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Final_Exam_Nursing_101 Practice Questions

Chapter 1, Introduction to Nursing

1.An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master’s degree is considered to be an expert in her area of practice and works on an oncology unit in a large teaching hospital. Based upon this description, which of the following career roles best describes this nurse’s role, taking into account her qualifications and experience?

A) Clinical nurse specialist

B) Nurse entrepreneur

C) Nurse practitionerD) Nurse educator

2.What guidelines do nurses follow to identify the patient’s health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes?

A) Nursing process

B) ANA Standards of Professional Performance

C) Evidence-based practice guidelines

D) Nurse Practice Acts

3.Which of the following organizations is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?

A) American Nurses Association (ANA)

B) American Association of Colleges in Nursing (AACN)

C) National League for Nursing (NLN)

D) International Council of Nurses (ICN)

4. Who is considered to be the founder of professional nursing?

A) Dorothea Dix

B) Lillian Wald

C) Florence Nightingale

D) Clara Barton

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

A) Florence Nightingale

B) Clara Barton

C) Dorothea Dix

D) Jane Addams

6.A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role?

A) Teacher/Educator

B) Leader

C) Counselor

D) Collaborator

7.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 counselor role as a nurse?

A) Discussing the legal aspects of adoption for teens wishing to place their infants with a family

B) Searching the Internet for information on child care for the teens who wish to return to school

C) Conducting a client interview and documenting the information on the client’s chart

D) Referring a teen who admits having suicidal thoughts to a mental health care specialist

8.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.

B) Health is an absence of illness.

C) Health is always an objective state.

D) Health is not determined by the patient.

9.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) Cancer

B) Obesity

C) Diabetes

D) Hypertension

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

A) an undefined body of knowledge

B) a dependence on the medical profession

C) an ability to diagnose medical problems

D) a strong service orientation

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

A) Enrolling in an advanced degree program

B) Filing NCLEX results in the county of residence

C) Being licensed by the State Board of Nursing

D) Having a signed letter confirming graduation

12.A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported the action to the State Board of Nursing. How might this affect the nurse’s license to practice nursing?

A) It will have no effect on the ability to practice nursing.

B) The nurse can practice nursing at a less-skilled level.

C) The nurse’s license may be revoked or suspended.

D) The nurse’s license will permanently carry a felony conviction.

13.While providing care to the diabetic patient the nurse determines that the patient has a knowledge deficit regarding insulin administration. This nursing action is described in which phase of the nursing process?

A) evaluation

B) implementation

C) planning

D) nursing diagnosis

14.A nurse is caring for a client who is a chronic alcoholic. The nurse educates the client about the harmful effects of alcohol and educates the family on how to cope with the client and his alcohol addiction. Which of the following skills is the nurse using? A) Caring

B) Comforting

C) Counseling

D) Assessment

15.A nurse is caring for a client with quadriplegia who is fully conscious and able to communicate. What skills of the nurse would be the most important for this client?

A) Comforting

B) Assessment

C) CounselingD) Caring

16.A nurse is assigned the care of a client who has been admitted to the health care facility with high fever. Which nursing skill should be put into practice at the first contact with the client?

A) Assessment

B) Caring

C) Comforting

D) Counseling

17.A nurse is caring for a client with a hernia. Which of the following statements should the nurse use while counseling the client about his condition?

A) “Open hernioplasty is the best surgery for you.”

B) “Open and laparoscopic hernioplasty are available.”

C) “You are not a suitable candidate for hernioplasty.”

D) “I had a bad experience when I underwent hernioplasty.”

18.A registered nurse assigns the task of tracheostomy suctioning of a client to the LPN. The LPN informs the nurse that she has never done the procedure practically on a client. What should be the most appropriate response from the registered nurse?

A) “You are through with your theory class, so you should know.”

B) “Take the help of the nurse who knows to perform the procedure.”

C) “Take the help of the procedure manual and act accordingly.”

D) “I will help you in performing the procedure on the client.”

19.A nurse at a health care facility provides information, assistance, and encouragement to clients during the various phases of nursing care. In which of the following activities does the nurse use counseling skills?

A) Educating a group of young girls about AIDS

B) Telling a client to localize the pain in his abdomen

C) Encouraging a client to walk without support

D) Assisting a lactating mother in feeding her child

20.A student wants to join a nursing program that provides flexibility in working at both staff and managerial positions. Which nursing program should the nurse suggest for this student?

A) Hospital-based diplomas

B) Baccalaureate nursing programs

C) Associate degree programs

D) Continuing nursing programs

21.Training schools for nurses were established in the United States after the Civil War. The standards of U.S. schools deviated from those of the Nightingale paradigm. Which of the following statements is true about U.S. training schools? A) Training schools were affiliated with a few select hospitals.

B) Training of nurses provided no financial advantages to the hospital.

C) Training was formal, based on nursing care.

D) Training schools eliminated the need to pay employees.

22.A student has completed a nursing program accredited by the Commission on Collegiate Nursing Education. Which of the following is true about the organization?

A) It fosters continued improvement in nursing education programs.

B) Accreditation is by governmental peer review process.

C) It ensures the quality and integrity of diploma nursing programs.

D) It uses state-recognized standards to evaluate the programs.

23.A registered nurse adheres to the American Nurses Association’s standard of professional performance by engaging in which of the following?

A) Assessment

B) Diagnosis

C) Evaluation

D) Collaboration

24.During the clinical rotation, a nurse documents the vital signs of a client on the bedside chart. What role is the nurse playing in such a situation?

A) Decision maker

B) Communicator

C) Coordinator

D) Client advocate

25. A licensed practice nurse (LPN) is working as a staff nurse. What role do the LPNs working as staff nurses play?

A) Work only in long-term care facilities and at client’s homes

B) Provide direct nursing care to the clients in the health care facility

C) Work only as care providers, team members, and communicators

D) Supervise the work of charge nurses working in different units

26. The Nurse Corps of the United States Army was established by whom?

A) Dorothea Dix

B) Lillian Wald

C) Florence Nightingale

D) Isabel Hampton Robb

27.The director of nursing (DON) of a major hospital is seeking to hire a nurse with a strong technical background to care for patients on a busy surgical unit. The DON is most likely going to hire a nurse prepared at which level of nursing? A) Doctoral level

B) Master’s level

C) Baccalaureate levelD) Associate level

28.A student is choosing her educational path and desires a nursing degree with a track that contains community nursing and leadership, as well as liberal arts. The student would best be suited in which type of program?

A) Licensed practical nursing program

B) Certification in a nursing specialty

C) Diploma nursing program

D) Baccalaureate program

29.A nurse is caring for a young victim of a terrorist attack. During the rehabilitative process, the nurse assists the client in bathing and dressing. What role the nurse is engaged in?

A) Advocate

B) Caregiver

C) CounselorD) Educator

30.A nurse receives an x-ray report on a newly admitted patient suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in?

A) Communicator

B) Advocate

C) Caregiver

D) Researcher

31. The client’s plan of care is created by the nurse using which guideline for nursing practice?

A) Nursing process

B) Nursing’s Social Policy Statement

C) Nurse practice act

D) ANA Standards of Nursing Practice

32.The nurse is administering immunizations to a group of teens in a county health clinic. The nurse correctly identifies this action as: A) Illness prevention

B) Restorative care

C) Treatment of disease

D) Supportive nursing care

33.Which nursing role is the nurse exhibiting when collecting data about the number of urinary tract infections on the nursing unit?

A) Advocate

B) Leader

C) Counselor

D) Researcher

34.A client reports to the emergency department with ankle pain from a minor road accident. The nurse asks the client to fully describe the circumstances of the accident. Which ANA standard of nursing practice is best demonstrated by the nurse’s action?

A) Assessment

B) Diagnosis

C) Ethics

D) Caring

35.Organize these events in chronological order, beginning with the earliest (1) and ending with the most recent (5).

1) During the Crusades, religious orders provided nursing care to the sick.

2) Florence Nightingale administered care to British soldiers during the Crimean War.

3) Clara Barton organized the American Red Cross.

4) Mary Elizabeth Mahoney graduated from the New England Hospital for Women and Children in 1879 as America’sfirst African American nurse.

5) Margaret Sanger advocated for contraception and family planning in the United States.

A) 1, 2, 3, 4, 5

B) 1, 2, 4, 3, 5

C) 1, 2, 4, 5, 3

D) 1, 2, 3, 5, 4E) 2, 1, 4, 3, 5

Chapter 2, Theory, Research, and EvidenceBased Practice

1.After reviewing several research articles, the clinical nurse specialist on a medical surgical unit rewrites the procedure on assessing placement of a nasogastric tube. What source of nursing knowledge did the nurse use in this situation? A) Scientific knowledge

B) Traditional knowledge

C) Authoritative knowledge

D) Philosophical knowledge

2.Which of the following theories emphasizes the relationships between the whole and the parts, and describes how parts function and behave? A) General systems theory

B) Nursing theory

C) Adaptation theory

D) Developmental theory

3.A nurse researcher is studying perceptions of vocational rehabilitation for clients after a spinal cord injury. What type of research method will be used to study the perceptions of this group of individuals?

A) Qualitative research

B) Quantitative research

C) Basic research

D) Applied research

4.A staff development nurse is asking a group of new staff nurses to read and be prepared to discuss a qualitative study that focuses on nursing events of the past. This is done in an attempt to increase understanding of the nursing profession today. What method of qualitative research is used in this article?

A) Historical

B) Phenomenology

C) Grounded theoryD) Ethnography

5.In understanding the historical influences on nursing knowledge, nursing as a profession struggled for years to establish its own identify and to receive recognition for its contributions to health care. Why?

A) The conceptual and theoretical basis for nursing practice came from outside the profession.

B) Nurses were too busy working in practice to increase the public awareness associated with the role of the nurse.

C) Nurses spent most of their time in laboratory settings conducting research.

D) Women were independent and refused to work collectively.

6.An obstetrical nurse wishes to identify whether clients’ perceptions of a high level of support from their partner is associated with a decreased length of the second stage of labor. Which type of quantitative research is most appropriate for this research question? A) Correlational research

B) Descriptive research

C) Quasi-experimental research

D) Experimental research

7.Nurse researchers have predicted that a newly created mentorship program will result in decreased absenteeism, increased retention, and decreased attrition among a hospital’s nursing staff. Which of the following does this predicted relationship represent? A) Hypothesis

B) Dependent variable

C) Abstract

D) Methodology

8. The practice of changing patients’ bedclothes each day in acute care settings is an example of what type of knowledge? A) Authoritative

B) Traditional

C) ScientificD) Applied

9.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

B) Traditional

C) ScientificD) Applied

10.A client 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) Science

B) Philosophy

C) ProcessD) Virtue

11. Which of the following accurately describes Florence Nightingale’s influence on nursing knowledge? A) She defined nursing practice as the continuation of medical practice.

B) She differentiated between health nursing and illness nursing.

C) She established training for nurses under the direction of the medical profession.

D) She established a theoretical base for nursing that originated outside the profession.

12.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) More women retired from the workforce to raise families.

B) Women became more dependent and sought higher education.C) The focus of nursing changed to “hands-on training.”

D) Nursing research was conducted and published.

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

A) “Our school requires we take it before we can graduate.”

B) “We do it so we know more than your generation did.”

C) “I think it explains how we should collaborate with others.”

D) “It helps explain how nursing is different from medicine.”

14. Why are the developmental theories important to nursing practice? A) They describe how parts work together as a system.

B) They outline the process of human growth and development.

C) They define human adaptation to others and to the environment.

D) They explain the importance of legal and ethical care.

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

B) Environment

C) Health

D) Nursing

16. What is the ultimate goal of expanding nursing knowledge through nursing research? A) Learn improved ways to promote and maintain health.

B) Develop technology to provide hands-on nursing care.

C) Apply knowledge to become independent practitioners.

D) Become full-fledged partners with other care providers.

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

A) Increased numbers of articles are published in research journals.

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

C) NINR became the major research body of the International Council of Nurses.

D) It decreased emphasis on clinical research as an important area for nursing.

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

A) Secure informed consent for researchers

B) Review written accuracy of research proposals

C) Determine risk status of all studies

D) Secure funding for institutional research

19.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) Institutional practice

B) Authoritative nursing

C) Evidence-based nursingD) Factual-based nursing

20.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

B) I = institution

C) C = compromiseD) O = output

21.The nurse understands that general systems theory has important implications in nursing. Which of the following is an assumption of the general systems theory? A) Human systems are open and dynamic.

B) All humans are born with instinctive needs.

C) Human needs are motivational forces.

D) People grow and change throughout their lives.

22.A nursing student is conducting a literature review via the Internet to identify a problem area that may be applicable in scope for nursing. When conducting the search, which of the following would be most important for the student to keep in mind?

A) The Internet should be the last resort for scientific literature review.

B) Very few nursing sites are available through the Internet.

C) Most websites that provide nursing information are reliable.

D) MedLine is a reputable online database of nursing information.

23.A group of students is reviewing information about evidence-based practice in preparation for an exam. The students demonstrate understanding of the information when they identify which of the following as associated with evidencebased practice?

A) It emphasizes personal experience over science.

B) Clinical expertise is integrated with external evidence.

C) It involves gaining solutions to problems.

D) The purpose is to learn about a specific problem.

24.A nurse researcher decides to conduct a qualitative research study. With which of the following would the researcher be involved?

A) Collection of numerical data

B) Determination of cause and effect

C) Controlling personal biases

D) Real world data collection

25. In what way can a nurse differentiate strong research from poor research?

A) By conducting the research

B) Through author dialogue

C) By critiquing the study

D) Through the nurse’s own informal investigation

26. Nursing research is linked most closely to what?

A) Propositions

B) Outcome measures

C) Treatments

D) Nursing process

27. Which of the following research studies would be of most interest to a nurse manager?

A) Sister Callista Roy’s theory on adaptation

B) Patricia Benner’s From Novice to Expert

C) Kleinpell and Ferrans’ older intensive-care clients

D) Madeleine Leininger’s transcultural nursing theory

28. How are the first stages of the nursing process and nursing research linked? A) They will answer a posed question.

B) Each begins with goal development.

C) The nurse assesses problems initially.

D) There is a period of evaluation.

29.A nursing instructor would like to study the effect peer tutoring has on student success. What is the independent variable? A) Nursing student

B) Nursing education

C) Peer tutoring

D) Student success

30.A nursing student has been asked to correlate her clinical experiences with two different theories of nursing. The student will recognize that which of the following concepts are common to all theories of nursing? Select all that apply. A) The client

B) The environment

C) Illness

D) Needs

E) Nursing

31. Which of the following are examples of characteristics of evidence-based practice? Select all that apply. A) It is a problem-solving approach.

B) It uses the best evidence available.

C) It is generally accepted in clinical practice.

D) It is based on current institutional protocols.

E) It blends the science and art of nursing.

32. Which of the following are characteristics of nursing theories? Select all that apply. A) They provide rational reasons for nursing interventions.

B) They are based on descriptions of what nursing should be.

C) They provide a knowledge base for appropriate nursing responses.

D) They provide a base for discussion of nursing issues.

E) They help resolve current nursing issues and establish trends.

33. Which of the following examples represents the type of knowledge known as process? Select all that apply. A) A nurse dispenses medications to clients.

B) A nurse changes the linens on a client’s bed.

C) A nurse studies a nursing journal article on infection control.

D) A nurse consults an ethics committee regarding an ethical dilemma.

E) A nurse believes in providing culturally competent nursing care.

34.Which qualitative research method is described as follows: to describe experiences as they are lived by the subjects being studied? A) Historical

B) Ethnography

C) Grounded theory

D) Phenomenology

35.The nurse working in research correctly identifies which of the following to be mandatory for the ethical conduction of research in a hospital setting?

A) Clients must grant informed consent if they are to participate.

B) All interventions must benefit all clients.

C) The client must directly and personally benefit from the research.

D) Descriptive studies are more ethical than experimental studies.

Chapter 3, Health, Illness, and Disparities

1.The nurse is preparing a care plan for an African American man age 68 years who was recently diagnosed with hypertension. Age, race, gender, and genetic inheritance are examples of what human dimension?

A) Physical

B) Emotional

C) EnvironmentalD) Sociocultural

2.The mother of a toddler with asthma seeks support from the parents of other children with asthma. The nurse recognizes that seeking and utilizing support systems is an example of which human dimension?

A) Sociocultural dimension

B) Physical dimension

C) Environmental dimension

D) Intellectual and spiritual dimension

3.A nurse educator uses models of health and illness when teaching. Which model of health and illness places high-level health and death on opposite ends of a graduated scale?

A) Health-Illness Continuum

B) Agent-Host-Environment Model

C) Health Belief Model

D) Health Promotion Model

4.A homeless client has been brought to the emergency department (ED) by ambulance after being found unresponsive outside a mall. The client is known to the ED staff as having bipolar disorder, and assessment reveals likely cellulitis on his left ankle. He is febrile with a productive cough, and the care team suspects pneumonia. A sputum culture for tuberculosis has been obtained and sent to the laboratory. Which of the following aspects of the client’s medical condition would be considered a chronic condition?

A) Bipolar disorder

B) Pneumonia

C) Cellulitis

D) Tuberculosis

5.Which of the following activities related to respiratory health is an example of tertiary health promotion and illness prevention?

A) Administering a nebulized bronchodilator to a client who is short of breath

B) Assisting with lung function testing of a client to help determine a diagnosis

C) Teaching a client that “light” cigarettes do not prevent lung disease

D) Advocating politically for more explicit warning labels on cigarette packages

6.An elderly resident of a long-term care facility has developed diarrhea and dehydration as a result of exposure to clostridium difficile during a recent outbreak. The resident’s primary care provider has consequently prescribed the antibiotic metronidazole (Flagyl). Which model of health promotion and illness prevention is most clearly evident in these events?

A) The Agent-Host-Environment Model

B) The Health-Illness Continuum

C) The Health Promotion ModelD) The Health Belief Model

7.The nurse is performing a routine assessment of a male client who has an artificial arm as a result of a small plane crash many years earlier. How should the nurse best understand this client’s health? A) Despite the loss of his limb, the client may consider himself to be healthy.

B) The client may be well, but his loss of limb means that he is unhealthy.

C) The loss of his limb prevents the client from achieving wellness, though he may be healthy.

D) Because the client’s injury is far in the past, it does not have a bearing on his health or wellness.

8. What phrase best describes health?

A) Individually defined by each person

B) Experienced by each person in exactly the same way

C) The opposite of illness

D) The absence of disease

9. Which of the following most accurately defines “illness”?

A) The inability to carry out normal activities of living

B) A pathologic change in mind or body structure or function

C) The response of a person to a disease

D) Achieving maximum potential and quality of life

10. Which of the following statements accurately describes the concepts of disease and illness? A) A disease is traditionally diagnosed and treated by a nurse.

B) The focus of nurses is the person with an illness.

C) A person with an illness cannot be considered healthy.

D) Illness is a normal process that affects level of functioning.

11.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) Experiencing symptoms

B) Assuming the sick role

C) Assuming a dependent role

D) Achieving recovery and rehabilitation

12.A cleint 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 client experiencing?

A) Stage 1

B) Stage 2

C) Stage 3

D) Stage 4

13.A child age 4 years has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness?

A) The chronic disease has been cured.

B) Nothing further can be done in terms of treatment.

C) Severe symptoms of the chronic illness have reappeared.

D) The disease is present, but symptoms are not experienced.

14. What may happen to the family when one of the family members suffers an illness?

A) Alterations in values and religious beliefs

B) More public displays of affection

C) Changes in roles for the client and family

D) Increased resistance to stress

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

A) Physical

B) Emotional

C) EnvironmentalD) Sociocultural

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

A) “Why shouldn’t I drink and drive? Everyone else does.”

B) “My mother has sickle cell anemia, and so do I.”

C) “I know I have heart problems, so I have changed my diet.”

D) “I used biofeedback to lower my blood pressure.”

17.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) “I am just too busy with my kids to bother about a diet.”

B) “Why should I lose weight? I’ll still be fat.”

C) “My sister is thin, but I don’t think she looks that good.”

D) “My husband loves me this way.”

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

A) Primary

B) Secondary

C) Tertiary

D) Restorative

19.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

B) The health belief model

C) The health–illness continuum

D) The agent–host–environment model

20.A nurse is caring for a client who is in the remission state of leukemia. The client expresses anxiety about the recurrence of leukemia. The client feels depressed when thinking about the outcome of leukemia. Which aspect of health is the client talking about? A) Physical health

B) Emotional health

C) Social health

D) Spiritual health

21. A nurse is educating women on the need for calcium to prevent bone loss. What level of prevention does this represent? A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Residual prevention

22.A client states, “I must be in poor health because I am a senior citizen. That’s what my neighbor says and she is older than I am.” This statement is based on which of the following factors?

A) Age

B) Gender

C) Peer influenceD) Illness factors

23.An woman 80 years of age has had a cerebrovascular accident. She has flaccidity of her right side with aphasia. For this client, which of the following activities constitutes tertiary prevention?

A) Assessment of her blood pressure

B) Daily bleeding and clotting times

C) Gait training and speech therapy

D) Education on the symptoms of a CVA

24.Which of the following statements accurately describes how risk factors may increase a person’s chances for illness or injury? Select all that apply.

A) Risk factors are unrelated to the person or event.

B) All risk factors are modifiable.

C) An increase in risk factors increases the possibility of illness.

D) A family history of breast cancer is not a modifiable risk factor.

E) School-aged children are at high risk for communicable diseases.

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

A) They help health care providers understand health-related behaviors.

B) They are useful for adapting care to people from diverse backgrounds.

C) They help overcome barriers related to increased number of people without health care.

D) They overcome barriers to care for the predicted downward trend in minority populations.

E) They overcome barriers to care for low-income and rural populations.

26. On which of the following components is Rosenstock’s health belief model based? Select all that apply.

A) Perceived susceptibility to a disease

B) Perceived consequences of treating disease

C) Perceived seriousness of a disease

D) Perceived benefits of action

E) Perceived immunity to disease

27.Which of the following nursing interventions is an example of health promotion and preventive care on the primary level? Select all that apply.

A) A nurse counsels a teenager to stop smoking.

B) A nurse conducts a health fair for high blood pressure screening.

C) A nurse counsels the family of a client diagnosed with lung cancer.

D) A home health care nurse arranges for rehabilitation services for a patient.

E) A school nurse arranges for a career seminar for graduating seniors.

28.The nursing instructor has given an assignment to a group of nurse practitioner students. They are to break into groups of four and complete a health-promotion teaching project, then present a report back to their fellow students. What project is the best example of health-promotion teaching?

A) Demonstrating an injection technique to a client for anticoagulant therapy

B) Explaining the side effects of a medication to an adult client

C) Discussing the importance of preventing sexually transmitted disease to a group of 12th-grade students

D) Instructing an adolescent client about safe food preparation

29.A nurse is providing an educational event to a local group of disabled citizens. What would be important for the nurse to be aware of when planning this event?

A) The health promotion needs of the group the nurse is speaking to

B) What the disability of each person is

C) Wellness needs of each individual person

D) What the families want you to talk about

30.Which of the following is not one of the six general types of risk factors in regard to increasing an individual ‘s chances for illness and injury?

A) Gender

B) Age

C) EnvironmentD) Lifestyle

31.After teaching the students about health and wellness, the nursing instructor identifies a need for further instruction when one of the students makes which of the following statements?

A) “Health is more than just the absence of illness.”

B) “Health is an active process.”

C) “Health means the same to every person.”

D) “Health is dynamic and ever-changing.”

32.A client is admitted to the hospital with abrupt symptoms of increasing shortness of breath, fever, and a productive cough with green sputum. Upon further exam the client is diagnosed with chronic obstructive pulmonary disease (COPD) exacerbation. The nurse identifies this as which type of illness?

A) Acute

B) Chronic

C) Terminal

D) Contagious

33.A nurse is giving a talk to a local community group on the importance of proper diet and regular exercise. This is an example of which type of health promotion?

A) Primary health promotion

B) Secondary health promotion

C) Tertiary health promotion

D) Chronic health promotion

34.An older adult male client is admitted to the cardiac ICU after suffering a heart attack. Upon taking a history after the client is stable, the nurse charts that he weighs over 275 pounds, has a history of heart disease in his family, suffers frequent stress at work, drinks alcohol daily, and smokes two packs of cigarettes daily. What are some modifiable risks factors for this client that has attributed to his heart attack? Select all that apply.

A) Alcohol intake

B) Smoking

C) Stress

D) Age

E) Family historyF) Sex

35.A nurse is giving a talk to a local community group on health promotion and illness prevention. The nurse explains the different levels of promotion. Which of the following does the nurse include when talking about primary promotion? Select all that apply.

A) Immunization clinics

B) Poison control information

C) Screenings for blood pressure

D) Recommending mammograms for women

E) Teaching about a healthy diet

Chapter 4, Health of the Individual, Family, and Community

1.The nurse who is caring for a child admitted after an automobile accident recognizes the importance of including the child’s family in the plan of care. Inclusion of the family meets which of Maslow’s basic human needs?

A) Love and belonging

B) Physiologic

C) Self-esteem

D) Self-actualization

2.The community health nurse is creating a plan of care for a client with Parkinson’s disease. The client’s spouse has provided care to the client for the past five years and the client’s care needs are increasing. What is an appropriate nursing diagnosis for the client and family? A) Risk for Caregiver Role Strain.

B) Health Seeking Behaviors.

C) Parental Role Conflict.

D) Readiness for Enhanced Family Processes.

3.During the course of assessing the family structure and behaviors of a pediatric patient’s family, the nurse has identified a number of highly significant risk factors. Which of the following actions should the nurse prioritize when addressing these risk factors?

A) Engage in appropriate health promotion activities.

B) Validate the family’s unique way of being.

C) Enlist the help of community and social support.

D) Introduce the family to another family that possesses fewer risk factors.

4. According to Maslow’s basic human needs hierarchy, which needs are the most basic?

A) Physiologic

B) Safety and security

C) Love and belonging

D) Self-esteem

5. Which of the following is a tenant of Maslow’s basic human needs hierarchy? A) A need that is unmet prompts a person to seek a higher level of wellness.

B) A person feels ambivalence when a need is successfully met.

C) Certain needs are more basic than others and must be met first.

D) People have many needs and should strive to meet them simultaneously.

6.An woman 80 years of age states, “I have successfully raised my family and had a good life.” This statement illustrates meeting which basic human need?

A) Safety and security

B) Love and belonging

C) Self-esteem

D) Self-actualization

7.A boy age 2 years arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. Which of the following would be the priority nursing intervention?

A) Giving him his favorite stuffed animal to hold

B) Assessing respirations and administering oxygen

C) Raising the side rails and restraining his arms

D) Asking his mother what are his favorite foods

8.A man 75 years of age is being discharged to his home following a fall in his kitchen that resulted in a fractured pelvis.

The home health nurse makes a home assessment that will be used to design interventions to meet which priority need?

A) Sleep and rest

B) Support from family members

C) Protection from potential harm

D) Feeling a sense of accomplishment

9.A nurse caring for a client in a long-term health care facility measures his intake and output and weighs him to assess water balance. These actions help to meet which of Maslow’s hierarchy of needs?

A) Physiologic

B) Safety and security

C) Love and belonging

D) Self-actualization

10. What action by a nurse will help a client meet self-esteem needs?

A) Verbally negate the client’s negative self-perceptions

B) Freely give compliments to increase positive self-regard

C) Independently establish goals to improve self-esteem

D) Respect the client’s values and belief systems

11.A nurse caring for a female client in isolation with tuberculosis is aware that the client’s love and belonging needs may not be properly met. Which of the following nursing actions would help to meet these needs?

A) Respecting the patient’s values and beliefs

B) Focusing on the client’s strengths rather than problems

C) Using hand hygiene and sterile technique to prevent infection

D) Encouraging family to visit and help in the care of the client

12. Which of the following statements accurately describes how Maslow’s theory can be applied to nursing practice? A) Nurses can apply this theory to the nursing process.

B) Nurses can identify met needs as health care needs.

C) Nurses cannot use the theory on infants or children.

D) Nurses use the theory for ill, as opposed to healthy, patients.

13.A couple recently married. Both the husband and the wife have previously been married and had two children. What name is given to this type of family?

A) Extended family

B) Nuclear family

C) Blended family

D) Cohabiting family

14.Which of the following groups involves all parts of a person’s life and is concerned with meeting basic human needs to promote health?

A) Peers

B) Family

C) Community

D) Health care providers

15.An unmarried couple in a committed relationship live together with their adopted twin boys. Which of the following best describes this type of family?

A) Nuclear family

B) Extended family

C) Blended family

D) Adoptive family

16.When providing nursing care to a client, the nurse provides family-centered nursing care. What is one rationale for this nursing action?

A) The nurse does not want the client to feel lonely.

B) The client will be more compliant with medical instructions.

C) The family will be more willing to listen to instructions.

D) Illness in one family member affects all family members.

17. A mother teaches her son to respect his elders. This is an example of which of the following family functions? A) Physical

B) Economic

C) Affective and coping

D) Socialization

18. What is the purpose of the affective and coping function of the family?