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Test Bank
MULTIPLE CHOICE
1. After completing an initial assessment on a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58. This type of data would be:
A) objective.
B) reflective.
C) subjective.
D) introspective.
ANS: A
Objective data are what the health professional observes by inspecting, percussing,
palpating, and auscultating during the physical exam. Subjective data is what the person
says about himself or herself during history taking. The terms “reflective” and
“introspective” are not used to describe data.
2. A patient tells the nurse that he is very nervous, that he is nauseated, and that he “feels
hot.” This type of data would be:
A) objective.
B) reflective.
C) subjective.
D) introspective.
ANS: C
Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Subjective data are what the person says about himself or herself during history taking.
Objective data are what the health professional observes by inspecting, percussing,
palpating, and auscultating during the physical exam. The terms “reflective” and
“introspective” are not used to describe data.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to
form the:
A) data base.
B) admitting data.
C) financial statement.
D) discharge summary.
ANS: A
Together with the patient’s record and laboratory studies, the objective and subjective data
form the data base. The other items are not composed of the patient’s record, laboratory
studies, and data.
4. When listening to a patient’s breath sounds, the nurse is unsure about a sound that is
heard. The nurse’s next action should be to:
A) notify the patient’s physician immediately.
B) document the sound exactly as it was heard.
C) validate the data by asking a coworker to listen to the breath sounds.
D) assess again in 20 minutes to note whether the sound is still present.
ANS: C
Validate any data that you need to make sure are accurate. If you have less experience in
an area, ask an expert to listen.
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and
experience to draw from, are more likely to make their decisions using:
A) intuition.
B) a set of rules.
C) articles in journals.
D) advice from supervisors.
ANS: B
Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
Test Bank 1-3
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
intuitive links.
6. Expert nurses learn to attend to a pattern of assessment data and to act without consciously
labeling it. This is referred to as:
A) intuition.
B) the nursing process.
C) clinical knowledge.
D) diagnostic reasoning.
ANS: A
Intuition is characterized by pattern recognition—expert nurses learn to attend to a pattern
of assessment data and act without consciously labeling it. The other items are not correct.
8. The nurse is conducting a class on priority setting for a group of new graduate nurses.
Which is an example of a first-level priority problem?
A) A patient with postoperative pain
B) A newly diagnosed diabetic who needs diabetic teaching
C) An individual with a small laceration on the sole of the foot
D) An individual with shortness of breath and respiratory distress
ANS: D
First-level priority problems are those that are emergent, life threatening, and immediate
(e.g., establishing an airway, supporting breathing, maintaining circulation, and
monitoring abnormal vital signs). See Table 1-1.
Elsevier items and derived items © 2012, 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc.
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At this time the three religions had made great progress, and
their disintegrating influences on the old customs began to be
more and more apparent. This was especially the case with
regard to the Christians, who no longer regarded the king as
divine, nor his acts, however gross and cruel, as having a
divine sanction. They owned a Higher allegiance, though they
remained obedient subjects, and distinguished themselves by
bravery in war. Such an attitude was, of course, intolerable
to a cruel despot like Mwanga. … There was still a further
reason for suspicion and fear of the white men. … The Egyptian
flag had been hoisted at Mruli and Fauvera in Unyoro, only
just beyond the borders of Uganda, and Gordon's envoys—Colonel
Long and Emin—and his troops had penetrated to Mtesa's
capital. The Arabs also told of the doings of the Belgians on
the Congo. At a later period reports reached Mwanga of German
annexations in Usagara on the East Coast. Last, and most
disturbing of all, was the news of Mr. Thomson's arrival near
Usoga in the East—the route from the coast by which native
tradition said that the conquerors of Uganda would come.
Mwanga had succeeded his father in November 1884. Early in
1885 he determined to stamp out those dangerous religions,
Mohammedan and Christian alike, which were disintegrating his
country. The missionaries Mackay and Ashe, were seized, and
their followers persecuted. But the religion spread the more.
A plot to depose Mwanga was discovered and crushed. With
varying fortunes—sometimes treated leniently, sometimes the
victims of violent persecution—the missionaries held their own
till the autumn of 1885. Then came news of Bishop Hannington's
approach." Unhappily the Bishop came by the forbidden Usoga
route, and Mwanga ordered that he be killed, with all his men,
which was done in October, 1885. "After this the position of
the Europeans was very precarious, but not till the following
May (1886) did the storm burst. Mwanga then threw aside all
restraint, and butchered the Christian converts wholesale. …
But in spite of the martyrdom by torture and burning, the
religion grew. … The heroism inspired by religion in the early
history of our own Church was repeated here in the heart of
Africa." At length, in 1888, there was a revolt, in which
Christians and Mohammedans seem to have combined, and Mwanga
fled to an island at the south of the Lake. His brother Kiwewa
was made king, and for a time, the Christians were in control
of affairs. But the Mohammedans grew jealous, and by a sudden
rising drove the Christians out. Kiwewa refusing to accept the
creed of Islam, was deposed, and another brother, Karema, was
raised to the throne. The exiled Christians now made overtures
to Mwanga, and an alliance was concluded, which resulted in
the overthrow of the Mohammedan or Arab party, and the
restoration of Mwanga to the throne, in October, 1889. The two
Christian factions, Catholic and Protestant, or French and
English, divided the country and all the offices of government
between them, but were bitterly jealous of each other and
perpetually quarreled, while the defeated Mohammedans were
still strong and unsubdued. Affairs were in this state when
Dr. Peters, the explorer in command of the German "Emin Relief
Expedition," came to Uganda, having learned of the rescue of
Emin Pasha by Stanley. Dr. Peters, with the aid of the French
party, succeeded in arranging some kind of treaty with Mwanga,
and this alarmed the Imperial British East Africa Company (see
AFRICA: A. D. 1884-1891) when news of it had been received.
That alarm was soon increased by intelligence that Emin Pasha
had entered the German service and was about to conduct a
strong expedition to the south of Lake Victoria Nyanza. These
and other circumstances led to the despatching of Captain
Lugard with a small force to Uganda to represent the British
East Africa Company and establish its influence there. Captain
Lugard arrived at Mengo, the capital of Uganda, on the 18th of
December, 1890. Meantime Great Britain and Germany, by the
Anglo-German Agreement of July 1, 1890 (see AFRICA: A. D.
1884-1891) had settled all questions between them as to their
respective "spheres of influence," and Uganda had been
definitely placed within the British "sphere." This enabled
Captain Lugard to secure the signing of a treaty which
recognized the suzerainty of the Company, established its
protectorate over Uganda, and conceded to it many important
commercial and political powers. He remained in the country
until June, 1892, during which time he was driven to take part
in a furious war that broke out between the Catholic and
Protestant parties. The war ended in a partition of territory
between the factions, and three small provinces were, at the
same time, assigned to the Mohammedans. After maintaining
Captain Lugard and his force in the country for eighteen
months, the Company found the cost so heavy and the prospect
of returns so distant, that it came to a resolution to
withdraw; but was induced by a subscription of £16,000 from
the Church Missionary Society to remain for another year in
the exercise of the control which it had acquired. At the end
of 1892 the Company renewed its resolution to evacuate the
region west of Lake Victoria, and the British Government was
urgently pressed to take upon itself the administration of the
country. It was only persuaded, however, to assume the cost of
a further occupation of Uganda for three months by the
Company's officers, in order to give more time for ensuring
the safety of missionaries and other Europeans. It consented,
moreover, to despatch a Commissioner to investigate the
situation and report upon it. The official selected for that
duty was Sir Gerald Porter, Consul-General at Zanzibar.
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Sir Gerald returned to England with his report in December,
1893, and died of typhoid fever in the month following. His
report urged the maintenance of an effective control over the
government of Uganda, to be exercised directly by the British
Government, in the form of a Protectorate, keeping the king on
his throne, with a Commissioner at his side to direct his
action in all important particulars. After much discussion,
the decision of the Government was announced at the beginning
of June, 1894. It determined to establish the proposed
Protectorate in Uganda, not extending to Unyoro, and to place
a Sub-Commissioner on duty between Lake Victoria and the sea,
for the purpose of watching over communications, and
apparently without political powers. The Government declined
to undertake the building of the railway from Mombassa on the
coast to the Lake, for which the Imperial British East Africa
Company had made surveys.
Captain F. D. Lugard,
The Rise of our East African Empire.
ALSO IN:
Sir Gerald Porter,
The British Mission to Uganda in 1893.
P. L. McDermott,
British East Africa, or Ibea.
The Spectator, June 9, 1894.
UGRI.
See HUNGARIANS.
UGRO-FINNISH RACES.
See TURANIAN.
UHILCHES, The.
UIRINA, The.
UKASE.
ULADISLAUS I.,
King of Poland, A. D. 1083-1102.
ULEMA.
----------ULM: Start--------
ULM: A. D. 1620.
Treaty of the Evangelical Union with the Catholic League.
See GERMANY: A. D. 1618-1620.
ULM: A. D. 1702-1704.
Taken by the Bavarians and French,
and recovered by Marlborough.
ULM: A. D. 1805.
Mack's capitulation.
----------ULM: End--------
ULMENES.
ULSTER TENANT-RIGHT.
ULTIMA THULE.
See THULE.
ULTRA VIRES.
ULTRAMONTANE.
ULTRAMONTANISM.
The term ultramontane (beyond the mountain) has been used for
so long a time in France and Germany to indicate the extreme
doctrines of Papal supremacy maintained beyond the Alps—that
is, in Italy, and especially at Rome—that it has come to have
no other meaning. The ultramontanists in each country are
those who make themselves partisans of these doctrines, in
opposition to the more independent division of the Roman
Catholic Church.
UMBRIANS, The.
H. G. Liddell,
History of Rome,
introduction, section 2.
UNALACHTIGOS, The.
UNAMIS, The.
UNCIA, The.
See As;
also, FOOT, THE ROMAN.
UNCTION.
See CORONATION.
UNDERGROUND RAILROAD.
UNELLI, The.
G. Long,
Decline of the Roman Republic,
volume 4, chapter 6.
T. P. Taswell-Langmead,
English Constitutional History,
chapter 12.
UNION JACK.
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UNION OF BRUSSELS.
UNITARIANISM.
S. C. Beach,
Unitarianism and the Reformation
(Unitarianism: its Origin and History).
B. Herford,
Unitarianism in England
(Unitarianism: its Origin and History).
{3165}
A. P. Peabody,
Early New England Unitarians
(Unitarianism: its Origin and History).
UNITED NETHERLANDS,
or United Provinces, or United States of the Netherlands.
See AMERICA.
See VIRGINIA.
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