NURS 201 Final Exam Practice Questions With Complete
Solutions
A 13-year-old client with cystic fibrosis who is being discharged
confides in the nurse that her parents argue a lot. Sometimes, her
mother has too much to drink and starts throwing things at
people. At times she gets scared her mom will hurt someone.
She feels as if she is causing her parents to fight and her mom to
drink because she is always in the hospital. She also worries
about getting a bad grade in school due to her many absences
and not getting into a good college. According to Maslow's
hierarchy of human needs, which issue should take priority
when caring for this client?
a. The client feels as if she is the cause of her family's
dysfunction.
b. The client feels scared that her mother will hurt someone.
c. The client is worried about getting a bad grade in school.
d. The client's parents argue a lot. Correct Answer b
A charge nurse meets with staff to outline a plan to provide
transcultural nursing care for patients in their health care facility.
Which theorist promoted this type of caring as the central theme
of nursing care, knowledge, and practice?
a. Madeline Leininger
b. Jean Watson
,c. Dorothy E. Johnson
d. Betty Newman Correct Answer a
Madeline Leininger's theory provides the foundations of
transcultural nursing care by making caring the central theme of
nursing. Jean Watson stated that nursing is concerned with
promoting and restoring health, preventing illness, and caring
for the sick. The central theme of Dorothy E. Johnson's theory is
that problems arise because of disturbances in the system or
subsystem or functioning below optimal level. Betty Newman
proposed that humans are in constant relationship with stressors
in the environment and the major concern for nursing is keeping
the patient system stable through accurate assessment of these
stressors.
A client believes that the illness is caused by an imbalance of
yin and yang. The nurse states, "You can call it whatever you
believe, but you have a metabolic disorder." What is this nurse
demonstrating?
a. Stereotyping
b. Cultural diversity
c. Cultural blindness
d. Ethnocentrism Correct Answer c
,A client comes to the health center for a follow-up visit.
Assessment reveals that the client is experiencing problems
ambulating and moving about due to degenerative joint disease;
in addition, the client is feeling isolated due to the limitations in
mobility. The client also reports feeling anxious about the future
related to the mobility issues and being unable to fulfill the role
as the major provider. Which need would the nurse identify as
the priority?
a. Anxiety about the future
b. Feelings of isolation
c. Mobility
d. Role change Correct Answer c
A client comes to the health center for a routine visit. During the
visit, the client tells the nurse, "I'm motivated to do things now
to make sure I'm the healthiest I can be." When planning this
client's care, the nurse should focus on which area?
a. Diagnosis of disease
b. Health promotion
c. Illness prevention
d. Self-concept Correct Answer b
, A client has been admitted to the hospital for the treatment of
diabetic ketoacidosis, with a random blood glucose reading of
575 mg/dL (31.91 mmol/L), vomiting, and shortness of breath.
This client has experienced which phenomenon?
a. Exacerbation
b. Infection
c. Risk factor
d. Morbidity Correct Answer a
A client is brought to the emergency department with a head
injury following an all-terrain vehicle (ATV) accident. The
nurse asks the family members to describe how the accident
occurred. The nurse is implementing which ANA standard?
a. Diagnosis
b. Collaboration
c. Education
d. Evaluation Correct Answer b
A client refuses to allow any healthcare worker of Asian descent
to provide care. This client is demonstrating what practice?
a. Stereotyping
Solutions
A 13-year-old client with cystic fibrosis who is being discharged
confides in the nurse that her parents argue a lot. Sometimes, her
mother has too much to drink and starts throwing things at
people. At times she gets scared her mom will hurt someone.
She feels as if she is causing her parents to fight and her mom to
drink because she is always in the hospital. She also worries
about getting a bad grade in school due to her many absences
and not getting into a good college. According to Maslow's
hierarchy of human needs, which issue should take priority
when caring for this client?
a. The client feels as if she is the cause of her family's
dysfunction.
b. The client feels scared that her mother will hurt someone.
c. The client is worried about getting a bad grade in school.
d. The client's parents argue a lot. Correct Answer b
A charge nurse meets with staff to outline a plan to provide
transcultural nursing care for patients in their health care facility.
Which theorist promoted this type of caring as the central theme
of nursing care, knowledge, and practice?
a. Madeline Leininger
b. Jean Watson
,c. Dorothy E. Johnson
d. Betty Newman Correct Answer a
Madeline Leininger's theory provides the foundations of
transcultural nursing care by making caring the central theme of
nursing. Jean Watson stated that nursing is concerned with
promoting and restoring health, preventing illness, and caring
for the sick. The central theme of Dorothy E. Johnson's theory is
that problems arise because of disturbances in the system or
subsystem or functioning below optimal level. Betty Newman
proposed that humans are in constant relationship with stressors
in the environment and the major concern for nursing is keeping
the patient system stable through accurate assessment of these
stressors.
A client believes that the illness is caused by an imbalance of
yin and yang. The nurse states, "You can call it whatever you
believe, but you have a metabolic disorder." What is this nurse
demonstrating?
a. Stereotyping
b. Cultural diversity
c. Cultural blindness
d. Ethnocentrism Correct Answer c
,A client comes to the health center for a follow-up visit.
Assessment reveals that the client is experiencing problems
ambulating and moving about due to degenerative joint disease;
in addition, the client is feeling isolated due to the limitations in
mobility. The client also reports feeling anxious about the future
related to the mobility issues and being unable to fulfill the role
as the major provider. Which need would the nurse identify as
the priority?
a. Anxiety about the future
b. Feelings of isolation
c. Mobility
d. Role change Correct Answer c
A client comes to the health center for a routine visit. During the
visit, the client tells the nurse, "I'm motivated to do things now
to make sure I'm the healthiest I can be." When planning this
client's care, the nurse should focus on which area?
a. Diagnosis of disease
b. Health promotion
c. Illness prevention
d. Self-concept Correct Answer b
, A client has been admitted to the hospital for the treatment of
diabetic ketoacidosis, with a random blood glucose reading of
575 mg/dL (31.91 mmol/L), vomiting, and shortness of breath.
This client has experienced which phenomenon?
a. Exacerbation
b. Infection
c. Risk factor
d. Morbidity Correct Answer a
A client is brought to the emergency department with a head
injury following an all-terrain vehicle (ATV) accident. The
nurse asks the family members to describe how the accident
occurred. The nurse is implementing which ANA standard?
a. Diagnosis
b. Collaboration
c. Education
d. Evaluation Correct Answer b
A client refuses to allow any healthcare worker of Asian descent
to provide care. This client is demonstrating what practice?
a. Stereotyping
