(Test Bank) Fundamentals Of Nursing Theory Concepts And Applications

Wilkinson, 4

Nursing

Test Bank

4th Edition

• $15.00 $50.00

---

Description

Test Bank for Fundamentals Of Nursing Theory Concepts And Applications, The downloadable file consists of 325 pages, and the total size of the file is 1.09 MB. Purchase now only for highly discounted price.

Author(s): Wilkinson

---

---

Study Note Preview

Fundamentals of Nursing Theory Concepts and Applications 4th Edition Wilkinson Test Bank Chapter 1 Evolution of Nursing Thought & Action 1.Which of the following statements accurately describe an element of nursing? Select all that apply. A) The skills involved in nursing are primarily technical in nature. B) The primary focus of nursing is to assist individuals to recove r from illness. C) The science of nursing is the knowledge base for the care t hat is given. D) The art of nursing is the collection of knowledge through res earch. E) Nursing is considered to be both an art and a science. F) Nursing is a profession that used specialized knowledge and skills. 2.Which of the following set of terms best describes nursing a t the end of the Middle Ages? A) continuity, caring, critical thinking B) purpose, direction, leadership C) assessment, interventions, outcomes D) advocacy, research, education 3.Which of the following is a characteristic of nursing prac ticed from early civilization to the 16th century? A) Most early civilizations believed that illness had supernatur al causes. B) The physician was the priest who treated disease with prayer . C) The nurse was a nun committed to caring for the needy and hom eless. D) Nursing changed from a spiritual focus to an emphasis on knowl edge expansion. 4.In what time period did nursing care as we now know it begin? A) pre-civilization B) early civilization to 16th century C) 16th to 17th century D) 18th to 19th century 5.Who is considered to be the founder of professional nursing? A) Dorothea DixB) Lillian Wald C) Florence Nightingale D) Clara Barton 6.Which of the following nursing pioneers established the Red Cro ss in the United States in 1882? A) Florence Nightingale B) Clara Barton C) Dorothea Dix D) Jane Addams 7.What was one barrier to the development of the nursing pr ofession in the United States after the Civil War? A) lack of educational standards B) hospital-based schools of nursing C) lack of influence from nursing leaders D) independence of nursing orders 8.Which of the following individuals provided community-based car e and founded public health nursing? A) Adelaide Nutting B) Lillian Wald C) Sojourner Truth D) Clara Barton 9.Which of the following nursing groups provides a definition and sc ope of practice for nursing? A) ICN B) AAN C) ANA D) The Joint Commission 10. Teaching a woman about breast self-examination is an example of what broad aim of nursing? A) promoting health B) preventing illnessC) restoring health D) facilitating coping with disability and death 11. What nursing activity would meet the broad nursing aim of facil itating coping with disability and death? Select all that apply. A) conducting a blood pressure screening program B) teaching testicular self-examination C) referring to a community diabetic support group D) administering intravenous fluids E) admitting a patient to a hospice program F) performing a physical assessment on a patient 12. A nurse caring for a patient with diabetes chooses an a ppropriate plan of care and devises interventions to accomplish the desired outcomes. This is an example of using which of the following type of nursing skills? A) Technical B) Cognitive C) Interpersonal D) Ethical/Legal 13. Which one of the following examples of nursing actions wou ld be considered an ethical/legal skill? A) A nurse helps a patient prepare a living will. B) A nurse obtains a urine sample for a urinalysis. C) A nurse explains the rationale for a patients plan of c are. D) A nurse holds the hand of a woman whose baby died in childbirt h. 14. A nurse practitioner is caring for a couple who are the pa rents of an infant diagnosed with Downs Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role? A) Teacher/Educator B) Leader C) Counselor D) Collaborator15. A nurse is providing nursing care in a neighborhood clinic to sing le pregnant teens. Which of the following actions is the best example of using the collaborator role as a nurse? A) Discussing the legal aspects of adoption for teens wishing t o place their infants with a family B) Searching the Internet for information on child care for th e teens who wish to return to school C) Conducting a patient interview and documenting the information on the patients chart D) Referring a teen who admits having suicidal thoughts to a mental healthcare specialist 16. A nurse instructor explains the concept of health to her st udents. Which of the following statements accurately describes this state of being? A) Health is a state of optimal functioning. B) Health is an absence of illness. C) Health is always an objective state. D) Health is not determined by the patient. 17. A nurse incorporates the health promotion guidelines establi shed by the U.S. Department of Health document: Healthy People 2010 . Which of the following is a health indicator discussed in this document? A) cancer B) obesity C) diabetes D) hypertension 18. A nurse conducts a smoking-cessation program for patients o f a neighborhood clinic. This is an example of which of the following aims of nursing? A) promoting health B) preventing illness C) restoring health D) facilitating coping with disability or death 19. Which of the following is a criteria that defines nursing as profession? A) an undefined body of knowledgeB) a dependence on the medical profession C) an ability to diagnose medical problems D) a strong service orientation 20. Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree? A) providing direct physical care B) using research findings to improve practice C) administering medications as prescribed D) collaborating with other healthcare providers 21. Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. What nursing degree will she need to attain this goal? A) licensed practical nurse B) associate degree C) baccalaureate degree D) masters degree 22. Why are nursing organizations important for the continued devel opment and improvement of nursing as a whole? A) to provide socialization and networking for members B) to regulate work activities for members C) to set standards for nursing education and practice D) to provide information to nurses about legal requirements 23. Which of the following organizations has established standards f or clinical nursing practice? A) American Nurses Association B) National League for Nursing C) International Council of Nurses D) State Board of Nursing 24. What is the primary purpose of standards of nursing practice? A) to provide a method by which nurses perform skills safely B) to ensure knowledgeable, safe, comprehensive nursing careC) to establish nursing as a profession and a discipline D) to enable nurses to have a voice in healthcare policy 25. After graduation from an accredited program in nursing and suc cessfully passing the NCLEX, what gives the nurse a legal right to practice? A) enrolling in an advanced degree program B) filing NCLEX results in the county of residence C) being licensed by the State Board of Nursing D) having a signed letter confirming graduation 26. A nurse has been tried and found guilty of the felony crime of forgery. How might this affect the nurses license to practice nursing? A) It will have no effect on the ability to practice nursing. B) The nurse can practice nursing at a less-skilled level. C) The license may be revoked or suspended. D) The license will permanently carry the felony conviction. 27. Nurses use the nursing process to focus care on human responses to what? A) interactions with the environment B) physical effects of disease C) outcomes of medical or surgical treatment D) actual or potential health problems 28. Which age group in the population is expanding most rapidly, res ulting in changes in the delivery of healthcare? A) older adults B) young adults C) school-aged children D) newborns 29. Which of the following is a current trend affecting nursing educ ation and practice? A) over abundance of graduating nurses B) office-based care delivery systems C) increase in length of hospital stay D) increase in chronic health conditionsAnswer Key 1.C, E, F 2.B 3.A 4.D 5.C 6.B 7.A 8.B 9.B 10. B 11. C, E 12. B 13. A 14. C 15. D 16. A 17. B 18. B 19. D 20. B 21. D 22. C 23. A 24. B 25. C 26. C 27. D28. A 29. D C hapter 2 Critical Thinking & Nursing Process 1.Which of the following is an essential feature of profess ional nursing? Select all that apply. A) provision of a caring relationship to facilitate health and he aling B) attention to a range of human experiences and responses to health and illness C) use of objective data to negate the patients subjective experie nce D) use of judgment and critical thinking to form a medical diag nosis E) advancement of professional nursing knowledge through scholarl y inquiry F) influence on social and public policy to promote social justi ce 2.What nursing organization first legitimized the use of the n ursing process? A) National League for Nursing B) American Nurses Association C) International Council of Nursing D) State Board of Nursing 3.Which of the following group of terms best describes the n ursing process? A) nursing goals, medical terminology, linear B) nurse-centered, single focus, blended skills C) patient-centered, systematic, outcomes-oriented D) family-centered, single point in time, intuitive 4.A patient comes to the emergency department complaining of s evere chest pain. The nurse asks the patient questions and takes vital signs. Which step of the nursing process is the nurse demonstrating? A) assessing B) diagnosing C) planning D) implementing5.A nurse is examining a 2-year-old. Based on her findings, she initiates a care plan for a potential problem with normal growth and development. Which step of the nursing process identifies actual and potential problems? A) assessing B) diagnosing C) planning D) implementing 6.A home health nurse reviews the nursing care with the patien t and family and then mutually discusses the expected outcomes of the nursing care to be provided. Which step of the nursing process is the nurse illustrating? A) diagnosing B) planning C) implementing D) evaluating 7.Based on an established plan of care, a nurse turns a pati ent every 2 hours. What part of the nursing process is the nurse using? A) assessing B) planning C) implementing D) evaluating 8.Which of the following statements indicates that a plan to assist a patient in developing and following an exercise program has been effective? A) I have just been too busy to do my daily exercises. B) I guess I will begin the activity we discussed next week. C) I know I should exercise, but my health is not very good. D) I have lost 10 pounds because I walk 2 miles every day. 9.What name is given to standardized plans of care? A) critical pathways B) computer databases C) nursing problems D) care plan templates10. Which of the following groups developed standard language to increa se the visibility of nursings contribution to patient care by continuing to develop, refine, and classify phenomena of concern to nurses? A) NANDA B) NIC C) NOC D) HHCC 11. Legally speaking, how would the nurse ensure that care was not negl igent? A) verbally reporting assessments to the patients physician B) keeping private notes about the care given to each assign ed patient C) documenting the nursing actions in the patients record D) tape recording complete information for each oncoming shift 12. A nurse interviews a pregnant teenager and documents her an swers on the patient record. At the same time, the nurse responds to the patients concerns and makes a referral for counseling and maternity care. This scenario is an example of which of the descriptors of the nursing process? A) systematic B) dynamic C) outcome oriented D) universally applicable 13. A nurse working in an outpatient surgery center is responsib le for taking a health history and performing a physical assessment on each patient scheduled for surgery. Why is establishing this database so important for nursing care? A) to ensure good nursepatient relationships before surgery B) to ensure medical and surgical safety C) it is a routine part of any admission procedure D) to identify strengths and problems 14. An experienced ICU nurse is mentoring a student. The nurse tel ls the student, I think something is going wrong with your patient. What type of clinical decision making is the experienced nurse demonstrating? A) trial-and-error problem solving B) intuitive thinkingC) scientific problem solving D) methodical reasoning 15. A nurse is caring for a patient in the ER who was injured in a snow mobile accident. The nurse documents the following patient data: uncontrollable shivering, weakness, pale and cold skin, and suspects the patient is experiencing hypothermia. Upon further assessment, the nurse notes a heart rate of 53 BPM and core internal temperature of 90F, which confirms the initial diagnosis. The nurse then devises a plan of care and continues to monitor the patient to evaluate the outcomes. This nurse is using which of the following types of problem solving in her care of this patient? A) trial-and-error B) scientific C) intuitive D) critical thinking 16. Nurses make decisions in their practice every day. Which of the following are potential errors in this decision-making process? Select all that apply. A) placing emphasis on the last data received B) avoiding information contrary to ones opinion C) selecting alternatives to maintain status quo D) being predisposed to multiple solutions E) prioritizing problems in order of importance F) failing to use appropriate resources 17. Which of the following is one example of a patient benef it of using the nursing process? A) greater personal satisfaction B) decreased reliance on the nursing staff C) continuity of care D) decreased incidence of medical errors 18. What is a systematic way to form and shape ones thinking? A) critical thinking B) intuitive thinking C) trial-and-error D) interpersonal values19. What step in the nursing process is most closely associate d with cognitively skilled nurses? A) assessing B) planning C) implementing D) evaluating 20. A nurse asks a multidisciplinary team to collaborate to devel op the most appropriate plan of care to meet the needs of an adolescent with a severe head injury. Which of the blended skills essential to nursing practice is the nurse using? A) cognitive skills B) interpersonal skills C) technical skills D) ethical/legal skills 21. A student is asked to perform a skill for which he is not prepare d. When using the method of critical thinking, what would be the first step to resolve the situation? A) purpose of thinking B) adequacy of knowledge C) potential problems D) helpful resources 22. Members of the staff on a hospital unit are critical of a patients family who has different cultural beliefs about health and illness. A student assigned to the patient does not agree, based on her care of the patient and family. What critica l thinking attitude is the student demonstrating? A) being curious and persevering B) being creative C) demonstrating confidence D) thinking independently 23. Nurses apply critical thinking to clinical reasoning and judgment in their nursing practice every day. Which of the following are characteristics of this practice? Select all that apply. A) It is guided by standards, policies and procedures, ethics codes, and laws.B) It is based on principles of nursing process, problem solving, and the scientific method. C) It carefully identifies the key problems, issues, and risks involved. D) It is driven by the nurses need to document competent, efficien t care. E) It calls for strategies that make the most of human poten tial. F) It is a skill that has been studied and evaluated to the point of perfection. 24. As a beginning student in nursing, what is essential to the mastery of technical skills, such as giving an injection? A) Read the steps of the procedure before clinical assignments. B) Even if you do not know how to give an injection, act as if y ou do. C) Practice giving injections in the learning laboratory until you feel comfortable. D) Tell your instructor that you dont think you can ever give a shot. 25. Which of the following interpersonal skills is essential to the practice of nursing? A) performing technical skills knowledgeably and safely B) maintaining emotional distance from patients and families C) keeping shared patient personal information confidential D) promoting the dignity and respect of patients as people 26. A nurse believes her employer has violated the law and repo rts this to the appropriate law enforcement agency. What is this type of action called? A) short stopping B) whistle-blowing C) mud smearing D) low balling Answer Key 1.A, B, E, F 2.B 3.C 4.A 5.B6.B 7.C 8.D 9.A 10. A 11. C 12. B 13. D 14. B 15. B 16. B, C, F 17. C 18. A 19. B 20. B 21. A 22. D 23. A, B, C, E 24. C 25. D 26. B C hapter 3 Assessment 1.Which of the following group of terms best defines assessing in the nursing process? A) problem focused, time lapsed, emergency based B) design a plan of care, implement nursing interventions C) collection, validation, communication of patient data D) nurse focused, establishing nursing goals2.A nurse performing triage in an emergency room makes asses sments of patients using critical thinking skills. Which of the following are critical thinking activities linked to assessment? Select all that apply. A) carrying out a physicians order to intubate a patient B) teaching a novice nurse the principles of triage C) using the nursing process to diagnose a blocked airway D) interviewing a patient suspected of being a victim of abuse pri vately E) checking the data supplied by a patient with dementia with th e family F) teaching a diabetic patient about the importance of proper f oot care 3.On admission, a physician diagnoses a patient with rheumato id arthritis. The nurse uses assessments to make the nursing diagnosis of Chronic Pain. What is the nurse diagnosing? A) the pathology of the illness B) the response of the patient to the illness C) information from a nursing textbook D) knowledge from more experienced nurses 4.The nurse completes a health history and physical assessm ent on a patient who has been admitted to the hospital for surgery. What is the purpose of this initial assessment? A) to gather data about a specific and current health problem B) to identify life-threatening problems that require immediate atte ntion C) to compare and contrast current health status to baseline data D) to establish a database to identify problems and strengths 5.Mrs. James comes to her healthcare providers office beca use she is having abdominal pain. She has been seen for this problem before. What type of assessment would the nurse do? A) initial assessment B) focused assessment C) emergency assessment D) time-lapsed assessment 6.A nurse is assisting with lunch at a nursing home. Suddenly, one of the residents begins to choke and is unable to breathe. The nurse assesses the residents ability to breathe and then begins CPR. Why did the nurse assess respiratory status?