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INTRO TO NURSING > EXAMS 1 > Flashcards

EXAMS 1 Flashcards

1
Q

Which of the following statements accurately describe an element of nursing? Select all that apply

A
  • The science of nursing is the knowledge base for the care that is given.
  • Nursing is considered to be both an art and a science.
  • Nursing is a profession that used specialized knowledge and skills.
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2
Q

Which of the following set of terms best describes nursing at the end of the Middle Ages?

A

purpose, direction, leadership

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3
Q

Which of the following is a characteristic of nursing practiced from early civilization to the 16th
century?

A

Most early civilizations believed that illness had supernatural causes.

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4
Q

In what time period did nursing care as we now know it begin?

A

18th to 19th century

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5
Q

Who is considered to be the founder of professional nursing?

A

Florence Nightingale

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6
Q

Which of the following nursing pioneers established the Red Cross in the United States in 1882?

A

Clara Barton

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7
Q

What was one barrier to the development of the nursing profession in the United States after the Civil
War?

A

lack of educational standards

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8
Q

Which of the following individuals provided community-based care and founded public health nursing?

A

Lillian Wald

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9
Q

Which of the following nursing groups provides a definition and scope of practice for nursing?

A

AAN

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10
Q

Teaching a woman about breast self-examination is an example of what broad aim of nursing?

A

preventing illness

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11
Q

What nursing activity would meet the broad nursing aim of facilitating coping with disability and
death? Select all that apply.

A
  • referring to a community diabetic support group

- admitting a patient to a hospice program

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12
Q

A nurse caring for a patient with diabetes chooses an appropriate 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

Cognitive

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13
Q

Which one of the following examples of nursing actions would be considered an ethical/legal skill?

A

A nurse helps a patient prepare a living will.

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14
Q

A nurse practitioner is caring for a couple who are the parents 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

Counselor

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15
Q

A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Which of the
following actions is the best example of using the collaborator role as a nurse?

A

Referring a teen who admits having suicidal thoughts to a mental healthcare specialist

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16
Q

A nurse instructor explains the concept of health to her students. Which of the following statements
accurately describes this state of being?

A

Health is a state of optimal functioning.

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17
Q

A nurse incorporates the health promotion guidelines established by the U.S. Department of Health
document: Healthy People 2010. Which of the following is a health indicator discussed in this
document?

A

obesity

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18
Q

A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. This is an
example of which of the following aims of nursing?

A

B) preventing illness

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19
Q

Which of the following is a criteria that defines nursing as profession?

A

a strong service orientation

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20
Q

Although all of the following are nursing responsibilities, which one would be expected of a nurse with
a baccalaureate degree?

A

using research findings to improve practice

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21
Q

Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. What nursing degree
will she need to attain this goal?

A

masters degree

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22
Q

Why are nursing organizations important for the continued development and improvement of nursing
as a whole?

A

to set standards for nursing education and practice

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23
Q

What is the primary purpose of standards of nursing practice?

A

to ensure knowledgeable, safe, comprehensive nursing care

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24
Q

After graduation from an accredited program in nursing and successfully passing the NCLEX, what
gives the nurse a legal right to practice?

A

being licensed by the State Board of Nursing

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25
Q

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

The license may be revoked or suspended.

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26
Q

Nurses use the nursing process to focus care on human responses to what?

A

actual or potential health problems

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27
Q

Which age group in the population is expanding most rapidly, resulting in changes in the delivery of
healthcare?

A

older adults

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28
Q

Which of the following is a current trend affecting nursing education and practice?

A

increase in chronic health conditions

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29
Q

Which of the following organizations has established standards for clinical nursing practice?

A

American Nurses Association

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30
Q

What phrase best describes the science of nursing?

A

body of nursing knowledge

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31
Q

The practice of changing patients bedclothes each day in acute care settings is an example of what type
of knowledge?

A

traditional

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32
Q

A student nurse learns how to give injections from the nurse manager. This is an example of the
acquisition of what type of knowledge?

A

authoritative

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33
Q

Which of the following sources of knowledge is based on objective data?

A

authoritative

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34
Q

A patient undergoing chemotherapy for a brain tumor believes that having a good attitude will help in
the healing process. This is an example of what type of knowledge?

A

philosophy

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35
Q

Which of the following examples represents the type of knowledge known as process? Select all that
apply.

A
  • A nurse dispenses medications to patients.
  • A nurse changes the linens on a patients bed.
  • A nurse monitors the vital signs of a postoperative patient.
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36
Q

Which of the following accurately describes Florence Nightingales influence on nursing knowledge?

A

She differentiated between health nursing and illness nursing.

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37
Q

During the first half of the 20th century, a change in the structure of society resulted in changed roles
for women and, in turn, for nursing. What was one of these changes?

A

Nursing research was conducted and published.

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38
Q

Who was the first nurse to develop a nursing theory?

A

Florence Nightingale

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39
Q

A nurse observes that certain patients have less pain after procedures than do others, and forms a theory
of why this happens. What is a theory?

A

a statement of an occurrence based on observed facts

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40
Q

A staff nurse asks a student, Why in the world are you studying nursing theory? How would the student
best respond?

A

It helps explain how nursing is different from medicine.

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41
Q

Why are the developmental theories important to nursing practice?

A

They outline the process of human growth and development.

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42
Q

Breaking the healthcare community into separate entities (such as the medical community, the nursing
staff, management, support staff) and analyzing how they work as a whole together is an example of
which nursing theory?

A

general systems theory

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43
Q

There are four concepts common in all nursing theories. Which one of the four concepts is the focus of
nursing?

A

person

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44
Q

Which of the following are characteristics of nursing theories? Select all that apply.

A
  • They provide rational reasons for nursing interventions.
  • They provide a knowledge base for appropriate nursing responses.
  • They provide a base for discussion of nursing issues.
  • they help resolve current nursing issues and establish trends.
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45
Q

What is the ultimate goal of expanding nursing knowledge through nursing research?

A

learn improved ways to promote and maintain health

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46
Q

What was significant about the promotion of the National Center for Nursing Research to the current
National Institute of Nursing Research (NINR)?

A

NINR gained equal status with all other National Institutes of Health.

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47
Q

Which of the following terms are part of quantitative research?

A

variable

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48
Q

A nurse uses the process of quantitative research to study the incidence and causes of hospital-acquired
pneumonia in her hospital. The statement of what the researcher expects to find in these studies is
called the:

A

hypothesis

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49
Q

information is collected for analysis in both quantitative and qualitative research. What is the
information called?

A

data

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50
Q

A patient in a clinical research study has given informed consent. This means that the patient has
certain rights. These rights include which of the following? Select all that apply.

A

confidentiality

refusal to participate

protection from harm

consent knowledgeably

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51
Q

Which of the following represents the basic framework of the research process?

A

Nursing Process

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52
Q

Which of the following is a responsibility of an institutional review board (IRB)?

A

determine risk status of all studies

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53
Q

Before developing a procedure, a nurse reviews all current research-based literature on insertion of a nasogastric tube. What type of nursing will be practiced based on this review?

A

evidence-based nursing

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54
Q

Which of the following are examples of characteristics of evidence-based practice? Select all that
apply.

A
  • It is a problem-solving approach.
  • It uses the best evidence available.
  • It blends the science and art of nursing.
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55
Q

One step in implementing evidence-based practice is to ask a question about a clinical area of interest
or an intervention. The most common method is the PICO format. Which of the following accurately
defines the letters in the PICO acronym?

A

P = population

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56
Q

A beginning student is reading a published research article. Where in the article would the student find
the abstract?

A

at the beginning

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57
Q

Which of the following terms best describes an individuals self-concept?

A

self-image

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58
Q

A young woman patient admits to a nurse that she cannot control her jealousy when she and her partner
are out together and states, Its like were back in high school again. This is an example of which of the
following identity disorders?

A

identity diffusion

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59
Q

Which of the following are specific components of self-concept? Select all that apply.

A
  • personal identity
  • body image
  • self-esteem
  • role performance
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60
Q

The wife of an elderly man has recently died. The couple was married for 32 years. What part of the
mans self-concept may be influenced by this loss?

A

global self

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61
Q

A teenager describes herself as tall, attractive, female, student, intelligent. What part of her self-concept
is she describing?

A

self-knowledge

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62
Q

What is the name given to the evaluative and affective component of the self-concept?

A

self-esteem

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63
Q

Which of the following are components of Maslows self-esteem needs? Select all that apply.

A
  • strength
  • independence
  • mastery and competence
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64
Q

A nurse working with patients in a healthcare facility influences them to make healthy lifestyle choices.
According to Coopersmith, which of the following bases of self-esteem for the nurse does this example
represent?

A

power

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65
Q

A child learns to feel secure within the bonds of his immediate family by interacting with his
caretakers. What is the term for this process?

A

attachment

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66
Q

An infant learns that the physical self is different from the environment. What term is used to describe
this stage of self-concept?

A

self-awareness

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67
Q

Who or what plays the most influential role in the internalization of self-concept in children?

A

parents

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68
Q

An adolescent rapidly develops secondary sex characteristics and body changes. What should the nurse
assess to determine how these changes might affect the adolescents self-concept?

A

understanding of changes

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69
Q

In which of the following age groups do interpersonal losses play a role in disturbances in self-concept?

A

older adult

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70
Q

The children of immigrants may have different values and practices than do their parents, causing them
to abandon their parents cultural beliefs. What is this called?

A

cultural dissonance

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71
Q

Which of the following statements is an example of the effect of aging, illness, or trauma on selfconcept?

A

society devalues aging and chronic illness

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72
Q

During an assessment of a patients self-esteem, a 45-year-old man tells the nurse that he lost his job due
to downsizing and has been unemployed for 6 months. What would be the appropriate response from
the nurse?

A

How has losing your job affected your life and the lives of your significant others?

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73
Q

According to Aguilera, which of the following are factors that influence a persons response to crisis?
Select all that apply.

A
  • the persons perception of the event or situation
  • the persons situational supports (external resources)
  • the coping mechanisms the person possesses (internal resources.)
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74
Q

What might a nurse ask during a health history to assess personal identity?

A

How would you describe yourself to others?

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75
Q

During a self-esteem assessment of a young woman undergoing a complicated divorce, a nurse states:
Tell me something about the moralethical principles that govern your life. What aspect of self-esteem is
the nurse assessing?

A

virtue

76
Q

A young woman has been in an automobile crash and sustained a laceration across the left side of her
face, resulting in a large scar. What nursing diagnosis would be appropriate for this disfigurement?

A

Disturbed Body Image

77
Q

Which of the following nursing diagnoses reflects disturbance in self-concept as the etiology?

A

Impaired Adjustment

78
Q

which of the following strategies can be used to help patients overcome powerlessness?

A

Encourage patients to identify their strengths.

79
Q

A nurse always addresses patients by the preferred name when entering a patients home or room. What
is the nurse facilitating by this action?

A

a sense of self and worth

80
Q

A nurse caring for critically ill patients uses interventions to help patients maintain a sense of self.
Which of the following are recommended interventions?

A

Converse with the patient about his or her life experience.

81
Q

A nurse who works on the pediatric unit wants to help a child cope with the loss of a leg in a hunting
accident. What would the nurse implement to help the child express feelings?

A

dolls or animals

82
Q

A school nurse is teaching parents how to build self-esteem in their children. Which of the following is
a recommended strategy?

A

give your child many opportunities to display abilities

83
Q

What phrase best describes health?

A

individually defined by each person

84
Q

Which of the following most accurately defines illness?

A

the response of a person to a disease

85
Q

A patient makes a decision to quit smoking and joins a smoking cessation class. This is an example of
which of Dunns processes that help a person know who and what he or she is?

A

befitting

86
Q

Which of the following statements accurately describes the concepts of disease and illness?

A

The focus of nurses is the person with an illness.

87
Q

A rapid onset of symptoms that last a relatively short time indicates what health problem?

A

an acute illness

88
Q

A nurse caring for patients with diabetes knows that the following is a characteristic of a chronic
illness:

A

It requires special patient education for rehabilitation.

89
Q

What manifestation is the most significant symptom indicating an illness?

A

pain

90
Q

A nurse calls in to his unit to report he has the flu and will not be at work. What stage of illness
behavior is he exhibiting?

A

assuming the sick role

91
Q

A patient accepts the fact that he needs bypass surgery for a blocked artery and is admitted into the
hospital. Which one of the following stages of illness is this patient experiencing?

A

Stage 3

92
Q

Which of the following is an example of a characteristic of the Stage 2 of illness?

A

A person tells his family that he is sick and allows them to take care of him.

93
Q

A 4-year-old child has leukemia but is now in remission. What does it mean to be in remission when
one has a chronic illness?

A

The disease is present, but symptoms are not experienced.

94
Q

What may happen to the family when an illness occurs in one of the family members?

A

changes in roles for the patient and family

95
Q

A baby is born with Down syndrome, which influences his healthillness status. This is an example of
which of the following human dimensions?

A

Physical

96
Q

Which of the following is an example of the sociocultural dimension influencing a persons healthillness
status?

A

A single mother of two applies for food stamps in order to feed her family.

97
Q

A nurse is caring for a 17-year-old female patient whose left leg was amputated after being crushed in a
motor vehicle accident. Which of the following interventions might the nurse perform to accommodate
the patients intellectual dimension?

A

teaching her how to care for the stump and explaining the rehabilitation program

98
Q

Which of the following statements accurately describe how risk factors may increase a persons chances
for illness or injury? Select all that apply.

A
  • An increase in risk factors increases the possibility of illness.
  • A family history of breast cancer is not a modifiable risk factor.
  • School-aged children are at high risk for communicable diseases.
  • Multiple sexual relationships increase the risk for sexually transmitted diseases.
99
Q

Which of the following nursing interventions are examples of health promotion and preventive care on
the primary level? Select all that apply.

A
  • A nurse counsels a teenager to stop smoking.

- A nurse devises a low-calorie diet for an obese teenager.

100
Q

Which of the following topics is important when teaching teens and young adults?

A

safer sex practices

101
Q

Which of the following statements illustrates the effect of the sociocultural dimension on health and
illness?

A

Why shouldnt I drink and drive? Everyone else does.

102
Q

A middle-aged woman is 40 pounds over her ideal weight. Which of the following statements best
illustrates the effect of her self-concept on health and illness?

A

Why should I lose weight? Ill still be fat.

103
Q

A camp nurse is teaching a group of adolescent girls about the importance of monthly breast selfexamination.
What level of preventive care does this activity represent?

A

primary

104
Q

On which of the following components is Rosenstocks health belief model based? Select all that apply.

A
  • perceived susceptibility to a disease
  • perceived seriousness of a disease
  • perceived benefits of action
105
Q

A nurse refers a 67-year-old male patient to group counseling for alcohol cessation. According to
Rosenstocks health belief model, the patients knowledge of the diseases that may occur with
alcoholism is a:

A

structural variable

106
Q

Which of the following models of health promotion and illness prevention was developed to illustrate how people interact with their environment as they pursue health?

A

the health promotion model

107
Q

Which of the following factors constitute the environment component of the agenthostenvironment
model of health and illness (Leavell and Clark, 1965)? Select all that apply.

A
  • cultural factors

- biologic factors

108
Q

Nurses use new resources for healthcare practices to promote health and serve as an advocate for
patients and families in all settings. Which one of the following resources has been most instrumental in
improving access to care for people living in rural or underserved areas of the nation?

A

telehealth practice

109
Q

Which of the following statements explain why models of health promotion and illness prevention are
useful when planning healthcare? Select all that apply.

A
  • They help healthcare providers understand health-related behaviors.
  • They are useful for adapting care to people from diverse backgrounds.
  • They help overcome barriers related to increased number of people without healthcare.
  • They overcome barriers to care for low-income and rural populations.
110
Q

What is the nurses primary role in promoting health?

A

being a role model for health promotion

111
Q

How is culture learned by each new generation?

A

formal and informal experiences

112
Q

A nurse caring for patients in a culturally diverse neighborhood knows that culture affects the nurses
interactions with patients. Which of the following is a characteristic of culture? Select all that apply.

A
  • Culture guides what is acceptable behavior for people in a specific group.
  • Cultural practices and beliefs mainly remain constant as long as they satisfy a groups needs.
  • Culture influences the way people of a group view themselves, have expectations, and behave
  • Because of individual influences, there are differences both within and among cultures.
113
Q

Which of the following statements is true of cultural assimilation?

A

Mutual cultural assimilation occurs when characteristics from two groups are traded.

114
Q

Mr. Perez is a Mexican immigrant who migrated to the United States and lives in a Spanish-speaking
community with other relatives. He is taken to the ER following a fall at work and is admitted to the
hospital for observation. Which of the following is the nurse caring for Mr. Perez aware that he is at
risk for?

A

cultural shock

115
Q

What characteristic is used to describe racial categories?

A

skin color

116
Q

A 20-year-old housekeeper, born and educated in Iraq, wears her traditional clothing and head
covering. A 50-year-old patient tells the nurse, They are in America and should dress like we do. What
is this statement an example of?

A

cultural imposition

117
Q

A nurse walks by a patients room and observes a Shaman performing a healing ritual for the patient.
The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other
patients on the floor. This nurse is displaying the feelings associated with:

A

culture conflict

118
Q

Which of the following statements accurately describe cultural factors that may influence healthcare?
Select all that apply.

A
  • Certain racial and ethnic groups are more prone to developing specific diseases and conditions.
- Most mental health norms are based on research and observations made of white, middle-class
people.
  • In many cultures, the man is the dominant figure and generally makes decisions for all family
    members.
  • When people move to the United States, they may speak their own language fluently but have
    difficulty speaking English.
119
Q

A nurse is doing preoperative teaching for an African American man before he has abdominal surgery.
What topic should be included in the teaching?

A

the possibility of developing a keloid over the healed incision

120
Q

A nurse is caring for a patient from Taiwan who constantly requests pain medication. What should the
nurse consider when assessing the patients pain?

A

Pain is what the patient says it is.

121
Q

A father, mother, grandmother, and three school-aged children have immigrated to the United States
from Thailand. Which member(s) of the family are likely to learn to speak English more rapidly?

A

children

122
Q

A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notes that he looks
down at the floor when he answers questions. What should the nurse understand about this behavior?

A

This is culturally appropriate behavior.

123
Q

An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, Im just not
hungry. What factors should the staff assess for this problem?

A

The food served may not be culturally appropriate.

124
Q

Although all of the following are factors to consider when caring for patients with limited income,
which one is the most important?

A

basic human needs may go unmet

125
Q

The nurse is providing home care for a patient who traditionally drinks herbal tea to treat an illness.
How should the nurse respond to a request for the herbal tea?

A

Let me check with the doctor to make sure it is okay with your medicines.

126
Q

A nurse in a large metropolitan city enjoys working in a health clinic that primarily serves Hispanic
patients. What does this statement imply about the nurse?

A

The nurse respects and values providing culturally competent care.

127
Q

A nurse is providing care for a Cambodian patient. The nurse says, You have to get up and walk
whether you want to or not. What is this statement an example of?

A

cultural imposition

128
Q

which of the following are considered cultural norms of the healthcare system? Select all that apply.

A
  • frequent use of jargon and documentation
  • professional deference to pecking order
  • use of a problem-solving methodology
  • use of certain procedures for birth and death
129
Q

A nurse is caring for an African American in an acute care setting. Which one of the following might
be a special nursing consideration for this patient?

A

The patient might request a visit from a folk healer.

130
Q

In which of the following populations should the nurse carefully assess the patients use of over-thecounter
medications?

A

White middle class

131
Q

A nurse is caring for an Appalachian patient following her hysterectomy. Which of the following
Appalachian values and beliefs should be considered when planning nursing care for this patient?
Select all that apply.

A
  • Isolation is considered as a way of life.
  • Dependence and self-determination are valued.
  • They may be fatalistic about losses and deaths.
132
Q

What is one way in which nurses can develop cultural self-awareness?

A

Objectively examine own beliefs, values, and practices.

133
Q

A home health nurse is visiting a 60-year-old patient. During the initial visit, the patients husband
answers all of the questions. What would the nurse assess based on this behavior?

A

The husband is the dominant member of the family.

134
Q

Which of the following phrases best describes a value?

A

a belief about the worth of something to guide behavior

135
Q

Mrs. Jones always thanks clerks at the grocery store. Her 6-year-old daughter echoes her thank you.
The child is demonstrating what mode of value transmission?

A

modeling

136
Q

What is one negative aspect for children of learning values through the moralizing mode of
transmission?

A

not much opportunity to weigh values

137
Q

Which of the following modes of value transmission is most likely to lead to confusion and conflict?

A

laissez-faire

138
Q

A nurse in a womens health clinic values abstinence as the best method of birth control. However, she
offers compassionate care to unmarried pregnant adolescents. What is the nurse demonstrating?

A

nonjudgmental value neutral care

139
Q

Which of the following are examples of a nurse demonstrating the professional value of altruism?
Select all that apply.

A
  • The nurse arranges for an interpreter for a patient whose primary language is Spanish.
  • The nurse calls the physician of a patient whose pain medication is not strong enough.
140
Q

Values theorists describe the process of valuing as focusing on three main activities. What is the first
activity in the valuing process?

A

choosing

141
Q

Which of the following illustrates the activity of acting in values clarification?

A

respecting the human dignity of all patients

142
Q

While at lunch, a nurse heard other nurses at a nearby table talking about a patient they did not like.
When they asked him what he thought, he politely refused to join in the conversation. What value was
the nurse demonstrating?

A

basic respect for human dignity

143
Q

A middle-aged man is having increasing difficulty breathing. He never exercises, eats fast food
regularly, and smokes two packs of cigarettes a day. He tells the nurse practitioner that he wants to
change the way he lives. What is one means of helping him change behaviors?

A

values transmission

144
Q

Which of the following words is most closely associated with the term ethics?

A

conduct

145
Q

Which of the following statements accurately describe a characteristic of ethics? Select all that apply.

A
  • The ability to be ethical begins in young adulthood.
  • Ethics usually refers to personal or communal standards of right and wrong.
  • It is important to distinguish ethics from religion, law, custom, and institutional practices.
  • Values are intimately related to, and direct, ethical conduct.
  • Ethics is a systematic inquiry into principles of right and wrong conduct.
146
Q

Which branch of bioethics is most concerned with ethical problems that arise within the context of
caring for patients wherever they are found?

A

clinical ethics

147
Q

Which of the following best describes the utilitarian theory of ethics?

A

The consequences of an action determine if it is right or wrong.

148
Q

Which component of nursing care is central to the care-based approach to bioethics?

A

nursepatient relationship

149
Q

A nurse using the principle-based approach to patient care seeks to avoid causing harm to patients in all
situations. This principle is known as:

A

nonmaleficence

150
Q

A nurse provides patient care within a philosophy of ethical decision making and professional
expectations. What is the nurse using as a framework for practice?

A

Code of Ethics

151
Q

Which of the following are ANA standards of clinical nursing practice? Select all that apply.

A
  • The nurse maintains patient confidentiality within legal and regulatory parameters.
  • The nurse delivers care in a nonjudgmental manner that is sensitive to patient diversity
  • The nurse seeks available resources to help formulate ethical decisions and use them in practice.
152
Q

What document was developed to improve workplaces and ensure nurses ability to provide safe, quality
patient care?

A

Bill of Rights for Registered Nurses

153
Q

A patient nearing the end of life requests that he be given no food or fluids. The physician orders the
insertion of a nasogastric tube to feed the patient. What situation does this create for the nurse
providing care?

A

an ethical dilemma about inconsistent courses of action

154
Q

A nurse who forgets to give a patient her medication throws away the medicine and documents that it
was dispensed on the patient chart. The nurse then becomes uneasy about her action and vows never to
falsify a record again. This is an example of which of the following?

A

ethical residue

155
Q

Two children need a kidney transplant. One is the child of a famous sports figure, whereas the other
child comes from a low-income family. What ethically relevant consideration is important to the nurse
as an advocate for these patients?

A

cost-effectiveness and allocation

156
Q

Which of the following is an example of paternalistic behavior?

A

intercepting a visitors gift of candy to a patient with diabetes

157
Q

A student nurse is working in the library on her plan of care for a clinical assignment. The patients
name is written at the top of her plan. What ethical responsibility is the student violating?

A

confidentiality

158
Q

A nurse is concerned about the practice of routinely ordering a battery of laboratory tests for patients
who are admitted to the hospital from a long-term care facility. An appropriate source in handling this
ethical dilemma would be which of the following?

A

the institutional ethics committee

159
Q

A patient tells the nurse that he does not want to have a painful procedure. By respecting and
supporting the patients right to make decisions, what is the nurse demonstrating?

A

advocacy

160
Q

A patient, unsure of the need for surgery, asks the nurse, What should I do? What answer by the nurse
is based on advocacy?

A

Tell me more about what makes you think you dont want surgery.

161
Q

A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of
activity?

A

criminal

162
Q

A lawyer quotes a precedent for punishment of a crime committed by the defendant in a trial. What is
court-made law is known as?

A

common law

163
Q

A patient is suing a nurse for malpractice. What is the term for the person bringing suit?

A

plaintiff

164
Q

nurse is providing patient care in a hospital setting. Who has full legal responsibility and
accountability for the nurses actions?

A

the nurse

165
Q

What type of law regulates the practice of nursing?

A

civil law

166
Q

What is the legal source of rules of conduct for nurses?

A

Nurse Practice Acts

167
Q

A nurse moves from Ohio to Missouri. Where can a copy of the Nurse Practice Act in Missouri be
obtained?

A

Missouri State Board of Nursing

168
Q

Which of the following best describes voluntary standards?

A

Voluntary standards are guidelines for peer review, guided by the publics expectation of nursing.

169
Q

Which of the following statements accurately describe an aspect of the credentialing process used in
nursing practice? Select all that apply.

A
  • Credentialing refers to the way in which professional competence is ensured and maintained.
  • Certification grants recognition in a specified practice area to people who meet certain criteria.
  • Once earned, a license to practice is a property right and may not be revoked without due process.
170
Q

Which of the following accreditations is a legal requirement for a school of nursing to exist?

A

State Board of Nursing accreditation

171
Q

In comparison with licensure, which measures entry-level competence, what does certification
validate?

A

specialty knowledge and clinical judgment

172
Q

Which of the following is the most frequent reason for revocation or suspension of a nurses license?

A

alcohol or drug abuse

173
Q

A nurse does not assist with ambulation for a postoperative patient on the first day after surgery. The
patient falls and fractures a hip. What charge might be brought against the nurse?

A

negligence

174
Q

A patient refuses to have a pain medication administered by injection. A nurse says, If you dont let me
give you the shot, I will get help to hold you down and give it. With what crime might the nurse be
charged?

A

assault

175
Q

Two nurses are discussing a patients condition in an elevator full of visitors. With what crime might the
nurses be charged?

A

invasion of privacy

176
Q

A lawsuit has been brought against a nurse for malpractice. The patient fell and suffered a skull
fracture, resulting in a longer hospital stay and need for rehabilitation. What does the description of the
patient represent as proof of malpractice?

A

damages

177
Q

Which of the following nursing actions would be considered a violation of HIPPA regulations? Select
all that apply.

A
  • A nurse ambulates a patient through a hospital hallway in a hospital gown that is open in the back.
  • A nurse uses a patients chart as a sample teaching case without changing the patients name.
  • A nurse reports the condition of a patient to the patients employer.
178
Q

According to HIPPA regulations, which of the following is a patient right regarding the patients
medical record? Select all that apply.

A
  • to see the health record
  • to copy the health record
  • to restrict certain disclosures of the health record
179
Q

A nurse has been named as a defendant in a lawsuit. With whom should the nurse discuss the case?

A

attorney

180
Q

A nurse is accused of malpractice by a patient. Place all of the steps in the malpractice litigation listed
below in the order in which they normally occur. Use all options.

A

All parties named as defendants work toward a fair settlement.

181
Q

A competent adult patient is scheduled for surgery. Who signs the informed consent form to allow the
surgery?

A

the patient

182
Q

A nurse explains the informed consent form to a patient who is scheduled for heart bypass surgery.
Which of the following are elements of this consent form? Select all that apply.

A
  • Disclosure
  • Comprehension
  • Competence
  • Voluntariness
183
Q

Which of the following is the nurses best legal safeguard?

A

competent practice

184
Q

A nurse has taken a telephone order from a physician for an emergency medication. The dose of the
medication is abnormally high. What should the nurse do next?

A

question the order for the medication

185
Q

A patient gets out of bed following hip surgery and falls and re-injures her hip. The nurse caring for her
knows that it is her duty to make sure an incident report is filed. Which of the following statements
accurately describes the correct procedure for filing an incident report?

A

The report should contain all the variables related to the incident.

186
Q

Which of the following organizations has established standards for clinical nursing practice?

A

American Nurses Association

INTRO TO NURSING (2 decks)

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