Test Bank For Fundamentals Nursing Care Skills 2nd Edition By Ludwig Burton

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Test Bank For Fundamentals Nursing Care Skills 2nd Edition By Ludwig Burton

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WITH ANSWERS

 

Fundamentals Nursing Care Skills 2nd Edition Ludwig Burton

Chapter 1. The Vista of Nursing

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   The nurse is educating a nursing student about nursing history. The nurse teaches the nursing student that throughout ancient history, nursing care was provided by family members and

A. Nurses.
B. Physicians.
C. Male priests.
D. Female priests.

 

 

____    2.   The nurse teaches a student nurse about the history of nursing. The nurse informs the student nurse that in 1836, the first school of nursing was established in Kaiserworth, Germany by

A. Jean Watson.
B. Clara Barton.
C. Theodore Fliedner.
D. Florence Nightingale.

 

 

____    3.   The nurse educates the student nurse that in 1897, the Nurses Associated Alumnae of the United States was formed in an effort to

A. Set standards and rules in nursing education.
B. Keep nurses aware of the newest medical information.
C. Oversee training to protect patients from incompetent nurses.
D. Keep nurses updated on the newest information about nursing education.

 

 

____    4.   A nursing instructor is a member of the National League for Nursing. The purpose of this professional organization is to

A. Set standards and rules in nursing education.
B. Keep nurses aware of the newest medical information.
C. Oversee training to protect patients from incompetent nurses.
D. Keep nurses updated on the newest information about nursing education.

 

 

____    5.   The nursing instructor teaches a group of nursing students that all states required practical nurses to be licensed in the year

A. 1940.
B. 1945.
C. 1950.
D. 1955.

 

 

____    6.   The nursing instructor teaches a class of student nurses that the title Licensed Practical Nurse, or LPN, is used in all states except California and

A. Texas.
B. Maine.
C. Alaska.
D. Arizona.

 

 

____    7.   The student nurse recognizes that the National Council Licensure Examination for practical nursing is

A. Taken in order to practice as a nurse.
B. Given as an entrance exam for nursing school.
C. Individualized based on where an examinee resides.
D. Taken in order to practice as a certified nursing assistant (CNA).

 

 

____    8.   The nurse recruiter interviews new graduate nurses for a staff nurse position. The nurse recruiter is seeking a graduate nurse who has been educated more extensively on management and leadership. The graduate nurse who most likely fits this description is the

A. Diploma nurse.
B. Associate degree nurse.
C. Licensed vocational nurse.
D. Baccalaureate degree nurse.

 

 

____    9.   A nursing instructor is educating a group of student nurses about the Nurse Practice Act. The nursing instructor teaches that

A. The Nurse Practice Act clarifies who can supervise a physician.
B. The Nurse Practice Act is the law that governs the actions of nurses.
C. The Nurse Practice Act is determined by the National League of Nursing.
D. The Nurse Practice Act specifies the tasks of the unlicensed assistive personnel.

 

 

____  10.   The nurse educates a nursing student about the Nurse Practice Act. The nursing student demonstrates understanding when stating,

A. The Nurse Practice Act is the same in every state.
B. The Nurse Practice Act does not specify who can supervise a nurse.
C. The Nurse Practice Act is determined by the American Nurses Association.
D. The Nurse Practice Act establishes the scope of practice for each level of nurse.

 

 

____  11.   While caring for a patient, the nurse performs a nursing action that is not within her scope of practice. The nurse has violated the

A. Ethics Committee.
B. Nurse Practice Act.
C. State Department of Health.
D. National League for Nursing.

 

 

____  12.   A nurse administers the wrong medication to a patient. The nurse has violated the Nurse Practice Act which is enforced by the

A. State Board of Nursing.
B. County Health Department.
C. State Department of Health.
D. National League for Nursing.

 

 

____  13.   The nurse is caring for a resident in a long-term setting. The nurse best demonstrates a caring approach when

A. Performing all activities of daily living for the resident.
B. Asking the residents spouse to bring a family picture for the residents room.
C. Answering the residents questions quickly without allowing time for clarification.
D. Encouraging the residents spouse to decide which activities the resident should do.

 

 

____  14.   The nurse is caring for five patients on a psychiatric unit. The nurse best demonstrates a caring approach when

A. Providing identical care to each patient.
B. Individualizing care provided to each patient.
C. Viewing the patients in terms of a cellular disorder.
D. Viewing the patients as mentally ill and needing a cure.

 

 

____  15.   The nurse is educating a student nurse about the responsibilities of a student nurse. The nurse recognizes that additional teaching is needed when the student nurse states,

A. I will check lab results on my patients often.
B. I am responsible for noting abnormal assessment findings.
C. I will frequently check the patients chart for diagnostic test results.
D. It is not within my scope of practice to notify someone of abnormal findings.

 

 

____  16.   The nursing instructor teaches a student nurse about the importance of joining a professional organization. The nursing instructor recognizes that further instruction is necessary when the student nurse states,

A. Professional organizations allow me to have a collective voice.
B. Professional organizations limit my ability to influence laws and policies.
C. Professional behavior is demonstrated by joining a professional organization.
D. By joining a professional organization, I will have opportunities for leadership.

 

 

____  17.   The nursing instructor educates a class of nursing students about Florence Nightingale. The nursing instructor teaches that Florence Nightingale was

A. The founder of contemporary nurses notes.
B. A provider of nursing care during the Crimean War.
C. The first president of what is known today as the American Red Cross.
D. Known as the Angel of the Battlefield during the United States Civil War.

 

 

____  18.   A student nurse is learning about nursing history. The student nurse recognizes that Lillian Wald is best described as

A. Instrumental in providing nursing care during the Crimean War.
B. The first visiting nurse, who opened the Henry Street Settlement.
C. Instrumental in establishing a 3-year training program for nurses.
D. The first president of what is known today as the American Red Cross.

 

 

____  19.   A student nurse is learning about women who molded nursing history. The student nurse recognizes that Mary Mahoney is best described as

A. The first visiting nurse who opened the Henry Street Settlement.
B. The first president of the National Association for Colored Graduate Nurses.
C. An activist for nursing labor reform who advocated for meal breaks for nurses.
D. An activist for better mental health care and the establishment of psychiatric hospitals.

 

 

____  20.   The nurse works in a hospital that provides care based on the nursing theory of Martha Rogers. The nurse recognizes that this theory is based on the goal of

A. Assisting clients to attain total self-care.
B. Providing nursing care that is culturally diverse.
C. Maintaining an environment free of negative energy.
D. Recognizing ones pattern of interacting with the environment.

 

 

____  21.   A nursing student is learning about the nursing theory of Margaret Newman. The nursing student recognizes that this theory is based on the goal of

A. Assisting clients to attain total self-care.
B. Providing nursing care that is culturally diverse.
C. Maintaining an environment free of negative energy.
D. Recognizing ones pattern of interacting with the environment.

 

 

____  22.   A nurse works in a facility that promotes assisting clients to attain total self-care. The nurse recognizes this approach as adhering to the ideas of nursing theorist

A. Martha Rogers.
B. Dorothea Orem.
C. Virginia Henderson.
D. Hildegard E. Peplau.

 

 

____  23.   When caring for a patient, a nurse maintains an environment that is free of negative energy. The nurse is demonstrating care based on nursing theorist

A. Imogene King.
B. Betty Neuman.
C. Martha Rogers.
D. Sister Callista Roy.

 

 

____  24.   A student nurse is learning about nursing theorists. Based on this learning, the student nurse writes a care plan focused on providing culturally diverse care. The student nurse is adopting the approach of nursing theorist

A. Myra Levine.
B. Dorothea Orem.
C. Sister Callista Roy.
D. Madeleine M. Leininger.

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____    1.   A nursing instructor teaches about the importance of professional behavior. The instructor provides examples of unprofessional conduct that could lead to having a nursing license revoked or suspended. Examples of unprofessional conduct are (select all that apply):

A. Consistently showing up for work on time.
B. Failure to adhere to the Nurse Practice Act.
C. Documenting patient care in a timely manner.
D. Diversion of drugs from prescribed patient to personal use.
E. Use of drugs or alcohol in a way that could endanger patients.
F. Failure to supervise nursing assistants and unlicensed assistive personnel.

Chapter 3. Nursing Ethics and Law

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   After providing am care for his patient, the nurse forgot to put the bed in the lowest position and left one of the bed rails down. The patient got out of bed and fell. The nurse could be reported to the board of nursing for

A. Assault.
B. Battery.
C. Negligence.
D. Libel.

 

 

____    2.   A nurse has been reported to the board of nursing for performing skills that are outside the scope of practice. The nurse should expect

A. A lawsuit by the institution for malpractice.
B. A hearing by the board of nursing to determine if charges are true.
C. Immediate revocation of nursing license.
D. Requirement to complete a minimum of 10 CEUs.

 

 

____    3.   A nurse witnesses a coworker taking a medication ordered for a patient. The nurses first course of action is to

A. Ask the other nurses on the unit what they would do.
B. Tell the coworker that the incident will be reported the next time it happens.
C. Offer to care for the nurses patients until the medication is no longer effective.
D. Report the incident to the nurse supervisor.

 

 

____    4.   A 17-year-old patient, injured during a football game, is in the emergency room. Prior to treatment it is the responsibility of the nurse to

A. Have the stepparent sign the informed consent.
B. Have the patient sign the informed consent.
C. Obtain the custodial parents signature on the informed consent.
D. Solicit the signature of the noncustodial parent on the informed consent.

 

 

____    5.   A mentally competent patient with a terminal illness refuses to take his medications stating, I dont want to live like this. The nurse will

A. Ask the physician to change the patients medications so they can be given intravenously.
B. Speak to the patients family about his refusal of medications so they can discuss it with him.
C. Report the patients decision to the physician and continue to provide appropriate compassionate care.
D. Explain to the patient the unwise nature of his decision and the effect that it will have on his family.

 

 

____    6.   The nurse feels that the patient needs to be placed in a protective-restraint device to protect him from injury. In order to place a patient in restraints

A. The patient must give his or her consent for restraints to be used.
B. A family member must give his or her consent to use restraints.
C. The nurse must have documentation that other methods have been used and failed to protect the patient.
D. The patient must be alert and oriented.

 

 

____    7.   The nurse explains to a patient that an instructional directive means

A. A family member has been appointed as having power of attorney.
B. A patients wishes must be followed in the event of a major illness.
C. There is a Do-Not-Resuscitate (DNR) order for emergency personnel.
D. There are written guidelines specifying care desired and under what circumstances.

 

 

____    8.   A patient requests that the nurse copy his chart for his daughter. The nurse replies,

A. Ill get a copy made right away. How many copies do you need?
B. Only your lawyer can request a copy so you need to contact her.
C. The chart belongs to the hospital, but if you give written permission, a copy can be made for you.
D. HIPAA prevents the hospital from copying your chart, but you could speak to your physician about it.

 

 

____    9.   The nurse explains to coworkers that care provided for the patient is based on the Nurse Practice Act (NPA) which covers the

A. Patients Bill of Rights.
B. Rules and regulations which nurses must practice.
C. American Nurses Associations (ANA) guidelines.
D. Reasons that nurses may have action taken against their licenses.

 

 

____  10.   The patient has refused to take the medications brought in by the nurse. The nurse will chart,

A. Instructed patient that the medications will be taken now or later.
B. Explained to patient that unless medications are taken, the physician will likely issue a discharge.
C. Medications refused; physician notified.
D. Physician notified that patient is uncooperative.

 

 

____  11.   Following a discussion with a patient about treatment options given by the primary care physician, the nurse assures the patient that the physician will support whatever decision is made. This nurse is acting as the patients

A. Ethics board.
B. Value system.
C. Advocate.
D. Conscience.

 

 

____  12.   Aware that continuing education is a must in providing a high standard of patient care, the nurse will enhance her practice by

A. Taking a cooking class.
B. Becoming computer literate.
C. Studying the history of nursing.
D. Utilizing research to improve practice.

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____    1.   The potential exists for a complaint of sexual harassment if the nurse states (select all that apply):

A. Would you please help me with one of my female patients? She is uncomfortable asking me to assist her to the restroom.
B. If I take the patient in Room 203 her pain medication, what are you going to do for me?
C. When my patients physician arrives on the floor, let me know. I would like to make rounds with him.
D. Could you help me with my patient? Shes very large and difficult to get up.
E. Male nurses never carry their weight. I think they use that a female patient wont let them catheterize them as an excuse so they dont have to put in a Foley catheter.

 

 

____    2.   In some situations, a nurse is required by law to report findings from nurse-patient interaction and/or the nurses assessment. The nurse will notify the proper authorities when (select all that apply):

A. A patient admits that her husband frequently hits her and has broken several bones.
B. An elderly patient tells the nurse that she is afraid of her grandson.
C. There are multiple bruises of varying colors on the back and abdomen of a 9 year old.
D. An adolescent has a black eye.
E. A patient refuses to answer the nurses question because his or her son will be mad.

 

 

Completion

Complete each statement.

 

  1. The nurse manager discusses with staff that tort law may be applicable in certain patient situations. The five areas of tort law that apply to nurses are negligence, malpractice, assault and battery, false imprisonment, and _____________.

Chapter 5. Documentation

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   The nurse is educating a student nurse about documentation. The nurse recognizes that additional teaching is required when the student nurse states,

A. Documentation serves as a temporary part of the medical record.
B. Documentation is one of the most important tasks that Ill perform in nursing.
C. Documentation is the act of charting pertinent information related to a patient.
D. Documentation is evidence of what transpired during an event requiring medical care.

 

 

____    2.   When documenting in a patients chart, the nurse recognizes that

A. Documentation serves as a temporary part of the medical record.
B. Documentation is one of the least important tasks performed in nursing.
C. Documentation is the act of charting only abnormal information related to a patient.
D. Documentation is evidence of what transpired during an event requiring medical care.

 

 

____    3.   The nurse is educating a student nurse about the purpose of written documentation. The nurse recognizes that additional teaching is warranted when the student nurse states,

A. The purpose of written documentation is to communicate pertinent data to the health care team.
B. The purpose of written documentation is to serve as a record of accountability for accreditation.
C. The purpose of written documentation is to serve as a legal record for the health care provider only.
D. The purpose of written documentation is to serve as a record of accountability for quality assurance.

 

 

____    4.   The nurse educates a nursing student about effective patient care. The nurse recognizes that additional instruction is needed when the nursing student states,

A. For patient care to be effective, it must be delivered periodically.
B. For patient care to be effective, it must be delivered continuously.
C. For patient care to be effective, it must be evaluated continuously.
D. For patient care to be effective, it must be delivered systematically.

 

 

____    5.   A hospitalized patient tells the nurse that he wishes to take the original chart copy of his medical record home. The nurses best response is:

A. You may not have it because it belongs to your physician.
B. It is your medical record and you are allowed to take it home.
C. It is against hospital policy for you to look at your medical record.
D. You are allowed to have a copy of your medical record to take home.

 

 

____    6.   A nurse is caring for a patient who just fell from the bed onto the floor. The nurse should write a(n)

A. Emergency record.
B. Incident report.
C. Progress report.
D. Grievance report.

 

 

____    7.   The nurse is aware that the best method to ensure documentation accuracy is to consistently chart

A. At the completion of each shift.
B. Within 4 hours of providing care.
C. Immediately after care is provided.
D. Immediately prior to providing care.

 

 

____    8.   The nurse teaches a student nurse about what type of occurrence requires completion of an incident report. The nurse recognizes that additional instruction is warranted when the student nurse states,

A. If my patient falls out of a chair, I will complete an incident report.
B. If I give the wrong medication to my patient, I will complete an incident report.
C. If a visitor is injured while seeing my patient, I will complete an incident report.
D. If my patient refuses to ambulate with physical therapy, I will complete an incident report.

 

 

____    9.   A nurse discovers a patient lying on the floor. When completing an incident report, the nurse should write:

A. Patient fell out of bed onto the floor.
B. Heard patient fall from the bed to the floor.
C. Patient accidentally fell out of bed onto the floor.
D. Found patient lying face down on the floor beside the bed.

 

 

____  10.   A nursing instructor is educating a student nurse about military time. The time is 6:00 PM The student nurse demonstrates understanding by documenting the time as

A. 1500.
B. 1600.
C. 1700.
D. 1800.

 

 

____  11.   A student nurse is caring for a patient who is on a clear liquid diet. The best example of nursing documentation related to this patient is:

A. Average intake of clear liquid diet noted.
B. Patient tolerates the clear liquid diet well.
C. Patient swallowing clear liquids normally.
D. No complaints of nausea while on clear liquid diet.

 

 

____  12.   A nursing instructor is educating a class of student nurses about patient documentation. The best example of patient documentation is:

A. States He vomited everything he ate and drank yesterday.
B. States He is in excruciating pain. The pain is unrelieved by analgesics.
C. States The pain is getting worse. I dont know if I can stand it or not.
D. States His pain is getting worse and he doesnt know if he can stand it or not.

 

 

____  13.   When documenting in a patients chart, the nurse realizes that it is the wrong patients chart. The nurse should

A. Write over the incorrect letters.
B. Use correction fluid to blank-out the mistaken entry.
C. Use correction tape to blank-out the mistaken entry.
D. Write mistaken entry and his or her initials just above incorrect entry.

 

 

____  14.   The nursing instructor observes a student nurse documenting in the wrong patients chart. The nursing instructor would intervene when observing the student nurse

A. Writing initials just above the incorrect entry.
B. Using a marker to blacken the incorrect entry.
C. Writing mistaken entry just above incorrect entry.
D. Marking a single horizontal line through the incorrect entry

 

 

____  15.   The nursing instructor educates a class of nursing students about SOAPIER charting. The nursing instructor teaches that the acronym SOAPIER stands for

A. Symptoms, Objective, Assessment data, Plan, Intervention, Evaluation, Revision.
B. Subjective data, Objective data, Assessment data, Plan, Intervention, Evaluation, Results.
C. Subjective data, Objective data, Assessment data, Plan, Intervention, Evaluation, Revision.
D. Subjective data, Objective data, Assessment data, Problems, Intervention, Evaluation, Revision.

 

 

____  16.   The nursing instructor educates a class of nursing students about a common type of focus charting known as DAR. The nursing instructor teaches that the acronym DAR stands for

A. Data, Action, Response.
B. Data, Assessment, Revision.
C. Diagnosis, Action, Response.
D. Data, Assessment, Response.

 

 

____  17.   A patient complains of left-sided chest pain radiating to the left shoulder. Using the SOAPIER method, the nurse should chart this complaint under the initial

A. S.
B. O.
C. A.
D. P.

 

 

____  18.   A patient appears anxious. The patient speaks quickly and paces the hospital halls. Using the SOAPIER method, the nurse should chart this finding under the initial

A. S.
B. O.
C. A.
D. P.

 

 

____  19.   A patient complains of feeling short of breath. His oxygen saturation level is 86%. When auscultating his lung sounds, the nurse notes wheezes and crackles throughout. The patient has a productive cough of thick green mucus. The nurse should chart these actions under the section of DAR charting that is called

A. Data.
B. Action.
C. Response.
D. Assessment.

 

 

____  20.   When a patient complains of pain, the nurse assesses the pain level and administers an analgesic. The nurse should chart these actions under the section of DAR charting that is called

A. Data.
B. Action.
C. Response.
D. Assessment.

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____    1.   A nursing instructor teaches a class of nursing students about the purpose of written documentation, which includes (select all that apply):

A. To communicate pertinent data to the health care team.
B. To serve as a record of accountability for accreditation.
C. To serve as a legal record for the health care provider only.
D. To serve as a record of accountability for quality assurance.
E. To serve as a record of accountability for reimbursement purposes.
F. To provide a permanent record of medical diagnoses and nursing diagnoses.

 

 

____    2.   The staff members at a hospital are preparing for a visit from The Joint Commission. The nursing supervisor explains to the staff that The Joint Commission (select all that apply):

A. Provides a team of reviewers who ensure that standards are met.
B. Acts as an insurance company by offering reimbursement to hospitals.
C. Seeks to improve safety and quality of care that health care organizations provide to the public.
D. Offers accreditation when a facility practices in a manner that meets The Joint Commissions standards.
E. Sends a team of reviewers who visit the facility to assess its policies, procedures, and actual performance.
F. Sets the standards by which the quality of health care is managed nationally and internationally.

 

 

____    3.   A nursing instructor is educating a group of student nurses about the Health Insurance Portability and Accountability Act (HIPAA). The nursing instructor teaches that HIPAA (select all that apply):

A. Guarantees the patient the right to view his or her medical record.
B. Guarantees the patient the right to take the original medical chart.
C. Asks the patient to specify who can obtain his or her personal health data.
D. Guarantees the patient the right to obtain a copy of his or her medical record.
E. Ensures the right of the patient to amend his or her own health information.
F. Requires hospitals to disclose the way in which the patients health data will be used.

 

 

____    4.   The hospital risk management team provides the nursing staff with an in-service about incident reports. The in-service should include that (select all that apply):

A. An incident report always involves the patient.
B. Incident reports are part of the patients medical record.
C. An incident report is also referred to as a variance report.
D. A medication error should be documented on an incident report.
E. A patient, visitor, or employee injury should be documented on an incident report.
F. An incident report is used to document out-of-the-ordinary things that happen in a facility.

 

 

____    5.   The nursing instructor teaches a class of nursing students that the problem-oriented medical record consists of the (select all that apply):

A. Database.
B. Problem list.
C. Plan of care.
D. Progress notes.
E. Incident reports.
F. Variance reports.

Chapter 7. Promoting Health and Wellness

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   The nurse explains to the patient that health is measured on a continuum scale and that

A. It proves that health is constant and rarely fluctuates.
B. The higher the measurement is, the better ones health is.
C. It measures only the physical aspects of health.
D. It would be more accurate if mental and emotional aspects could be measured.

 

 

____    2.   A male patient with severe chronic obstructive pulmonary disease (COPD) was brought to the hospital by emergency personnel. He lives alone, has no relatives or friends living nearby, and lives on a fixed income, which prevents him from purchasing all of the medications that he needs. Based on Dunns wellness grid, the nurse determines that the quadrant that the patient is in is

A. High-level wellness in a favorable environment.
B. Emergent high-level wellness in an unfavorable environment.
C. Protected poor health in a favorable environment.
D. Poor health in an unfavorable environment

 

 

____    3.   The nurse educator explains to student nurses Fitzpatricks rhythm model theory. According to this theory, the patients health

A. Is only a state of mind over matter and is controlled by the patient.
B. Is always changing and fluctuates throughout four wellness quadrants.
C. Defines how well the individual promotes his or her physical well-being.
D. Is the result of the interaction between an individual and the environment.

 

 

____    4.   The nurse discusses with the patient ways to improve health and prevent disease. The nurse suggests that the patient

A. Use emergency and urgent care facilities for routine care.
B. Worry less about food groups and more about calories.
C. Eliminate certain food groups from the diet.
D. Participate in stress-management techniques.

 

 

____    5.   The nurse educates the patient in ways to prevent long-term illnesses or diseases. The nurse states,

A. It is important that you receive the flu vaccination every year.
B. Your diet should be moderate in calories and include a variety of foods.
C. Running at least 4 to 5 miles per day will ensure that you do not develop cancers or heart diseases.
D. Smoking cigarettes that are low in tar and nicotine will greatly decrease your risk of developing respiratory problems.

 

 

____    6.   A patient being seen in the clinic tells the nurse, The pain is in my right side. The patients phase of illness is

A. Prodromal.
B. Symptomatic.
C. Seeking help.
D. Dependency.

 

 

____    7.   The nurse instructs the patient, You can decrease your risks for developing many diseases and illnesses by developing healthy habits and participating in health screenings. The patient validates understanding when he or she states,

A. As long as I begin to limit the amount of bad carbohydrates in my diet and begin exercising by the age of 50, I probably will not develop type 2 diabetes.
B. Performing monthly breast self-exams if I have a family history of breast cancer will decrease my chances of developing it.
C. I can take responsibility for reducing risks by eating a well-balanced diet and seeing my primary care physician for routine health screenings.
D. Since I am at risk for developing high cholesterol, it will be important for me to ask my primary care physician for medications to prevent it.

 

 

____    8.   The patient told the nurse, I cant remember anything right before or after my wreck, but the officer told me that I left lots of black marks trying to stop. The nurse explains to the patient,

A. When scared, the parasympathetic system stimulates the fight-or-flight response.
B. Your fight-or-flight response pumps adrenaline into your system, which enhances your ability to react quickly.
C. Cortisol, a natural hormone, ceases production and, as a result, we are able to respond quickly in an emergency.
D. The sympathetic nervous system blocks your endocrine glands, resulting in additional hormones enabling a quick response.

 

 

____    9.   A patient who is admitted for observation following an episode of chest pain relieved by rest and two nitroglycerin tabs, tells the nurse that his job as CEO of a large firm is becoming too much to handle. According to Selye, the nurse suspects that the patient most likely is experiencing

A. An interaction between the individual and the environment.
B. Protected poor health in a favorable environment.
C. The seeking help phase of illness.
D. The exhaustion phase of stress.

 

 

____  10.   A 42-year-old female patient who was just admitted states, I must be under too much stress. I just do not feel well. The nurse understands that her complaint could be a symptom of stress and is not surprised to find that

A. Her blood pressure is 178/96.
B. She sets aside some time each day to relax.
C. Her pupils are constricted and reactive to light.
D. She is limiting fats and sugar in her diet.

 

 

____  11.   The elderly patient with a history of congestive heart failure was just admitted for chest pain. The patient asks the nurse, Why did my chest pain begin after I thought someone was trying to break into my house? The best response by the nurse is:

A. Response to fear increases the bodys demand for oxygen, which can place additional stress on your damaged heart and cause chest pain.
B. The parasympathetic system used all of your available adrenaline, leaving you so tired that you developed chest pain.
C. Because the release of cortisol blocks the bodys response to fear, you werent allowed sufficient time rest, which can cause chest pain.
D. The decrease in oxygen utilization during the fight-or-flight response is most likely the reason that you developed chest pain.

 

 

____  12.   The nurse educator explains to student nurses that according to Selye, the general adaptation syndrome, or GAS, is

A. An explanation of how the bodys response to stress prevents death.
B. Validated by how many people are struggling with terminal illnesses, such as cancer.
C. A theory explaining the bodys attempt to adjust to stress.
D. What prevents the threat to health when there is long-term stress.

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____    1.   A nurse encourages a patient to be proactive in promoting and maintaining health by (select all that apply):

A. Introducing the patient to the benefits of a regular exercise program.
B. Discussing the obvious and hidden dangers of drug and alcohol abuse.
C. Referring an uninsured patient to a facility that allows payment plans.
D. Suggesting that medical care is accessed in acute emergencies and that alternative forms of treatment are used when it is not.
E. Explaining the importance of obtaining required immunizations for children.

 

 

____    2.   The nurse explains to the patient that Healthy People 2010 was established by the Office of Disease Prevention and Health Promotions to (select all that apply):

A. Fund exercise programs in businesses.
B. Increase quality of life and longevity.
C. Force tobacco companies to close.
D. Eliminate disparities in health issues.
E. Legally require obese individuals to lose weight.

 

 

____    3.   During a discussion with a patient participating in a health screening, the nurse suggests positive ways to cope with stress, such as (select all that apply):

A. Relaxing with family and friends.
B. Accepting all challenges.
C. Saying no when one has other obligations.
D. Eating a diet high in fat and carbohydrates.
E. Getting rid of excessive possessions.

 

 

____    4.   A patient, recently terminated at his place of employment, has been admitted to the hospital via the emergency room. He smokes approximately two packs of cigarettes and drinks approximately a six-pack of beer daily, and he states that he exercises three times a week for 30 minutes. According to Healthy People 2010, the nurse identifies the indicators that place the patient at risk for illness as (select all that apply):

A. Tobacco use.
B. Substance abuse.
C. Environmental quality.
D. Access to health care.
E. Physical activity.

Chapter 9. Growth and Development Throughout the Lifespan

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   The nurse recognizes that the term for the physical changes that occur in the size of human beings is

A. Growth.
B. Spirituality.
C. Regression.
D. Development.

 

 

____    2.   The nurse recognizes that the increase in complexity of skills performed by a person is called

A. Growth.
B. Regression.
C. Ambivalence.
D. Development.

 

 

____    3.   The nurse recognizes that the physical size and functioning of a person is called

A. Moral development.
B. Physical development.
C. Cognitive development.
D. Psychosocial development.

 

 

____    4.   The nurse recognizes that the ability to think at higher levels and develop a value system that differentiates right from wrong is called

A. Moral development.
B. Physical development.
C. Cognitive development.
D. Psychosocial development.

 

 

____    5.   The nurse recognizes that how an individual learns is called

A. Moral development.
B. Physical development.
C. Cognitive development.
D. Psychosocial development.

 

 

____    6.   The nurse recognizes that the type of development that occurs throughout ones life in distinct stages, each stage requiring that specific tasks must be mastered, is called

A. Moral development.
B. Physical development.
C. Cognitive development.
D. Psychosocial development.

 

 

____    7.   A psychologist who theorized that cognitive development occurs from birth to adolescence in an orderly sequence of four stages is

A. Jean Piaget.
B. Erik Erikson.
C. James Fowler.
D. Lawrence Kohlberg.

 

 

____    8.   A psychoanalyst who theorized that psychosocial development occurs throughout ones life in distinct stages is

A. Jean Piaget.
B. Erik Erikson.
C. James Fowler.
D. Lawrence Kohlberg.

 

 

____    9.   A developmental psychologist who defined faith as a universal concern that is a process of developing trust and who developed six stages of spiritual development is

A. Jean Piaget.
B. Erik Erikson.
C. James Fowler.
D. Lawrence Kohlberg.

 

 

____  10.   An American psychologist who acknowledged that not all people reach all stages of moral development, and who based his theory on preconventional morality, conventional morality, and postconventional morality is

A. Jean Piaget.
B. Erik Erikson.
C. James Fowler.
D. Lawrence Kohlberg.

 

 

____  11.   The nurse is caring for a toddler who obeys authority in order to avoid punishment. The nurse recognizes that the toddler is in the stage of Lawrence Kohlbergs moral development theory that is called

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A. Conventional morality.
B. Preoperational morality.