Q2) 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.
Q3) Patterns of waking behavior that appear during sleep are known as:
A) Parasomnias.
B) Dyssomnias.
C) Insomnia.
D) Hypersomnia.
Q4) What is the purpose of using a sleep diary?
A) Identify sleep-rest patterns over a 1-year period.
B) Note the trend in sleep-wakefulness patterns over a 2-week period.
C) Note typical sleep habits and most common daily routines.
D) Examine the patterns of sleep during the night and naps during the day.
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Page 36
Chapter 35: Skin Integrity-Wound Healing
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/47156
Sample Questions
Q1) The nurse working in the emergency department is preparing heat therapy for one of the patients in the unit.Which one is it most likely to be?
A) Is actively bleeding
B) Has swollen, tender insect bite
C) Has just sprained her ankle
D) Has lower back pain
Q2) Why might skin integrity and wound healing be compromised in the client who takes blood pressure medications? Antihypertensives:
A) Can cause cellular toxicity
B) Increase the risk of ischemia
C) Delay wound healing
D) Predispose to hematoma formation
Q3) The nurse would know care for a stage II pressure ulcer is achieving the desired goal when:
A) The ulcer is completely healed with minimal scarring
B) The patient reports no pain at the site
C) A minimal amount of drainage is noted
D) The wound bed contains 100% granulated tissue
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Chapter 36: Oxygenation
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Sample Questions
Q1) Of the following interventions,which is/are likely to reduce the risk of postoperative atelectasis? Select all that apply.
A) Administer bronchodilators.
B) Apply low-flow oxygen.
C) Encourage coughing and deep breathing.
D) Administer pain medication.
Q2) Obesity is associated with higher risk for which of the following conditions that affect the pulmonary and cardiovascular systems? Select all that apply.
A) Reduced alveolar-capillary gas exchange
B) Lower respiratory tract infections
C) Sleep apnea
D) Hypertension
Q3) The nurse is caring for a patient requiring a mechanical ventilator.When checking the inline thermometer,the nurse finds what temperature acceptable?
A) 78°F
B) 96°F
C) 105°F
D) 84°F
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Chapter 37: Circulation
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Sample Questions
Q1) Which of the following medications would you expect to be included in the treatment of a patient with congestive heart failure? Select all that apply.
A) Nitrates
B) Beta-adrenergic agents
C) Diuretics
D) Anticoagulants
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) A patient had gastric surgery 10 days ago and continues to require gastric suction because of a paralytic ileus.The patient reports tingling in the fingers,has hypertonic reflexes,and has a respiratory rate of 8 breaths per minute that are deep in nature.The nurse recognizes that these symptoms are consistent with which diagnosis?
A) Respiratory alkalosis
B) Metabolic acidosis
C) Respiratory acidosis
D) Metabolic alkalosis
Q2) A client is admitted to the emergency department (ED)in respiratory distress.The results of his arterial blood gases are the following: pH = 7.30; PCO<sub>2</sub> = 40; HCO<sub>3</sub> = 19 mEq/L; PO<sub>2</sub> = 80.The nurse interprets the findings as which of the following?
A) Respiratory acidosis with normal oxygen levels
B) Respiratory alkalosis with hypoxia
C) Metabolic acidosis with normal oxygen levels
D) Metabolic alkalosis with hypoxia
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Chapter 39: Perioperative Care
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37 Flashcards
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Sample Questions
Q1) In the emergency department (ED),the patient is diagnosed with a dislocated humerus.What type of anesthesia would the nurse anticipate will be used to repair the dislocation in the ED?
A) General
B) Epidural
C) Conscious sedation
D) Local
Q2) The nurse admits a patient who is scheduled for surgery tomorrow morning.The nursing admission assessment indicates that the patient is mildly anxious about the procedure,does not drink alcohol or smoke,is married with two children,and is allergic to kiwi,avocados,and penicillin.The nurse identifies the priority nursing diagnosis for this patient as:
A) Fear
B) Anxiety
C) Risk for Latex Allergy Response
D) Ineffective Airway Clearance
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Chapter 40: Leading Managing
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Sample Questions
Q1) The student nurse is starting the first clinical shift in a new facility and assesses the nurses working on the unit to identify a possible mentor.Which nurse would be the best choice for a mentor?
A) The friendliest, most outgoing nurse on the shift
B) The new graduate who remembers what it is like to be a student
C) The nurse others come to when they are unsure of how to proceed
D) The nurse who is the most outspoken during change of shift report
Q2) The nurse distinguishes the nurse holding which position as a leader rather than a manager?
A) Charge nurse
B) Unit director
C) Mentor
D) Supervisor
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) The nurse is looking for the most current evidence related to a newly FDA-approved medication.Which of the following sources provides the most current information?
A) The worldwide Web
B) Popular periodicals
C) Textbooks
D) Scholarly journals
Q3) Which of the following are main functions of a computer? Select all that apply.
A) Process
B) Storage
C) Memory
D) Output
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Page 43
Chapter 42: Promoting Health
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Sample Questions
Q1) The nurse working in an ambulatory care program asks questions about the client's locus of control as a part of his assessment because of which of the following? Select all that apply.
A) People who feel in charge of their own health are the easiest to motivate toward change.
B) People who feel powerless about preventing illness are least likely to engage in health promotion activities.
C) People who respond to direction from respected authorities often prefer a health promotion program supervised by a health provider.
D) People who feel in charge of their own health are less motivated by health promotion activities.
Q2) 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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Chapter 43: Community-Home Health Nursing
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Identify the nurse who is acting as a community health nurse.Select all that apply.
A) School nurse who provides screening and direct care in the elementary school
B) Parish nurse who offers health education after services each Sunday
C) Nurse who works for the Red Cross by providing disaster relief
D) A nurse administering vaccines to inmates in a correctional facility
E) None of the above
Q2) What is the type of nursing with a focus on the community as a whole and the health status of individuals as an aggregate?
A) School nursing
B) Community health nursing
C) Community-oriented nursing
D) Public health nursing
Q3) A home health nurse has called his patient to arrange an initial home visit and has driven to the home.What is the nurse's objective in the first few minutes of the visit?
A) Develop rapport and trust with the patient and family.
B) Gather demographic data and complete the referral form.
C) Assess the patient's most important health needs.
D) Determine the patient's needs for ongoing care.
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Chapter 44: Ethics Values
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31 Flashcards
Source URL: https://quizplus.com/quiz/47165
Sample Questions
Q1) The nurse arrives at work to find the unit will be short staffed for the shift because a nurse called in sick at the last minute,leaving no time to find a replacement.What factors contribute to the dilemma faced by the nurse working this shift? Select all that apply.
A) The nurse's multiple obligations and relationships
B) Value conflicts and lack of clarity within the profession
C) Autonomy versus escaping hard choices
D) Higher pay versus cost effectiveness
E) Caring versus the decreased time to spend with patients
Q2) An alert,oriented,and competent frail older adult man has been told that he is dying and has asked to have a DNAR (AND)prescription put on his chart.The patient's family does not agree with his decision and asks the healthcare team to ignore the request.The healthcare team does not comply with the family's wishes,and after several days the family takes the matter to court.The court sides with the family and orders the healthcare team to remove the DNAR (AND)prescription.This is an example of which of the following?
A) An integrity-producing (good) compromise
B) An ethically sound compromise
C) Settlement of an issue by force
D) An effort to keep peace on the unit
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Page 46
Chapter 45: Legal Accountability
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26 Flashcards
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Sample Questions
Q1) Effective delegation is a vital part of the nurse's responsibilities.What factor should guide the nurse to correctly delegate a nursing task?
A) The education and experience of the delegatee
B) The job description of the delegatee
C) The patient request for the delegatee
D) The staffing levels on a unit
Q2) The nurse on night shift is caring for a patient who is confused and gets out of bed frequently.The nurse pushes him into a chair and states,"Do not get out of this chair or I will tie you up and leave you alone for hours." The nurse's action is an example of:
A) Assault and battery
B) Libel
C) False imprisonment
D) Safe nursing practice
Q3) What do negligence and malpractice have in common? Select all that apply.
A) Negligence and malpractice are unintentional torts.
B) Negligence and malpractice are felonies.
C) Malpractice is the professional form of negligence.
D) Negligence and malpractice involve the intent to do harm to a patient.
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Chapter 46: Holistic Healing
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23 Flashcards
Source URL: https://quizplus.com/quiz/47167
Sample Questions
Q1) A client has a diagnosis of chronic pain.The physician has prescribed tramadol hydrochloride (Ultram)for the pain.The patient also receives therapeutic touch (TT)from a practitioner three times a week.In this situation,TT is considered to be which of the following?
A) A complementary modality
B) An alternative modality
C) A placebo response
D) Holistic healthcare
Q2) Which of the following complementary and alternative modalities may be considered alternative medical systems? Select all that apply.
A) Acupuncture
B) Prayer
C) Ayurveda
D) Aromatherapy
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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