Nursing Process Exam Review
Course Introduction
The Nursing Process course introduces students to the foundational framework that guides nursing practice, emphasizing a systematic, patient-centered approach to care. Students learn the five core steps: assessment, diagnosis, planning, implementation, and evaluation, developing critical thinking and clinical reasoning skills essential for effective patient care. Through theory and applied scenarios, the course highlights the importance of individualized care plans, effective communication, and collaboration within interprofessional teams, preparing students to adapt the nursing process in diverse healthcare settings to improve patient outcomes.
Recommended Textbook
Concepts for Nursing Practice 2nd Edition by Giddens
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58 Chapters
459 Verified Questions
459 Flashcards
Source URL: https://quizplus.com/study-set/174
Page 2
Chapter 1: Development
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2322
Sample Questions
Q1) The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected stage of development for a preschooler is
A) concrete operational.
B) formal operational.
C) preoperational.
D) sensorimotor.
Answer: C
Q2) The school nurse talking with a high school class about the difference between growth and development would best describe growth as A) processes by which early cells specialize.
B) psychosocial and cognitive changes.
C) qualitative changes associated with aging.
D) quantitative changes in size or weight.
Answer: D
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Chapter 2: Functional Ability
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/2323
Sample Questions
Q1) Dresses self
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: B
Q2) Balances the checkbook
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: A
Q3) The nurse is assessing a patient's functional performance. What assessment parameters will be most important in this assessment?
A) Continence assessment, gait assessment, feeding assessment, dressing assessment, transfer assessment
B) Height, weight, body mass index (BMI), vital signs assessment
C) Sleep assessment, energy assessment, memory assessment, concentration assessment
D) Health and well-being, amount of community volunteer time, working outside the home, and ability to care for family and house
Answer: A
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Chapter 3: Family Dynamics
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2324
Sample Questions
Q1) The nurse identifies the family with a child graduating from college as being in which family life cycle?
A) Single young adult leaving home
B) New couple joins their families through marriage or living together
C) Families with young children
D) Launching children and moving on
Answer: D
Q2) When reviewing the purposes of a family assessment, the nurse educator would identify a need for further teaching if the student responded that family assessment is used to gain an understanding of which aspect of the family?
A) Development
B) Function
C) Political views
D) Structure
Answer: C
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Chapter 4: Culture
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2325
Sample Questions
Q1) The emphasis on understanding cultural influence on health care is important because of
A) disability entitlements.
B) HIPAA requirements.
C) increasing global diversity.
D) litigious society.
Q2) A 60-year-old Italian immigrant presents for an annual physical. He is counseled about diagnostic testing including laboratory testing, colonoscopy, influenza vaccination, and pneumococcal vaccination. His reply is "If it ain't broke, don't try to fix it."
When developing a plan of care, the nurse should consider which cultural orientation for this patient?
A) Short term
B) Long term
C) Leisurely term
D) Noncommittal
Q3) What interrelated constructs facilitate a nurse to become culturally competent?
A) Cultural diversity, self-awareness, cultural skill, and cultural knowledge
B) Cultural desire, self-awareness, cultural knowledge, and cultural identity
C) Cultural desire, self-awareness, cultural knowledge, and cultural diversity
D) Cultural desire, self-awareness, cultural knowledge, and cultural skill
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Chapter 5: Spirituality
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2326
Sample Questions
Q1) A patient uses rosary beads and attends mass once a week. This expression of spirituality is best described with which term?
A) Religiosity
B) Faith
C) Belief
D) Authenticity
Q2) When conducting a spiritual assessment of a hospitalized patient, the nurse should remain aware of which potential barrier to effective communication?
A) Clarifying the meaning of a patient's statement
B) Multi-tasking while talking to the patient
C) Listening to patients' complete statements
D) Discussing patient's feelings while hospitalized
Q3) The nurse recognizes that which life events can be spiritually life changing? (Select all that apply.)
A) Births
B) Weddings
C) Medical diagnoses
D) Career day to day job duties
E) Loss of independence
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Chapter 6: Adherence
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Sample Questions
Q1) The nurse is evaluating the need to refer a patient with osteoarthritis for a home care visit to be sure the patient can function in accomplishing daily activities independently. What is the nurse's first priority?
A) Determine if the patient has had home visits before and if the experience was positive.
B) Check the patient's ability to bathe without any assistance the next day.
C) Have the patient demonstrate the learned skills at the end of the teaching session.
D) Arrange a physical therapy visit before the patient is discharged from the hospital.
Q2) When assessing a 22-year-old male patient, the nurse learns that he smokes a pack of cigarettes daily. The patient tells the nurse, "I enjoy smoking and have no plans to quit." Which nursing diagnosis is most appropriate?
A) Health Seeking Behaviors related to cigarette use
B) Ineffective Health Maintenance related to tobacco use
C) Readiness for Enhanced Self-Health Management related to smoking
D) Deficient Knowledge related to long-term effects of cigarette smoking
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8
Chapter 7: Self-Management
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2328
Sample Questions
Q1) The nurse planning care for a patient realizes that which acute medical event requires self-management?
A) Prenatal care
B) Depression
C) Diabetes
D) Femur fracture
Q2) The nurse is developing a teaching plan for a patient diagnosed with congestive heart failure. Which are the most appropriate teaching points to include that will assist in self-management of the disease? (Select all that apply.)
A) Side effects of medications
B) Activity restrictions
C) Daily weights
D) Increased sodium intake
E) Blood pressure monitoring
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Chapter 8: Fluid and Electrolyte Balance
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/2329
Sample Questions
Q1) The patient has recent bilateral, above-the-knee amputations and has developed C. difficile diarrhea. What assessments should the nurse use to detect ECV deficit in this patient? (Select all that apply.)
A) Test for skin tenting.
B) Measure rate and character of pulse.
C) Measure postural blood pressure and heart rate.
D) Check Trousseau's sign.
E) Observe for flatness of neck veins when upright.
F) Observe for flatness of neck veins when supine.
Q2) The patient is receiving tube feedings due to a jaw surgery. What change in assessment findings should prompt the nurse to request an order for serum sodium concentration?
A) Development of ankle or sacral edema
B) Increased skin tenting and dry mouth
C) Postural hypotension and tachycardia
D) Decreased level of consciousness
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Chapter 9: Acid-Base Balance
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2330
Sample Questions
Q1) Which statements said by patients indicate that the nurse's teaching regarding prevention of acid-base imbalances is successful? (Select all that apply.)
A) "Baking soda is an effective and inexpensive antacid."
B) "I should take my insulin on time every day."
C) "My aspirin is on a high shelf away from children."
D) "I have reliable transportation to dialysis sessions."
E) "Fasting is a great way to lose weight rapidly."
Q2) The patient had diarrhea for 5 days and developed an acid-base imbalance. Which statement would indicate that the nurse's teaching about the acid-base imbalance has been effective?
A) "To prevent another problem, I should eat less sodium during diarrhea."
B) "My blood became too acid because I lost some base in the diarrhea fluid."
C) "Diarrhea removes fluid from the body, so I should drink more ice water."
D) "I should try to slow my breathing so my acids and bases will be balanced."
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11
Chapter 10: Thermoregulation
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2331
Sample Questions
Q1) What is the priority nursing action for a patient suspected to be hypothermic?
A) Assess vital signs.
B) Hydrate with intravenous (IV) fluids.
C) Provide a warm blanket.
D) Remove wet clothes.
Q2) During orientation to an emergency department, the nurse educator would be concerned if the new nurse listed which of the following as a risk factor for impaired thermoregulation?
A) Impaired cognition
B) Occupational exposure
C) Physical agility
D) Temperature extremes
Q3) What is the most appropriate measure for a nurse to use in assessing core body temperature when there are suspected problems with thermoregulation?
A) Oral thermometer
B) Rectal thermometer
C) Temporal thermometer scan
D) Tympanic membrane sensor
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Chapter 11: Sleep
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2332
Sample Questions
Q1) A mother tells the nurse she is concerned because her 8 month old infant sleeps all day and night and is only awake about 2-3 hours per day. What is the nurse's best response?
A) "This sleep pattern is very normal for an infant at this age."
B) "Adding an additional feeding will keep the child awake more."
C) "I recommend that you notify the child's pediatrician."
D) "Be sure you are laying the child on his back to sleep at night."
Q2) A patient complains of not being able to fall asleep at night and asks the nurse if there is a safe, non-prescription medication he can try. After consulting the healthcare provider, the nurse should recommend which naturally occurring hormone?
A) Melatonin
B) Cortisol
C) Leutinizing hormone
D) Estrogen
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13
Chapter 12: Cellular Regulation
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/2333
Sample Questions
Q1) While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing intervention?
A) Prioritization and administration of nursing care throughout the day
B) Completing all nursing care in the morning so the patient can rest the remainder of the day
C) Completing all nursing care in the evening when the patient is more rested
D) Limiting visitors, thus promoting the maximal amount of hours for sleep
Q2) What is the priority nursing diagnosis for a patient experiencing chemotherapy-induced anemia?
A) Risk for injury related to poor blood clotting
B) Fatigue related to decreased cellular oxygenation
C) Disturbed body image related to skin color changes
D) Imbalanced nutrition, less than body requirements related to anorexia
Q3) In caring for a patient following lobectomy for lung cancer, which of the following should the nurse include in the plan of care?
A) Position the patient on the operative side only.
B) Avoid administering narcotic pain medications.
C) Keep the patient on strict bed rest.
D) Instruct the patient to cough and deep breathe.
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Page 14
Chapter 13: Intracranial Regulation
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2334
Sample Questions
Q1) After shunt procedure, the nurse would monitor the patient's neurologic status by using which test?
A) Electroencephalogram
B) Glasgow Coma Scale
C) National Institutes of Health Stroke Scale
D) Monro-Kellie doctrine
Q2) The nurse should teach a patient that which is a primary prevention strategy to reduce the occurrence of head injuries?
A) Blood pressure control
B) Smoking cessation
C) Maintaining a healthy weight
D) Violence prevention
Q3) Components of the Glasgow Coma Scale (GCS) the nurse would use to assess a patient after a head injury include which assessment?
A) Blood pressure
B) Cranial nerve function
C) Head circumference
D) Verbal responsiveness
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15
Chapter 14: Hormonal Regulation
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2335
Sample Questions
Q1) Radioactive iodine is indicated for the treatment of hyperthyroidism. The nurse should include which teaching in this patient's plan of care?
A) Isolation is required for 6-8 weeks
B) An additional dose may be needed
C) Thyroid replacement therapy is prescribed
D) An overnight hospital stay is required
Q2) Following a parathyroidectomy, which electrolyte should the nurse most closely monitor?
A) Potassium
B) Sodium
C) Magnesium
D) Calcium
Q3) Which important teaching point should the nurse include in the plan of care for a patient diagnosed with Cushing's disease?
A) Daily weight using same scale
B) Wash hands frequently
C) Use exfoliating soaps when bathing
D) Avoid yearly influenza vaccine
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16
Chapter 15: Glucose Regulation
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2336
Sample Questions
Q1) When a diabetic patient asks about maintaining adequate blood glucose levels, which of the following statements by the nurse relates most directly to the necessity of maintaining blood glucose levels no lower than about 74 mg/dL?
A) "Glucose is the only type of fuel used by body cells to produce the energy needed for physiologic activity."
B) "The central nervous system cannot store glucose and needs a continuous supply of glucose for fuel."
C) "Without a minimum level of glucose circulating in the blood, erythrocytes cannot produce ATP."
D) "The presence of glucose in the blood counteracts the formation of lactic acid and prevents acidosis."
Q2) The nurse instructs a patient with type 1 diabetes mellitus to avoid which of the following drugs while taking insulin?
A) Furosemide (Lasix)
B) Dicumarol (Bishydroxycoumarin)
C) Reserpine (Serpasil)
D) Cimetidine (Tagamet)
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Page 17
Chapter 16: Nutrition
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2337
Sample Questions
Q1) The home care nurse is assessing an older patient diagnosed with mild cognitive impairment (MCI) in the home setting. Which information is of concern?
A) The patient's son uses a marked pillbox to set up the patient's medications weekly.
B) The patient has lost 10 pounds (4.5 kg) during the last month.
C) The patient is cared for by a daughter during the day and stays with a son at night.
D) The patient tells the nurse that a close friend recently died.
Q2) During a physical examination, the nurse notes that the patient's skin is dry and flaking, with patches of eczema. Which nutritional deficiency might be present?
A) Vitamin C
B) Vitamin B
C) Essential fatty acid
D) Protein
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18
Chapter 17: Elimination
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2338
Sample Questions
Q1) The nurse is listening for bowel sounds in a postoperative patient. The bowel sounds are slow, as they are heard only every 3 to 4 minutes. The patient asks the nurse why this is happening. What is the nurse's best response?
A) "Anesthesia during surgery and pain medication after surgery may slow peristalsis in the bowel."
B) "Some people have a slower bowel than others, and this is nothing to be concerned about."
C) "The foods you eat contribute to peristalsis, so you should eat more fiber in your diet."
D) "Bowel peristalsis is slow because you are not walking. Get more exercise during the day."
Q2) The process of digestion is important for every living organism for the purpose of nourishment. Where does most digestion take place in the body?
A) Large intestine
B) Stomach
C) Small intestine
D) Pancreas
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Chapter 18: Perfusion
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2339
Sample Questions
Q1) The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two packs of cigarettes per day for 27 years. The nurse may find which data upon assessment?
A) Elevated blood pressure
B) Bounding pedal pulses
C) Night blindness
D) Reflux disease
Q2) A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse monitor for in this patient?
A) Tissue ischemia
B) Brain malformations
C) Intestinal blockage
D) Cardiac dysrhythmia
Q3) The patient asks the nurse to explain the function of the sinoatrial node in the heart. What is the nurse's best response?
A) "The sinoatrial node stimulates the heart to beat in a normal rhythm."
B) "The sinoatrial node protects the heart from atherosclerotic changes."
C) "The sinoatrial node provides the heart with oxygenated blood."
D) "The sinoatrial node protects the heart from infection."
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Page 20
Chapter 19: Gas Exchange
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/2340
Sample Questions
Q1) The nurse would identify which body systems as directly involved in the process of normal gas exchange? (Select all that apply.)
A) Neurologic system
B) Endocrine system
C) Pulmonary system
D) Immune system
E) Cardiovascular system
F) Hepatic system
Q2) The nurse is reviewing the patient's arterial blood gas results. The PaO<sub>2</sub> is 96 mm Hg, pH is 7.20, PaCO<sub>2</sub> is 55 mm Hg, and HCO<sub>3</sub> is 25 mEq/L. What might the nurse expect to observe on assessment of this patient?
A) Disorientation and tremors
B) Tachycardia and decreased blood pressure
C) Increased anxiety and irritability
D) Hyperventilation and lethargy
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21
Chapter 20: Clotting
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2341
Sample Questions
Q1) A patient on a medical surgical unit has a platelet count of 90,000 per mm³. The nurse knows to include which of the following precautions in discharge instructions?
A) Use a standard safety razor for shaving.
B) Use a soft bristle toothbrush.
C) Have aggressive dental care immediately to prevent dental caries.
D) Do not eat fresh fruit.
Q2) Which nursing observation would indicate that the nurse hold the medication warfarin (Coumadin)?
A) An INR (international normalize ratio) of 1.8
B) An INR of 4.8
C) A partial thromboplastin time (APTT) level of 25 seconds
D) An APTT level of 35 seconds
Q3) The nurse would expect to administer an anticoagulant to a patient following which surgery?
A) Hip replacement
B) Hysterectomy
C) Abdominal aorta aneurism (AAA) repair
D) Appendectomy
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Chapter 21: Reproduction
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2342
Sample Questions
Q1) A female infertility patient is found to be hypoestrogenic at the preChapterual clinic visit. She asks the nurse why she has never been able to get pregnant. Which response is best?
A) Circulating estrogen contributes to secondary sex characteristics.
B) Estrogen deficiency prevents the ovum from reaching the uterus and may be a factor in infertility.
C) Hyperestrogen may be preventing the zona pellucida from forming an ovum protective layer.
D) The corona radiata is preventing fertilization of the ovum.
Q2) The emergency department nursing assessment of a pregnant female at 35 weeks gestation reveals back pain, blood pressure 150/92, and leaking of clear fluid from the vagina. Which complication of pregnancy does the nurse suspect?
A) Ectopic pregnancy
B) Spontaneous abortion
C) Premature rupture of membranes
D) Supine hypotension
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23
Chapter 22: Sexuality
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2343
Sample Questions
Q1) A 55-year-old male patient post-myocardial infarction (MI) asks the nurse whether he will be healthy enough for sexual activity after discharge from the hospital. The patient has been prescribed anti-hypertensives and beta-blockers. During health teaching, the nurse understands that the three phases of the four-stage model of the human sexual response cycle that are of concern for this patient include which phases?
A) Excitement, plateau, and orgasmic
B) Plateau, orgasmic, and resolution
C) Excitement, orgasmic, and resolution
D) Arousal, excitement, and plateau
Q2) In order to fully assess the patient and plan appropriate care including health teaching regarding sexuality the nurse should realize that which patient is most at risk for sexual abuse?
A) A recently divorced 50-year-old woman
B) A Hispanic teenage girl
C) A 30-year-old African-American male
D) An individual with intellectual or developmental disabilities
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Chapter 23: Immunity
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2344
Sample Questions
Q1) The parents of a newborn question the nurse about the need for vaccinations: "Why does our baby need all those shots? He's so small, and they have to cause him pain." The nurse can explain to the parents that which of the following are true about vaccinations? (Select all that apply.)
A) Are only required for infants
B) Are part of primary prevention for system disorders
C) Prevent the child from getting childhood diseases
D) Help protect individuals and communities
E) Are risk free
F) Are recommended by the Centers for Disease Control and Prevention (CDC)
Q2) While caring for a patient preparing for a kidney transplant, the nurse knows that the patient understands teaching on immunosuppression when she makes which statement?
A) "My body will treat the new kidney like my original kidney."
B) "I will have to make sure that I avoid being around people."
C) "The medications that I take will help prevent my body from attacking my new kidney."
D) "My body will only have a problem with my new kidney if the donor is not directly related to me."
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Chapter 24: Inflammation
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Sample Questions
Q1) On admission to the clinic, the nurse notes a moderate amount of serous exudate leaking from the patient's wound. The nurse realizes what information about this fluid?
A) Contains the materials used by the body in the initial inflammatory response.
B) Indicates that the patient has an infection at the site of the wound.
C) Is destroying healthy tissue.
D) Results from ineffective cleansing of the wound area.
Q2) A patient is being treated with an antibiotic for an infected orthopedic injury. What explanation should the nurse give to the patient about this medication?
A) "Antibiotics will decrease the pain at the site."
B) "An antibiotic helps to kill the infection causing the inflammation."
C) "An antibiotic inhibits cyclooxygenase, an enzyme in the body."
D) "Antibiotics will reduce the patient's fever."
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Chapter 25: Infection
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Sample Questions
Q1) Which set of assessment data is consistent for a patient with severe infection that could lead to system failure?
A) Blood pressure (BP) 92/52, pulse (P) 56 beats/min, respiratory rate (RR) 10 breaths/min, urine output 1200 mL in past 24 hours
B) BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours
C) BP 112/64, P 98 beats/min, RR 18 breaths/min, urine output 2400 mL in past 24 hours
D) BP 152/90, P 52 beats/min, RR 12 breaths/min, urine output 4800 mL in past 24 hours
Q2) In order to provide the best intervention for a patient, the nurse is often responsible for obtaining a sample of exudate for culture. What information will this provide?
A) Whether a patient has an infection.
B) Where an infection is located.
C) What cells are being utilized by the body to attack an infection.
D) What specific type of pathogen is causing an infection.
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Chapter 26: Mobility
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Sample Questions
Q1) Mobility for the patient changes throughout the life span. What is the term that best describes this process?
A) Aging and illness
B) Illness and disease
C) Health and wellness
D) Growth and development
Q2) The nurse and a student nurse are discussing the effects of bed immobility on patients. The nurse knows that the student nurse understands the Chapter of mobility when making which statement?
A) "Patients with impaired bed mobility have an increased risk for pressure ulcers."
B) "Patients with impaired bed mobility like to have extra visitors."
C) "Patients with impaired bed mobility need to have a mechanical soft diet."
D) "Patients with impaired bed mobility are prone to constipation."
Q3) What percentage of hip fractures is the result of falls?
A) 50%
B) 80%
C) 90%
D) 100%
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Chapter 27: Tissue Integrity
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Sample Questions
Q1) A patient asks the nurse what the purpose of the Wood's light is. Which response by the nurse is accurate?
A) "We will put an anesthetic on your skin to prevent pain."
B) "The lamp can help detect skin cancers."
C) "Some patients feel a pressure-like sensation."
D) "It is used to identify the presence of infectious organisms and proteins associated with specific skin conditions."
Q2) A patient is to receive phototherapy for the treatment of psoriasis. What is the nursing priority for this patient?
A) Obtaining a complete blood count (CBC)
B) Protection from excessive heat
C) Protection from excessive ultraviolet (UV) exposure
D) Instructing the patient to take their multivitamin prior to treatment
Q3) A patient in the outpatient setting was diagnosed with atopic dermatitis. What interventions will the plan of care focus primarily on?
A) Decreasing pain
B) Decreasing pruritus
C) Preventing infection
D) Promoting drying of lesions
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Page 29
Chapter 28: Sensory Perception
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Sample Questions
Q1) A 75-year-old woman walks into the emergency department with complaints of "not feeling well." Her blood pressure is 145/95, pulse 85 beats/min, respirations 24 breaths/min, and blood sugar 300. Upon inspection, the nurse notices that the woman has an open wound on the bottom of her foot, but the patient states she is not aware of this. How should the nurse interpret these findings?
A) Normal in the older adult
B) A need for the patient to be evaluated for cognitive impairment
C) A side effect of anti-hypertensive medication
D) Pathologic impairment of sensory responses
Q2) The nurse is examining the eyes of a newborn infant. If the nurse notes the absence of the red reflex, what is the next best action?
A) Notify the physician.
B) Document the finding in the records.
C) Recheck the reflex after several hours.
D) Monitor the eye movements and pupil reactions closely.
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Chapter 29: Pain
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Sample Questions
Q1) A 70-year-old retired nurse is interested in nondrug, mind-body therapies, self-management, and alternative strategies to deal with joint discomfort from rheumatoid arthritis. What options should you consider in her plan of care considering her expressed wishes?
A) Stationary exercise bicycle, free weights, and spinning class
B) Mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy
C) Chamomile tea and IcyHot gel
D) Acupuncture and attending church services
Q2) An elderly Chinese woman is interested in biologically based therapies to relieve osteoarthritis (OA) pain. You are preparing a plan of care for her OA. Options most conducive to her expressed wishes may include which actions or activities?
A) Pilates, breathing exercises, and aloe vera
B) Guided imagery, relaxation breathing, and meditation
C) Herbs, vitamins, and tai chi
D) Alternating ice and heat to relieve pain and inflammation
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Chapter 30: Fatigue
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Sample Questions
Q1) Which are treatment related causes of fatigue? (Select all that apply.)
A) Blood transfusion
B) Chemotherapy
C) Radiation therapy
D) Surgery
E) Side effects of medications
Q2) The nurse is caring for a patient diagnosed with amyotrophic lateral sclerosis. The nurse should assess for which priority problem?
A) Fatigue
B) Bradypnea
C) Hypertension
D) Fall risk
Q3) The occupational health nurse is making rounds in a factory. Which employees need further education about energy conservation strategies?
A) Workers reaching up to high shelf often to obtain cleaning supplies
B) Workers bending over to lift boxes onto conveyer belt
C) Workers who have delegated out parts of their activities
D) Workers standing for long periods
E) Workers standing at desks at waist level
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Page 32
Chapter 31: Stress
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Sample Questions
Q1) A patient who was recently diagnosed with diabetes is having trouble concentrating. This patient is usually very organized and laid back. Which action should the nurse take?
A) Ask the health care provider for a psychiatric referral.
B) Administer the PRN sedative medication every 4 hours.
C) Suggest the use of a home caregiver to the patient's family.
D) Plan to reinforce and repeat teaching about diabetes management.
Q2) Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (Select all that apply.)
A) Assess for bradycardia.
B) Ask about epigastric pain.
C) Observe for increased appetite.
D) Check for elevated blood glucose levels.
E) Monitor for a decrease in respiratory rate.
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33
Chapter 32: Coping
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Sample Questions
Q1) The nurse is assessing the coping patterns of a newly admitted patient. What will the nurse include in this assessment? (Select all that apply.)
A) Current stressors as perceived by the patient
B) Use of drugs or alcohol
C) Recent weight changes
D) Age and height
E) Temperature
Q2) The school nurse is assessing coping skills of high school students who attend an alternative school for students at high risk to not graduate. What is the priority concern that the nurse has for this student population?
A) Altered vital sign readings
B) Inaccurate perceptions of stressors
C) Increased risk for suicide
D) Decreased access to alcoholic beverages
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Chapter 33: Mood and Affect
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Sample Questions
Q1) A patient newly diagnosed with depression states, "I have had other people in my family say that they have depression. Is this an inherited problem?" What is the nurse's best response?
A) "There are a lot of mood disorders that are caused by many different causes. Inheriting these disorders is not likely."
B) "Current research is focusing on fluid and electrolyte disorders as a cause for mood disorders."
C) "All of your family members raised in the same area have probably learned to respond to problems in the same way."
D) "Members of the same family may have the same biological predisposition to experiencing mood disorders."
Q2) A patient who is taking prescribed lithium carbonate is exhibiting signs of diarrhea, blurred vision, frequent urination, and an unsteady gait. Which serum lithium level would the nurse expect for this patient?
A) 0 to 0.5 mEq/L
B) 0.6 to 0.9 mEq/L
C) 1.0 to 1.4 mEq/L
D) 1.5 or higher mEq/L
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Page 35
Chapter 34: Anxiety
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Q1) The nurse wishes to use guided imagery to help an anxious patient relax. Which comment would be appropriate to include in the guided imagery script? (Select all that apply.)
A) "Imagine others treating you the way they should, the way you want to be treated "
B) "With each breath, you are feeling calmer, more relaxed, almost as if you are floating "
C) "You are alone on a beach; the sun is warm; and you hear only the sound of the surf "
D) "You have taken control; nothing can hurt you now; everything is going your way "
E) "You have grown calm; your mind is still; there is nothing to disturb your well-being "
F) "You will feel better as work calms down, as your boss becomes more understanding "
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36
Chapter 35: Cognition
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Q1) The nurse is sitting with the family of a patient who has just received the diagnosis of dementia. The family asks for information on what treatment will be needed to cure the condition. What is the nurse's best response?
A) "Hormone therapy will reverse the condition."
B) "Vitamin C and zinc will reverse the condition."
C) "There is no treatment that reverses dementia."
D) "Dementia can be reversed with diet, exercise, and medications."
Q2) The nurse is reviewing new medication orders for several patients in a long-term care facility. Which patient does the nurse recognize as being at the highest risk for having cognitive impairment related to prescribed medications?
A) The patient prescribed an antibiotic for a urinary tract infection.
B) The patient prescribed a cholinesterase inhibitor for early Alzheimer's disease.
C) The patient prescribed a beta-blocker for hypertension.
D) The patient prescribed a bisphosphonate for osteoporosis.
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Chapter 36: Psychosis
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Q1) Which side effect is highest priority for the nurse to assess for when diphenhydramine is administered to a patient also taking antipsychotic medication?
A) Increased pychosis
B) Cognitive impairment
C) Respiratory depression
D) Impaired memory
Q2) A client with schizophrenia has relapsed and has been identified as being in stage four of relapse. The nurse expects to observe which behavior that most consistent with this stage of relapse?
A) Expressing feelings of anxiety
B) Expressing feelings of being overwhelmed
C) Bizarre behaviors and speech
D) Presence of hallucinations
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Chapter 37: Addiction
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Q1) The nurse is assessing a patient using the CAGE Questionnaire. The patient answers yes to all of the questions. The nurse suspects alcoholism and feels the patient is in denial when the patient makes which statement?
A) "I go to meetings once a day and still drink."
B) "My family and friends have been avoiding me lately."
C) "I don't have a problem with alcohol. I can quit anytime I want to."
D) "I know it will be hard to quit, but I am willing to try."
Q2) Strategies that a nurse could use in a motivational interview to increase the chances of change include which of the following? (Select all that apply.)
A) Educating the patient on the physical damage the substance is causing
B) Encouraging the patient to think of ways to change environmental triggers to abuse substances
C) Asking the patient how they think substance abuse affects their family life
D) Explaining to the patient that substance abuse affects everyone in the family and give examples
E) Asking the patient what methods they think would work and encouraging participating in self-help groups
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Chapter 38: Interpersonal Violence
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Q1) The nurse is seeing a patient who has been in the clinic eight times in the past 6 months for injuries from an abusive partner. The patient states, "I don't see any way to get away from my partner, and I can't keep going on like this." What assessment question is most important for the nurse to ask?
A) "Do you have any family in the area that can help?"
B) "Have you thought about hurting yourself or someone else?"
C) "Have you thought about moving to a different city?"
D) "Have you discussed this with anyone else?"
Q2) A nurse is caring for a patient in the emergency department who has been a victim of intimate partner violence. What is most important for the nurse to include in the plan of care?
A) Medication to calm the perpetrator of the violence
B) A list of community resources
C) A referral for self-defense training
D) A referral to the victim's religious advisor
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Chapter 39: Professional Identity
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Questions
Q1) What nursing recommendations are published in the Institute of Medicine (IOM's) report The future of nursing: Leading change, advancing health?
A) Teach, advocate, assess, and nurture.
B) Should have a graduate degree to practice.
C) Diagnose and recommend treatments.
D) Must have continuing education.
Q2) Nursing demonstrates dedication to improving public health through which avenue?
A) Changing health care standards
B) Legal regulations
C) Scope of practice
D) Technology
Q3) The American Nurses' Association (ANA) outlines expectations of the nursing profession in which type of documentation?
A) Gallup poll
B) Goldman report
C) Social Policy Statement
D) Social identity theory
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41
Chapter 40: Clinical Judgment
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Q1) A patient has been admitted for a skin graft following third degree burns to the bilateral calves. The plan of care involves 3 days inpatient and 6 months outpatient treatment, to include home care and dressing changes. When should the nurse initiate the educational plan?
A) After the operation and the patient is awake
B) On admission, along with the initial assessment
C) The day before the patient is to be discharged
D) When narcotics are no longer needed routinely
Q2) A nurse has designed an individualized nursing care plan for a patient, but the patient is not meeting goals. Further assessment reveals that the patient is not following through on many items. Which action by the nurse would be best for determining the cause of the problem?
A) Assess whether the actions were too hard for the patient.
B) Determine whether the patient agrees with the care plan.
C) Question the patient's reasons for not following through.
D) Reevaluate data to ensure the diagnoses are sound.
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Chapter 41: Leadership
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Q1) The new director of case management assessed the need to improve the organization's patient satisfaction with the discharge process. Which statement below illustrates the vision that would lead the team to this goal?
A) "The department will deliver reliable, collaborative, and compassionate discharge planning services to all patients."
B) "The department will hold weekly meetings every Tuesday at 11:00 AM."
C) "There will be implementation of a new uniform policy so staff can be readily identified."
D) "Staff are encouraged to complain about difficult patients, families, and physicians."
Q2) According to situational and contingency theory, which statement is true?
A) The theory challenges the concept that one leadership style is always best.
B) The theory supports employee feelings, morale, and feedback during the change process.
C) Motivation through inspiration and recognition is the focus for transforming employee behavior.
D) A leader is someone who possesses great intelligence and decision-making authority.
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Chapter 42: Ethics
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Q1) A drug-addicted nurse switches a patient's morphine injection with normal saline so that the nurse can use the morphine. The nurse is violating which principles of ethics? (Select all that apply.)
A) Autonomy
B) Utilitarianism
C) Beneficence
D) Dilemmas
E) Veracity
Q2) A male patient suffered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, "Do you think when he moves his hands he is responding to my voice?" The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, "He can hear you, and it appears he did respond to your voice." The nurse is violating which principle of ethics?
A) Autonomy
B) Veracity
C) Utilitarianism
D) Deontology
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44
Chapter 43: Patient Education
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Q1) When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that involves which quality?
A) Addresses group needs
B) Follows formalized plans
C) Has standardized content
D) Often occurs one-to-one
Q2) Strategies to include in a teaching plan for an adult who has repeatedly not followed the written discharge instructions would include which information source?
A) Individualized handout
B) Instructional videos
C) Internet resources
D) Self-help books
Q3) When planning to evaluate a patient's satisfaction with a teaching activity, what is the most appropriate strategy?
A) Include a survey instrument.
B) Observe for level of skill mastery.
C) Present information more than one time.
D) Provide for a return demonstration.
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Chapter 44: Health Promotion
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Q1) When there is evidence that supports a screening for an individual patient but not for the general population, the nurse would expect the United States Preventive Services Task Force Grading to be what?
A) No recommendation for or against
B) Recommends
C) Recommends against
D) Strongly recommends
Q2) The nurse in a newly opened community health clinic is developing a program for the individuals considered at greatest risk for poor health outcomes. How should the nurse consider this group?
A) Global community
B) Sedentary society
C) Unmotivated population
D) Vulnerable population
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Chapter 45: Communication
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Sample Questions
Q1) The nurse and the patient are conversing face to face. What communication technique is being demonstrated?
A) Linguistic
B) Paralinguistic
C) Explicit
D) Metacommunication
Q2) A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response by the nurse would be an example of interpersonal therapeutic communication?
A) "It sounds as though you were uncomfortable with the content of your dream."
B) "I understand what you're saying. Bad dreams leave me feeling tired, too."
C) "So, all in all, you feel as though you had a rather poor night's sleep?"
D) "Can you give me an example of what you mean by a 'bad nightmare'?"
Q3) The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification?
A) "What are the common elements here?"
B) "Tell me again about your experiences."
C) "Am I correct in understanding that "
D) "Tell me everything from the beginning."
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Page 47
Chapter 46: Collaboration
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Sample Questions
Q1) A nurse manager has recently overheard several negative comments made by nurses on the unit about other nurses on the unit. The manager recognizes that the nurses are exhibiting what type of behavior that is detrimental to collaboration?
A) Vertical violence
B) Lateral violence
C) Descending violence
D) Personal violence
Q2) A newly licensed nurse is assigned to an experienced nurse for training on a medical unit of a hospital. What type of nurse-to-nurse collaboration does this assignment demonstrate?
A) Interprofessional
B) Shared governance
C) Interorganizational
D) Mentoring
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Chapter 47: Safety
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Sample Questions
Q1) Prior to drug administration the nurse reviews the seven rights, which include right patient, right medication, right time, right dose, right education, right documentation, and what other right?
A) Room
B) Route
C) Physician
D) Manufacturer
Q2) To promote safety, the nurse manager sensitive to point of care (sharp end) and systems level (blunt end) exemplars works closely with staff to address which point of care exemplar?
A) Care coordination
B) Documentation
C) Electronic records
D) Fall prevention
Q3) Which is an essential element of a standard order set to verify a medication order?
A) Volume only
B) Number of tablets
C) Metric dose/strength
D) Hour of administration
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Page 49
Chapter 48: Technology and Informatics
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Sample Questions
Q1) When discussing the purposes of health care informatics with a nurse during orientation, the nurse educator would be concerned if the nurse orientee stated that which is one purpose of informatics?
A) Develop a cognitive science.
B) Improve disease tracking.
C) Improve the health provider's work flow.
D) Increase administrative efficiencies.
Q2) Florence Nightingale, the first nurse informatician, sought hospital data for comparison purposes to compete which goal?
A) Allow faster and accurate diagnosis.
B) Better coordinate care.
C) Improve the efficiency of care.
D) Show people how their money was spent.
Q3) To design and implement a decubitus ulcer risk management protocol in the electronic health record, the informatics nurse would first perform which action?
A) Build the screens in the electronic health record.
B) Determine evidence supporting decubitus ulcer risk management.
C) Develop the training program for staff.
D) Select the appropriate standardized language.
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Page 50
Chapter 49: Evidence
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Q1) The nurse is conducting a review of the literature for pain management techniques. Which of the following would the nurse consider when conducting research that yields solid EBP? (Select all that apply.)
A) Search the literature to uncover evidence to answer the question.
B) Evaluate the outcome.
C) Use the nursing process to evaluate evidence.
D) Evaluate the evidence found.
E) Develop an answerable question.
F) Develop a question that has not been answered.
G) Apply the evidence to the practice situation.
Q2) The nurse in the psychiatric unit is involved in a research study for a depression medication. In the study, patients are randomly assigned to one depression medication and the other group is receiving no medication to treat the depression. What method of research are the patients involved with?
A) Descriptive
B) Correlational
C) Quasi-experimental
D) Experimental
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Chapter 50: Health Care Quality
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Q1) What are two major foci of The Joint Commission (TJC) in the delivery of health care?
A) Cost containment; safety
B) Safety; quality
C) Quality; assessment
D) Assessment; evaluation
Q2) The focus of quality health care should be on which of the following items? (Select all that apply.)
A) Excellent services
B) Comprehensive communication
C) Private hospital rooms
D) Health team collaboration
E) Culturally competent care
Q3) A student nurse is talking with his instructor. The student asks how quality of care is evaluated. What is the best response by the instructor?
A) "Quality of care is evaluated by the patient getting well."
B) "Quality of care is evaluated on the basis of process and outcomes."
C) "Quality of care is evaluated by the physician's assessment."
D) "Quality of care is evaluated by the patient's satisfaction."
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Chapter 51: Care Coordination
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Q1) Medical models coordinate medical services and were traditionally designed fulfill which function?
A) Be patient specific.
B) Be nursing oriented.
C) Be diagnosis specific.
D) Be community oriented.
Q2) A nursing instructor is talking about care coordination with nursing students. The instructor stresses which of the following to the students concerning care coordination?
A) "A patient must ask for what they need in order to coordinate care."
B) "The nurse does most of the work in care coordination."
C) "Medical diagnoses are an integral part of care coordination."
D) "Collaboration is a significant part of care coordination."
Q3) Student nurses are being questioned by the nursing instructor about the health care coordination system. The instructor knows the students understand health care delivery when making which statement?
A) "Health care is available for everyone at every time."
B) "Health care needs are best met with a collaborative effort."
C) "Health care is adequately meeting the needs of the homeless populations."
D) "Health care needs are mostly in third world countries."
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Page 53
Chapter 52: Caregiving
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Q1) A mother is talking with the community-based nurse concerning her adult son. The son is mentally challenged and not able to live on his own. The mother is concerned about her son's welfare when she is no longer able to care for him. What is the best response by the nurse?
A) "Let's look into the community resources that are available to assist you."
B) "You have raised your son well, and he will be okay on his own."
C) "Contact your distant relatives to see if anyone would take your son."
D) "There are places for mentally challenged adults; let's place him there."
Q2) Caregivers are often categorized by their relationship to the person being cared for. Which of the following are the roles? (Select all that apply.)
A) Grandparent
B) Spouse
C) Parent
D) Adult children
E) Neighbor/friend
F) Young children
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Chapter 53: Palliation
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Q1) What is the most prominent goal of palliative care?
A) Integrate into chronic disease management sooner rather than later.
B) Enroll the patient into the Medicare Hospice Benefit.
C) Ensure that the patient has a 6-month prognosis.
D) Reserve this type of care until the patient is actively dying.
Q2) When considering the trajectory of a specific disease, what is the most important Chapter?
A) Hospital admissions
B) Physical functioning
C) Quality of life
D) Symptom management
Q3) The interprofessional core team includes members from which disciplines?
A) Nursing, medicine, volunteers, and nutrition
B) Medicine, nursing, social work, and clergy
C) Medicine, nursing, physical therapists, and volunteers
D) Nursing, home health aides, volunteers, and clergy
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Chapter 54: Health Disparities
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Q1) The nurse in the immunization clinic should place emphasis on educating and reaching which groups about the disease preventing effects of immunizations? (Select all that apply.)
A) Caucasian
B) African American
C) Low income
D) Middle income
E) High income
Q2) A new nurse requires further teaching when failing to identify which practice as a health disparity?
A) Annual mammogram
B) Early prenatal care
C) Blood pressure screening
D) Frequent fast food meals
Q3) Which type of health disparities are most frequently encountered by nurses in clinical and community settings?
A) Avoidable and acceptable
B) Avoidable and unacceptable
C) Unavoidable and acceptable
D) Unavoidable and unacceptable
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Chapter 55: Health Care Organizations
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Q1) A nurse is reported for taking prescribed patient medications for their personal use. Who has direct authority over deciding if the nurse may keep their professional license to continue practicing as a nurse?
A) The hospital where the nurse is currently employed
B) The American Nurses Association
C) The National League for Nursing
D) The State Board of Nursing who issued the license
Q2) A hospital is experiencing a drop in patient admissions, resulting in the implementation of a hiring freeze. What is a potential critical consequence of this internal organizational decision?
A) A decrease in the availability of future nurses to hire
B) A savings of salaries and benefits
C) Increased scholarships to nursing students from the local high school
D) Increased cross-training of current staff
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Chapter 56: Health Care Economics
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Q1) An accountable care organization (ACO) seeks to deliver which of the following aspects of health care? (Select all that apply.)
A) Lessen Medicare payments
B) Integrate care
C) Enhance evidence-based practices
D) Manage acute conditions
E) Support hospice charges
Q2) A student asks the instructor about health care economics. The instructor knows the student understands when the student makes which statement?
A) "The elderly population uses most of the health care services."
B) "Everyone should have health insurance to obtain services."
C) "Health care dollars should be partitioned by the government."
D) "Resources will be needed to serve health care issues."
Q3) Which of the following statements is true about health care in the US?
A) The US spends more money on health care than any other nation.
B) The US provides health care to every citizen.
C) The US relies on government funding to treat most citizens.
D) The US spends less money on pediatric care than other nations.
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Chapter 57: Health Policy
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Q1) Which level of government is responsible for the regulation of a nurse's license?
A) Federal government
B) State government
C) Local government
D) International coalition
Q2) A definition of health policy includes which of the following elements?
A) Funding for public education
B) Appropriation of funds for roadwork
C) Selection of congressional members of committees
D) Public policy made to support health-related goals
Q3) Which branch of government is responsible for the execution of laws passed by legislatures?
A) Legislative
B) Judicial
C) Executive
D) Local
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Chapter 58: Health Care Law
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Sample Questions
Q1) What is one of the major attributes of health care law?
A) It defines the expected behavior of persons in the business of health care.
B) The law or rule is easy to interpret and comply with.
C) It is established by any health care authority.
D) The creator must be an expert in health care.
Q2) The new nurse correctly defines a law when stating which information?
A) "Law is a fundamental concept for health care professionals."
B) "Law's rule is developed by the employee's organization."
C) "Law's rule is enacted by a government agency that defines what must be done in a given circumstance."
D) "Law is a mandate from the Joint Commission or other accrediting agency."
Q3) Which of the following is false regarding state licensure laws?
A) These laws establish the requirements for licensure to practice.
B) Licensure is not necessary if the individual has completed training.
C) The state regulatory agencies such as the state board of nursing are responsible for creating and enforcing these rules.
D) The scope of practice defines what the professional can and cannot do within the scope of their licensure.
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