Fundamentals of Nursing 2nd Edition Yoost Test Bank

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Fundamentals of Nursing 2nd Edition Yoost

Test Bank
Chapter01:Nursing,Theory,andProfessionalPractice
Yoost&Crawford:FundamentalsofNursing:ActiveLearningforCollaborativePractice,2nd
Edition
MULTIPLECHOICE
1. A group of nursing students are discussing the impact of nonnursing theories in

clinicalpractice.Thestudentswouldbe correctiftheychosewhich theorytoprioritizepatient
care?
a. Erikson’sPsychosocialTheory
b. Paul’sCritical-ThinkingTheory
c. Maslow’sHierarchyofNeeds
d. Rosenstock’sHealthBeliefModel
ANS:C
Maslow’s hierarchy of needs specifies the psychological and physiologic factors that
affecteach person’s physical and mental health. The nurse’s understanding of these factors
helpswithformulatingNursingdiagnosesthataddressthepatient’sneedsandvaluestoprioritizeca
re.Erikson’sPsychosocialTheoryof DevelopmentandSocializationisbasedon
individuals’interactingandlearningabouttheirworld.Nursesuseconcepts
ofdevelopmentaltheorytocriticallythinkin
providingcarefortheirpatientsatvariousstagesoftheirlives.
Rosenstock(1974)developedthepsychologicalHealthBeliefModel.Themodeladdressespossi
ble reasons for why a patient may not comply with recommended health
promotionbehaviors.This model isespecially useful to nursesas they educate patients.
DIF: Remembering OBJ: 1.5 TOP:Planning

MSC: NCLEX ClientNeedsCN ategR
ory:I
SafG
e anB.C M
dE ffecti ve Care Environment:Managementof Care
U
NOT: Concepts:Care Coordination SNT O
2. A nursing student is preparing study notes from a recent lecture in nursing history.
Thestudentwould credit FlorenceNightingale forwhich definition ofnursing?
a. Theimbalancebetweenthepatientandthe environmentdecreasesthe
capacityforhealth.
b. Thenurseneedstofocuson interpersonalprocessesbetweennurseandpatient.
c. Thenurseassiststhepatientwith essentialfunctionstowardindependence.
d. Humanbeingsareinteractingincontinuousmotionasenergy fields.
ANS:A
Florence Nightingale’s (1860) concept of the environment emphasized prevention and
cleanair, water, and housing. This theory states that the imbalance between the patient and
theenvironment decreases the capacity for health and does not allow for conservation of
energy.Hildegard Peplau (1952) focused on the roles played by the nurse and the
interpersonalprocess between a nurse and a patient. Virginia Henderson described the
nurse’s role assubstitutive (doing for the person), supplementary (helping the person), or
complementary(working with the person), with the goal of independence for the patient.
Martha Rogers(1970) developed the Science of Unitary Human Beings. She stated that
human beings andtheirenvironments areinteractingin continuous motionasinfinite energy
fields.
DIF: Understanding OBJ: 1.4

TOP:PlanningMSC:NCLEXClientNeedsCategory:HealthPromotionandMai
ntenance
NOT:Concepts:HealthPromotion
3. Thenurseidentifieswhich nurseestablished theAmerican Red Crossduring theCivil War?

a. DorotheaDix
b. LindaRichards
c. LenaHigbee
d. ClaraBarton
ANS:D
Clara Barton practiced nursing in the Civil War and established the American Red
Cross.DorotheaDix wasthe headof theU.S. SanitaryCommission, whichwas aforerunner
oftheArmy Nurse Corps. Linda Richards was America’s first trained nurse, graduating
fromBoston’s Women’s Hospital in 1873, and Lena Higbee, superintendent of the U.S.
NavyNurseCorps, wasawarded the Navy Cross in 1918.
DIF: Remembering OBJ: 1.3

TOP:AssessmentMSC:NCLEXClientNeedsCategory:HealthPromotionandMai
ntenance
NOT:Concepts:Professionalism
4. Thenursinginstructorisresearchingthefiveproficienciesregardedasessentialforstudentsand
professionals. The nursing instructor identifies which organization would be found
tohaveadded safety as asixth competency?
a. QualityandSafetyEducationforNurses(QSEN)
b. InstituteofMedicine(IOM)
c. AmericanAssociationof CollegesofNursing(AACN)
d. NationalLeagueforNursing (NLN)
ANS:A
The Instituteof MedicinerepN RHeI
althGProBfe.ssCionM
ort,USNT s Education: ABridge toQuality(2003),
outlinesfive core competencies.Theseincludepatient-centeredcare, interdisciplinary
teamwork, use of evidence-based medicine, quality improvement, and use of
informationtechnology. QSEN added safety as a sixth competency. The Essentials of
BaccalaureateEducation for Professional Nursing Practice are provided and updated by the
AmericanAssociationofCollegesofNursing(AACN)(2008).Thedocumentoffers
aframeworkfortheeducation of professional nurses with outcomes for students to meet. The
National League forNursing (NLN) outlines and updates competencies for practical, associate,
baccalaureate, andgraduatenursing education programs.

MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCareNOT:Conce
pts: Care Coordination
5. The nurse manager is interviewing graduate nurses to fill existing staffing vacancies.
Whenhiringgraduatenurses,thenursemanagerrealizesthattheywillprobablynotbeconsidered“
competent”until they complete which task?
a. TheygraduateandpassNCLEX.
b. Theyhaveworked2to3years.
c. Theirlastyear ofnursingschool.
d. Theyareactuallyhired.
ANS:B
Benner’s model identifies five levels of proficiency: novice, advanced beginner,

competent,proficient, and expert. The student nurse progresses from novice to advanced
beginner duringnursing school and attains the competent level after approximately 2 to 3
years of workexperience after graduation. To obtain the RN credential, a person must
graduate from anapproved school of nursing and pass a state licensing examination called the
National CouncilLicensure Examination for Registered Nurses (NCLEX-RN) usually taken
soon aftercompletionofan approved nursing program.

6. The prospective student is considering options for beginning a career in nursing.

Whichdegreewouldbestmatchthestudent’sdesiretoconductresearch attheuniversitylevel?
a. AssociateDegreeinNursing(ADN)
b. BachelorofScienceinNursing (BSN)
c. DoctorofNursingPractice(DNP)
d. DoctorofPhilosophyin Nursing(PhD)
ANS:D
Doctoral nursing education can result in a Doctor of Philosophy (PhD) degree. This
degreepreparesnursesforleadershiprolesinresearch,teaching,andadministrationthatareessentialt
o advancing nursing as a profession. Associate Degree in Nursing (ADN) programs
usuallyare conducted in a community college setting. The nursing curriculum focuses on
adult acuteand chronic disease; maternal/child health; pediatrics; and psychiatric/mental
health nursing.ADNRNs mayreturn toschool toearn abachelor’s degreeor higherin anRN-to-
BSN or
RN-to-MSN program. Bachelor’s degree programs include community health
NRIGB.CM
andmanagement courses beyond thUoseSproN vidT
ed in anOassociate degreeprogram. A newer
practice-focuseddoctoraldegreeistheDoctorofNursingpractice(DNP),whichconcentrates
on the clinical aspects of nursing. DNP specialties include the four advanced practice roles
ofNP,CNS, CNM, and CRNA.
DIF: Remembering OBJ: 1.9 TOP:Assessment

7. Duringastaffmeeting,thenursemanager announcesthat thehospitalwill beseekingMagnetstatus.

To explain the requirements for this award, the nurse manager will contact
whichorganization?
a. AmericanNursesAssociation(ANA)
b. AmericanNursesCredentialingCenter(ANCC)
c. NationalLeagueforNursing (NLN)
d. JointCommission
ANS:B
The American Nurses Credentialing Center (ANCC) awards Magnet Recognition to
hospitalsthat have shown excellence and innovation in nursing. The ANA is a
professionalorganization that provides standards of nursing practice. The National League for
Nursing(NLN)outlinesandupdatescompetenciesforpractical,associate,baccalaureate,andgradua
tenursing education programs. The Joint Commission is the accrediting organization for
healthcarefacilities in theUnited States.

8. The nurse is caring for a patient who refuses two units of packed red blood cells. When
thenurse notifies the health care provider of the patient’s decision, the nurse is acting in
whichrole?
a. Manager
b. Changeagent
c. Advocate
d. Educator
ANS:C
As the patient’s advocate, the nurse interprets information and provides the
necessaryeducation. The nurse then accepts and respects the patient’s decisions even if they
aredifferent from the nurse’s own beliefs. The nurse supports the patient’s wishes
andcommunicates them to other health care providers. A nurse manages all of the activities
andtreatmentsforpatients.Intheroleofchange agent, thenurseworks withpatientsto address
theirhealthconcernsand withstaffmembersto
addresschangeinanorganizationorwithinacommunity. The nurse ensures that the patient
receives sufficient information on which tobase consent for care and related treatment.
Education becomes a major focus of dischargeplanningso that patients will be prepared to
handletheirown needs athome.
DIF: Applying OBJ: 1.2 TOP:Implementation

9. Thenursingstudent developsa planofcarebasedon arecentlypublished articledescribing

the effects of bed rest on a patient’s calcium blood levels. When creating the plan of care,
thenursingstudent has theobligation to considerwhich action?
a. Criticallyappraisetheevidenceanddeterminevalidity.
b. Ensurethattheplanof caredoesnotalter currentpractice.
c. Changetheprocessevenwhenthereisnoproblemidentified.
d. Maintaintheplanofcare regardlessofinitialoutcome.
ANS:A
Evidence-based practice (EBP) is an integration of the best-available research evidence
withclinical judgment about a specific patient situation. The nurse assesses current and
pastresearch,clinicalguidelines,andotherresourcestoidentifyrelevantliterature.Theapplicationof
EBP includes critically appraising the evidence to assess its validity, designing a change
forpractice, assessing the need for change and identifying a problem, and integrating
andmaintaining change while monitoring process and outcomes by reevaluating the
application ofevidence and assessing areas for improvement.

pts: CareCoordination
10. Thenurseisdelegating frequentblood pressure(BP)measurements forapatientadmittedwith

a gunshot wound to a licensed practical nurse (LPN). When delegating, the
nurseunderstandswhich fact?
a. He/shemayassumethattheLPN isableto performthis taskappropriately.
b. TheLPNisultimately responsibleforthepatient findingsandassessment.
c. TheLPNmay performthetasksassignedwithout furthersupervision.
d. He/sheretainsultimateresponsibilityforpatient careandsupervisionisneeded.
ANS:D
TheRNretainsultimateresponsibilityforpatientcare,whichrequiressupervisionofthose towhom
patient care is delegated. In the process of collaboration, the nurse delegates certainactivities
to other health care personnel. The RN needs to know the scope of practice
orcapabilitiesofeach healthcarememberfor delegationto be effectiveand safe.
DIF: Understanding OBJ: 1.2 TOP:Implementation

11. The nurse is preparing to discharge a patient admitted with fever of unknown origin.
Thepatientstates,“Inevergotpastthefifthgradeinschool.Don’treadmuch. Neversawmuchsense
in it. But I do OK. I can read most stuff. But my doctor explains things good anddoesn’t
think that my sickness is serious.” Considering this patient response, what actionshouldthe
nursecarry out?
a. Provide discharge medication information from a professional source to
providethemost information.
b. Expectthat thepatient may returnto thehospital if thedischargeprocessis poorly
done.
c. Assumethatthephysicianandthepatienthaveagoodrapportandthatthephysici
anwill clarify everything.
d. Deferofferingthepatienttheopportunitytosignupforwellnessclassesduetothelowliter
acy rate.
ANS:B
Low health literacy is associated with increased hospitalization, greater emergency care
use,lower use of mammography, and lower receipt of influenza vaccine. A goal of
patienteducationbythenurseis toinformpatientsanddeliver
informationthatisunderstandablebyexamining their level of health literacy. The more
understandable health information is forpatients,thecloserthecareiscoordinatedwith need.

pts: Health Promotion
12. A nurse is caring for a patient who lost a large amount of blood during childbirth. The
nurseprovidestheopportunityforthepatienttomaintainheractivitylevelwhile
providingadequateperiods of rest and encouragement. Which nursing theory would the nurse
most likely chooseasaframeworkforaddressing the fatigueassociatedwith thelow blood count?
a. WatsonHumanCaringTheory
b. Parse’sTheoryofHumanBecoming
c. Roy’sAdaptationModel
d. Rogers’ScienceofUnitaryHumanBeings
ANS:C
Roy’sAdaptationModelisbasedonthehuman beingasan adaptiveopensystem.Thepersonadapts
by meeting physiologic-physical needs, developing a positive self-concept–
groupidentity,performing socialrolefunctions, andbalancing dependenceandindependence.
Stressors result in illness by disrupting the equilibrium. Nursing care is directed at
alteringstimuli that are stressors to the patient. The nurse helps patients strengthen their
abilities toadapttotheirillnessesor helpsthemtodevelopadaptivebehaviors.Watson’s
theoryisbasedon caring, with nurses dedicated to health and healing. The nurse functions to
preserve thedignityandwholenessof humansinhealth orwhilepeacefullydying.Parse’stheoryis
calledthe Human Becoming School of Thought. Parse formulated the Theory of Human
Becomingby combining concepts from Martha Rogers’ Science of Unitary Human Beings
withexistential-phenomenologic thought. This theory looks at the person as a constantly
changingbeing, and at nursing as a human science. Martha Rogers (1970) developed the
Science ofUnitary Human Beings. She stated that human beings and their environments are
interactingincontinuous motion as infiniteenergy fields.

13. Thenurserecognizeswhich nursingtheoristwhodescribed the

relationshipbetweenthenurseandthepatient as an interpersonaland therapeuticprocess?
a. VirginiaHenderson
b. BettyNeuman
c. ImogeneKing
d. HildegardPeplau
ANS:D
Hildegard Peplau focused on the roles played by the nurse and the interpersonal
processbetween a nurse and a patient. The interpersonal process occurs in overlapping phases:
(1)orientation, (2) working, consisting of two subphases: identification and exploitation, and
(3)resolution. Betty Neuman’s Systems Model includes a holistic concept and an open-
systemapproach. The model identifies energy resources that provide for basic survival, with
lines
ofresistancethatareactivatedwhenastressorinvadesthesystem.VirginiaHendersondescribedthe
nurse’s role as substitutive (doing for the person), supplementary (helping the person),
orcomplementary (working with the person), with the ultimate goal of independence for
thepatient. Imogene King developed a general systems framework that incorporates three
levelsofsystems: (1)individual orpersonal,(2) group orinterpersonal, and (3)society orsocial.
The theory of goal attainment discusses the importance of interaction,
perception,communication, transaction, self, role, stress, growth and development, time,
and personalspace.Inthistheory, boththenurseandthepatientwork
togethertoachievethegoalsinthecontinuousadjustment to stressors.

TOP:AssessmentMSC:NCLEXClientNeedsCategory:PhysiologicalIntegrity:Physi
ologicalAdaptationNOT:Concepts: Health Promotion
14. Whenanursingclass volunteerstoservehotmealsata

localhomelessshelteronaSaturdayafternoon,which term identifies thisfocus on serving
thecommunity?
a. Altruism
b. Accountability
c. Autonomy
d. Advocate
ANS:A
A profession provides services needed by society. Additionally, practitioners’ motivation
ispublic service over personal gain (altruism). Service to the public requires
intellectualactivities,whichincluderesponsibility.Thisaccountabilityhaslegal,ethical,andprofess
ionalimplications. Members of a profession have autonomy in decision making and practice
andareself-regulatinginthatthey developtheirownpolicies incollaborationwithoneanother.
As the patient’s advocate, the nurse interprets information and provides the
necessaryeducation. The nurse then accepts and respects the patient’s decisions even
if they aredifferentfrom thenurse’sown beliefs.
DIF: Understanding OBJ: 1.6

ntenance
NOT:Concepts:HealthPromotion
15. Apatientisbeing dischargedfromthehospital

withwoundcaredressingchanges.Thenurserecommends a referral for home health nursing
care. The nurse is using which standard ofpractice?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS:C
As acareprovider, thenurseNfollRowsItheGnuB
USNT rsi.
ngprM
o cess to assesspatient data, prioritize Nursing
diagnoses, plan the care of the patient, implement the appropriate interventions, andevaluate
careinanongoingcycle. Inrecommending areferral,thenurseis,in effect,planning
care.
DIF: Applying OBJ: 1.2 TOP:Planning

MSC:NCLEXClientNeedsCategory:PhysiologicalIntegrity:
BasicCareandComfortNOT:Concepts: Care Coordination
16. The nurse administers a medication to the patient and then realizes that the medication
hadbeendiscontinued.Theerror isimmediatelyreportedto
thephysician.Thenurserecognizeswhichtermthat identifiescomplyingwith
thestandardsofprofessionalperformance?
a. Ethics
b. Socialization
c. Altruism
d. Autonomy
ANS:A
Guidingthenurse’sprofessionalpracticeareethicalbehaviors.Ethicsisthestandardsofrightand
wrong behavior. The main concepts in nursing ethics are accountability, advocacy,autonomy
(be independent and self-motivated), beneficence (act in the best interest of thepatient),
confidentiality, fidelity (keep promises), justice (relate to others with fairness andequality),
nonmaleficence (do no harm), responsibility, and veracity (be truthful).
Ethicalguidelinesdirectthenurse’sdecision makinginroutinesituationsand inethical dilemmas.
Socialization to professional nursing is a process that involves learning the theory and
skillsnecessaryfor theroleofnurse.A profession providesservices needed bysociety.
Additionally,practitioners’motivationispublicserviceoverpersonalgain(altruism).
Membersof aprofessionhaveautonomy indecision makingand practiceand are
self-regulatinginthattheydeveloptheirownpoliciesincollaborationwithoneanother.

MSC:NCLEX Client Needs Category: Safe and Effective Care Environment: Safety and
InfectionControl NOT:Concepts: Ethics
17. Anewlylicensedregisterednurseiscuriousaboutthescopeof carethat he orshehasincaring

for patients undergoing conscious sedation. Which would be the best source
ofinformationforthis nurse?
a. NationalStudentNursesAssociation
b. NursePracticeAct
c. ANAStandardsofProfessionalPerformance
d. NationalLeagueforNursing
ANS:B
Nursepractice actsprovidethescopeofpracticedefinedbyeachstateorjurisdictionandsetforth the
legal limits of nursing practice. Nursing organizations enable the nurse to haveaccess to
current information aU
ndrS uN
esoNrcRsI
eTasG
wB l.
eOlasCaM
voicein theprofession. Nursing
organizationsincludethe ANA,theNLN,the ICN,SigmaThetaTauInternationalHonor
SocietyofNursing,and theNationalStudentNurses Association(NSNA).

pts: Health Care Law
18. Thenursingstudent iswriting apaper aboutthedirectpatient careroleof advanced

practicenurses.Whichadvancedpractice rolewould thestudentinclude in the report?
a. NurseAdministrator
b. ClinicalNurseLeader
c. ClinicalNurseSpecialist
d. NurseEducator
ANS:C
There are four specialties in which nurses provide direct patient care in advanced
practiceroles: certified nurse midwife (CNM), nurse practitioner (NP), clinical nurse specialist
(CNS),andcertifiedregisterednurseanesthetist(CRNA). Fouradditionaladvancedpractice
rolesthatdonotalwaysinvolvedirectpatientcareareclinicalnurseleader(CNL),nurseeducator,nurs
eresearcher,and nurseadministrator.

MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:ManagementofCare
NOT:Concepts: HealthCareLaw
19. Thenurseis determining thepatient careassignments foranursing unit.

Thenurseknowswhichresponsibility may bedelegated tothelicensed practical nurse?
a. Initiatingthenursingcareplans
b. FormulatingNursingdiagnoses
c. Assessinganewlyadmittedpatient
d. Administeringoralmedications
ANS:D
LPNs, or LVNs in California and Texas, are not RNs. They complete an educational
programconsisting of 12 to 18 months of training, and then they must pass the National
CouncilLicensure Examination for Practical Nurses (NCLEX-PN) to practice as an
LPN/LVN. Theyare under the supervision of an RN in most institutions and are able to
collect data but cannotperform an assessment requiring decision making, cannot formulate a
Nursing diagnosis, andcannotinitiateacareplan.Theymayupdate care
plansandadministermedicationsexceptforcertainIVmedications.

pts: Health Care Law
20. ThenursingstudentistakingaclassinNursingResearch.In
classthestudenthaslearnedwhichterm that identifies the mostabstract levelof knowledge?
a. Metaparadigm
b. Philosophy
c. Conceptualframework
d. Nursingtheory
ANS:A
A metaparadigm, as the most abstract level of knowledge, is defined as a global set
ofconcepts that identify and describe the central phenomena of the discipline and explain
therelationship between those concepts. For example, the metaparadigm for nursing focuses
onthe concepts of person, environment, health, and nursing. The next level of knowledge is
aphilosophy, which is a statement about the beliefs and values of nursing in relation to
aspecific phenomenon such as health. The third level of knowledge is a nursing
conceptualframework,ormodel,whichisacollectionofinterrelatedconceptsthatprovides
directionfornursing practice, research, and education. The fourth level of nursing knowledge
is a nursingtheory, which represents a group of concepts that can be tested in practice and can
be derivedfroma conceptual model.

ntenance
MULTIPLERESPONSE
1. The nurse recognizes which statements contribute to the understanding that nursing
isconsideredaprofession?(Select all that apply.)
a. Nursingrequiresspecializedtraining.
b. Nursinghasaspecializedbodyofknowledge.
c. TheANAregulatesnursingpractice.
d. Nursesmakeindependentdecisionswithintheirscopeofpractice.
e. Oncelicensureiscomplete,nofurther educationisrequired.
ANS:A,B,D
A professionisanoccupationthat requiresata minimumspecializedtraining andaspecialized body
of knowledge. Nursing meets these minimum requirements. Thus nursing isconsidered tobea
profession. Membersof aprofessionhaveautonomyin decisionmakingand practice and are self-
regulating in that they develop their own policies in collaborationwith one another. Nursing
professionals make independent decisions within their scope ofpractice and are responsible
for the results and consequences of those decisions. A professioniscommittedtocompetence
andhasa
legallyrecognizedlicense.Membersareaccountableforcontinuingtheireducation.TheANAisaprof
essionalorganizationthat providesstandards(notregulation) ofnursing practice.

pts: Professionalism
2. The Institute of Medicine (IOM) Report identified several goals for nursing in the
UnitedStates.Thenurseidentifies thattheIOMofferedwhichsuggestions?(Selectall thatapply.)
a. Nursesshouldpracticetothefullextentoftheireducation.
b. Nursingeducationshoulddemonstrateseamlessprogression.
c. Nursesshouldcontinuetobesubservientto physiciansin thehospital setting.
d. Policymakingrequiresbetterdatacollectionandinformationinfrastructure.
e. Higherlevelsofeducationwillnotbeneededbypracticingnurses.
ANS:A,B, D
The Future of Nursing: Leading Change, Advancing Health (IOM, 2011) identified
severalgoals for nursing in the United States: nurses should practice to the full extent of
theireducationandtraining;Nursesshouldachievehigherlevelsofeducationandtrainingthroughan
improved education system that promotes seamless academic progression; Nurses shouldbe
full partners with physicians and other health care professionals in redesigning health carein
the United States; and Effective workforce planning and policy making require better
datacollectionand an improved information infrastructure.

ntenance
3. Thenurseis caringfora patient admittedfor theremoval ofan infected appendix.

Whichactions by the nurse would indicate an understanding of the 2018 hospital safety
goals?(Selectall that apply.)
a. Placesanidentificationbandontherightarm.
b. Marksthesurgical sitewithablack-feltpen.
c. Checksmedicationsthreetimesbefore administration.
d. Washeshandsbetween patientsand/or whensoiled.
e. Removesallergybandspriortotransferto surgery.
ANS:A,B,C, D
The Joint Commission identifies each category and has specific elements of performance
thatare required for the health care worker to meet the goals. As new problems in patient
careemerge, the safety goals are reassessed and revised. The 2018 hospital goals include
thefollowing broad categories: improve the accuracy of patient identification, improve
theeffectiveness of communication among caregivers, improve the safety of using
medications,reduce the harm associated with clinical alarm systems, reduce the risk of
healthcare–associated infections. The organization identifies safety risks inherent in its
patientpopulation. Improve the accuracy of patient identification. (Placing an ID band on the
rightare), improve the safety of using medications (check medications three times
beforeadministration),reducetheriskofhealthcare–
associatedinfections.(Washinghands),andtheorganization identifies safety risks inherent in its
patient population. (Mark the surgical sitewithablack-felt pen)are allexamplesof actionsthat
complywiththe 2018safety goals.
Removingallergybands wouldpreventidentificationofthatpatient’ssafetyrisk.

MSC:NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:
SafetyandInfectionControl NOT:Concepts: Care Coordination
4. Thenurseis conductingahealth assessmentonapatientfroma

foreigncountry.Whichconceptsshouldbe addressedby thenurseduring the interview?
(Select allthat apply.)
a. Foodpreferences
b. Religiouspractices
c. Healthbeliefs
d. Familyorientation
e. Politics
ANS:A, B,C,D
Culture is the integrated patterns of human behavior that include the language,
thoughts,communications,actions,customs,beliefs,values,andinstitutionsofracial,ethnic,religi
ous,orsocial groups.

MSC:NCLEXClientNeedsCategory:Psychosocial Integrity NOT:Concepts:CareCoordination
5. The nurse documents that patient laboratory results often take 4 hours to populate into
theelectronic medical record. The lengthy time frame has contributed to delayed
antibioticadministration. From this point, what should the nurse do to produce change
usingEvidence-Basedpractice?(Select all that apply.)
a. Identifyaproblem affectingpatientcare.
b. Realizethefacilityresourcesmayinfluencethe decision.
c. Reviewpertinentjournalarticlesfromtheliteraturesearch.
d. Applythefindingstoclinicalpracticeconsideringpatientpreferences.
e. Usingtheprocessrecommendedbythebestclinicalarticle.
ANS:A,B,C, D
The processofusingevidence-basedpractice(EBP)startswiththeidentificationofaproblem. The
nurse then conducts a literature search to find the best evidence pertaining to theproblem.
Facility resources may impact the ability to implement the chosen decision.
Patientpreferences need to be incorporated into the use of evidence from the literature
combined withclinical expertise. The nurse would not use just one clinical article to determine
a solution tothe issue.

pts: Evidence

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Fundamentals of Nursing 2nd Edition Yoost

1. A group of nursing students are discussing the impact of nonnursing theories in

DIF: Remembering OBJ: 1.5 TOP:Planning

DIF: Understanding OBJ: 1.4

3. Thenurseidentifieswhich nurseestablished theAmerican Red Crossduring theCivil War?

DIF: Remembering OBJ: 1.3

DIF: Remembering OBJ: 1.1 TOP:Planning

Benner’s model identifies five levels of proficiency: novice, advanced beginner,

DIF: Remembering OBJ: 1.7 TOP:Planning

6. The prospective student is considering options for beginning a career in nursing.

DIF: Remembering OBJ: 1.9 TOP:Assessment

7. Duringastaffmeeting,thenursemanager announcesthat thehospitalwill beseekingMagnetstatus.

DIF: Remembering OBJ: 1.1 TOP:Assessment

DIF: Applying OBJ: 1.2 TOP:Implementation

9. Thenursingstudent developsa planofcarebasedon arecentlypublished articledescribing

DIF: Applying OBJ: 1.2 TOP:Implementation

10. Thenurseisdelegating frequentblood pressure(BP)measurements forapatientadmittedwith

DIF: Understanding OBJ: 1.2 TOP:Implementation

DIF: Applying OBJ: 1.2 TOP:Implementation

DIF: Applying OBJ: 1.4 TOP:Implementation

13. Thenurserecognizeswhich nursingtheoristwhodescribed the

DIF: Remembering OBJ: 1.4

14. Whenanursingclass volunteerstoservehotmealsata

DIF: Understanding OBJ: 1.6

15. Apatientisbeing dischargedfromthehospital

DIF: Applying OBJ: 1.2 TOP:Planning

DIF: Applying OBJ: 1.6 TOP:Implementation

17. Anewlylicensedregisterednurseiscuriousaboutthescopeof carethat he orshehasincaring

DIF: Remembering OBJ: 1.7 TOP:Assessment

18. Thenursingstudent iswriting apaper aboutthedirectpatient careroleof advanced

DIF: Remembering OBJ: 1.9 TOP:Assessment

19. Thenurseis determining thepatient careassignments foranursing unit.

DIF: Applying OBJ: 1.9 TOP:Implementation

DIF: Remembering OBJ: 1.4

DIF: Remembering OBJ: 1.6 TOP:Assessment

DIF: Remembering OBJ: 1.1

3. Thenurseis caringfora patient admittedfor theremoval ofan infected appendix.

DIF: Applying OBJ: 1.1 TOP:Implementation

4. Thenurseis conductingahealth assessmentonapatientfroma

DIF: Applying OBJ: 1.7 TOP:Implementation

DIF: Applying OBJ: 1.2 TOP:Implementation

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