EAQ prep for midterm

Question 1

Which nursing theorist used anthropology to form a theory of universality?
Madeleine Leininger

Callista Roy

Imogene king

Dorothea Orem

Answer 1

Madeleine Leininger

Question 2

Which statement is true regarding the goal of core measures?
They help recognize prejudices and assumptions about other people

They help reduce mortality, complications, and inpatient readmissions

They help provide care that fits with the patient’s own values, beliefs, and traditions

They help assess social, cultural and biophysical factors that influence patient treatment and care

Answer 2

They help reduce mortality, complications, and inpatient readmissions

Question 3

Which term correlates with “the ability of family to cope with expected and unexpected stressors’’?

family diversity

family durability

family resiliency

family dynamics

Answer 3

family resiliency

Question 4

which phase accurately describes the output component of the nursing process?

data entering the system

the end product of a system

data related to system functioning

the product and information obtained from the system

Answer 4

the end product of a system

Question 5

The nurse wants to assess health literacy in a group of patients. which measure does the nurse use to evaluate word recognition?

Calm-Listen, affirm, respond, Add (C-LARA)

Test of functional health literacy in adults (TOFHLA)

Rapid estimate of adult literacy in medicine (REALM)

Culturally and linguistically appropriate services (CLAS)

Answer 5

Rapid estimate of adult literacy in medicine (REALM)

Question 6

Which respiratory change occurs in older adults?

increased ciliary activity

increased number of alveoli

increased cough reflex

increased chest wall rigidity

Answer 6

increased chest wall rigidity

Question 7

A community nurse in a diverse community is working with health care professionals to provide prenatal care for underemployed and underinsured south African women. which overall goal of healthy people 2023 does this represent?

assess the health care needs of individuals, families, or communities

develop and implement public health polices and improve access to care

gather information on incident rates of certain disease and social

increase life expectancy and quality of life (QOL) and eliminate health disparities

Answer 7

increase life expectancy and quality of life (QOL) and eliminate health disparities

Question 8

which priority level would be assigned to a patient diagnosed with decreased gas exchanged

high

low

medium

intermediate

Answer 8

high

Question 9

which concept of intersectionality involves unequal access to resources and services

overinclusion

marginalization

oppression

matrix of domination

Answer 9

oppression

Question 10

which stage of cognitive learning involves the breakdown of information into organized parts?

applying

analyzing

evaluating

understanding

Answer 10

analyzing

Question 11

which phase accurately describes feedback as it relates to the nursing process as a system?

data entering the system

the end product

data related to system functioning

the product and information obtained from the system

Answer 11

data related to system functioning

Question 12

which action will the nurse take using the electronic health record(EHR) to help select the appropriate nursing diagnosis and intervention for a patient?

use standard nursing terminology

document information in a timely matter

confirm the patients diagnosis after receiving a handoff report

ensure the care plan accessible to all health care team members

Answer 12

use standard nursing terminology

Question 13

which term is often applies to the age group balancing responsibilities related to care of children and care of aging parents?

the sandwich generation

the millennial generation

generation X

generation Y

Answer 13

the sandwich generation

Question 14

A nurse who is an effective would possess which characteristic?(choose all that apply)

take initiative and sustain motivation, especially during times of uncertainty

maintain a neutral approach in decision making’

rebound from setbacks with positivity

identify the need to change and support change effectively

display impassivity toward other to avoid discrimination

Answer 14

take initiative and sustain motivation, especially during times of uncertainty

rebound from setbacks with positivity

identify the need to change and support change effectively

Question 15

which evaluative measure for an ability to tolerate ambulation would the nurse use for a patient with limited mobility n the lower extremities who uses a walker?

score on a perceived-stress scale

presence of altered balance

limited mobility in lower extremities

observation of dyspnea while walking

Answer 15

observation of dyspnea while walking

Question 16

according to Freud’s developmental theory which age group is referred to as the phallic stage?

infancy

toddler

preschool

adolescence

Answer 16

preschool

Question 17

which patient behavior reflects the contemplation stage of change?

has integrated changes into their lifestyle

is activity involved in changing their behavior

has started considering a change in their behavior

in defensive when confronted about their behavior

Answer 17

has started considering a change in their behavior

Question 18

which statement will the nurse make when communicating to the health provider to convey a patients problem effectively?

I have given the patient acetaminophen because they have a fever of 100.5 F

I will continue to monitor the patient temperature since it has been elevated

I am concerned about the patients temperature of 100.5 F because of their risk for infection

I have updated the electronic health record with the patients current temperature and interventions

Answer 18

I am concerned about the patients temperature of 100.5 F because of their risk for infection

Question 19

which statement will the nurse make when communicating to the health provider to convey a patients problem effectively?

I have given the patient acetaminophen because they have a fever of 100.5 F

I will continue to monitor the patient temperature since it has been elevated

I am concerned about the patients temperature of 100.5 F because of their risk for infection

I have updated the electronic health record with the patients current temperature and interventions

Answer 19

I am concerned about the patients temperature of 100.5 F because of their risk for infection

Question 20

which explanation describes input as it relates to the nursing process as a system?

data or information that comes from a patients assessment

the change in the patients status as a result of nursing care

data related to system functioning

the product and information obtained from the system

Answer 20

data or information that comes from a patients assessment

Question 21

which evaluative criterion would the nurse use to measure nursing care for a patient who is short of breath?

observe the patients level of comfort

measure the respiratory rate

ask the patient if breathing is easier

administer a bronchodilator

instruct the patient to perform deep breathing

Answer 21

observe the patients level of comfort

measure the respiratory rate

ask the patient if breathing is easier

Question 22

A patient with end-stage lung disease wants to go home on oxygen and be comfortable. the family wants the patient to have a new surgical procedure. the nurse explains the risks and benefits of the surgery to the family and discusses the patients wishes. which role is the nurse demonstrating for the patient?

educator

advocate

caregiver

manager

Answer 22

advocate

Question 23

which statement by the nursing student indicates effective learning regarding the authority element of the decision-making process?

I will develop a plan of care for my patients

I will be responsible for my actions and decisions

I will make my decisions about the scheduling of work

I will ask the self-care team to brief the patient on discharge

Answer 23

I will ask the self-care team to brief the patient on discharge

Question 24

By which age has the young adult usually completed physical growth?

18

20

25

30

Answer 24

20

Question 25

which level of prevention describes a nurse conducting health awareness training programs at a community center? primary secondary tertiary indirect

Answer 25

primary

Question 26

which implementation skill describes a nurse explaining to the patient about inserting a feeding tube? cognitive technical interpersonal psychomotor

Answer 26

interpersonal

Question 26

which implementation skill describes a nurse explaining to the patient about inserting a feeding tube? cognitive technical interpersonal psychomotor

Answer 26

interpersonal

Question 27

which theory states that the patient adapts to changes in phycological needs, self-concept, and interdependence domains? Roy's Orem's Peplau's Henderson's

Answer 27

Roy's

Question 28

which developmental theorist explained the behavior of a 4-year-old who fantasizes about the parent of the opposite sex? Sigmund Freud Arnold Gesell Erik Erikson Jean Piaget

Answer 28

Sigmund Freud

Question 29

Which theory would the nurse include in a session on moral development stages in children? Piaget's Theory Freud's theory Kohlberg's theory Erikson's theory

Answer 29

Kohlberg's theory

Question 30

Which type of grief is exemplified when the survivor of a motor vehicle accident attempts suicide because of feeling responsible for the friends death? Delayed masked exaggerated ambiguous

Answer 30

exaggerated

Question 31

Which nursing theory is useful for developing interpersonal relationships? Leininger's Roy's Peplau's Nightingale's

Answer 31

Peplau's

Question 32

Which leadership quality can result in the success of the health care organization after decentralization? Delegation Decisions making team communication clinical care coordination

Answer 32

Decisions making

Question 33

which therapy does the nurse suggest to help older adults recall their past to resolve current conflicts? Reminiscence Validation therapy Reality orientation Therapeutic communication

Answer 33

Reminiscence

Question 34

The nurse discusses the would health organization recommendations to prevent chronic noncommunicable illness with a group of adult community members. which exercise routine would the nurse suggest? 150 minutes of moderate-intensity activity per week 60 minutes of vigorous aerobic activity per week strengthening exercises 4 or more days per week for older adults with limited mobility to enhance balance 2 or more days per week

Answer 34

150 minutes of moderate-intensity activity per week

Question 35

which endocrine change is associated with aging? increased sensitivity to insulin increased thyroid secretions decreased ability to respond to stress decreased anti-inflammatory hormone secretions

Answer 35

decreased ability to respond to stress

Question 36

While caring for an 8 year old patient the nurse finds that the child appears scared of the parents and has bruises on the soles of his feet and on the back. which laws obligate the nurse to report suspected abuse to law enforcement authorities? public health laws good Samaritan laws mental health parity act (MHPA) failure to act laws

Answer 36

public health laws

Question 37

which system is responsible for the physiology of flight-or-flight Reponses? renin-angiotensin respiratory sympathetic nervous parasympathetic nervous

Answer 37

sympathetic nervous

Question 38

Which goal is appropriate for the patient who is at high risk of skin injuries? Patient will be turned every 2 hours within 24 hours patient skin will remain intact through discharge patients skin condition will improve by discharge patient will begin a weight-loss program

Answer 38

patient skin will remain intact through discharge

Question 39

which description explains the evaluation tool of reflective journaling/ dialogue that allows for questions, differing viewpoints, and sharing of experiences consciously thinking through an activity or experience' a visual representation of patient problems and interventions that shows their relationships to one another a reasoning process used to cognitively apply and analyze the thoughts, actions, and knowledge apply and analyze the thoughts, action, and knowledge to make sound clinical judgements

Answer 39

consciously thinking through an activity or experience

Question 40

Which statement describes a patient who is in the precontemplation stage to quite smoking? Intends to quite smocking in the next 6 months has begun making plans for smoking cessation is actively taking measures to quite smoking does not intend to quit smoking this year

Answer 40

does not intend to quit smoking this year

Question 41

A patient is scheduled for a mastectomy. which intervention is performed out of respect for the patients autonomy? (choose all that apply) review the surgical procedure explain the risks and benefits of the procedure withhold information about the possible harmful effects ensure that the patient reads the surgery documents and signs the consent form ensure that the patient makes full advance payment

Answer 41

review the surgical procedure explain the risks and benefits of the procedure ensure that the patient reads the surgery documents and signs the consent form

Question 42

Which method of a patient teaching is suitable just prior to a colonoscopy? telling entrusting reinforcing participating

Answer 42

telling

Question 43

Gesell's theory of development is based on which principle? moral development Psychosocial development psychosexual development biophysical development

Answer 43

biophysical development

Question 44

In the communication process which person is the receiver of the message? The person who encodes a message the person who decodes a message the person who delivers a message the person who seeks feedback

Answer 44

the person who decodes a message

Question 45

Which nursing intervention is appropriate for a dying patient who has fatigue? increases fiber in the patients diet encourage the patient to eat small, frequent meals of preferred foods educate the patient about energy conservation providing an opportunity for the patient to express feelings through active listening

Answer 45

educate the patient about energy conservation

Question 46

which condition does the nurse suspect in an older adult who reports gradual hearing decline? delirium dementia presbyopia presbycusis

Answer 46

presbycusis

Question 47

Which intervention for a patient with an amputated left foot who is depressed is a tertiary preventive measure? implanting a prosthetic foot for the left leg referring the patient for a vocational retraining referring the patient to an occupational therapist advising the patient about measures to prevent accidents administering antidepressant medication to the patient

Answer 47

implanting a prosthetic foot for the left leg referring the patient for a vocational retraining referring the patient to an occupational therapist

Question 48

Which communication technique is nontherapeutic? sympathizing focusing clarifying summarizing

Answer 48

sympathizing

Question 49

Which definition describes the knowing component of Swansons theory of caring? being emotionally present for the patient facilitating the patients passage through changes in life striving to understand an event as it has meaning in the life of the patient caring for the patient as the nurse would have done for themselves

Answer 49

striving to understand an event as it has meaning in the life of the patient

Question 50

When an older adult states even though I turn up the volume on my television, I cant seem to hear it what condition would the nurse suspect? Kyphosis keratoses presbyopia presbycusis

Answer 50

presbycusis

Question 51

which minimum font size should be used for printed materials intended for a visually impaired patient? (enter whole number)

Answer 51

14

Question 52

The surgical nurse is collecting the necessary documents to obtain a patients informed consent before surgery. In which instance would the nurse refrain from obtaining informed consent? the patient voices no concerns regarding the surgery the patient was administer morphine the patients family members are not present the surgery is associated with risk of severe complication

Answer 52

the patient was administer morphine

Question 53

Which type of theory would be helpful to the nurse when gaining knowledge about the underlying pathology of a disease? grand educational biomedical prescriptive

Answer 53

biomedical

Question 54

Which element is the final step of the nursing process? counseling discharge evaluation implementation

Answer 54

evaluation

Question 55

The nurse is caring for a Korean women who has just delivered her first baby. which would the nurse anticipate the family to provide as the first meal to the woman? tomato soup sweetcorn soup seaweed soup hot garlic soup

Answer 55

seaweed soup

Question 56

Which modifications will the nurse make to the care plan for a patient with diabetes who can no longer prepare or administer inulin because if tremors and has a caregiver who lives in the home? continue with current care plan charge the medication to an oral form instruct the caregiver to prepare the insulin but have the patient administer it teach the caregiver to prepare and inject the insulin

Answer 56

teach the caregiver to prepare and inject the insulin

Question 57

Which phase of the helping relationship is involved when the nurse and a patient meet and become acquainted? working orientation termination preinteraction

Answer 57

orientation

Question 58

Which action would the nurse take for a patient who continues to have congested lungs after coughing and deep-breathing exercises? double the dose of antibiotics hand over the patient to another nurse repeat the patients chest x-ray increase frequency of coughing and deep-breathing exercises

Answer 58

increase frequency of coughing and deep-breathing exercises

Question 59

which information is true about chronic grief? suicides is a high risk for patients with this type of grief response it may last for years or decades a patient with this type of grief response often exhibits maladaptive obsessions it is associated with self-destructive behaviors'

Answer 59

it may last for years or decades

Question 60

when teaching tool is beneficial for patients with reading comprehension problems and visual deficits? graphs physical objects audiovisual materials computer instructions

Answer 60

audiovisual materials

Question 61

Which chronic disease is associated with the costliest health care? cancer diabetes dementia heart disease and stroke

Answer 61

diabetes

Question 62

Which symptom is managed by the nurse offering ice chips to the dying patient? fatigue dehydration constipation altered nutrition

Answer 62

dehydration

Question 63

Which statement about Kohlberg's theory of moral development is accurate? stages 3 and 4 are found in the postconventional level the theory expands upon Freuds psychanalytic theory Kohlberg identified 6 stages of moral development under three levels this theory is especially useful for understanding children younger than 4 years of age

Answer 63

Kohlberg identified 6 stages of moral development under three levels

Question 64

which action is appropriate when nurse finds a patient scheduled for an appendicectomy is crying and infers this is because of anxiety? the nurse h=that the patient is frightened of surgery the nurse ignores it because such behavior is normal the nurse infers that the patient does not want to be admitted to a hospital the nurse validates the inference by asking the patient about the crying behavior

Answer 64

the nurse validates the inference by asking the patient about the crying behavior

Question 65

which option explains the primary purpose for the nurse performing evaluated measures? to verify specific nursing interventions were completed to validate the nurse's physical assessment to make sure the nurse made the correct nursing diagnoses to determine whether a patient met expected outcomes

Answer 65

to determine whether a patient met expected outcomes

Question 66

which definition relates to the family durability? the uniqueness of each family unit the ability of the family to cope with expected and unexpected stressors the interactions between family member that are affected by a family's makeup and function a system of support and structure within a family that extends beyond the walls of the household

Answer 66

a system of support and structure within a family that extends beyond the walls of the household

Question 67

To apply critical thinking how would the nurse respond when a patient asks the nurse why do i have a rash on my hand? it happened soon after I took penicillin for an infection? ask the patient about a hypothesis for the cause of the rash inquire why the patient is concerned use knowledge from previous experiences determine which health care provider prescribed the drug

Answer 67

use knowledge from previous experiences

Question 68

which type of problem is a high priority? one related to nonurgent needs of the patient one related to life-threatening needs of a patient one focused on the patients long term health care needs one focused only on the physiological diagnosis

Answer 68

one related to life-threatening needs of a patient

Question 69

The nurse stops to help in an emergency at the scene of an accident. the injured party files a suit and the insurance of the nurses employing institution does not cover the nurse. which would probably cover the nurse in this situation? the nurses automobile insurance the nurses homeowners insurance the good Samaritans laws, which grant immunity from suit if there is no gross negligence the patient care partnership, which may grant immunity form suit of the injured party consents

Answer 69

the good Samaritans laws, which grant immunity from suit if there is no gross negligence

Question 70

A patient is brought to the hospital after a motor vehicle accident. which law makes it mandatory for the health care agency to provide emergency care to patient before transferring them to other hospital? good Samaritans laws mental health parity act (MHPA) Americans with disabilities act (ADA) emergency medical treatment and active labor act (EMTALA)

Answer 70

emergency medical treatment and active labor act (EMTALA)

Question 71

Which critical thinking attitude motivates the nurse to communicate and know more about a patients? curiosity creativity perseverance self-confidence

Answer 71

curiosity

Question 72

Which purpose is served by predictive and presymptomatic genetic testing? help identify fetuses that have certain disease during a pregnancy identify a genetic condition that will make a patient ill in the future provide information regarding a person carrying a gen that can cause a disease find variation that increase a persons chance of developing a specific disease

Answer 72

find variation that increase a persons chance of developing a specific disease

Question 73

which educational program would the nurse recommend to a student who wants to enroll in the shortest available prelicensure nursing program? BS AS DR MS

Answer 73

AS

Question 74

which is the correct when providing care to a married couple form different cultural backgrounds? advise the couple about effective ways to earn money arrange a meeting with the local lawyer for divorce make a final decision on behalf of a the couple learn more about the culture of wife and the husbands and help them appropriate decisions

Answer 74

learn more about the culture of wife and the husbands and help them appropriate decisions

Question 75

which activity would be a component of the evaluation phase of the nursing program? (choose all that apply) determining goals writing expected outcomes assessing the patient for nursing needs measuring a patient clinical progress judging if the desired change has occurred

Answer 75

measuring a patient clinical progress judging if the desired change has occurred

Question 76

which determination does an evaluative measure make? if the nursing education meets the standards of care if the nurses follow the nursing process if the nurses record the number of patient falls if the nursing care was effective for meeting expected outcomes

Answer 76

if the nursing care was effective for meeting expected outcomes

Question 77

which component of a nursing theory can be either abstract or concrete and is used to communicate meaning? concepts definitions assumptions phenomenon

Answer 77

concepts

Question 78

Which theory of grief and mourning includes denial and acceptance? stages of dying attachment theory rondos "R" process model grief tasks model

Answer 78

stages of dying

Question 79

Which type of report is given at the end of a shift so that the next nurse can follow the appropriate treatment plan and care for the patient? discharge summary incident report hand-off report telephone report

Answer 79

hand-off report

Question 80

Which patient problem would be a high priority? risk of skin breakdown need for rehabilitation mild anxiety chest pain

Answer 80

chest pain

Question 81

Which level of communication is exhibited by the nurse performing a mental rehearsal on how to deal effectively in difficult situations with increased confidence? public small-group intrapersonal interpersonal

Answer 81

intrapersonal

Question 82

The nurse wraps and ties a cloth to prevent bleeding from the sit of injury for a patient who is a victim of a traffic accident. The patient is taken to the hospital and presents with signs of infection. which action will be taken against the nurse? the nurse will not be face any action the nurse will be given warning for gross negligence the nurse will face liable charges for not getting an informed consent the nurse will be sued for not obtaining prescription from the health care provider begore intervening

Answer 82

the nurse will not be face any action

Question 83

which action would the nurse take for a dying patient who is breathing loudly? administer narcotics elevate head of the bed apply lip balm to the patients lips position the patient on the right side

Answer 83

elevate head of the bed

Question 84

which question would be most relevant when the nurse is seeking more specific information about an area? are you feeling better now how has your pain affected your life at home how many times a day do you take pain medication are you worried that you will not be able to return to your usual way of life

Answer 84

how has your pain affected your life at home

Question 85

which lifestyle choice is an example of a risk factor? (choose all that apply) poor nutrition smoking cigarettes regular vigorous physical activity excessive alcohol consumption exposure to second hand smoke

Answer 85

poor nutrition smoking cigarettes excessive alcohol consumption exposure to second hand smoke

Question 86

which statement describes the process of evaluation? is ongoing and comprehensive occurs at particular intervals set by the nurse requires a quick check of a patient is performed once in the nursing process

Answer 86

is ongoing and comprehensive

Question 87

The nurse instructs the patient to hold the syringe like a dart. which instructional method did the nurse use? telling analogy demonstration simulation

Answer 87

analogy

Question 88

Which action would the nurse take when the patient needs to void right before the nurse begins to initiate an intravenous (IV) line? sedate the patient start the IV line immediately insert a foley catheter assist the patient to the bathroom

Answer 88

assist the patient to the bathroom

Question 89

When preparing a research project which level of evidence is highest for a scientific study? single nonexperimental cohort study controlled trial without randomization systematic review of a qualitative study meta-analysis of a randomized clinical trial

Answer 89

meta-analysis of a randomized clinical trial

Question 90

Which symptom is the nurse addressing when advising the caregiver of a patient who is terminally ill increase fiber in the patients diet? fatigue nausea diarrhea constipation

Answer 90

constipation

Question 91

according to Orem's theory which goal is appropriate for the patient? self-care adaptation synergy health transitions

Answer 91

self-care

Question 92

which action would the nurse take when the patient asks for a bedpan as the nurse is reassessing the patient? call the assistive personnel(AP) and ask the person to bring a bedpan for the patient assist the patient onto the bedpan quickly finished the reassessment reassure the patient that an AP will bring bedpan soon

Answer 92

assist the patient onto the bedpan

Question 93

Which action is an example of an independent nursing intervention?(choose all that apply) provide health education start intravenous (IV) fluids administer a hypertension agent assist with daily activities reposition a patient

Answer 93

provide health education assist with daily activities reposition a patient

Question 94

which statement made by the student nurse indicates a need for further teaching regarding delegation? providing appropriate monitoring is the principle of right direction none of the steps if the nursing process should be delegated delegation s the act of transferring responsibility but retaining the accountability of the task one of the rights of delegation right supervision provides appropriate monitoring and feedback

Answer 94

providing appropriate monitoring is the principle of right direction

Question 95

Which type of order describes a prewritten prescription in the intensive care unit (ICU) that states in case of a headache, acetaminophen is to given to the patient? protocol intervention standard prescription standing order

Answer 95

standing order

Question 96

A nurse describes arterial blood pressure as like water flowing though a hose which teaching technique does this exemplify? analogy role play demonstration simulation

Answer 96

analogy

Question 97

which method does the nurse use to teach insulin administration to a patient with newly diagnosed diabetes? simulation demonstration group instruction one- on-one discussion

Answer 97

demonstration

Question 98

which interpretation will the nurse make when a 65 year old patient scheduled for a cholecystectomy asks a number of questions is restless and has poor eye contact when speaking? the patient is anxious the patient has major depression the patient has visual impairment the patient has age-related cognitive impairment

Answer 98

the patient is anxious