NUR 151: P1 EXAMINATION PART 1

Total points45/50
INSTRUCTIONS:
-This is a 50 ITEM MULTIPLE CHOICE EXAMS
-Students are GIVEN 1 HOUR TO ANSWER THE EXAM
-Students are HIGHLY DISCOURAGED TO OPEN BOOKS, MODULES, JOURNALS OR ANY
REFERENCES FOR THIS IS A FORM OF CHEATING. THIS COULD ENFORCE YOUR
LEVEL OF HONESTY.
-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, CHATS, MESSAGES,
TEXTS UNLESS IT IS AN EMERGENCY SITUATION.
-Students are REMINDED TO ENCODE THEIR NAME AND SECTION ON THE BOX
PROVIDED
-ONCE IT IS DONE, CLICK THE SUBMIT BUTTON

Email *
jial.campomanes.swu@phinmaed.com

 
Which of the following is NOT a barrier to the optimum use of palliative care at the
end of life? *
1/1
Lack of well-trained healthcare professionals
Reimbursement policies
Easily determined prognoses
 
Attitudes of patients, families, and clinicians

 
Which of the following is NOT a priority for patients with a life-limiting illness
receiving palliative care? *
1/1
Obtaining a sense of control
Prolonging life at all costs
 
Strengthening relationships with loved ones
Relieving burden

 
In obtaining an informed consent to a certain patient, what will be the BEST
intervention for the nurses towards the patient *
1/1
Nurses will do nothing, as if there is nothing happens.
Nurses will take a group picture with the patient that clearly document that there is really an
obtaining of an informed consent to the patient.
Nurses will witness that the procedure is properly explained and the patient understand the
procedure.
 
Nurses will explain the procedure to the patient.

 
What ethical principle below is accurately paired with a way that ethical principle is
applied into nursing practice? *
1/1
Beneficence: Doing no harm during the course of nursing care
Veracity: Fully answering the client’s questions without any withholding of information
 
Justice: Equally dividing time and other resources among a group of clients
Fidelity: Upholding the American Nurses Association’s Code of Ethics

 
. Nurses and other health care provides often have difficulty helping a terminally ill
patient through the necessary stages leading to acceptance of death. Which of the
following strategies is most helpful to the nurse in achieving this goal? *
1/1
Taking psychology courses related to gerontology
Reading books and other literature on the subject of thanatology
Reviewing varying cultural beliefs and practices related to death
Reflecting on the significance of death
 
 
5Which of the following choices below that needed to have an informed consent? *
1/1
Patient that has STAT order from the surgeon that is suspected with the ruptured appendix
 
. The patient decided to transfer room from medical surgical ward to a private room.
A rape victim that need to undergo a stress debriefing.
Patient that has scheduled of every hour vital signs taking, input and output monitoring.

 
In the concepts of the informed consent, ideally nurses should be more at least two
in obtaining an informed consent to a patient who will undergo a certain kind of
invasive procedure. As a student nurse, you’re rationale is CORRECT if you states
that: *
1/1
Two nurses should be there in obtaining an informed consent to reinforce the physician if the
physician can’t explain properly.
There should be at least two nurses, in order for the other one to witness if there is really a
proper implementation in obtaining an informed consent.
 
It is not necessary that there should be two nurses, it is just only a protocol from the hospital
institution that need to be followed
.At least two nurse, in order to pressure the patient in signing the informed consent.

 
A home care nurse is performing an environmental assessment in the home of an
elderly client. Which of the following, if observed by the nurse, requires immediate
attention? *
1/1
A prefilled medication cassette
Unsecured scatter rugs
 
Clear exit passageways
An operable smoke detector

 
All of the following are NOT CORRECT about the explanation about mores
EXCEPT one *
0/1
mores is on the practical issues that happens within the society.
Mores is one of the seven different ethical principles.
 
Mores focuses on the social issues that are not accepted within the society.
Mores concentrates on the different issues within the society that are widely accepted.

 
An elderly client immobilized in skeletal leg traction complains of being bored and
restless. Based on these complaints, the nurse formulates which of the following
nursing diagnoses for this client? *
1/1
Impaired Physical Mobility
Self-Care Deficit
. Diversional Activity deficit
 
Powerlessness

 
Which best describes what guides the appropriate nursing care of an aging adult? *
1/1
Physician orders for patient complaints
Evidence-based practice developed with ongoing research into the needs and outcomes of
older adults
 
Facility policies and procedures
General nursing care previously practices

 
A terminally ill patient usually experiences all of the following feelings during the
anger stage except: *
1/1
Envy
Numbness
 
Resentment
Rage

 
As a student nurse, you understand that it is important to study Gerontological
Nursing because: *
1/1
it gives positive outlook to older adults.
it provides a way to understand the aging process and provide quality care to older adults
 
it can help predict the responses that the body can do in during aging.
it is fixed and unchanging.

 
A scenario that involve about telling facts of the medical condition that the patient
wants to know is what roles and functions of a professional nurse? *
1/1
Change agent
Counselor
Case manager
Client advocate
 
 
An 80-year-old patient, who lives at home with a spouse, is instructed to follow a 2
g sodium diet. The patient states, "I've always eaten the same way all my life, and
I'm not going to change now." To promote optimal dietary adherence, the
gerontological nurse's initial approach is to: *
1/1
provide dietary instruction to the patient's spouse, who prepares the meals
list the variety of foods that are allowed on the diet.
inform the patient about the need to follow
inquire about the patient's current food preferences and eating habits.
 
 
Nurse Beth told Mr. Dela Cruz about ways to decrease the risk of heart disease.
What role of a gerontologic nurse did Nurse Beth portray? *
1/1
Advocate
Provider of Care
Manager
Teacher
 
 
Since the patient has a plan to have a copy of his/her own record, as a student
nurse you are KNOWLEDGEABLE that the status of the patient’s record is: *
0/1
Neither the patient nor the hospital own the patient’s medical record, therefore the hospital
has the right to throw it away right after the patient will be discharge from the hospital.
The patient’s record is owned by the hospital in which the hospital has the right not to release
a copy to the patient.
 
Either the patient or the hospital owns the patient’s medical record, therefore the patient and
the hospital can only have a selected part of the patient’s record
Patient’s chart is owned by the patient, that indicates that the patient has a right to have a
copy of his./her own record.

 
A client’s family member says to the nurse, “The doctor said he will provide
palliative care. What does that mean?” The nurse’s best response is: *
1/1
“Palliative care aims to relieve or reduce the symptoms of a disease.”
 
“Palliative care means the client and family take a more passive role and the doctor focuses
on the physiological needs of the client. The location of death will most likely occur in the
hospital setting.”
"Palliative care is given to those who have less than 6 months to live.”
“The goal of palliative care is to affect a cure of a serious illness or disease.”

 
Nurse Wa-el is still assessing the level of awareness of the relative of the patient to
the patient’s condition, and knowing that the relative has really no idea at all. Nurse
Wa-el only shares the information that he knew of the patient’s condition. As a
student nurse, you are AWARE that Nurse Wa-el is doing is related to what kind of
ethical principles? *
1/1
Nurse Wa-el’s action towards relative of the patient is based on the principle of justice.
. The ethical principle that could is aligned to the actions of Nurse Wa-el is based on the
concepts of veracety
It is on the principle of the veracitty that could related to the action of Nurse Wa-el towards the
relative of the patient.
The ethical principle that could relate to the situation of Nurse Wa-el is based on the veracity.
 
 
A home health nurse is planning to teach a client with osteoporosis about home
modifications to reduce risk of falls. Which of the following recommendations would
be unnecessary to include in the teaching plan? *
1/1
Placing hand rails in the bathroom
Use of night lights
Use of staircase railings
Removing wall to wall carpeting
 
 
In the ICU, Nurse Wa-el is assigned to a stroke patient with a mechanical
ventilator. He observed that an infusion pump alarm and immediately he assess the
condition and found out that the IVF bottle is already empty. So automatically, he
directly check the patient’s chart for the possible order of an IVF bottle. Based on
the condition of Nurse Wa-el, he is using his own judgement that is in-line with his
job descriptions every-time he performs patient care. What ethical principle that
Nurse-Wael is performing to his assigned patient? *
0/1
the situation that Nurse Wa-el is performing a patient care is related to the ethical principle of
veracity.
His actions is based on the concepts on the ethical principle of justice.
Nurse Wa-el is doing the ethical principle of role fidelity.
 
Using his own judgement is aligned to the concepts of autonomy as part of the ethical
principles.

 
A nurse is providing instructions to a nursing assistant about care to an elderly
client with hearing loss. The nurse tells the assistant that clients with a hearing
loss: *
1/1
are often distracted
have middle ear discharges
respond to low pitched tones
 
develop moist cerumen production

 
A prima facie duty that may be capsulized in the dictum “ Do good to others.” *
1/1
Duty of Self Improvement
Duty of Beneficence
 
Duty of Gratitude
Duty of Performance

 
Nurse Beth explains medical and nursing procedures to Mr. Dela Cruz’s family
members. What role did Nurse Beth play in this situation? *
1/1
Advocate
 
Manager
Provider of Care
Teacher

 
Which of the following symptoms is the best indicator of imminent death? *
1/1
Fixed, dilated pupils
 
Slow, shallow respirations
A weak, slow pulse
Increased muscle tone

 
An ethical principles that involves on telling the truth to the patient is: *
1/1
Justice
Non-maleficence
Veracity
 
Autonomy

 
What best describes nurses as a care provider? *
1/1
Provide direct nursing care
Works in combined effort with all those involved in patient’s care
Help client recognize and cope with stressful psychological situation
Determine client’s need
 
 
The family of a client with a terminal illness hesitates to agree to palliative care
because of not wanting to give up on a possible cure. How should the nurse
respond while also including a principle of palliative care? *
1/1
"The client can continue to receive treatment intended to cure the disease."
 
"Palliative care and curative treatments cannot be provided at the same time."
"There will not be another opportunity if palliative care is refused now."
"Most people don't realize that palliative care means there is no cure."

 
All of the following are the CORRECT description of justice as part of the ethical
principles EXCEPT one: *
1/1
Discrimination of the patient’s status such as economic, races and even gender.
 
Equal treatment to all patients.
No special treatment are given to the patient.
No selective care given to the patient.

 
Which of the following improves attitudes toward aging and older adults? *
1/1
Watching the portrayals of older adults in movies and on TV
Staying away from older adults
Travelling to older communities
Education about older adults
 
 
Which is most closely aligned with ethics? *
Laws
Client rights
Morals
 
Statutes

 
Right after explaining about the procedure to the patient, he/she directly signs the
informed consent. Nurse Wa-el keep those informed consent in the patient’s chart
and instructed the patient to wear the OR gown. Signing the informed consent from
the patient does what indicate? *
1/1
An informed consent is signifies that the patient surrender his/her body to the healthcare
professional for a specific treatment and still they are liable if there are any negligence or
malpractice happens to the patient.
 
Signing an informed consent means that the patient has no choice of his/her treatment
regimen.
Once the informed consent is already signed, it is an indication that the healthcare
professional can do anything to the patient’s body with no accountability or any form of liability
Once the patient signs the informed consent, the healthcare professional is no longer liable
for any kind of negligence or malpractice happens to the patient.

 
One of the rights that the patient has is the right to know his/her medical condition.
Which of the following is the BEST statements that corresponds to this kind of
situation? *
1/1
Knowing his/her medical condition is part of the Nurse’s Bill of Rights.
None of the choices
Knowing the rights of his/her medical condition is part of the International Council Nurses.
One of the rights of the patient is know his/her medical condition which is part of the Patient’s
Bill of Rights.
 
 
The resident physician of the hospital gives a possible options for the treatment
regimen for the patient. Nurse Wa-el’s rationale is CORRECT if he states that: *
1/1
The relative of the patient has the right to choose the treatment for the patient.
The healthcare professional gives an informed consent to the patient for the possible
treatment that the patient will undergone.
The patient has the right to choose his/her own treatments.
 
The patient has no right to choose his/her own treatments.

 
A family member expresses concern to a nurse about behavioral changes in an
elderly aunt. Which would cause the nurse to suspect a cognitive impairment
disorder? *
1/1
Fearfulness of being alone at night
Increased complaints of physical ailments
Decreased interest in activities that she once enjoyed
Problems with preparing a meal or balancing her checkbook
 
 
A nurse is teaching an elderly client about measures to prevent constipation. Which
statement, if made by the client, indicates that further teaching about bowel
elimination is necessary? *
1/1
“I drink 6 to 8 glasses of water per day”
“I have a bowel movement every other day”
“I walk 1 to 2 miles per day”
“I need to decrease fiber in my diet”
 
 
How many nurses should be there in obtaining an informed consent? *
0/1
One nurse is already accepted in obtaining the informed consent.
 
As much as possible, all nurses in the hospital institution that has a duty on that specific shift,
to pressure the patient to sign the informed consent.
It is not necessary that nurses should be there, since the physician will be the to explain the
procedure to the patient.
Two nurses are already accepted once there is an obtaining of informed consent.

 
What should the nurse do when planning nursing care for a client with a different
cultural background? The nurse should *
1/1
Explain how the client must adapt to hospital routines to be effectively cared for while in the
hospital
Identify how these cultural variables affect the health problem
 
Speak slowly and show pictures to make sure the client always understands
Allow the family to provide care during the hospital stay so no rituals or customs are broken

 
Ethical principles that have a concept of do no harm refers to which of the following
choices below? *
1/1
Non-maleficence
 
Benefecence
Benificence
Beneficence

 
Cultural awareness is an in-depth self-examination of one’s *
1/1
Social, cultural, and biophysical factors
Engagement in cross-cultural interactions
Background, recognizing biases and prejudices
 
Motivation and commitment to caring

 
On the following choices below, which of the choices that strictly follows the ethical
concepts of confidentiality? *
1/1
The staff nurses of the hospital institution allows the record of the patient to be exposed in the
hallway
Physician and nurses shares the patient information in the elevator.
Nurses upload the patient’s medical record to a certain social media websites.
The hospital institution only allows the patient will only process his/her respective medical
records.
 
 
Which of the following BEST describes about autonomy *
1/1
The will to decide.
 
Maintain strict information sharing of the patient.
Loyalty of one’s job to accomplished.
Telling the truth to the patient.

 
You are asked by your supervisor to take photographs of the residents and their
family members who are attending a holiday dinner and celebration at your long
term care facility. What should you do? *
1/1
Refuse to take the photographs unless you have the consent of all to do so
 
Refuse to take the photographs because this is not part of the nurse’s role
Take the photographs because these photographs are part of the holiday tradition at this
facility
Take the photographs because all of the residents are properly attired and in a dignified
condition

 
Which of the following is NOT a barrier to the optimum use of palliative care at the
end of life? *
1/1
Attitudes of patients, families, and clinicians
Easily determined prognoses
 
Lack of well-trained healthcare professionals
Reimbursement policies

 
An elderly female client confides to the visiting nurse that she is afraid she will fall
while going to the bathroom at night. Which suggestion, if made by the nurse
indicates that the nurse understands visual changes affecting the elderly? *
1/1
“Limit your fluid intake during the day”
“Keep a red light on in the bathroom at night”
 
”Use bell to call your daughter if you need to get up”
“Use a commode in your bedroom at night”

 
A nurse is working with elderly clients in a long-term care facility. Which of the
following activities performed by the nurse fosters reminiscence among these
clients? *
1/1
Having story telling hours
 
Setting up pet therapy sessions
Displaying calendars and clocks
Encouraging client participation in pottery class

 
Which of the following choices below that the hospital employees are properly
practicing on the ethical principles of justice? *
1/1
The staff nurses most spend of their time in taking good care the patients that are well
educated compared to the patient that are not educated.
The hospital has a protocol that there is a ward for rich as well as for poor patient.
Nurses gives more attention to the patients who their food to them.
Physicians and nurse of the hospital cater the health care needs of the patients equally and
properly.
 
 
In the concepts of the informed consent, when will the informed consent generally
be applicable to the patient? *
1/1
Patient will need to sign the informed consent, if he/she has a complain to the healthcare
services given from the healthcare professional that are not satisfying.
It is necessary that the patient is needed to sign the informed consent prior to any invasive
surgical procedure.
 
Informed consent is necessary as part of the hospital protocol prior to admission of the
patient.
Informed consent will be applicable to the patient if the patient will undergo non-invasive
procedure.

 
A nurse has given a client instruction about crutch safety. The nurse evaluates that
the client needs reinforcement of information if the client states: *
1/1
That crutch tips should be inspected periodically for wear
The need to have spare crutches and tips available
That crutch tips will not slip even when wet
 
Not to use someone else’s crutches

 
In the OPD, Nurse Wa-el is taking all the vital signs of 100 patients and assesses
them individually. As nurse, he is aware that is doing his job in accordance to the
job descriptions. The way he performs his duties towards the patient is an example
of what ethical principle? *
0/1
Role fedelity
Role fidelity
 
Autonomy
Justice

 
When teaching an independent older adult patient how to self-administer insulin,
the most productive approach is to: *
1/1
gather information about the patient's family health history.
use repeated return demonstrations to promote the patient's retention of the involved tasks.
 
facilitate involvement in a small group where the skill is being taught.
provide frequent, competitive skills testing to enhance learning.
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