Nursing Theory and Practice Exam Bank
Course Introduction
Nursing Theory and Practice explores the foundational concepts, models, and frameworks that guide the nursing profession, bridging theoretical knowledge with practical application in diverse healthcare settings. This course examines major nursing theories, their historical development, and their relevance for guiding clinical practice, decision-making, and patient care. Students will analyze case studies and real-world scenarios to apply theoretical perspectives, develop critical thinking skills, and enhance evidence-based practice, preparing them to deliver holistic and patient-centered care as part of an interdisciplinary healthcare team.
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) A patient who requires long-term rehabilitation needs which type of care?
A) Primary care
B) Secondary care
C) Tertiary care
D) Preventive care
Answer: C
Q2) According to the American Nurses Association (ANA),which statements best describe the characteristics of registered nursing? Select all that apply.
A) Nursing practice is individualized.
B) Nursing practice is similar to medical practice.
C) Caring is central to the practice of the registered nurse.
D) Nurses coordinate care by establishing partnerships.
Answer: A,C,D
Q3) Which of the following is the most important reason to develop a definition of nursing?
A) Recruit more informed people into the nursing profession
B) Evaluate the degree of role satisfaction
C) Dispel the stereotypical images of nurses and nursing
D) Differentiate nursing activities from those of other health professionals
Answer: D
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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) A few nurses on a unit have proposed to the nurse manager that the process for documenting care on the unit be changed.They have described a completely new system.Why is it important for the nurse manager to have a critical attitude? It will help the manager to:
A) Consider all the possible advantages and disadvantages
B) Maintain an open mind about the proposed change
C) Apply the Nursing Process to the situation
D) Make a decision based on past experience with documentation
Answer: B
Q2) Which of the following is an example of practical knowledge? Assume all are true.
A) The tricuspid valve is located between the right atrium and ventricle of the heart.
B) The pancreas does not produce enough insulin in type 1 diabetes.
C) When assessing the abdomen, you should auscultate before palpating.
D) Research shows pain medication given intravenously acts faster than medication given by other routes.
Answer: C
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Chapter 3: Nursing Process: Assessment
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/47124
Sample Questions
Q1) The patient comes to the emergency department complaining of chest pain.What question by the nurse will encourage the patient to provide the most details about the pain?
A) "When did your chest pain begin?"
B) "On a scale of 0 to 10, what is your pain level?"
C) "Would you please tell me more about the pain you are having?"
D) "Have you taken any medication for your pain?"
Answer: C
Q2) The certified nursing assistant (CNA)tells the nurse: "I can help you with your assessment." What is the most appropriate response by the nurse?
A) "Thank you. I am having a busy day and I can use your help."
B) "I'm sorry, but nurses are responsible for all patient assessment."
C) "How long have you been a CNA?"
D) "If you will obtain the vital signs and place them in the chart then that would be a big help."
Answer: D
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Chapter 4: Nursing Process: Diagnosis
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/47125
Sample Questions
Q1) Which of the following is the best example of a nursing diagnosis statement?
A) Pain related to appendicitis
B) Fractured left leg related to impaired mobility
C) Impaired mobility related to fractured left leg
D) Acute pain related to out of bed activities
Q2) The diagnostic label,or patient problem,is used primarily to suggest:
A) Client goals
B) Cue clusters
C) Interventions
D) Etiology
Q3) When making a diagnosis using NANDA-I,which of the following provides support for the diagnostic label you choose?
A) Etiology
B) Related factors
C) Diagnostic label
D) Defining characteristics
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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) A nurse is caring for an 80-year-old patient of Chinese heritage.When planning outcomes for this patient,which actions by the nurse would meet the American Nurses Association standards for outcomes identification? Select all that apply.
A) Developing culturally appropriate outcomes
B) Using the standardized outcomes on the clinical pathway
C) Choosing the best outcome for the patient, regardless of the cost
D) Involving the patient and family in formulating the outcomes
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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Page 7
Chapter 6: Nursing Process: Planning Interventions
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47127
Sample Questions
Q1) A client newly diagnosed with diabetes is admitted to the hospital because her diabetes is out of control.Which of the following is an appropriate direct-care intervention for this client during her stay?
A) Consulting the diabetic nurse educator for help with a teaching plan
B) Making arrangements for the client to join a diabetic support group
C) Demonstrating blood glucose monitoring and insulin administration to the client
D) Consulting with the dietician about the client's dietary concerns
Q2) A client is admitted to the hospital with an acute respiratory problem resulting from lung disease.The nurse makes a diagnosis of Ineffective Breathing Pattern related to inability to maintain adequate rate and depth of respirations.Which nursing intervention should be listed first on the care plan?
A) Determine airway adequacy hourly and as needed.
B) Administer oxygen as needed.
C) Monitor arterial blood gas values.
D) Place the client in a high Fowler's position.
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Chapter 7: Nursing Process: Implementation Evaluation
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47128
Sample Questions
Q1) The nurse works with the respiratory therapist to administer a patient's breathing treatments.He reports the patient's breathing status and tolerance of the treatment to the primary care provider.The nurse then discusses with the patient the options for further treatment.This is an example of:
A) Delegation
B) Collaboration
C) Coordination of care
D) Supervision of care
Q2) The nurse is caring for a client who was newly diagnosed with type 2 diabetes mellitus.Which intervention by the nurse best promotes client cooperation with the treatment plan?
A) Teaching the client that he must lose weight to control his blood sugar
B) Informing the client that he must exercise at least three times per week
C) Explaining to the client that he must come to the diabetic clinic weekly
D) Determining the client's main concerns about his diabetes
Q3) 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.
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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) Which commonly accepted practice came out of the Framingham study? Use of:
A) Mammography in breast cancer screening
B) Colonoscopy in colon cancer screening
C) Pap testing in cervical cancer screening
D) Digital rectal examination in prostate cancer screening
Q2) The mother of a child participating in a research study that uses high-dose steroids wishes to withdraw her child from the study.Despite reassurance that adverse reactions to steroids in children are uncommon,the mother still does not change her mind.By withdrawing from the study,the mother is exercising which right? The right
A) Not to be harmed
B) To self-determination
C) To full disclosure
D) Of confidentiality
Q3) 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?
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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 52-year-old female comes to the office for her routine yearly physical examination.As part of the nurse's assessment,which of the following principal physical changes in women of this age group is most expected?
A) Graying hair
B) Breast cancer
C) Menopause
D) Mood swings
Q2) The nurse conducts a class on health promotion for a group of young adults.Which of the following comments would indicate the teaching was effective? "I will:
A) Need to get screened for colon cancer"
B) Start doing testicular self-exams"
C) Have my prostate checked"
D) Not need to do breast self-exams until I am 40"
Q3) Which behavior by the mother is most likely to help the infant to develop trust?
A) Talking to the infant
B) Breastfeeding instead of bottle feeding
C) Promptly responding to the infant's crying
D) Having the infant sleep in the same room with the parent
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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 suspects that an older adult patient may have difficulty hearing.What strategies will the nurse use in communicating with this patient until he is certain that there is hearing loss? Select all that apply.
A) Look directly at the patient when speaking
B) Speak more slowly than usual
C) Speak loudly toward the patient's ears
D) Allow some extra time for the patient to respond
Q2) Risk factors for physical abuse of older adults include which of the following? Select all that apply.
A) Socioeconomic status below the poverty level
B) Residence in low-income housing
C) Impairment of the older adult
D) Frequent visits to respite care
Q3) A 78-year-old couple is moving out of state to be closer to family members.Which of the following residences is most appropriate for this couple?
A) Second story apartment with safety bars in the bathrooms
B) Small two-bedroom home close to shopping center and church
C) One-level living area condominium with good lighting inside and outside
D) Two-level living area condominium close to family members
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Page 12
Chapter 11: Experiencing Health Illness
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/47132
Sample Questions
Q1) Using the concept of the wellness-illness continuum,a nursing care plan for a chronically ill patient would outline steps to:
A) Educate the patient about every possible complication associated with the specific illness
B) Encourage positive health characteristics within the limits of the specific illness
C) Limit all activities because of the progressive deterioration associated with all chronic illnesses
D) Recommend activity beyond the scope of tolerance to prevent early deterioration
Q2) When transferring a patient from a hospital to a long-term care facility,which of the following is most helpful in facilitating the patient's planning and emotional adjustment?
A) Notify the patient and family as much in advance of the transfer as possible
B) Send a complete copy of the patient's medical records to the new facility
C) Carefully coordinate the transfer with the long-term facility to keep it smooth
D) Help arrange for transportation and accompany the patient to the transport vehicle
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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) 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.
Q2) Before entering the room of a patient who is angry and yelling,the nurse removes her stethoscope from around her neck.The best rationale for doing so is that the stethoscope:
A) Could be used by the patient to hurt her
B) Might cause the patient not to trust her
C) Would distract her from focusing on the patient
D) Will function as another stressor for the patient
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14
Chapter 13: Psychosocial Health Illness
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/47134
Sample Questions
Q1) What are the best communication strategies that a nurse can use to encourage patients to share personal and sensitive information? Select all that apply.
A) Be aware of your own biases and personal opinions with regard to the patient's information.
B) Use very specific yes and no questions during the interview to keep the patient focused and attentive.
C) Start an interview by asking very broad questions and then proceed to more specific questions.
D) Avoid any questions related to cultural and gender-specific details about the person of family members.
Q2) 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.
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Chapter 14: The Family
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/47135
Sample Questions
Q1) Which family function(s)is/are outlined in the structural-functional family theory? Select all that apply.
A) Meeting the emotional needs of family members
B) Reinforcing ethical and moral values
C) Promoting joint decision making among parents and children
D) Being productive members of society
Q2) The son of an 80-year-old patient tells the nurse,"I'm starting to worry about my father's eating habits.He lives alone and has been able to cook,but now he doesn't want to cook and says he is too tired to go to the store." What is the most appropriate response by the nurse?
A) "We may need to contact the physician for a nutritional assessment."
B) "Your family members will need to get together and bring him meals."
C) "It may be time for you to think about nursing home placement."
D) "What are your feelings on using some community resources such as Meals on Wheels?"
Q3) A family assessment should include which areas? Select all that apply.
A) Coping patterns
B) Health beliefs
C) Medical history
D) Physical examination
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Chapter 15: Culture Ethnicity
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47136
Sample Questions
Q1) Which of the following is considered a "practice" (as opposed to a belief or value)?
A) Always drinking water after exercise
B) Thinking often about cleanliness
C) Placing an emphasis on success
D) Maintaining youth
Q2) The nurse is caring for a Native American in a rural rehabilitation facility.The nurse notices that the patient has eaten very little since his admission 10 days ago.When she asks the patient about his eating,he states,"I can't eat any of this food.It just isn't what I eat at home and we don't prepare our foods this way." The nurse explains that the patient is on a very specific cardiac diet as a result of his heart attack and that he has lost 7 pounds since admission.Based on this scenario,what is/are the most appropriate nursing diagnosis(es)for this patient? Select all that apply.
A) Noncompliance related to difficulty adhering to the medical regimen
B) Possible Knowledge deficit related to disease process
C) Imbalanced nutrition: less than body requirement related to cultural dietary practices
D) Decreased appetite related to anxiety secondary having a heart attack
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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) The nurse is asking the patient reflective,clarifying questions to help the patient make a list of what is important and unimportant in life and the time commitment for each.Which standardized (NIC)nursing intervention does this action implement?
A) Spiritual support
B) Self-Esteem Enhancement
C) Values Clarification
D) Hope Inspiration
Q2) Which statement made by the student nurse to a Jehovah's Witness patient indicates a need for further learning?
A) "I documented in your medical records that you do not want blood transfusions or blood products."
B) "I will decorate your room with holiday ornaments."
C) "Happy Birthday. I will have the dietary department send up a cake for you."
D) "The organ procurement (donation) center was notified that you did not want to donate an organ."
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18
Chapter 17: Loss,Grief, Dying
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47138
Sample Questions
Q1) Which dysrhythmia confirms death?
A) Asystole (absence of heart activity)
B) Pulseless electrical activity
C) Ventricular fibrillation
D) Ventricular tachycardia
Q2) A patient dying of heart failure has changed his choice about his end-of-life treatment measures several times.He says,"I just can't make up my mind about it." Which nursing diagnosis is most appropriate for this patient?
A) Deficient Knowledge
B) Spiritual Distress
C) Decisional Conflict
D) Death Anxiety
Q3) Which intervention should be included in the plan of care for a patient in the end-stage death process?
A) Encourage the patient to accept as much help as possible.
B) Avoid administering laxatives.
C) Wet the lips and mouth frequently.
D) Administer pain medication on an as-needed basis.
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19
Chapter 18: Documenting Reporting
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47139
Sample Questions
Q1) The department of nursing at a local hospital is considering changing to charting by exception (CBE).A major disadvantage of CBE is that it:
A) Increases the time nurses spend on charting in narrative format
B) Does not clearly identify deviations from normal expectations
C) Requires all providers to document in the same sections of the chart
D) Can increase the risk of omissions in patient care
Q2) A patient with a history of hypertension and rheumatoid arthritis is admitted for surgery,a colon resection,for colon cancer.Which integrated plan of care (IPOC)would be most appropriate for the nurse to implement?
A) Hypertension
B) Rheumatoid arthritis
C) Postoperative colon resection
D) Follow all three plans
Q3) Which set of topics makes up a handoff report given in a recommended format?
A) Data-action-response (DAR)
B) Subjective-objective-assessment-plan (SOAP)
C) Situation-background-assessment-recommendation (SBAR)
D) Patient-diagnosis-medications-activity
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Page 20
Chapter 19: Teaching Learning
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/47140
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) An older adult patient who underwent bowel resection is recovering from surgery without complication.He ambulates in the hallway and requires little analgesia for pain.During the healthcare team's morning rounds,the surgeon informs the patient that the lesion removed was cancerous.Which factor will likely be the patient's most significant obstacle for learning?
A) The patient's baseline physical condition
B) A negative environmental influence
C) Anxiety associated with the new diagnosis
D) Reduced ability to understand the diagnosis
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21
Chapter 20: Measuring Vital Signs
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) After obtaining a full set of vital signs,the nurse assesses the client's fifth vital sign as a 7 on a scale of 1 to 10 (or 7/10).Which action by the nurse is most appropriate?
A) Document the pulse pressure as normal and continue the client's assessment.
B) Review the client's records to determine the last time he received pain medication.
C) Assess the client's pulse on the opposite side for comparison.
D) Wait 2 minutes and retake the client's blood pressure.
Q2) At last measurement,the client's vital signs were as follows: oral temperature 98°F (36.7°C),heart rate 76 beats/min,respiratory rate 16 breaths/min,and blood pressure (BP)118/60 mm Hg.Four hours later,the vital signs are as follows: oral temperature 103.2°F (38.5°C),heart rate 76 beats/min,respiratory rate 14 breaths/min,and blood pressure 120/66 mm Hg.Which should the nurse's first intervention be at this time?
A) Ask the client whether he has had a warm drink in the last 30 minutes.
B) Notify the primary care provider of the client's temperature.
C) Ask the client whether he is feeling chilled.
D) Take the temperature by a different route.
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22
Chapter 21: Communication Therapeutic Relationships
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse manager of the medical intensive care unit formed a group to help her staff cope with stress more effectively.Which of the comments by group members will lead the manager to evaluate the group as successful?
A) "This was a good idea to form a group; I've been wanting to get to know some of the people from the other shifts."
B) "It really helps me to share feelings about how hard it is to see pain and suffering every day."
C) "I now have a group to help me when I need to work through situations at home causing personal stress."
D) "It's nice to have a chance to get away from the unit and talk on a regular basis."
Q2) A patient who speaks little English is admitted to the hospital after experiencing severe abdominal pain.Which nursing diagnosis is preferred for this patient?
A) Impaired Communication
B) Readiness for Enhanced Communication
C) Impaired Verbal Communication
D) Sensory Alteration
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Chapter 22: Health Assessment
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/47143
Sample Questions
Q1) The nurse is performing a comprehensive health assessment on several clients in the community clinic.Which clients are most at risk for developing hemorrhoids? Select all that apply.
A) A client with a history of constipation
B) A client with a history of prostate cancer
C) A woman who has had four children
D) Clients older than 65 years
Q2) Which skin assessment finding would cause the nurse to suspect dehydration in a middle-aged patient admitted to the hospital with traveler's diarrhea?
A) Edema
B) Hyperhidrosis
C) Pallor
D) Tenting
Q3) When testing near vision,the nurse should position printed text how many inches away from the patient?
A) 20
B) 18
C) 16
D) 14
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Page 24
Chapter 23: Promoting Asepsis Preventing Infection
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Why is a lotion without petroleum preferred over a petroleum-based product as a skin protectant? It:
A) Prevents microorganisms from adhering to the skin
B) Facilitates the absorption of latex proteins through the skin
C) Decreases the risk of latex allergies
D) Prevents the skin from drying and chaffing.
Q2) The nurse is obtaining her patient's health history related to infections.What are appropriate questions the nurse will ask the patient? Select all that apply.
A) "Have you recently traveled out of the country?"
B) "How would you describe your current stress level?"
C) "Do you know your approximate weight?"
D) "What is your normal blood pressure and heart rate?"
Q3) In which situation would using standard precautions be adequate? Select all that apply.
A) While interviewing a client with a productive cough
B) While helping a client to perform his own hygiene care
C) While aiding a client to ambulate after surgery
D) While inserting a peripheral intravenous catheter
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25
Chapter 24: Promoting Safety
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26 Flashcards
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Sample Questions
Q1) Which of the following instructions is most important for the nurse to include when teaching a mother of a 3-year-old about protecting her child against accidental poisoning?
A) Store medications on countertops out of the child's reach.
B) Purchase medication in child-resistant containers.
C) Take medications in front of the child, and explain that they are for adults only.
D) Never leave the child unattended around medications or cleaning solutions.
Q2) 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
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Chapter 25: Facilitating Hygiene
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is teaching nursing assistive personnel (NAP)how to give a complete bed bath.Which instruction should the nurse include?
A) "Cleanse only those areas likely to cause odor."
B) "Provide the patient with warm water for washing his perineum."
C) "Wash the patient's back, buttocks, and perineum first."
D) "Bathe the patient from head to toe, cleanest areas first."
Q2) While assessing a patient,the nurse notes that the patient's nails are excessively brittle.What does this finding suggest?
A) Inadequate dietary intake
B) Normal aging process
C) Fungal infection
D) Excessive use of silver salts
Q3) Which action should the nurse be sure to take when preparing a patient for a bed bath?
A) Place the nurse call device within reach.
B) Cover the patient with the top linens from the bed.
C) Have the patient completely bathe himself to promote independence.
D) Wash the patient's body without assistance from the patient.
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27
Chapter 26: Administering Medications
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The home health nurse is caring for a 75-year-old patient with severe arthritis of her hands and fingers.The patient states,"I can't use these childproof safety lock caps because I can't open them." What is the most appropriate response(s)by the nurse?
Select all that apply.
A) "I see this is difficult for you. Do you have any family members or friends who can help you?"
B) "We can ask the pharmacist not to put childproof caps on your medications; you may need to sign a form."
C) "You can transfer your medications to different containers that are easier for you to open."
D) "All medications come in childproof containers, so there isn't much we can do about this."
Q2) Which term refers to the movement of a drug from the site of administration to the bloodstream?
A) Absorption
B) Distribution
C) Metabolism
D) Excretion
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Chapter 27: Nutrition
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/47148
Sample Questions
Q1) A 30-year-old patient newly diagnosed with type 2 diabetes states to the nurse,"If glucose is so important,then I think as long as my blood sugar is high I must be doing well." What is the most appropriate response by the nurse?
A) "It depends on what you mean by high blood sugar. You will need to obtain more information from your provider as diabetes is a very complicated disease process."
B) "I understand how you are thinking; however, a high glucose level does not mean that there is more fuel available for your body's cells. Because you have diabetes, your body cells will allow only a limited amount to enter. The cells can't use the excess glucose."
C) "I will be able to explain this to you a little better later when we talk about diabetes. For now, I have to finish my assessment and then we can get back to your question."
D) "I will teach you how to perform glucose testing when I finish your assessment. As long as your blood sugar remains somewhere in the 120 to 140 range, you will be doing well."
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Chapter 28: Urinary Elimination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/47149
Sample Questions
Q1) A patient complains that she passes urine whenever she sneezes or coughs.How should the nurse document this complaint in the patient's healthcare record?
A) Transient incontinence
B) Overflow incontinence
C) Urge incontinence
D) Stress incontinence
Q2) The nurse is caring for a patient with suspected kidney dysfunction.In reviewing the patient's home medication list,the nurse is most alerted to which medications? Select all that apply.
A) Aspirin
B) Gentamicin
C) Estrogen
D) Ibuprofen
E) Insulin
Q3) 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
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Chapter 29: Bowel Elimination
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/47150
Sample Questions
Q1) The healthcare team suspects that a patient has an intestinal infection.Which action should the nurse take to help confirm the diagnosis?
A) Prepare the patient for an abdominal flat plate.
B) Collect a stool specimen that contains 20 to 30 mL of liquid stool.
C) Administer a laxative to prepare the patient for a colonoscopy.
D) Test the patient's stool using a fecal occult test.
Q2) Which of the following populations are considered high risk for the development of hemorrhoids? Select all that apply.
A) Pregnant women
B) School bus drivers
C) Marathon runners
D) Intensive care unit nurses
Q3) The nurse educates a patient about the primary risk factors for irritable bowel syndrome.Which behavior by the patient would be evidence of learning? The patient:
A) Reduces her intake of gluten-containing products
B) Does not consume foods that contain lactose
C) Consumes only four cups of caffeinated coffee per day
D) Takes measures to reduce her stress level
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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 home health nurse is developing a plan of care for her patient with a visual impairment.What is the priority nursing diagnosis for this patient?
A) Self-Neglect
B) Social Isolation
C) Risk for Falls
D) Risk for Imbalanced Nutrition: Less Than Body Requirements
Q2) A patient complains to the nurse that since taking a medication he has suffered from excessively dry mouth.What term should the nurse use to document this complaint?
A) Exophthalmos
B) Anosomia
C) Insomnia
D) Xerostomia
Q3) The nurse must irrigate the ear of a 4-year-old child.How should the nurse pull the pinna to straighten the child's ear canal?
A) Up and back
B) Straight back
C) Down and back
D) Straight upward
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Page 32
Chapter 31: Pain
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47 Flashcards
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Sample Questions
Q1) What physiological process causes the severe pain of menstrual cramps?
A) Mechanical stimuli
B) Thermal stimuli
C) Prostaglandin activity
D) Histamine activity
Q2) A 64-year-old patient just returned from surgery.She is breathing rapidly and moving constantly in bed.She states,"I am scared and I hurt so much." What would be an appropriate intervention? Select all that apply.
A) Immediately notify the surgeon of these data (physical symptoms and patient's statement).
B) State calmly, "I am going to do everything I can to make you more comfortable."
C) Tell the patient you would like to help her calm down and take some deep breaths.
D) Ask the nursing assistive personnel to stay with the patient while you get an analgesic for her.
E) Turn on the television to distract her from the pain and anxiety.
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Chapter 32: Physical Activity Mobility
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47153
Sample Questions
Q1) Which of the following patients would you expect to be at risk for decreased activity?
Select all that apply.
A) Older adult who walks at the mall for physical activity
B) Someone living in a skilled nursing facility
C) Healthy adult who works as a computer programmer
D) Obese child who enjoys video games
Q2) The nurse assessing the mobility of a patient with Parkinson's disease might expect to observe which type of gait?
A) Antalgic
B) Propulsive
C) Scissors
D) Steppage
Q3) When caring for a patient with osteoporosis,which of the following is the most important action to take to minimize progression of the disease?
A) Take a calcium supplement twice a day.
B) Start a weight-bearing exercise program.
C) Avoid strenuous activity that puts stress on the bones.
D) Schedule regular healthcare checkups.
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Chapter 33: Sexual Health
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47154
Sample Questions
Q1) The mental health unit separates from others a male patient who repeatedly talks rapidly,makes sexual comments to female patients,and touches them inappropriately.While reviewing his medical records,which diagnosis can the nurse best anticipate for this patient?
A) Depression
B) Schizophrenia
C) Alzheimer's disease
D) Bipolar disorder
Q2) A client confides to you that he feels guilty because when he has intercourse with his girlfriend,he pretends that she is a certain female actress.What is your best response?
A) "This behavior is known as a voyeuristic disorder and is perfectly normal."
B) "Are there problems in your relationship with your girlfriend?"
C) "I can provide you with a referral to a sexual counselor who can help you work through these guilt feelings."
D) "Fantasy before or during sexual intercourse can add excitement to a relationship."
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Chapter 34: Sleep and Rest
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/47155
Sample Questions
Q1) When making rounds on the night shift,the nurse observes her patient to be in deep sleep.His muscles are very relaxed.When he arouses as the nurse changes the IV tubing,he is confused.What stage of sleep was the patient most likely experiencing?
A) NREM I
B) NREM II
C) NREM III
D) REM
Q2) ____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.
Q3) A person who is deprived of REM sleep for several nights in succession will usually experience:
A) Extended NREM sleep.
B) Paradoxical sleep.
C) REM rebound.
D) Insomnia.
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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) When teaching a patient about the healing process of an open wound after surgery,which of the following points would the nurse make?
A) The patient will need to take antibiotics until the wound is completely healed.
B) Because the patient's wound was left open, the wound will likely become infected.
C) The patient will have more scar tissue formation than there would be for a wound closed at surgery.
D) The patient should expect to remain hospitalized until complete wound healing occurs.
Q2) Your patient has multiple open wounds that require treatment.When performing dressing changes,you should:
A) Remove all of the soiled dressings before beginning wound treatment
B) Cleanse wounds from most contaminated to least contaminated
C) Treat wounds on the patient's side first, then the front and back of the patient
D) Irrigate wounds from least contaminated to most contaminated
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Chapter 36: Oxygenation
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/47157
Sample Questions
Q1) The nurse,working in the postanesthesia care unit inserts an oral airway into the semiconscious patient to prevent airway obstruction.When should the airway be removed?
A) When the patient can be aroused
B) When the patient is 24 hours postoperative
C) When the patient removes it
D) When the provider prescribes that it be removed
Q2) The nurse is caring for a patient with an acute asthma event.What classification of medications would the nurse anticipate administering to this patient? Select all that apply.
A) Expectorant
B) Corticosteroid
C) Bronchodilator
D) Cough suppressant
E) Antibiotic
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Chapter 37: Circulation
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26 Flashcards
Source URL: https://quizplus.com/quiz/47158
Sample Questions
Q1) The nurse administers a beta-adrenergic agent to a patient with congestive heart failure.What assessment findings would indicate the drug was working?
A) Heart rate changes from 92 beats/min to 76 beats/min.
B) Cardiac monitor shows narrowing of the QRS segment.
C) There is tingling in the fingers and toes.
D) There is increased urine output.
Q2) You are preparing the nursing care plan for a middle-aged patient admitted to the intensive care unit for an acute myocardial infarction (heart attack).His symptoms include tachycardia,palpitations,anxiety,jugular vein distention,and fatigue.Which of the following nursing diagnoses is most appropriate?
A) Decreased Cardiac Output
B) Impaired Tissue Perfusion
C) Impaired Cardiac Contractility
D) Impaired Activity Tolerance
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Chapter 38: Fluids,Electrolytes, Acidbase Balance
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/47159
Sample Questions
Q1) The nurse records a patient's hourly urine output from an indwelling catheter as follows: 0700: 36 mL 0800: 45 mL 0900: 85 mL 1000: 62 mL 1100: 50 mL 1200: 48 mL 1300: 94 mL 1400: 78 mL 1500: 60 mL The nurse can conclude that the patient's urine output should be described as which of the following?
A) Low
B) Within normal limits
C) High
D) Inconclusive
Q2) The nurse is caring for a patient with gastroenteritis who has been vomiting for 48 hours.A family member of the patient asks the nurse,"Why is he breathing that way?" What is the nurse's most accurate response after explaining the meaning of pH? "He is breathing
A) Fast and deep to help reduce carbon dioxide to increase his pH"
B) Slow and shallow to try to retain carbon dioxide to decrease his pH"
C) Fast and deep to help reduce carbon dioxide to decrease his pH"
D) Slow and shallow to try to retain carbon dioxide to increase his pH"
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Chapter 39: Perioperative Care
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37 Flashcards
Source URL: https://quizplus.com/quiz/47160
Sample Questions
Q1) The nurse is caring for a patient scheduled for repair of a torn rotator cuff.The nurse understands that this surgery will be classified as:
A) Reconstructive, minor, elective
B) Cosmetic, minor, urgent
C) Ablative, major, emergency,
D) Reconstructive, major, urgent
Q2) The focus of nursing care in the intraoperative phase is to:
A) Prepare the patient for surgery
B) Maintain the sterile field
C) Ensure patient safety during the surgery
D) Obtain a signed informed consent
Q3) A patient had a colon resection for removal of a cancerous tumor.Postoperatively,on the surgical floor which of the following activities would the nurse perform for the purpose of decreasing the risk of postoperative complications? Select all that apply.
A) Assist the patient to turn, breathe deeply, and cough every 2 hours.
B) Teach the patient about the type of tumor removed.
C) Assess the drainage from the surgical site.
D) Monitor vital signs on a regular basis.
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Chapter 40: Leading Managing
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47161
Sample Questions
Q1) Which of the following are characteristics of an effective nurse manager? Select all that apply.
A) Clinical expertise
B) Business sense
C) Master's degree
D) Leadership skills
Q2) The manager is conducting an informal negotiation between two staff members who have had ongoing difficulty working together peacefully.Most recently,there was an argument about who would be scheduled first for lunch each day.At this stage of the informal negotiation,the manager is focusing on managing the emotions and setting the ground rules.Which stage does this demonstrate?
A) Setting the stage
B) Conducting the negotiation
C) Making offers and counteroffers
D) Agreeing on resolution of the conflict
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Chapter 41: Nursing Informatics
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/47162
Sample Questions
Q1) Which of the following are main functions of a computer? Select all that apply.
A) Process
B) Storage
C) Memory
D) Output
Q2) Which classification system promotes standardized language that will improve computer interoperability in nursing?
A) NANDA-I nursing diagnoses
B) National Patient Safety Goals
C) QSEN competencies
D) Patient Bill of Rights
Q3) Computers are important for evidence-based practice because:
A) Computer access is available to all healthcare staff
B) Additional training is not required for information retrieval
C) Information can be accessed and managed more efficiently
D) All of the best evidence is available on the Internet
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Chapter 42: Promoting Health
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/47163
Sample Questions
Q1) The nurse teaches a class for the community discussing routine screening tests for different types of cancer.What level of health prevention would the nurse classify this activity?
A) Primary
B) Secondary
C) Tertiary
D) Maintenance
Q2) The nurse is implementing a wellness program based on data gathered from a group of low-income seniors living in a housing project.He is using the Wheels of Wellness as a model for his planned interventions.Which of the following interventions would be appropriate based on this model? Select all that apply.
A) Creating a weekly discussion group focused on contemporary news
B) Facilitating a relationship between local pastors and residents of subsidized housing
C) Coordinating a senior tutorial program for local children at the housing center
D) Establishing an on-site healthcare clinic operating 1 day per week
E) None of the above
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Chapter 43: Community-Home Health Nursing
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47164
Sample Questions
Q1) At a home visit,the nurse asks the patient,"Have you taken your blood pressure medicine today?" The patient replies,"I don't remember.Maybe." On the table are several bottles of medication,some open,some not.They have all been prescribed for the patient.The patient cannot say how often to take each one,when asked.A compartmentalized medication organizer is on the table,with a few capsules in it,and some compartments left open.What should the nurse do?
A) Show the patient how to put the medications in the organizer for the next 2 days; observe while he fills the rest of the organizer.
B) Arrange for a home health aide to come each day to show the patient which pills to take.
C) Administer today's medications and arrange for the pharmacy to put medications in easy-to-open containers in the future.
D) Fill the organizer for each day of the week; explain how to use it; and return in a day or two to evaluate.
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Chapter 44: Ethics Values
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/47165
Sample Questions
Q1) The nurse observes a new graduate nurse preparing to place an IV catheter in the patient's arm.The new graduate tells the patient,"You won't feel a thing" before inserting the needle under the skin.What ethical principle did the new graduate violate?
A) Beneficence
B) Nonmaleficence
C) Veracity
D) Confidentiality
Q2) The nurse receives a prescription to begin a morphine drip for a patient who is to be taken off the ventilator,and to increase the infusion rate as needed to maintain the patient's comfort.The nurse refuses to carry out the order because the morphine will depress respirations and the nurse believes this is equivalent to killing the patient.Which concept best describes what this nurse is demonstrating?
A) Moral agency
B) Morals
C) Bioethics
D) Clinical decision making
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Chapter 45: Legal Accountability
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47166
Sample Questions
Q1) Which of the following are examples of invasion of privacy by nurses? Select all that apply.
A) Searching a patient's belongings without permission
B) Reviewing the plan for patient care in the lunchroom
C) Discussing healthcare issues for an unconscious patient with the person who holds his power of attorney
D) Releasing patient health information to local newspaper reporters
Q2) You are caring for an alert,oriented 47-year-old patient who is recovering from abdominal surgery.The patient becomes angry and upset and says,"I'm leaving this hospital.Remove my IV and surgical drains or I will do it myself." To keep him from removing his lines and leaving the hospital,you apply bilateral wrist restraints until you can contact the physician for an order for patient restraint.This is an example of which of the following?
A) Assault and battery
B) Felony
C) False imprisonment
D) Quasi-intentional tort
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Chapter 46: Holistic Healing
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23 Flashcards
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Sample Questions
Q1) A client tells the nurse that he is having difficulty sleeping.He says,"I don't want to use sleeping pills,but I'm thinking about getting some melatonin." Which of the following is most important for the nurse to include in a response to the client?
A) "Melatonin is an effective treatment for certain sleep disorders."
B) "Melatonin appears to be a relatively safe sleep aid for most people."
C) "You may experience some side effects, such as elevated blood pressure."
D) "Before taking melatonin, you should consult your primary care provider."
Q2) A woman is receiving physical therapy after surgery to repair a hip fracture.She tells the therapist before therapy begins that she expects therapy to be very painful.She rates her pain as 1 on a scale of 1 to 10 before therapy.Three minutes into the treatment session,the patient complains of excruciating pain rated as 10 and says she cannot tolerate exercise any longer.The therapist is concerned with the amount of pain,because severe pain is not expected during that form of exercise.The therapist considers the patient could be experiencing:
A) Phantom limb pain
B) Ineffective pain medication
C) A nocebo effect
D) A complication from the surgery
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