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: Lippincott Williams & Wilkins Converted From Instructor Electronic Source - 11/11/2009 MULTIPLE CHOICE. Choose the one alternative that best completes the statement o r answers the question. 1)A nurse has decided to focus on educating the community about health promotion and wellness. Which of the following would be an example of this? 1) _______ A)Holding classes on prevention of sexually transmitted disease B)Teaching a class about home accident prevention C)Initiating prenatal and infant care D)Implementing an exercise class for clients who have had a stroke 2)A seasoned nurse who acts as a mentor for a new graduate is practicing which o f the standards of professional performance? 2) _______ A)Leadership B) Collaboration C)Collegiality D) Evaluation 3)The nurse is caring for several acutely ill clients during the shift. Which of the following is an example of the nurse practicing the professional criteria o f autonomy? 3) _______ A)Complaining to the supervisor about high acuity level and staff-to-client rati o B)Delivering medications and prescribed treatments in a timely manner C)Communicating with peers when help is needed D)Deciding to prioritize care according to client needs 4)In alignment with the contributions of Florence Nightingale, the Vietnam Women 's Memorial was established to honor which of the following? 4) _______ A)The image of the angel of mercy B)Those who brought a human touch to the suffering and dying C)Surgical advancements and the use of anesthetic agents D)The memory of Ms. Nightingale 5)A practicing RN decides that attending an upcoming workshop about new pharmaco logical treatments would benefit his or her practice. This RN is modeling which of the standards of professional performance? 5) _______ A)Professional practice evaluation B)Research C)Education D)Quality of practice 6)Nursing students offer free occult blood screening at a community health fair. This activity would be an example of which area of nursing practice? 6) _______ A)Restoring health B)Rehabilitation C)Promoting health and wellness D)Illness prevention 7)A nurse is working closely with a client regarding a chemotherapy regimen, pro viding consultation, education, and direction for the client and the client's fa mily. This nurse would most likely be certified as which of the following? 7) __ _____ A)Nurse entrepreneur B) Nurse educator C)Nurse practitioner D) Clinical nurse specialist 8)A client wishes to discontinue treatment for his cancer. Acting as the client
advocate, the nurse makes this statement to the client's physician: 8) _______ A)"The client is making his own decision." B)"The family must be involved in this decision." C)"The client would benefit from additional information about treatment options. " D)"Let's educate the family about the consequences of this decision." 9)A student nurse has set up study groups, complete with objectives and goals fo r each session. This student is practicing which attribute of organization? 9) _ ______ A)Specialized education B) Governance C)Service orientation D) Socialization 10)The client questions information gathered from a website. Which of the follow ing is the best response by the nurse to these questions? 10) ______ A)"Bring your information to the clinic so we can go through it together." B)"Information from the Internet isn't accurate." C)"Don't trust anything you haven't received from our office." D)"We'll have to check this information with your physician." 11)The advanced practice nurse refers the client to physical therapy for further rehabilitation. This is an example of which of the ANA standards of practice? 1 1) ______ A)Diagnosis B) Implementation C)Planning D) Assessment 12)A nursing program utilizes nurse preceptors in some of its clinical experienc es. These nurses are considered proficient in their clinical area. According to Benner's stages of nursing expertise, these nurses would belong to which stage? 12) ______ A)Stage II B) Stage III C) Stage IV D) Stage V 13)The term patient usually implies that the person is: 13) ______ A)Seeking assistance because of illness. B)Proactive in his or her health care needs. C)Using a service or commodity. D)A collaborator in his or her care. 14)The client recovered to a greater level that what was previously expected. Th e staff nurse responsible for the client's care is following which of the ANA st andards of practice? 14) ______ A)Planning B) Evaluation C)Diagnosis D) Implementation 15)Public health and health promotion roles for nurses are components of nursing envisioned by which of the following nurse leaders? 15) ______ A)Clara Barton B) Florence Nightingale C)Mary Brewster D) Lillian Wald 16)Throughout the course of the nursing program, professionalism is exemplified by the faculty. The student nurse practices professionalism by which of the foll owing? 16) ______ A)Acquiring characteristics considered to be professional B)Promising to uphold the standards of the profession C)Learning about the influences of Florence Nightingale D)Maintaining specific character and spirit SHORT ANSWER. Write the word or phrase that best completes each statement or an swers the question. 17)Organize these events in chronological order, beginning with the earliest (1)
and ending with the most recent (5): _______ The Order of Deaconesses opens a small hospital in Kaiserswerth, Germany. _______ The Knights of St. Lazarus dedicate themselves to the care of pe ople with leprosy, syphilis, and chronic skin conditions. _______ Harriet Tubman provides care to slaves fleeing on the Undergroun d Railroad. _______ The Cadet Nurse Corps is established. _______ Florence Nightingale administers to soldiers during the Crimean War. 17) _____________ MULTIPLE CHOICE. Choose the one alternative that best completes the statement o r answers the question. 18)The nurse has assumed the responsibilities of case manager. Which of the foll owing would these include? 18) ______ A)Evaluating performance of ancillary workers B)Managing an acute hospital stay C)Delegating activities to other nurses D)Identifying areas of client concern or problems 19)Which of the following nurse leaders campaigned for the legislation that allo ws nurses, rather than physicians, to control the nursing profession? 19) ______ A)Lavinia Dock B) Mary Breckinridge C)Margaret Higgins Sanger D) Virginia Henderson 20)The community health nurse is working primarily with teenage mothers and thei r children. The nurse recognizes that these clients have increased vulnerability , mainly due to which of the following? 20) ______ A)Raising children without the support of family B)Increased poverty C)Normal difficulties of adolescence D)Distance separation from their nuclear families SHORT ANSWER. Write the word or phrase that best completes each statement or an swers the question. 21)Principles recommended by the Institute of Medicine to address the problem of insurance coverage include which of the following? (Select all that apply.) __________ __________ __________ __________ __________ Health coverage should be for everyone. Families and individuals should have coverage they can afford. Coverage should be provided by private companies. Health coverage should be ongoing and uninterrupted. Hospitals should be financed through taxation. 21) _____________
MULTIPLE CHOICE. Choose the one alternative that best completes the statement o r answers the question. 22)A nurse is interviewing a client at a clinic near a shelter for the homeless. Understanding the increased risk poor physical environment creates for this cli ent, the nurse will focus on which of the following during the intake phase of t he interview? 22) ______ A)Improper nutrition B)Recent history of chills and body aches C)Lack of social support D)Few personal resources 23)The spouse of a client diagnosed with Stage I/II Alzheimer's disease must con tinue to work full-time. The spouse tells the occupational health nurse that the client has started to wander outside the house, forgets to turn off the stove a
Th e nurse should recommend which of the following? 23) ______ A)Placing the client in an adult day-care environment B)That the spouse consider early retirement C)Considering increasing the client's medications to slow the progress of the di sease D)Long-term care placement for the client 24)A group of nurses are working to open a clinic that focuses on health promoti on. These two characteristics are the basis of which system? 29) ______ A)Case method B) Primary nursing C)Differentiated practice D) Team nursing 30)A client has been recovering after an injury that left him partially paralyze d. but also perform ECG testing. This clinic is an example of which delivery model? 2 6) ______ A)Managed care B) Critical pathways C)Patient-focused care D) Case management 27)A nurse has begun working in a hospital that provides services in all special ty areas (medical. The best referral for this client would be to which of the following? 3 0) ______ . 28)Which of the following factors have an effect on health care delivery? (Selec t all that apply. surgical. Which of the following is in align ment with one of the goals? 25) ______ A) B)Opening a wellness clinic C)Developing better insurance controls D)Providing free screening to schoolchildren 26)The manager of a small clinic has cross-trained the nurses to not only provid e basic nursing care. pediatrics. and tries to drive the car if the client finds the keys. Write the word or phrase that best completes each statement or an swers the question. Choose the one alternative that best completes the statement o r answers the question. Which of the following is an example of a health promotion activity? 24) ___ ___ A)Evaluating regional industrial centers for environmental pollution B)Teaching biofeedback techniques for stress reduction C)Providing immunization clinics D)Teaching smoking cessation classes to adolescents 25)Healthy People 2010 has two primary goals.) __________ __________ __________ __________ __________ __________ Increased use of complementary and alternative medicine More knowledgeable consumers Increase in the number of elderly Decrease in chronic disease Technological advances Economics 28) _____________ MULTIPLE CHOICE. The client is a young adult and intent on living independently.fter preparing food. obstetrics). as before the injury. 29)A seasoned RN is especially competent in knowledge of the computerized charti ng system in a facility and is able to assume the team leader role on a regular basis. phlebotomy. This hospital is classifie d as which of the following? 27) ______ A)Short-term hospital B) Long-term care hospital C)Specialty hospital D) General hospital SHORT ANSWER. and some respira tory therapy interventions.
this client is alert. lives alone in a small house." C)"Hospice care is cheaper than acute care. and the spouse asks the hosp ice nurse why the client needs the change in services." B)"Much of your care will be covered by Medicare. which has now been extended. By which type of service would this client best be served? 35) ______ A)Health restoration B) Palliative care C)Acute care D) Rehabilitation 36)A client has just been referred to hospice care. and is having greater difficulty with mobility due to advanced osteoarth ritis. and preventive services. The client conti nues to require IV antibiotics. 34)A nurse is working in a clinic whose emphasis is on cost control. B)Consider moving to an assisted living facility. B)Be discharged to an extended care facility." The home h ealth nurse who visits has noticed that the client is losing weight and does not have as much energy or interest in activities as on previous visits. I'm sure everything will work out OK. Which of the following delivery systems would most resemble this system? 31) __ ____ A)Functional method B) Team nursing C)Case method D) Shared governance 32)A client who is at least 65 years of age is asking the nurse how he will affo rd his hospitalization. not worrying about finances. The best response by the nurse is: 32) ______ A)"Don't worry. The nurse should make a recommendation for this client to: 33) ______ A)Go to a nursing home. D)Check out joint replacement options for the osteoarthritis. The best response by the nurse is: 36) ______ A)"It's best for your spouse to be cared for at home." D)"There is no need for acute care any longer. but does not enjoy "cooking for one. The nurse should recommend that the client: 37) ______ A)See a psychiatrist since the client appears depressed.A)Occupational therapist B) Paramedical technologist C)Physical therapist D) Case manager 31)A nurse has just moved from a facility that utilized differentiated practice. is able to manage her own business mat ters. D)Stay in the hospital until the client is fully capable of self-care. SHORT ANSWER. customer sa tisfaction. is not able to complete ADLs (activities of dail y living) without assistance. C)Start thinking about long-term care. and has no family available to assist in the recov ery phase. This represents which typ e of system? 34) ______ A)Case management B) Differentiated practice C)Managed care D) Patient-focused care 35)A client is in the end stages of cancer." D)"You need to focus on recovering. Cognitively. C)Remain in the hospital until the antibiotic course is completed." 33)A client is being discharged following an extensive illness. involving extremely expensi ve drugs." 37)An elderly client has no family in the same community. and does her own cooking. Write the word or phrase that best completes each statement or an ." B)"So we can see if there's any way to improve your spouse's life." C)"I'll have someone from the business office come and talk to you about your bi ll. health promotion.
Which of the following systems implements this practice? 40) ______ A)Managed care B) Shared governance C)Patient-focused care D) Differentiated practice 41)A nurse is helping to set up an elder social group at a local senior center w here residents can come to play cards or participate in structured activities th ree times a week. 38)Nurses are directly involved in cost containing or cost control measures. the community health nurse will take several aspects into account. What resource would best help them identify the typ e and time of these activities? 45) ______ A)Local newspapers B) Telephone book . 44)A nurse educator is explaining primary health care (PHC) and the extension of its boundaries beyond traditional health care services. D)Make sure resources are available in the community.) __________ __________ __________ __________ Rising numbers of uninsured Total population is decreasing Inflation Use of prescription drugs is leveling off 38) _____________ MULTIPLE CHOICE. agriculture. This nurse is working in which function of community? 41) ____ __ A)Social interparticipation B) Social control C)Socialization D) Mutual support 42)A parish health nurse is working with a particular congregation in setting up a support program for shut-ins within the congregation who are not able to come to regular prayer services. B)Understand the major illnesses present in the community. Whi ch of the following reasons are related to cost increases? (Select all that appl y.swers the question. The legislation that allows this opportunity is which of the following? 3 9) ______ A)Rural Health Clinics Act B)Medicaid C)National Health Planning and Resources Development Act D)Medicare 40)A new graduate nurse is looking for employment and is hoping to find a facili ty that utilizes nursing personnel based on their educational preparation and sk ill set. and housing 45)Nursing students are required to attend at least two community activities rel ated to health and wellness. What is the first stage of this assessment? 43) __ ____ A)Identify the boundaries of the community. 39)A clinic in a rural area depends primarily on the services of a nurse practit ioner. the nurse is working in which of the following roles? 42) ______ A)Counselor B) Educator C)Facilitator D) Referral source 43)When completing a community assessment. Choose the one alternative that best completes the statement o r answers the question. In this capacity. Issues related to PHC i nclude which of the following? 44) ______ A)Low life expectancies and high mortality rates among children B)Consumerism and governmental subsidies C)Distribution and participation D)Environment. C)Learn about the people in the community.
Which function o f community were these nurses focused on restoring? 48) ______ A)Social control B)Distribution of goods and services C)Mutual support D)Social interparticipation 49)A nurse is working in collaboration with a group of health care providers in a community clinic setting. Which item will the home health nurs e focus on in order to determine effectiveness of the discharge teaching plan? 5 1) ______ A)Follow-up appointment dates B)Activity restrictions C)Signs of complications D)Return demonstration of dressing change 52)When explaining the difference between community and population. who else should be involved in this venture? 50) ______ A)Members of the chamber of commerce and governing board of the community B)Just the nurses at the county health department C)Physicians and other nurses D)As many people from the community as possible 51)A client is getting ready to go home from an intermediate care facility follo wing surgery and a lengthy recovery period. W hich groups would be involved in this process? 53) ______ . They have defined a problem and now are focusing on objectives and considering various viewpoints presented by the group.C)Recreational directors D) Online computer services SHORT ANSWER. How many of them have been implemented since 1991? 47) _____________ MULTIPLE CHOICE. In order to create a plan that will be acceptable to members of the community. the community must evaluate the effectiveness of the interventions. the nurses of the local Red Cross Cha pter helped to make sure people had adequate food and clothing. Choose the one alternative that best completes the statement o r answers the question. Which of the following apply? __________ __________ __________ __________ __________ Focus on individual participation Appropriate technology Focus on disease management Equitable distribution Multisectoral approach 46) _____________ 47)The ANA recommended several changes for health care reform. 48)After a community was hit by a tornado. Which of t he competencies of collaboration does this describe? 49) ______ A)Trust B) Mutual respect C)Communication D) Decision making 50)Several nurses at the county health department are involved in planning commu nity health. Write the word or phrase that best completes each statement or an swers the question. 46)Primary health care is incorporated into five major principles. the nurse ed ucator uses which of the following as an example for population? 52) ______ A)A group of employees at a local plant B)A grade school class C)Commuters on the subway D)Graduating nursing students 53)After implementing health promotion activities and plans to prioritize health problems.
The nu rses and providers are working within the context of which of the following? 56) ______ A)Health education B) Collaboration C)Health promotion D) Case management 57)A nurse case manager must be vigilant in protecting the client's health infor mation. D)Do not utilize the fax machine. depend on the mail system. Because the nursing office is in a cluster of offices that share a fax m achine. and rehabilitation and health promotion services for the chron ically ill. screening. community leaders. Which of Roy's modes does this exemplify? 61) ______ A)Interdependence B) Role function . The best source for this information would be which of the foll owing? 60) ______ A)County health department B) Police department C)State census data D) City health planning board 61)The client is working to include his spouse in the treatment and recovery pro cess of his illness. illness prevention.A)Health care providers. This nurse is functioning in which of the f ollowing roles? 54) ______ A)Health educator B) Integrator C)Facilitator D) Referral source 55)The nurse is helping in discharge planning of a client who needs extensive re habilitation and is on a complicated medication schedule. In assessing the type of approach this represents. What entity would be most helpful to them? 59) ______ A)Chamber of commerce B)Recreational directors C)Public and university libraries D)Teachers and school nurses 60)A nurse is completing a community assessment and must understand where the ma in health facilities are located and how many residents in the community are wel fare recipients. consumers. 58)A large community clinic provides health education. and politicians B)Hospital and clinic personnel who administered health care needs C)Those consumers who were directly affected by the services provided D)Health care providers at the community level 54)A parish nurse is helping a group of new parents within the congregation find appropriate health care providers within the community who specialize in infant /child and family health care needs. the community hea lth nurse would identify this as which of the following? 58) ______ A)Wellness center B) Community-based setting C)Integrated health care system D) Community outreach center 59)Several student nurses are compiling information about their community and wa nt to understand more about services to maintain and promote health. The nurse would want t o include which of the following persons in this client's plan? 55) ______ A)Client's spouse B) Physician C)Social worker D) Pharmacist 56)Several nurses are working in concert with other health care providers for a group of individuals within the community who have complications of diabetes mel litus and require extensive dressing changes and comprehensive education. C)Take relevant information over the phone. acute care. which action by the nurse ensures that HIPAA requirements are met? 57) _ _____ A)Have the client sign a consent for information to be released. B)Have sending agencies call ahead before any information is sent.
a condition that involves the body's pH level. This view can be described as which of the following? (Select all that apply. and bicarbonate balance. Write the word or phrase that best completes each statement or an swers the question. which theorist would they most likel y be drawn to? 64) ______ A)Dorothea Orem B) Florence Nightingale C)Jean Watson D) Hildegard Peplau SHORT ANSWER. according to Parse? 68) ____ __ A)True presence B) Synchronizing rhythm C)Illuminating meaning D) Mobilizing transcendence SHORT ANSWER. According to Neuman's model. 65)Nursing students have been studying the "stability model" of nurse theorists.C)Physiologic D) Self-concept 62)A nursing student would like to explore the meaning of spirituality among cli ents and their response to spiritually centered interventions in nursing practic e. According to Roy's mod el. especially in this unit.) __________ __________ __________ __________ __________ __________ Dominant Stress/adaptation framework Martha Rogers's theory Caring/complexity framework Callista Roy's theory Systems framework 65) _____________ MULTIPLE CHOICE. This nurse has fulfilled which role. as appropriate. carbon dioxide. The work of which theorist would be most beneficial for this student? 62) ___ ___ A)Neuman B) Peplau C)Nightingale D) Roy 63)The pediatric nurse implements Watson's assumption regarding a caring environ ment by which of the following? 63) ______ A)Selecting games and activities that are age appropriate for the clients B)Ensuring that a zone of professionalism is present between the nurse and clien t C)Allowing the clients to have choices. which mode is this client responding to? 66) ______ A)Physiologic B) Self-concept C)Interdependence D) Role function 67)A client is being seen in the clinic for the final follow-up appointment afte r an extensive course of rehabilitation. t he nurse solicits a visit from a former stroke client who has physical limitatio ns but has since gone back to work and through adaptation. which leve l of intervention does this describe? 67) ______ A)Primary prevention B) Tertiary prevention C)Secondary prevention D) Resistant prevention 68)When a client who had a stroke gives up all hope of any amount of recovery. can function independ ently at home. Understan ding the importance of developing a therapeutic relationship between themselves and their clients. Choose the one alternative that best completes the statement o r answers the question. in their care D)Providing all needs and cares to the nurse's clients 64)Nursing staff members from an acute psychiatric unit have been asked to estab lish a nurse theorist they can easily identify with in their practice. Write the word or phrase that best completes each statement or an . 66)The client is experiencing metabolic acidosis.
often referred to as t he metaparadigm for nursing? 71) ______ A)Client. nursing. and biology 72)Nursing students must apply Neuman's systems model in the clinical area.swers the question. Which theori st applied the concept surrounding this intervention? 73) ______ A)Florence Nightingale B) Rosemarie Parse C)Martha Rogers D) Virginia Henderson 74)A nurse has been working with a difficult client and at one point. This is an example of which assumption. health.) __________ __________ __________ __________ ______ It detracts from developing nursing as a separate discipline. Choose the one alternative that best completes the statement o . medicine. would be appropriate for this unit? 70) ______ A)Partly compensatory B) Wholly compensatory C)Supportive D) Educative 71)Nursing students have been assigned to develop their own theory of nursing. Other disciplines are not unique to the human condition. health.) __________ __________ __________ __________ __________ Balancing rest Teaching Supporting Guiding Preventing hazards to life 69) _____________ MULTIPLE CHOICE. 70)Nursing students are working with clients on a secured Alzheimer's unit. and nursing B)Organization. accordin g to Parse's human becoming theory? 74) ______ A)Intersubjectivity B) Cotranscendence C)Meaning D) Rhythmicity SHORT ANSWER. people are assisted through whi ch of the following methods of helping? (Select all that apply. Which of the following typ es of nursing systems. facility. Choose the one alternative that best completes the statement o r answers the question. discipline. elects to put aside the nurse's own beliefs and is able to experience a sense of true empa thy for the client's situation. Whic h of the following would represent an intrapersonal stressor to a client? 72) __ ____ A)Expectations regarding rehab B)Family members who quarrel frequently about the client's care C)Adverse reaction to medication D)Inadequate health insurance coverage 73)A nurse has implemented the use of noncontact therapeutic touch. according to Orem's theory. W hich of the following would they include in their theory. 69)According to Orem's self-care deficit theory. and client C)Patient. Most of the clients are Stage II/III Alzheimer's disease. It helps bring a broader perspective and insight to nursing. It makes nursing less relevant. 75)Grounding nursing research among theories from other disciplines is argued to be undesirable by some scholars. The reason for this is which of the following? (Select all that apply. Write the word or phrase that best completes each statement or an swers the question. environment. 75) _______ MULTIPLE CHOICE. and nursing D)Society. nursing.
while continuing to use older but more familiar products on others.r answers the question. For their research. This is an example of which type of research design? 80) ______ A)Nonexperimental B) Quasi-experimental C)Experimental D) Pilot study 81)A nurse educator has asked the question. What is the next step in th e process? 83) ______ A)Formulate a hypothesis B) Select a design C)Review the literature D) Define variables 84)A nurse practitioner feels it is important to participate in nursing research . The criteria this researcher is considering is which of the following? 8 2) ______ A)Researchability B) Feasibility C)Significance D) Interest 83)A nurse has defined the current research problem. but still receiving IV ant ibiotics. Findings concluded that: 79) ______ A)Nurse-to-client ratios did not have a bearing on significant reduction in clie nt mortality B)Hospital size did not affect client survival. Which activity is most appropriate for this nurse's level of education and pos ition? 84) ______ A)Critically analyzing and interpreting research for application to practice B)Using research findings to develop policies and procedures C)Participating in data collection . according to Neuman's model? 77) ______ A)Primary B) Educational C)Tertiary D) Secondary 78)Nursing students are researching how cultural practices affect the dying proc ess of terminal cancer clients. This is an example of which level of prevention. 76)A student is caring for a client who contracted an infection following surger y. C)Nurses with BSN or higher degrees were associated with lower mortality. The client is afebrile during the student's shift. "Do students who form study groups f are better on the NCLEX® exam when compared to their peers who study independently ?" An example of a dependent variable would be which of the following? 81) _____ _ A)Number of students in a study group B)Time between graduation and sitting for the NCLEX® C)NCLEX® scores of both groups D)Students' college GPAs 82)A nurse researcher is considering the use of various nonpharmacological distr action techniques that have shown success for behavior control in troubled adole scents. 80)A nurse researcher is testing the effects of a new dressing preparation on ce rtain participants. they most likely will explor e which of the following? 78) ______ A)Stability models B) Critical theory C)Grand theories D) Midlevel theories 79)A significant research study was conducted on surgical clients in Pennsylvani a hospitals. according to Neuman's model? 76) ______ A)Secondary B) Primary C)Critical D) Tertiary 77)Nursing students who help to set up an immunization clinic are initiating whi ch level of prevention. D)Years of nursing experience increased client survival.
The nurse is critiquing the research based on which dimension? 89) ______ A)Methodologic B) Presentation and stylistic C)Interpretive D) Substantive and theoretical 90)The nurse researcher is considering whether the findings of a project may pre sent uncertain results in the clinical area. they had on the baby.D)Helping to identify clinical problems in direct client care 85)A high school graduate is considering entering a nursing program that offers a baccalaureate degree. the nurse looks specifically at the vario us medications used and what effect. The criteria this researcher is ref lecting on would be which of the following? 90) ______ A)Significance B) Confidentiality C)Variables D) Researchability 91)A group of nurses is researching how care providers of Stage I/II Alzheimer's clients use prior coping skills in dealing with their current situation. Which of the following is the entity that accredits bacc alaureate programs (or higher)? 85) ______ A)CCNE (Commission on Collegiate Nursing Education) B)NLN (National League for Nursing) C)NCSBN (National Council of State Boards of Nursing) D)NCLEX® (National Council Licensure Examination) 86)The student nurse is doing a literature review on evidence-based practice (EB P). Which qualitative research tradition does this exemplify? 91) ______ A)Substantive dimension B) Phenomenology C)Grounded theory D) Ethnography 92)The ANA's proposal for entry level for professional practice initiated debate among nurses. Which of the following would be most at risk if the ANA proposal were implemented? 92) ______ A)An RN with a BSN who is a staff nurse B)An RN with an associate degree who has a head nurse position C)An RN with an associate degree who is currently in school D)An RN with a diploma who works overtime 93)Some nursing students have been given an assignment to develop a research que stion from a quantitative approach. This is an example of which of the following? 87) ______ A)Consistency B) Variability C)Validity D) Reliability 88)If the RN has several LPNs on the shift to supervise. which of the following responsibilities will fall to the RN? 88) ______ A)Evaluating the care provided to the client B)Performing complex dressing changes C)Administering scheduled injectable medications D)Supervising unlicensed client care providers (such as a nurse's aide) 89)In evaluating a research question regarding the safety of pharmacological int erventions used to stop preterm labor. Which of the following demonstrates the student's understanding of EBP? 86) ______ A)Explaining EBP to fellow students B)Trying to find other problems to implement EBP C)Presenting a paper about EBP D)Repositioning a client at risk for skin breakdown every 2 hours 87)A nurse researcher is using an instrument that provides similar results each time it's implemented. Which of the following would be an example o f a quantitative research question in the clinical area? 93) ______ . if any.
Th e instructor reports group data for published research. 99)A group of nurses is researching how care providers of Stage I/II Alzheimer's clients use prior coping skills in dealing with their current situation. Which of the followin g would constitute risk of harm to this client? 95) ______ A)Suggesting that participation would greatly benefit the client's financial sit uation B)Withholding information about the study C)Providing the client's name as a participant in the study D)Giving the client false information about his or her participation 96)A nursing instructor is researching the implementation of assigning study gui des for homework points and the effect this has on the students' test grades. while continuing to use older but more familiar products on others. This is an example of which type of research design? 94) ______ A)Nonexperimental B) Quasi-experimental C)Experimental D) Pilot study 95)A client has agreed to participate in a research study. Which qualitative research tradition does this exemplify? 99) ______ A)Grounded theory B) Substantive dimension C)Ethnography D) Phenomenology 100)If the RN has several LPNs on the shift to supervise. This is an example of wh ich of the rights in research? 96) ______ A)Risk of harm B) Right of self-determination C)Right of full disclosure D) Right of confidentiality 97)A nurse educator has asked the question. Findings concluded that: 98) ______ A)Hospital size did not affect client survival. Which of the following is the entity that accredits bac . B)Years of nursing experience increased client survival. C)Nurse-to-client ratios did not have a bearing on significant reduction in clie nt mortality D)Nurses with BSN or higher degrees were associated with lower mortality. which of the following responsibilities will fall to the RN? 100) _____ A)Administering scheduled injectable medications B)Evaluating the care provided to the client C)Performing complex dressing changes D)Supervising unlicensed client care providers (such as a nurse's aide) 101)A high school graduate is considering entering a nursing program that offers a baccalaureate degree.A)Does expression of client spirituality affect recovery time? B)What dressing selections work best for a wound dehiscence? C)How do siblings react to a new baby of a second marriage after divorce of thei r parents? D)What support do terminal cancer clients find least beneficial in hospice care? 94)A nurse researcher is testing the effects of a new dressing preparation on ce rtain participants. "Do students who form study groups f are better on the NCLEX® exam when compared to their peers who study independently ?" An example of a dependent variable would be which of the following? 97) _____ _ A)NCLEX® scores of both groups B)Number of students in a study group C)Students' college GPAs D)Time between graduation and sitting for the NCLEX® 98)A significant research study was conducted on surgical clients in Pennsylvani a hospitals.
The nurse encourages the students to talk about their friend. bring pictures. Funding for this type o f program was made possible by which of the following? 104) _____ A)Pew Health Professions Commission B)Colleagues in Caring C)Brown report D)Goldmark report 105)A nurse researcher is considering the use of various nonpharmacological dist raction techniques that have shown success for behavior control in troubled adol escents. the nurse realizes that the probability h as a value of less than . and standard deviation B)Mean. The nur se also invites the deceased's family to come to the school and visit with their child's classmates. This nurse is working in which of Swanson's processes? 109) _____ A)Knowing B) Enabling C)Doing for D) Being with . What is the next step in t he process? 107) _____ A)Formulate a hypothesis B) Review the literature C)Select a design D) Define variables 108)A nurse researcher is using an instrument that provides similar results each time it's implemented. This means that the findings are which of the follo wing? 103) _____ A)Statistically significant B) Statistically insignificant C)Chance occurrences D) Generalized 104)Several nurse educators are working together to promote articulation agreeme nts between prospective nursing programs in their state. and share memories with each other. This is an example of which of the following? 108) _____ A)Reliability B) Validity C)Variability D) Consistency 109)A nurse is working in the school system with a group of students who are str uggling with the death of a classmate.calaureate programs (or higher)? 101) _____ A)NCLEX® (National Council Licensure Examination) B)NCSBN (National Council of State Boards of Nursing) C)CCNE (Commission on Collegiate Nursing Education) D)NLN (National League for Nursing) 102)The student nurse is examining the dispersion of data in a research study. and mode 103)After the data have been analyzed. median. range. The sample in this situation is which of the following? 106 ) _____ A)The school system B) Parents C)Children D) Single-parent families 107)A nurse has defined the current research problem. M easurements would include which of the following? 102) _____ A)Range. variance. and standard deviation C)Measures of central tendency D)Mean. The criteria this researcher is considering is which of the following? 105) _____ A)Feasibility B) Significance C)Researchability D) Interest 106)A researcher is conducting a study involving only the single-parent families of a school system.05.
Nursing care must be repatterned to help the client move toward wellness.) 1. 110 ____________ MULTIPLE CHOICE. This nurse is exhibiting which of the following? 115) _____ A)Confidence B) Conscience C)Compassion D) Competence 116)Compassion is often associated with caring. which situatio n is the best example of compassionate nursing care? 116) _____ . 110)According to Leininger's theory of cultural congruent care. The client's familiar lifeways are preserved. which of the following ingredi ents are necessary for this process? (Select all that apply. The client had a difficult labor experience. which of the fol lowing characterize the way that care should be provided? (Select all that apply . 4. Write the word or phrase that best completes each statement or an swers the question. 114)A nurse understands that certain activities are required for a healthy lifes tyle. at least for an hour and a half 115)A nurse has been working a 12-hour shift in a labor and delivery unit. Write the word or phrase that best completes each statement or an swers the question. Choose the one alternative that best completes the statement o r answers the question. Accommodations should be satisfying to clients. Honesty Trust Humility Professionalism Courtesy 113) ____________ MULTIPLE CHOICE. 2. 111)A nurse is evaluating how care is delivered at various hospitals. The nurse decid es to stay until the delivery is over. This ty pe of example reflects whose theory of caring? 111) _____ A)Boykin and Schoenhofer B) Ray C)Roach D) Leininger 112)A new nurse has just started work on an oncology unit. and had physio logical problems with blood pressure as well as pain management. One of the clients ha s decided to discontinue treatment. The nurse is having difficulty with this situation and decides to approach a seasoned nurse for insight and a way to help support this particular client. 2. after having it approved by her manager. Of the following. Which of the following is the best example of this? 114) _____ A)Exercising more on days when feeling "guilty" about a snack B)Buying only fat-free foods and allowing absolutely no deviation from this C)Balancing good nutrition and exercise in moderation D)Exercising every day. 5. 3.SHORT ANSWER. 113)According to Mayeroff's philosophy of caring. the nurse is able to identify a facility where caring in the emergency dep artment is perceived differently than caring in the rehabilitation unit. 4. Choose the one alternative that best completes the statement o r answers the question.) 1. In the pro cess. even though he understands that his life wil l be shortened extensively if he does. The nurse is exemplifying which of the followin g? 112) _____ A)Patience B) Hope C) Honesty D) Humility SHORT ANSWER. A cli ent was admitted early in the shift and is now ready to deliver. 3. ) Care should be influenced by the organizational structure. was worried and anxious throughout.
In order to help the stu dent work through this situation. Instead of getting her instructor. A client is admitted with extensive medical problems and requires a ventilator. The student felt like she was caught in th e middle and wasn't sure how to respond to some of the questions that were being asked about care. the client's family. B)The nurse has written procedures and policies in language that is both profess ional and realistic. A good way for the students to accomplish this is to: 122) _____ A)Spend time in the clinical area with seasoned nurses. the nursing instructor might advise the studen t to try which of the following? 117) _____ A)Guided imagery B) Reflection C)Meditation D) Music therapy 118)A nurse is working in a busy intensive care unit. D)The nurse routinely gives back rubs to clients before they go to sleep. According to Roach's six C's of caring. 117)A nursing student was involved in a very difficult situation with a client. B)Take better notes. C)The nurse has expert technical skills and has the most experience with critica l care. Because the nurse already has two other clients assigned to his care. the student fielded these questions as best she could. D)Read about the same topic from a variety of sources. T his is an example of which aspect of caring. he requests that the nurse manager c hange assignments so that appropriate attention can be given to this new admissi on. and scheduling. Which of the following is an example of knowing. in relationship to caring? 12 0) _____ A)Getting an extra blanket when the client says he is cold B)Understanding the reason a client's lab values are elevated C)Seeing that a client is withdrawn and sullen.A)The nurse takes time to understand the spiritual needs of clients. and the nurse is able to describe to the students the pathophysiology surrounding this client's condition as well as spec ific assessment findings. so the nurse manager decides to approach her with these new concerns. . The director of nursing has been sensitive to other issues in t he past. and a physician. which one is the nurse emulating? 11 8) _____ A)Confidence B) Compassion C)Conscience D) Commitment 119)A nurse is working with students on a medical unit. C)Study harder. as proposed by Mayeroff? 121) _____ A)Knowing B) Courage C) Humility D) Trust 122)During a midterm evaluation. the nurse educator tells the students they need to work on improving their aesthetic knowledge. A client with respirator y acidosis is being monitored closely. as described by Mayeroff . This nurse is demonstrating which type of knowledge? 1 19) _____ A)Empirical B) Creative C)Aesthetic D) Personal 120)A nurse is emulating the characteristics of caring. and spending extra time when pro viding cares or treatments D)Seeing the connection between the pathophysiology of the cardiac condition and treatment and giving the rationale for certain medications when the client asks 121)A nurse manager has been dealing with staffing problems and high patient acu ity on the unit. treatment.
This action then emphasizes the importance of nurses knowing themselve s." This n urse is exemplifying which process of Swanson's theory of caring? 123) _____ A)Doing for B) Being with C)Enabling D) Knowing 124)A nurse educator is teaching students about the philosophy of caring in nurs ing and states that nurses can only be truly caring if they are true to themselv es first. D)The nurse is able to carve out time for a favorite hobby. This client exemplifies which of the following? 130 ." B)"Empirical knowledge. and customs from b oth parents throughout life. Which of t he following might be an appropriate therapy for this? 127) _____ A)Bike riding B) Storytelling C)Cake decorating D) Reading 128)A labor and delivery nurse wants to conduct research focused on the response of new parents toward their babies. Which of the following theorists is b est in line with this research? 128) _____ A)Roach B) Benner C) Watson D) Swanson 129)A female client is being discharged after a lengthy hospitalization. B)Make sure that the physician gives the instructions." 126)A nurse educator teaches students about caring nursing practice. The educator is teaching the concept of caring according to whose theory? 124) _____ A)Ray B) Roach C)Watson D) Boykin and Schoenhofer 125)A student asks the nursing instructor which of the different types of knowle dge are important in the clinical area. You have to know the physiology of the problem before yo u decide which interventions to use.123)A nurse is working in an acute psychiatric unit. at least once a week . A nurse must appreciate the special qualities of each cl ient and the individual situation. Which of th e following situations shows that the nurse is able to implement the whole idea of caring? 126) _____ A)The nurse takes care of his elderly parents as well as providing care to his i mmediate family. 130)A client is the child of an African American father and Asian American mothe r. The fam ily is from a male-dominated culture." C)"A good nurse will have a mix of all four types. The best response by the nurse is: 125) _____ A)"Ethical knowledge. The client has been exposed to cultural foods." D)"Aesthetic knowledge. traditions. Nurses must be able to identify principles and norms. t he nurse should: 129) _____ A)Make sure instructions are understood by the client. hand le conflicts. which brings about a process that allows the nurse to be with another person. and be sensitive to sensitive issues. D)Arrange for teaching when the spouse is available. We better be ready for a busy night. The nurse makes this statem ent to a co-worker after reviewing a newly admitted client's medical record: "An other client with bipolar disorder. The approach the nurse would like to use su ggests that caring is a nurturing process. C)The nurse is a volunteer at church and school events. 127)A nurse practitioner emphasizes the importance of the staff engaging in acti vities that help restore peace and balance between the mind and body. C)Ask the client when the best time for teaching would be. B)The nurse makes lists every morning so the day stays organized and planned. Before discharge instructions are given.
physical assessment on a client after com ing to the unit from another floor. In fact. the nurse should: 133) _____ A)Tell the client that he has to limit visitors. fruit. sausage. B)Evaluate the benefits of family participation in the client's care. 135)A client on a medical unit is a Jew who observes kosher customs. Which of the following situations would illustrate prejudice on the nurse's part? 136) _____ A)Taking general knowledge from literature and applying it to the situation B)Bringing previous negative information and experiences into this situation C)Understanding that all culture members will have the same beliefs D)Making an assumption that all members of each culture are alike 137)A home health client participates in cultural health practices that the nurs e feels may be detrimental to his health. baked potato. C)Ask the client to stay quiet since the nurse will be listening to the heart. C)Consider whether the client's belief system has been an influencing factor. In order to address this in a culturally sensitive manner. has not been able to achieve this goal. assuming all h ave been properly inspected and prepared? 135) _____ A)Fish. B)Tell the client what the nurse is doing during the assessment.) _____ A)Biculture B) Cultural sensitivity C)Diversity D) Subculture 131)The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month. the nurse should: 137) _____ A)Explain the right and wrong of the client's treatment and try to persuade him to follow the scientific perspective. B)Select a different goal. then determine if cardiac auscultation is neces sary. then wait for permission to continue. and toast 136)The nurse is working with clients from different cultural backgrounds than t he nurse's own. and fresh fruit C)Hamburger. D)Make sure that the client understands the importance of the goal. Which of th e following food items would be appropriate to serve this client. D)Explain the procedure. The nurse has had limited prior ex perience with the various cultural groups that are served by the hospital. 132)A new graduate nurse is moving from a small rural college town to a metropol itan area to begin work in a county hospital. B)Try to negotiate with the client by exploring his views and then provide relev . In order to remain attentive to cultur al sensitivity and provide appropriate cultural nursing care. vegetables. This nurse is at risk for which of the following? 132) _____ A)Discrimination B) Prejudice C)Culture shock D) Stereotyping 133)A client from a different culture than the nurse's has had numerous visitors during his stay. The client. th e nurse should: 134) _____ A)Take the baseline vital signs. there are visitors in the room at all times. D)Question the family as to how they see their interaction with the client. The nurse should: 131) _____ A)Extend the time frame and give the client a longer period to achieve the goal. Before performing the cardiac assessment. and milk D)Cream soup. and hot tea B)Ham. C)Have the physician limit the number of visitors the client can have. 134)The nurse must complete a focused. who is from a different cultur e.
to have such a diagnosis as this. Smith's nurse. This is a d efinition of _______________. D)Leave the room and come back after having learned more about this particular c ulture. B)Ask the child to wait until last. During the interview. when the client is feeling more communicative. the nurse should first: 138) _____ A)Put gloves on. 140)A client makes the following statement: "I must be paying for all the wrongs I did in my life. Jane. The hospital has an interpreter available to explain the procedure and help with the consent form. the staff should make sure that: 139) _____ A)They ask the interpreter to translate as closely as possible the same words us ed by the professional staff. You can call me Jane. ." B)"I'm Jane." SHORT ANSWER. and beneficial health care to people. D)Ask permission. When the inte rpreter arrives. B)Have another nurse finish the interview. so nothing is missed. The nurse should: 143) _____ A)Understand that this may be completely appropriate and take cues accordingly. and I'm a nurse here at the clinic. and needs to have an emergency surgical procedure. 138)The school nurse is doing school screening on children. the nurse should introduce herself in the following way: 141) _____ A)"I'm glad to meet you. Before checking the head of an Asian ch ild. C)Come back at a different time. 142) ____________ MULTIPLE CHOICE. and patterned lifeways of cultures to provide cul turally congruent. the client averts her eyes an d refrains from answering questions for long periods of time. Choose the one alternative that best completes the statement o r answers the question. it may be beneficial to continue with his preferences. B)The staff addresses the questions to the interpreter.ant scientific information. C)The client's family is included in the process and exchange of information." The nurse understands that this client views health from which of the following beliefs? 140) _____ A)Holistic health belief B) Magico-religious belief C)Biomedical health belief D) Folk medicine 141)The nurse is working in a clinic setting and is meeting a new client for the first time. Write the word or phrase that best completes each statement or an swers the question. to avoid embarrassing the child. C)Make sure the child understands the reason for the contact. meaningful. In order to convey cultural sensitivity. C)Have the client's physician explain the care to the client in a firm but gentl e manner. D)Validate the client's practices and understand that for this client. D)The interpreter uses words the client is familiar with for the best understand ing. 143)A nurse is taking an admission history from a client of a different cultural group than the nurse's own. 142)A nurse educator uses Madeleine Leininger's model and describes a formal are a of study and practice focused on comparative human-care differences and simila rities of the beliefs. and checking for hea d lice is part of the screening process." D)"I'm Dr. 139)A client is brought to the emergency department." C)"I'm Jane Brown. since there is something uncomfortabl e the client senses. does not speak English. and I'll be your nurse today. values.
The unit is busy and the nurse has limited time to complete the nursing admission assessment. When a n urse is teaching a client about a dressing change that should be done twice a da y and the client is from a culture that is "present oriented. and education. and members of the family often seek the help of other systems for personal validation and gratification. B)Wait until there is adequate time to complete the assessment. D)Understand and attend to the total context of the client's situation. acute treatment. 145)A client from a culture different from the nurse's has just been admitted to a unit. What would be an appropriate nursing diagnosis for this family? 149) _____ A)Altered Family Processes related to communication patterns B)Impaired Verbal Communication related to inability to communicate C)Knowledge Deficiency (communication patterns) related to dysfunctional pattern s of communication D)Ineffective Family Coping evidenced by assistance from outside sources 150)A nurse is working with a particular cultural group in which it is not uncom mon for grandparents to live with their married children and to assist with chil d rearing and discipline issues." the nurse should instruct the client to perform the dressing change at which of the following tim es? 148) _____ A)At times that the client selects B)At 10 AM and 4 PM C)After breakfast and before going to bed D)Whenever the client chooses. which is most likely to use folk medicine? 146) _____ A)The client who speaks little English and does not have a job B)A female client whose culture is one of male dominance C)A Chinese client who has a small. C)Strive to be culturally sensitive. family run business in the area D)A family who has numerous relatives in a Spanish-American sector of the city 147)Before a client goes to surgery. D)Pick a time when the family is present and can help with the admission assessm ent questions. This is an example of which of the following? 1 50) _____ . which traditi onal methods is the client invoking? 147) _____ A)Maintaining HEALTH B) Restoring HEALTH C)Protecting HEALTH D) Changing HEALTH 148)Time can take on different meanings in different cultural settings.144)A new graduate nurse is working in a busy emergency department of a hospital . According to the HEALTH traditions model. and skills. situated in a culturally diverse area of the city. C)Break the assessment into shorter intervals and discuss general topics first. 146)A community health nurse works with a variety of cultures providing health c are services that include preventive care. The best way for the nurse to show cultural sensitivity i s to: 145) _____ A)Thoroughly explain the reason for asking many questions before beginning the a ssessment. Of th e following clients. as long as it gets done twice daily 149)A family struggles with clear communication. B)Possess the underlying background knowledge that will provide these clients wi th the best possible health care. using kn owledge. In striving to be culturall y sensitive. attitudes. culturally appropriate. and culturally comp etent. he requests to have his spiritual leader pr esent and pray over him. the nurse will: 144) _____ A)Try to learn about the attitudes toward health care and traditions of the diff erent cultures in that area.
and cousins. 151)A family member is hospitalized with an illness. Choose the one alternative that best completes the statement o r answers the question. Nature of the illness Duration of the illness Cause of the illness Financial impact of the illness Effect of the illness on future family functioning 151) ____________ 152)Which of the following is the purpose of a family assessment? (Select all th at apply. Th is client is describing which type of family? 154) _____ A)Nuclear B) Traditional C)Extended D) Blended 155)Two nursing students. which appeared to be accept able to the father. 154)A client is asked during an admission interview to describe her family. 3. Which of the following fact ors will the nurse assess to determine the impact this illness will have on the family? (Select all that apply. C)Make sure that the physician understands the family dynamics so parental conse nt comes from the mother. Choose the one alternative that best completes the statement o r answers the question.) 1. 3. 156)A nurse is conducting a family assessment and asks the following question: " How. grandparents. Which of the following fac tors would indicate that this family is at risk of developing health problems? . 156) ____________ MULTIPLE CHOICE. 2. Clarify family interaction patterns. She proceeds to list parents. both single parents. siblings. B)Allow the mother to make the decisions. Part of their rationale includes providing support for studying and sha ring responsibilities of parenting.) 1. 153)During a previous family assessment. the nurse will: 153) _____ A)Make sure that both parents are involved in all decision making. 5. This is an example of which of the following ? 155) _____ A)Intragenerational family B) Cohabiting family C)Blended family D) Foster family SHORT ANSWER. do you deal with disappointments or stressful changes that occ ur and affect the members of your family?" The nurse is trying to identify _____ __________ . aunts. the nurse realized that the mother did most of the talking and was quick to make decisions. 4. 2. When one of their children is hospitalized. as a family. Provide legal guidelines for consent to health care. uncles. 4. D)Include both parents in the decision making. 157)The nurse is performing a family risk assessment. Write the word or phrase that best completes each statement or an swers the question. Identify family strengths and weaknesses. Determine the level of family functioning. but not be surprised if the mothe r retains control. have decided to move into a large r house. Write the word or phrase that best completes each statement or an swers the question. 152) ____________ MULTIPLE CHOICE.A)Traditional family B) Intragenerational family C)Blended family D) Two-career family SHORT ANSWER.
3. D)Family disorganization may occur. but the children usually have some kind of dirt stain on their shirt or pants. The nurse will next assess the fam ily's external support systems. Friends Religious affiliations Individual members of the family Health care professionals 160) ____________ MULTIPLE CHOICE. C)The family does not have a regular physician. Which of the following would the nurse be mo st concerned about. B)One of the children never speaks and seems "on guard" when in the presence of a parent. D)The baby always seems to have a cold. 160)A nurse has identified a coping problem in a family that recently lost their house and all of their belongings in a fire. C)The family is an elderly couple who are active in their retirement community.157) _____ A)The family depends on two incomes with a limit on their health insurance spend ing. Part of their rationale includes providing support for studying and sha . The mother is enrolled in parenting classes at the high school. Which of the following indicate th at there are existing or potential problems with family communication? 162) ____ _ A)A few of the members just sit and listen. Which of the follo wing would the nurse consider a "normal" reaction to this event? 159) _____ A)The family feels that their place in the community has been eliminated. both single parents.) 1. some quite vocally. C)The verbal communication is congruent with the nonverbal messages. in this regard? 158) _____ A)The family's clothes are relatively clean. These would include which of the following? (Sel ect all that apply. B)The family is a teenage mother and child. o n the family members' communication patterns. for the moment. have decided to move into a large r house. 4. rather ignored by the person wh o does the most talking. Of the following. Write the word or phrase that best completes each statement or an swers the question. 2. SHORT ANSWER. Choose the one alternative that best completes the statement o r answers the question. 159)A father of a family was killed in a motor vehicle crash. 158)A nurse has been working with a family at the community health office and is alert to signs of family violence. B)All members are participating in the discussion equally. 161)A nurse is conducting a family assessment as part of the process for service s provided through the community. C)Family members become detached from extended family. 163)Two nursing students. D)Disagreements are not addressed among members. B)The family withdraws into seclusion during the grief process. which would provide the best information in identifying existing or potential health problems? 161) _____ A)Ecomap B)Family communication patterns C)Cultural assessment D)Genogram 162)A nurse is conducting a family assessment and is focusing. D)The family belongs to the local synagogue and has family members still living in Germany.
165) ____________ MULTIPLE CHOICE. the nurse will: 164) _____ A)Make sure that both parents are involved in all decision making. 167)A nurse is conducting a family assessment and is focusing. When one of their children is hospitalized. C)Family disorganization may occur. for the moment. do you deal with disappointments or stressful changes that occ ur and affect the members of your family?" The nurse is trying to identify _____ __________ . 165)A nurse is conducting a family assessment and asks the following question: " How. 166)A father of a family was killed in a motor vehicle crash. According to Freud's theory of development. Write the word or phrase that best completes each statement or an swers the question. B)Disagreements are not addressed among members. SHORT ANSWER. B)Make sure that the physician understands the family dynamics so parental conse nt comes from the mother. Choose the one alternative that best completes the statement o r answers the question. D)Family members become detached from extended family. Financial impact of the illness 5. Nature of the illness 2. some quite vocally. C)The verbal communication is congruent with the nonverbal messages. Duration of the illness 3. but not be surprised if the mothe r retains control. This is an example of which of the following ? 163) _____ A)Blended family B) Foster family C)Cohabiting family D) Intragenerational family 164)During a previous family assessment.ring responsibilities of parenting. Which of the following indicate th at there are existing or potential problems with family communication? 167) ____ _ A)All members are participating in the discussion equally. He has difficulty makin g decisions and feels unable to make decisions on his own. Cause of the illness 4. rather ignored by the person wh o does the most talking. as a family. this person would be fixated at which stage of developmen .) 1. D)Allow the mother to make the decisions. 168)A family member is hospitalized with an illness. B)The family feels that their place in the community has been eliminated. Effect of the illness on future family functioning 168) ____________ MULTIPLE CHOICE. 169)A young adult has never lived away from his parents. C)Include both parents in the decision making. the nurse realized that the mother did most of the talking and was quick to make decisions. D)A few of the members just sit and listen. Write the word or phrase that best completes each statement or an swers the question. Choose the one alternative that best completes the statement o r answers the question. which appeared to be accept able to the father. o n the family members' communication patterns. SHORT ANSWER. Which of the follo wing would the nurse consider a "normal" reaction to this event? 166) _____ A)The family withdraws into seclusion during the grief process. Which of the following fact ors will the nurse assess to determine the impact this illness will have on the family? (Select all that apply.
Relating oneself to one's spouse as a person 5. 175)Westerhoff's spiritual theory describes four stages of development. D)The child wants the same toy to sleep with during naptime and bedtime. Which activity would indicate that this child is struggling at th is stage? 170) _____ A)The child merely watches as the other children pretend-play. This educator also believes that in meeting the stude nts' needs.Managing a home 171) ____________ MULTIPLE CHOICE. Entering the room. serious illness has been hospitalized." The nurse correctly associates this belief with which theorist? 172) _____ A)Fowler B) Gilligan C)Kohlberg D) Westerhoff 173)A nurse is working with a school-age client who is learning how to use a pea k flow meter to monitor his asthma. 172)A client with an acute. C)The child cries when the parents leave the unit.Developing adult leisure-time activities 3. The client states to the nurse: "I don't know how people manage to get through difficult times without their faith." C)"Maybe you could make a game out of the daily use of your meter.t? 169) _____ A)Anal B) Latency C) Genital D) Phallic 170)A 20-month-old child is a client on the pediatric unit of a hospital. This educator's ideals represent which of Gilligan's stages? 174) _____ A)Stage 1 B) Stage 2 C) Stage 3 D) Stage 4 SHORT ANSWER. The child has been frustrated at first. it's just something you'll h ave to do. which of the followi ng is an appropriate response by the nurse? 173) _____ A)"It's too bad if you don't want to use the meter. educators must also work to take care of themselves and care for the ir own needs." B)"Think of using the meter as one of your daily chores. the nurse observes the client praying.) 1. Remembering th e growth and development characteristics of the adolescent. It's where I get my strength." D)"You should feel very proud for understanding and using your meter. Write the word or phrase that best completes each statement or an swers the question." 174)A nurse educator believes that teaching students without caring about them i s an exercise in futility. but now is able to give the reason to use the meter on a daily basis. Put thes e in order of when they occur in the life cycle: __________ __________ __________ __________ Owned faith Affiliative faith Experienced faith Searching faith 175) ____________ .Taking on civic responsibility 2. The nu rse notices that this child is lagging in stage 6 of Piaget's phases of cognitiv e development. 171)Which of the following developmental tasks are part of Havighurst's early ad ulthood age period? (Select all that apply. B)The child does not cooperate with some of the treatments. SHORT ANSWER. Write the word or phrase that best completes each statement or an swers the question. Choose the one alternative that best completes the statement o r answers the question.Getting started in an occupation 4.
" C)"This behavior is a normal part of your child's development. the nurse realizes that it will be important to: 180) _____ A)Provide as much care to the residents as possible. responds by saying: 17 8) _____ A)"All children are curious. The nurse. B)Make sure to provide safety measures as needed. familiar with Freud's stages of development. she ures for a scrapbook and wrote a journal of favorite memories for to read after the client dies. Fowler describes this stage as which of the following? 181) _____ A)Universalizing B) Mythic-lyrical C)Individuating-reflexive D) Intuitive-projective 182)A client who has a terminal diagnosis has been using her time members deal with her impending death. 176)A parent tells the nurse that his child is quite creative and learning how t o pretend with "almost anything in the house. The educator understands that most traditional." B)"You should probably consult a child psychologist if you're this concerned. When pl anning care for the old-old stage. this child i s descriptive of which stage/phase? 176) _____ A)Preconceptual phase B)Concrete operations phase C)Tertiary circular reaction: stage 5 D)Inventions of new means: stage 6 177)A nurse who is exploring the behavior of children and how they interpret rig ht from wrong or bad from good would best be served by studying which of the fol lowing theorists? 177) _____ A)Skinner B) Piaget C) Vygotsky D) Kohlberg 178)A parent questions the nurse about her 5-year-old who has begun to masturbat e and question the parents about sexual differences among the child's peer mates . Among her activities. Choose the one alternative that best completes the statement o r answers the question. 181)A nurse educator is working with students and assisting them in addressing t heir clients' spiritual needs. D)Allow as much independence for the residents as possible. this client is h which of the following developmental tasks? 182) _____ A)Body transcendence versus body preoccupation B)Integrity versus despair C)Ego transcendence versus ego preoccupation D)Ego differentiation versus work-role preoccupation to help family collected pict family members working throug 183)A parent brings his child into the clinic for a well-child screening." D)"Let's make sure to ask your physician at the next appointment. but make sure the child knows that this behavior mi ght be offensive to others." 179)A parent brings a 16-month-old child to the clinic for a well-child checkup. The child is lagging in which of the following processes? 179) _____ A)Growth B) Development C)Behavior D) Height 180)A nurse is working with the residents of an assisted living complex.MULTIPLE CHOICE. C)Maintain peer interactions and social groups. According to Peck." According to Piaget. He mak . During the assessment. the nurse finds that the child cannot stand next to furn iture and does not try to pull himself up from a sitting position. s econd-year college students are aware of their own spiritual development or work ing to develop their own system of spirituality.
es a statement to the nurse that the child is learning new words faster than he can write them in the baby book. 4. 5. Families and individual should have coverage they can afford. According to Piaget. 22)B 23)A 24)B 25)B . 1. Health coverage should be ongoing and uninterrupted. this child is in which of the following phases? 183) _____ A)Intuitive thought phase B) Concrete operations phase C)Preconceptual phase D) Formal operations phase 1)B 2)C 3)D 4)B 5)A 6)A 7)D 8)A 9)D 10)A 11)B 12)C 13)A 14)B 15)B 16)D 17)2. 3 18)B 19)A 20)C 21)Health coverage should be for everyone.
Technologica l advances. Equitable distribution.26)C 27)D 28)More knowledgeable consumers. Inflation 39)A 40)D 41)A 42)C 43)C 44)D 45)A 46)Appropriate technology. Increase in the number of elderly. Economics 29)B 30)A 31)B 32)B 33)B 34)C 35)B 36)B 37)B 38)Rising numbers of uninsured. Multisectoral approach 47)Few 48)B 49)D 50)D 51)D 52)C 53)A 54)D 55)A .
Supporting. 76)A 77)A 78)B 79)C 80)C 81)C 82)C 83)C 84)A .. Systems framewo rk 66)A 67)B 68)C 69)Teaching. Stress/adaptation framework.56)B 57)B 58)C 59)D 60)A 61)A 62)D 63)C 64)D 65)Dominant. It makes nursi ng less relevant. Callista Roy's theory. Guiding 70)B 71)A 72)C 73)C 74)B 75)It detracts from developing nursing as a separate discipline.
85)A 86)D 87)D 88)A 89)D 90)D 91)B 92)B 93)B 94)C 95)C 96)D 97)A 98)D 99)D 100)B 101)C 102)A 103)A 104)B 105)B 106)D 107)B 108)A 109)B 110)2. 4 111)B 112)C 113)1. 2. 3 114)C . 3.
115)C 116)A 117)B 118)C 119)A 120)C 121)B 122)A 123)D 124)D 125)C 126)D 127)B 128)D 129)D 130)A 131)C 132)C 133)B 134)D 135)A 136)B 137)B 138)D 139)A 140)B 141)C 142)Transcultural nursing 143)A 144)A .
2. 4 161)D 162)D 163)C 164)C 165)coping mechanisms or family coping mechanisms 166)C 167)B 168)1. 2. 2. 4 153)D 154)C 155)B 156)coping mechanisms or family coping mechanisms 157)D 158)B 159)D 160)1. 4. 5 152)1. 3. 2. 4. 5 169)C 170)A 171)1.145)C 146)A 147)B 148)C 149)A 150)B 151)1. 5 172)D 173)D 174)C .
2. 1. 3 176)D 177)D 178)C 179)B 180)D 181)C 182)C 183)C .175)4.
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