Exam (elaborations)

Test Bank Fundamentals of Nursing 2nd Edition Yoost

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Health Care

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Chamberlain College Of Nursing

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Test Bank Fundamentals of Nursing 2nd Edition
Yoost
Table of Contents
Chapter 01: Nursing, Theory, and Professional Practice ........................................................................ 2
Chapter 02: Values, Beliefs, and Caring ................................................................................................12
Chapter 03: Communication..................................................................................................................21
Chapter 04: Critical Thinking in Nursing ................................................................................................30
Chapter 05: Introduction to the Nursing Process ...................................................................................40
Chapter 06: Assessment .......................................................................................................................49
Chapter 07: Nursing Diagnosis .............................................................................................................59
Chapter 08: Planning ............................................................................................................................69
Chapter 09: Implementation and Evaluation ..........................................................................................78
Chapter 10: Documentation, Electronic Health Records, and Reporting ................................................86
Chapter 11: Ethical and Legal Considerations .......................................................................................95
Chapter 12: Leadership and Management ..........................................................................................105
Chapter 13: Evidence-Based Practice and Nursing Research .............................................................114
Chapter 14: Health Literacy and Patient Education .............................................................................123
Chapter 15: Nursing Informatics ..........................................................................................................133
Chapter 16: Health and Wellness ........................................................................................................142
Chapter 17: Human Development: Conception Through Adolescence ................................................152
Chapter 18: Human Development: Young Adult Through Older Adult .................................................160
Chapter 19: Vital Signs .......................................................................................................................168
Chapter 20: Health History and Physical Assessment .........................................................................175
Chapter 21: Ethnicity and Cultural Assessment ...................................................................................183
Chapter 22: Spiritual Health ................................................................................................................192
Chapter 23: Public Health, Community-Based, and Home Health Care...............................................199
Chapter 24: Human Sexuality .............................................................................................................207
Chapter 25: Safety ..............................................................................................................................215
Chapter 26: Asepsis and Infection Control ..........................................................................................222
Chapter 27: Hygiene and Personal Care .............................................................................................230
Chapter 28: Activity, Immobility, and Safe Movement ..........................................................................237
Chapter 29: Skin Integrity and Wound Care ........................................................................................245
Chapter 30: Nutrition ...........................................................................................................................253
Chapter 31: Cognitive and Sensory Alterations ...................................................................................262
Chapter 32: Stress and Coping ...........................................................................................................270
Chapter 33: Sleep ...............................................................................................................................278
Chapter 34: Diagnostic Testing ...........................................................................................................285
Chapter 35: Medication Administration ................................................................................................294
Chapter 36: Pain Management............................................................................................................302
Chapter 37: Perioperative Nursing Care..............................................................................................309

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,Chapter 38: Oxygenation and Tissue Perfusion ..................................................................................317
Chapter 39: Fluid, Electrolytes, and Acid-Base Balance ......................................................................325
Chapter 40: Bowel Elimination ............................................................................................................334
Chapter 41: Urinary Elimination...........................................................................................................341
Chapter 42: Death and Loss................................................................................................................349

Chapter 01: Nursing, Theory, and Professional Practice

MULTIPLE CHOICE

1. A group of nursing students are discussing the impact of no nursing theories in clinical
practice. The students would be correct if they chose which theory to prioritize patient
care?
a. Erikson’s Psychosocial Theory
b. Paul’s Critical-Thinking Theory
c. Maslow’s Hierarchy of Needs
d. Rosenstock’s Health Belief Model
ANS: C
Maslow’s hierarchy of needs specifies the psychological and physiologic factors that affect each
person’s physical and mental health. The nurse’s understanding of these factors helps with formulating
Nursing diagnoses that address the patient’s needs and values to prioritize care. Erikson’s
Psychosocial Theory of Development and Socialization is based on individuals’ interacting and learning
about their world. Nurses use concepts of developmentaltheory to critically think in providing care for
their patients at various stages of their lives.
Rosenstock (1974) developed the psychological Health Belief Model. The model addressespossible
reasons for why a patient may not comply with recommended health promotion behaviors. This model
is especially useful to nurses as they educate patients.

DIF: Remembering OBJ: 1.5 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and effective Care Environment:
Management of Care NOT: Concepts: Care Coordination

2. A nursing student is preparing study notes from a recent lecture in nursing history.
Thestudent would credit Florence Nightingale for which definition of nursing?
a. The imbalance between the patient and the environment decreases the capacity
forhealth.
b. The nurse needs to focus on interpersonal processes between nurse and patient.
c. The nurse assists the patient with essential functions toward independence.
d. Human beings are interacting in continuous motion as energy fields.
ANS: A
Florence Nightingale’s (1860) concept of the environment emphasized prevention and clean air, water,
and housing. This theory states that the imbalance between the patient and the environment decreases
the capacity for health and does not allow for conservation of energy.Hildegard Peplau (1952) focused
on the roles played by the nurse and the interpersonal process between a nurse and a patient. Virginia
Henderson described the nurse’s role as substitutive (doing for the person), supplementary (helping the
person), or complementary (working with the person), with the goal of independence for the patient.
Martha Rogers (1970) developed the Science of Unitary Human Beings. She stated that human beings
and their environments are interacting in continuous motion as infinite energy fields.

DIF: Understanding OBJ: 1.4 TOP:
Planning MSC: NCLEX Client Needs Category: Health Promotion and
Maintenance NOT: Concepts: Health Promotion

2|Page

, 3. The nurse identifies which nurse established the American Red Cross during the Civil War?
a. Dorothea Dix
b. Linda Richards
c. Lena Higbee
d. Clara Barton
ANS: D
Clara Barton practiced nursing in the Civil War and established the American Red Cross. Dorothea Dix
was the head of the U.S. Sanitary Commission, which was a forerunner of theArmy Nurse Corps. Linda
Richards was America’s first trained nurse, graduating from Boston’s Women’s Hospital in 1873, and
Lena Higbee, superintendent of the U.S. Navy Nurse Corps, was awarded the Navy Cross in 1918.

DIF: Remembering OBJ: 1.3 TOP:
Assessment MSC: NCLEX Client Needs Category: Health Promotion and
Maintenance
NOT: Concepts: Professionalism

4. The nursing instructor is researching the five proficiencies regarded as essential for
studentsand professionals. The nursing instructor identifies which organization would be
found to have added safety as a sixth competency?
a. Quality and Safety Education for Nurses (QSEN)
b. Institute of Medicine (IOM)
c. American Association of Colleges of Nursing (AACN)
d. National League for Nursing (NLN)

ANS: A
The Institute of Medicine report, Health Professions Education: A Bridge to Quality (2003), outlines five
core competencies. These include patient-centered care, interdisciplinary teamwork, use of evidence-
based medicine, quality improvement, and use of information technology. QSEN added safety as a
sixth competency. The Essentials of Baccalaureate Education for Professional Nursing Practice are
provided and updated by the American Association of Colleges of Nursing (AACN) (2008). The
document offers a framework for theeducation of professional nurses with outcomes for students to
meet. The National League for Nursing (NLN) outlines and updates competencies for practical,
associate, baccalaureate, and graduate nursing education programs.

DIF: Remembering OBJ: 1.1 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management
of Care NOT: Concepts: Care Coordination

5. The nurse manager is interviewing graduate nurses to fill existing staffing vacancies.
When hiring graduate nurses, the nurse manager realizes that they will probably not be
considered“competent” until they complete which task?
a. They graduate and pass NCLEX.
b. They have worked 2 to 3 years.
c. Their last year of nursing school.
d. They are actually hired.

ANS: B

Benner’s model identifies five levels of proficiency: novice, advanced beginner, competent, proficient,
and expert. The student nurse progresses from novice to advanced beginner during nursing school and
attains the competent level after approximately 2 to 3 years of work experience after graduation. To
obtain the RN credential, a person must graduate from an approved school of nursing and pass a state
licensing examination called the National CouncilLicensure Examination for Registered Nurses
(NCLEX-RN) usually taken soon after completion of an approved nursing program.

DIF: Remembering OBJ: 1.7 TOP: Planning
3|Page

, MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management
of Care NOT: Concepts: Care Coordination

6. The prospective student is considering options for beginning a career in nursing.
Whichdegree would best match the student’s desire to conduct research at the
university level?
a. Associate Degree in Nursing (ADN)
b. Bachelor of Science in Nursing (BSN)
c. Doctor of Nursing Practice (DNP)
d. Doctor of Philosophy in Nursing (PhD)
ANS: D
Doctoral nursing education can result in a Doctor of Philosophy (PhD) degree. This degree prepares
nurses for leadership roles in research, teaching, and administration that are essentialto advancing
nursing as a profession. Associate Degree in Nursing (ADN) programs usually are conducted in a
community college setting. The nursing curriculum focuses on adult acuteand chronic disease;
maternal/child health; pediatrics; and psychiatric/mental health nursing. ADN RNs may return to school
to earn a bachelor’s degree or higher in an RN-to-BSN or RN-to-MSN program. Bachelor’s degree
programs include community health and management courses beyond those provided in an associate
degree program. A newer
practice-focused doctoral degree is the Doctor of Nursing practice (DNP), which concentrateson the
clinical aspects of nursing. DNP specialties include the four advanced practice roles of
NP, CNS, CNM, and CRNA.

DIF: Remembering OBJ: 1.9 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management
of Care NOT: Concepts: Care Coordination

7. During a staff meeting, the nurse manager announces that the hospital will be seeking
Magnetstatus. To explain the requirements for this award, the nurse manager will contact
which organization?
a. American Nurses Association (ANA)
b. American Nurses Credentialing Center (ANCC)
c. National League for Nursing (NLN)
d. Joint Commission
ANS: B
The American Nurses Credentialing Center (ANCC) awards Magnet Recognition to hospitals that have
shown excellence and innovation in nursing. The ANA is a professional organization that provides
standards of nursing practice. The National League for Nursing (NLN) outlines and updates
competencies for practical, associate, baccalaureate, and graduatenursing education programs. The
Joint Commission is the accrediting organization for health care facilities in the United States.

DIF: Remembering OBJ: 1.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management
of Care NOT: Concepts: Care Coordination

8. The nurse is caring for a patient who refuses two units of packed red blood cells. When
the nurse notifies the health care provider of the patient’s decision, the nurse is acting in
whichrole?
a. Manager
b. Change agent
c. Advocate
d. Educator
ANS: C
As the patient’s advocate, the nurse interprets information and provides the necessary education. The

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