Fundamentals of Nursing Test 1 Questions & Answers

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Fundamentals of Nursing Test 1 Questions & Answers-You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part ... of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code? 1. Improves self-health care 2. Protects the patient's confidentiality 3. Ensures identical care to all patients 4. Defines the principles of right and wrong to provide patient care - 4 An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? 1. Diagnosis 2. Evaluation 3. Assessment 4. Implementation - 3 A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? 1. Planning 2. Evaluation 3. Assessment 4. Implementation - 4 A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: 1. Educator. 2. Advocate. 3. Caregiver. 4. Case manager. - 2 The nurse spends time with the patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? 1. Educator 2. Advocate 3. Caregiver 4. Case manager - 1 The examination for registered nurse (RN) licensure is exactly the same in every state in the United States. This examination: 1. Guarantees safe nursing care for all patients. 2. Ensures standard nursing care for all patients. 3. Ensures that honest and ethical care is provided. 4. Provides a minimal standard of knowledge for an RN in practice. - 4 Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply.) 1. Caregiver 2. Autonomy and accountability 3. Patient advocate 4. Health promotion 5. Lobbyist - 1, 2, 3, 4 Match the advanced practice nurse specialty with the statement about the role. 1. Clinical nurse specialist 2. Nurse anesthetist 3. Nurse practitioner 4. Nurse-midwife a. Provides independent care, including pregnancy and gynecological services b. Expert clinician in a specialized area of practice such as adult diabetes care c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions d. Provides care and services under the supervision of an anesthesiologist - 1b, 2d, 3c, 4a Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? 12 1. Moving from an acute illness to a health promotion, illness prevention model 2. Moving from an illness prevention to a health promotion model 3. Moving from an acute illness to a disease management model 4. Moving from a chronic care to an illness prevention model - 1 A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1. Patient-centered care 2. Safety 3. Teamwork and collaboration 4. Informatics - 3 A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1. Patient-centered care 2. Safety 3. Teamwork and collaboration 4. Informatics - 4 Individual psychotherapy, known as the "couch technique", and dream analysis are therapeutic modalities of which theory? a. Sullivan's Interpersonal Theory b. Erikson's Psychosocial Development Theory c. Caplan's Sociocultural Theory d. Freud's Psychoanalytic Theory - d The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career? 1. Clinical nurse specialist 2. Nurse administrator 3. Nurse educator 4. Nurse researcher - 4 Nurses in an acute care hospital are attending a unit-based education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? 1. Continuing education 2. Graduate education 3. In-service education 4. Professional Registered Nurse Education - 3 Which of the following Internet resources can help consumers compare quality care measures? (Select all that apply.) 1. WebMD 2. Hospital Compare 3. Magnet Recognition Program 4. Hospital Consumer Assessment of Healthcare 5. The American Hospital Association's webpage. - 2, 4 A nurse is interacting with a client who as part of therapy for a phobic (unrealistic fear) disorder is undergoing a program of systematic desensitization. This therapy is based on which of the following theories? a. Skinner's Behavioral Theory b. Orem's Self-Care Theory c. Freud's Psychoanalytic Theory d. Maslow's Basic Needs Theory - a A mental health nursing unit institutes a Token Economics system. What is the theoretical basis of the system? a. Freud - mental illness is improved by insight into the past b. Watson - mentally ill clients improve when they are assured the staff cares c. Skinner - privileges or rewards offer positive reinforcement for positive behavior d. Neurobiologic - a medication alters the neurotransmitter level at the synapse - c A man hears at work that there will be layoffs at his company. Later that day, he discusses buying a new car with his wife. Which of the following illustrates the defense mechanism? a. denial b. projection c. rationalization d. displacement - a A client who is often critical of others, accuses other clients of laughing at her. What behavior is the client exhibiting? a. introjection b. identification c. projection d. repression - c Although knowing his credit card balance is at the maximum a man charges a new pair of jeans that cost $40. When his statement shows a balance that is over the credit allowance, he tells his wife, "but they were 50% off and they might sell out before I have the cash". Which defense mechanism is he utilizing? a. reaction formation b. rationalization c. regression d. displacement - b A mother gives her toddler a cookie to stop his whining and crying for a certain cereal in the grocery store. Which analysis of this scenario illustrates a principle of behavioral theory? a. The mother is satisfying the physiological needs of the child as well as the child's development of self-esteem. [Show More]

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