Test Bank for Fundamentals of Nursing, 11th edition (Chapters 1-24)

Name: Test Bank for Fundamentals of Nursing, 11th edition (Chapters 1-24)
Brand: Academic Documents Platform
Price: 19.99 USD
Availability: InStock
Author: David Miller

Test Bank for Fundamentals of Nursing, 11th edition (Chapters 1-24) boosts your confidence by simulating real exam scenarios.

David Miller

Contributor

4.4

160

about 2 months ago

Preview (31 of 200)

Test Bank For Fundamentals of Nursing 11th Edition Potter Perry
All chapters - Verified Answers

MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ANS: A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
came after Nightingale, each contributing to the nursing profession in her own way. Mary
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive
data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
registered nurse implements (carries out) the identified plan.
DIF:Understand (comprehension)
OBJ:Discuss the development of professional nursing roles. TOP: Planning
MSC: Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A

A beginning nursing student or any nurse entering a situation in which there is no previous
level of experience (e.g., an experienced operating room nurse chooses to now practice in
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
gained from multiple previous experiences to a situation. A competent nurse understands the
organization and specific care required by the type of patients (e.g., surgical, oncology, or
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
care and establish long-range goals. A nurse who has had some level of experience with the
situation is an advanced beginner. This experience may only be observational in nature, but
the nurse is able to identify meaningful aspects or principles of nursing care.
DIF:Apply (application)
OBJ:Discuss the development of professional nursing roles. TOP: Evaluation
MSC: Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
may choose to work toward certification in a specific area of nursing practice. Accountability
means that you are responsible, professionally and legally, for the type and quality of nursing
care provided.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B

Loading page 4...

A manager coordinates the activities of members of the nursing staff in delivering nursing
care and has personnel, policy, and budgetary responsibility for a specific nursing unit or
facility. As an educator, you explain concepts and facts about health, describe the reason for
routine care activities, demonstrate procedures such as self-care activities, reinforce learning
or patient behavior, and evaluate the patient’s progress in learning. As a patient advocate, you
protect your patient’s human and legal rights and provide assistance in asserting these rights if
the need arises. As a caregiver, you help patients maintain and regain health, manage disease
and symptoms, and attain a maximal level function and independence through the healing
process.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
6. The nurse has been working in the clinical setting for several years as an advanced practice
nurse. However, the nurse has a strong desire to pursue research and theory development. To
fulfill this desire, which program should the nurse attend?
a. Doctor of Nursing Science degree (DNSc)
b. Doctor of Philosophy degree (PhD)
c. Doctor of Nursing Practice degree (DNP)
d. Doctor in the Science of Nursing degree (DSN)
ANS: B
Some doctoral programs prepare nurses for more rigorous research and theory development
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
practitioners.
DIF:Understand (comprehension)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
education. TOP: Teaching/Learning MSC: Management of Care
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
Association. Which type of education did the nurse receive?
a. Graduate education
b. Inservice education
c. Continuing education
d. Registered nurse education
ANS: C
Continuing education involves formal, organized educational programs offered by
universities, hospitals, state nurses associations, professional nursing organizations, and
educational and health care institutions. After obtaining a baccalaureate degree in nursing, you
can pursue graduate education leading to a master’s or doctoral degree in any number of
graduate fields, including nursing. Inservice education programs are instruction or training
provided by a health care facility or institution. Registered nurse education is the education
preparation for an individual intending to be an RN.
DIF:Apply (application)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)

Loading page 5...

education. TOP: Teaching/Learning MSC: Management of Care
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
for Nurses (QSEN) competency is the nurse demonstrating?
a. Safety
b. Patient-centered care
c. Quality improvement
d. Teamwork and collaboration
ANS: C
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
of harm to patients and providers through both system effectiveness and individual
performance. Patient-centered care recognizes the patient or designee as the source of control
and full partner in providing compassionate and coordinated care based on respect for
patient’s preferences, values, and needs. Teamwork and collaboration allows effective
functioning within nursing and interprofessional teams, fostering open communication,
mutual respect, and shared decision making.
DIF:Understand (comprehension)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Evaluation
MSC: Management of Care
9. A nurse has compassion fatigue. What is the nurse experiencing?
a. Lateral violence and intrapersonal conflict
b. Burnout and secondary traumatic stress
c. Short-term grief and single stressor
d. Physical and mental exhaustion
ANS: B
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic
stress. Compassion fatigue may contribute to what is described as lateral violence
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
only.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Assessment MSC: Health Promotion and Maintenance
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖
The nurse does not allow the patient to sign the permit and notifies the health care provider of
the situation. Which role is the nurse displaying?
a. Manager
b. Patient educator
c. Patient advocate
d. Clinical nurse specialist
ANS: C

Loading page 6...

As a patient advocate, the nurse protects the patient’s human and legal rights, including the
right of the patient to understand procedures before signing permits. Although nurses can be
educators, it is the responsibility of the surgeon to provide education for the patient in
preparation for surgery, and it is the nurse’s responsibility to notify the health care provider if
the patient is not properly educated. Managers coordinate the activities of members of the
nursing staff in delivering nursing care, and clinical nurse specialists are experts in a
specialized area of nursing practice in a variety of settings.
DIF:Apply (application)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Evaluation
MSC: Management of Care
11. The patient requires routine gynecological services after giving birth to her son, and while
seeing the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn.
Which action should the nurse-midwife take initially?
a. Provide the referral as requested.
b. Offer to provide the newborn care.
c. Refer the patient to the supervising provider.
d. Tell the patient that is not allowed to make referrals.
ANS: B
The practice of nurse-midwifery involves providing independent care for women during
normal pregnancy, labor, and delivery, as well as care for the newborn. After being apprised
of the midwifery role, if the patient insists on seeing a pediatrician, the nurse-midwife should
provide the referral. The supervising provider is an obstetric provider, not a pediatrician. A
nurse-midwife can make referrals.
DIF:Analyze (analysis)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care
12. The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which
activity is appropriate for a CRNA?
a. Manages gynecological services such as PAP smears.
b. Works under the guidance of an anesthesiologist.
c. Obtains a PhD degree in anesthesiology.
d. Coordinates acute medical conditions.
ANS: B
Nurse anesthetists provide surgical anesthesia under the guidance and supervision of an
anesthesiologist, who is a physician (health care provider) with advanced knowledge of
surgical anesthesia. Nurse practitioners, not CRNAs, manage self-limiting acute and chronic
stable medical conditions; certified nurse-midwives provide gynecological services such as
routine Papanicolaou (Pap) smears. The CRNA is an RN with an advanced education in a
nurse anesthesia accredited program. A PhD is not a requirement.
DIF:Understand (comprehension)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Implementation
MSC: Management of Care

Loading page 7...

13. A nurse teaches a group of nursing students about nurse practice acts. Which information is
most important to include in the teaching session about nurse practice acts?
a. Protects the nurse.
b. Protects the public.
c. Protects the provider.
d. Protects the hospital.
ANS: B
The nurse practice acts regulate the scope of nursing practice and protect public health, safety,
and welfare. They do not protect the nurse, provider, or hospital.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Teaching/Learning MSC: Management of Care
14. A bill has been submitted to the State House of Representatives that is designed to reduce the
cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive
care units to 3:1. What should the nurse realize?
a. Legislation is politics beyond the nurse’s control.
b. National programs have no bearing on state politics.
c. The individual nurse can influence legislative decisions.
d. Focusing on nursing care provides the best patient benefit.
ANS: C
Nurses can influence policy decisions at all governmental levels. One way is to get involved
by participating in local and national efforts. This effort is critical in exerting nurses’
influence early in the political process. Legislation is not beyond the nurse’s control. National
program can have bearing on state politics. The question is focusing on legislation and health
care costs, not nursing care.
DIF:Analyze (analysis)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Management of Care
15. A nurse is using a guide that provides principles of right and wrong to provide care to
patients. Which guide is the nurse using?
a. Code of ethics
b. Standards of practice
c. Standards of professional performance
d. Quality and safety education for nurses
ANS: A
The code of ethics is the philosophical ideals of right and wrong that define the principles you
will use to provide care to your patients. The standards of practice describe a competent level
of nursing care. The ANA Standards of Professional Performance describe a competent level
of behavior in the professional role. Quality and safety education for nurses addresses the
challenge to prepare nurses with the competencies needed to continuously improve the quality
of care in their work environments.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Implementation MSC: Management of Care

Loading page 8...

16. A graduate of a baccalaureate degree program plans to start working as a registered nurse
(RN) in the emergency department. Which action must the nurse take first?
a. Obtain certification for an emergency nurse.
b. Pass the National Council Licensure Examination.
c. Take a course on genomics to provide competent emergency care.
d. Complete the Hospital Consumer Assessment of Healthcare Providers Systems.
ANS: B
Currently, in the United States, the most common way to become a registered nurse (RN) is
through completion of an associate degree or baccalaureate degree program. Graduates of
both programs are eligible to take the National Council Licensure Examination for Registered
Nurses (NCLEX-RN) to become registered nurses in the state in which they will practice.
Certification can be obtained after passing the NCLEX and working for the specified amount
of time. Genomics is a newer term that describes the study of all the genes in a person and
interactions of these genes with one another and with that person’s environment. Consumers
can also access Hospital Consumer Assessment of Healthcare Providers Systems (HCAHPS)
to obtain information about patients’ perspectives on hospital care.
DIF:Remember (knowledge)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
education. TOP: Implementation MSC: Management of Care
17. While providing care to a patient, the nurse is responsible, both professionally and legally, for
the appropriateness and proper execution of the care. Which concept does this describe?
a. Autonomy
b. Accountability
c. Patient advocacy
d. Patient education
ANS: B
Accountability means that the nurse is responsible, professionally and legally, for the type and
quality of nursing care provided. Autonomy is an essential element of professional nursing
that involves the initiation of independent nursing interventions without medical orders. As a
patient advocate, the nurse protects the patient’s human and legal rights and provides
assistance in asserting these rights if the need arises. As an educator, the nurse explains
concepts and facts about health, describes the reasons for routine care activities, demonstrates
procedures such as self-care activities, reinforces learning or patient behavior, and evaluates
the patient’s progress in learning.
DIF:Remember (knowledge)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Management of Care
18. A nurse is teaching the staff about Benner’s levels of proficiency. In which order should the
nurse place the levels from beginning level to ending level?
1. Expert
2. Novice
3. Proficient
4. Competent
5. Advanced beginner

Loading page 9...

a. 2, 4, 5, 1, 3
b. 2, 5, 4, 3, 1
c. 4, 2, 5, 3, 1
d. 4, 5, 2, 1, 3
ANS: B
Benner’s levels of proficiency are as follows: novice, advanced beginner, competent,
proficient, and expert.
DIF:Understand (comprehension)
OBJ:Discuss the development of professional nursing roles. TOP: Teaching/Learning
MSC: Management of Care
MULTIPLE RESPONSE
1. A nurse is preparing a teaching session about contemporary influences on nursing. Which
examples should the nurse include? (Select all that apply.)
a. Human rights
b. Affordable Care Act
c. Demographic changes
d. Medically underserved
e. Decreasing health care costs
ANS: A, B, C, D
Multiple external forces affect nursing, including the need for nurses’ self-care, Affordable
Care Act (ACA) and rising (not decreasing) health care costs, demographic changes of the
population, human rights, and increasing numbers of medically underserved.
DIF:Understand (comprehension)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Teaching/Learning MSC: Management of Care
2. After licensure, the nurse wants to stay current in knowledge and skills. Which programs are
the most common ways nurses can do this? (Select all that apply.)
a. Master’s degree
b. Inservice education
c. Doctoral preparation
d. Continuing education
e. National Council Licensure Examination retakes
ANS: B, D
Continuing education programs help nurses maintain current nursing skills, gain new
knowledge and theory, and obtain new skills reflecting the changes in the health care delivery
system. Inservice education programs are provided by a health care facility to increase the
knowledge, skills, and competencies of nurses employed by the institution. Both can help the
nurse stay current. Master’s degree programs are valuable for those in the role of nurse
educator, nurse administrator, or advanced practice nurse. Professional doctoral programs in
nursing (DSN or DNSc) prepare graduates to apply research findings to clinical nursing.
National Council Licensure Examination retakes are not to keep current; this test is taken to
enter RN practice.

Loading page 10...

DIF:Understand (comprehension)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
education. TOP: Teaching/Learning MSC: Management of Care
3. A nurse wants to become an advanced practice registered nurse. Which options should the
nurse consider? (Select all that apply.)
a. Patient advocate
b. Nurse administrator
c. Certified nurse-midwife
d. Clinical nurse specialist
e. Certified nurse practitioner
ANS: C, D, E
Although all nurses should function as patient advocates, ―advanced practice nurse‖ is an
umbrella term for an advanced clinical nurse such as a certified nurse practitioner, clinical
nurse specialist, certified registered nurse anesthetist, or certified nurse-midwife. A nurse
administrator is not an example of advanced practice.
DIF:Understand (comprehension)
OBJ:Discuss the roles and career opportunities for nurses. TOP: Teaching/Learning
MSC: Management of Care
4. The nurse manager from the oncology unit has had two callouts; the orthopedic unit has had
multiple discharges and probably will have to cancel one or two of its nurses. The orthopedic
unit has agreed to ―float‖ two of its nurses to the oncology unit if oncology can ―float‖ a
nursing assistant to the orthopedic unit to help with obtaining vital signs. Which concepts does
this situation entail? (Select all that apply.)
a. Autonomy
b. Informatics
c. Accountability
d. Political activism
e. Teamwork and collaboration
ANS: A, C, E
Staffing is an independent nursing intervention and is an example of autonomy. Along with
increased autonomy comes accountability or responsibility for outcomes of an action. When
nurses work together, this is teamwork and collaboration. Informatics is the use of information
and technology to communicate, manage knowledge, mitigate error, and support decision
making. Political activism usually involves more than day-to-day activities such as unit
staffing.
DIF:Analyze (analysis)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Management of Care
Chapter 02: Health Care Delivery System
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE

Loading page 11...

1. The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should
consider which information when planning care for this patient?
a. Capitation provides the hospital with a means of recovering variable charges.
b. The hospital will be paid for the full cost of the patient’s hospitalization.
c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
d. Medicare will pay the national average for the patient’s condition.
ANS: C
In 1983, Congress established the prospective payment system (PPS), which grouped inpatient
hospital services for Medicare patients into diagnosis-related groups (DRGs), each of which
provides a fixed reimbursement amount based on assigned DRG, regardless of a patient’s
length of stay or use of services. Capitation means that providers receive a fixed amount per
patient or enrollee of a health care plan. DRG reimbursement is based on case severity,
rural/urban/regional costs, and teaching costs, not national averages.
DIF:Understand (comprehension)
OBJ:Explain the concept of ―pay for value,‖ used to reward hospitals financially.
TOP: Planning MSC: Management of Care
2. A nurse is teaching the staff about integrated health care systems. Which model of care should
the nurse include in the teaching about seam-less care delivery?
a. Affordable Care Act
b. Hospital Value–Based Purchasing
c. Bundled Payments for Care Improvements
d. The patient-centered medical home model
ANS: D
Basically, two types of integrated health care systems are found: an organizational structure
that follows economic imperatives (such as combining financing with all providers, from
hospitals, clinics, and physicians to home care and long-term care facilities) and a structure
that supports an organized care delivery approach (coordinating care activities and services
into seamless functioning). The patient-centered medical home model is an example of an
integrated health care system that strengthens the physician-patient relationship with
coordinated, goal-oriented, individualized care. All the other options are more related to the
financial accessibility of health care.
DIF:Understand (comprehension)
OBJ:Explain the concept of ―pay for value,‖ used to reward hospitals financially.
TOP: Teaching/Learning MSC: Management of Care
3. A nurse is teaching a family about health care plans. Which information from the nurse
indicates a correct understanding of the Affordable Care Act?
a. A family can choose whether to have health insurance with no consequences.
b. Primary care physician payments from Medicaid services can equal Medicare.
c. Adult children up to age 26 are allowed coverage on the parent’s plan.
d. Quality hospital outcome scores are tied directly to patient satisfaction.
ANS: C

Loading page 12...

The Affordable Care Act ties payment to organizations offering Medicare Advantage plans to
the quality ratings of the coverage they offer. If hospitals perform poorly in quality scores,
they receive lower payments for services. Quality outcome measures include patient
satisfaction, more effective management of care by reducing complications and readmissions
and improving care coordination. All individuals are required to have some form of health
insurance by 2014 or pay a penalty through the tax code. Primary care physician payments for
Medicaid services increased to equal Medicare payments. Implementation of insurance
regulations prevents private insurance companies from denying insurance coverage for any
reason and from charging higher premiums based on health status and gender.
DIF:Remember (knowledge)
OBJ:Explain the concept of ―pay for value,‖ used to reward hospitals financially.
TOP: Teaching/Learning MSC: Management of Care
4. A nurse is caring for a patient in the hospital. When should the nurse begin discharge
planning?
a. When the patient is ready.
b. Close to the time of discharge.
c. Upon admission to the hospital.
d. After an order is written/prescribed.
ANS: C
Discharge planning begins the moment a patient is admitted to a health care facility. When the
patient is ready may be too late. Close to the time of discharge and after an order is
written/prescribed are too late to help the transition of patient care from the hospital to home
or other care facility.
DIF:Remember (knowledge)
OBJ:Discuss the role of nurses in various health care settings. TOP: Planning
MSC: Management of Care
5. The nurse is applying for a position with a home care organization that specializes in spinal
cord injury. In which type of health care facility does the nurse want to work?
a. Secondary acute
b. Continuing
c. Restorative
d. Tertiary
ANS: C
Patients recovering from an acute or chronic illness or disability often require additional
services (restorative care) to return to their previous level of function or reach a new level of
function limited by their illness or disability. Restorative care includes cardiovascular and
pulmonary rehabilitation, sports medicine, spinal cord injury programs, and home care.
Secondary acute care involves emergency care, acute medical-surgical care, and radiological
procedures. Continuing care involves assisted living, psychiatric care, and older-adult day
care. Tertiary care includes intensive care and subacute care.
DIF:Understand (comprehension)
OBJ:Discuss the role of nurses in various health care settings. TOP: Implementation
MSC: Management of Care

Loading page 13...

6. A nurse provides immunization to children and adults through the public health department.
Which type of health care is the nurse providing?
a. Primary care
b. Preventive care
c. Restorative care
d. Continuing care
ANS: B
Preventive care includes immunizations, screenings, counseling, crisis prevention, and
community safety legislation. Primary care is health promotion that includes prenatal and
well-baby care, nutrition counseling, family planning, and exercise classes. Restorative care
includes rehabilitation, sports medicine, spinal cord injury programs, and home care.
Continuing care is assisted living and psychiatric care and older-adult day care.
DIF:Understand (comprehension) OBJ:Summarize the six levels of health care.
TOP: Implementation MSC: Health Promotion and Maintenance
7. In order to receive payment for care provided, nursing centers must comply with requirements
outlined in what federal legislation?
a. Omnibus Budget Reconciliation Act
b. Medicare Act
c. Medicaid Act
d. Affordable Care Act
ANS: A
Nursing centers must comply with the Omnibus Budget Reconciliation Act of 1987 and its
minimum requirements for nursing facilities to receive payment from Medicare and Medicaid.
The Affordable Care Act ties payment to organizations offering Medicare Advantage plans to
the quality ratings of the coverage they offer.
DIF:Understand (comprehension)
OBJ:Explain the concept of ―pay for value,‖ used to reward hospitals financially.
TOP: Implementation MSC: Management of Care
8. The nurse is trying to determine risk factors unique to home care patients. What resource
should the nurse access?
a. Pew Health Professions Commission
b. The Outcome and Assessment Information Set (OASIS)
c. American Nurses Credentialing Center (ANCC) Magnet Recognition Program
d. Hospital Consumer of Assessment of Healthcare Providers and Systems
(HCAHPS)
ANS: B

Loading page 14...

OASIS (the Outcome and Assessment Information Set) includes a group of standardized core
assessment items for an adult home care patient. OASIS forms the basis for measuring patient
outcomes for the purposes of outcome-based quality. Data items within OASIS include
socio-demographic, environmental, support system, health status, functional status, and health
service utilization characteristics of a patient. The OASIS assessment tool was designed to
gather the data items needed to measure both outcomes and patient risk factors in the home
setting. The Pew Health Professions Commission, a national and interdisciplinary group of
health care leaders, recommended 21 competencies for health care professionals in the
twenty-first century. The Hospital Consumer of Assessment of Healthcare Providers and
Systems (HCAHPS) is a standardized survey developed to measure patient perceptions of
their hospital experience. The Magnet Recognition Program recognizes health care
organizations that achieve excellence in nursing practice.
DIF:Understand (comprehension)
OBJ:Discuss the features of an integrated health care system. TOP: Assessment
MSC: Management of Care
9. An older-adult patient has extensive wound care needs after discharge from the hospital.
Which facility should the nurse discuss with the patient?
a. Hospice
b. Respite care
c. Assisted living
d. Skilled nursing
ANS: D
An intermediate care or skilled nursing facility offers skilled care from a licensed nursing
staff. This often includes administration of IV fluids, wound care, long-term ventilator
management, and physical rehabilitation. A hospice is a system of family-centered care that
allows patients to live with comfort, independence, and dignity while easing the pains of
terminal illness. Respite care is a service that provides short-term relief or ―time off‖ for
people providing home care to an individual who is ill, disabled, or frail. Assisted living offers
an attractive long-term care setting with an environment more like home and greater resident
autonomy.
DIF:Apply (application) OBJ:Summarize the six levels of health care.
TOP: Teaching/Learning MSC: Management of Care
10. A nurse working in a community hospital’s emergency department provides care to a patient
having chest pain. Which level of care is the nurse providing?
a. Continuing care
b. Restorative care
c. Preventive care
d. Tertiary care
ANS: D

Loading page 15...

Hospital emergency departments, urgent care centers, critical care units, and inpatient
medical-surgical units provide secondary and tertiary levels of care. Patients recovering from
an acute or chronic illness or disability often require additional services (restorative care) to
return to their previous level of function or reach a new level of function limited by their
illness or disability. Continuing care is available within institutional settings (e.g., nursing
centers or nursing homes, group homes, and retirement communities), communities (e.g.,
adult day care and senior centers), or the home (e.g., home care, home-delivered meals, and
hospice). Preventive care is more disease oriented and focused on reducing and controlling
risk factors for disease through activities such as immunization and occupational health
programs.
DIF:Apply (application) OBJ:Summarize the six levels of health care.
TOP: Implementation MSC: Management of Care
11. A nurse is teaching about the primary focus of community wellness. Which information
should the nurse include in the teaching session?
a. Coordination of health care services
b. Effective cost containment for services
c. Appropriate service delivery to service population
d. Identification of services needed to address individual needs
ANS: A
Wellness care focuses on the health of populations and their communities rather than simply
curing an individual’s disease. In wellness care, nurses can help lead communities and health
care systems in coordinating resources to better serve their populations. All the remaining
options are components of care coordination.
DIF:Understand (comprehension)
OBJ:Discuss the nursing implications regarding issues facing the health care system.
TOP: Teaching/Learning MSC: Management of Care
12. A nurse is using research findings to improve clinical practice and improved care delivery.
Which technique is the nurse using?
a. Performance scores
b. Integrated delivery networks
c. Nursing-sensitive outcomes
d. Utilization review committees
ANS: A
Performance improvement activities are typically clinical projects conceived in response to
identified clinical problems and designed to use research findings to improve clinical practice
by applying earned scores. Larger health care systems have integrated delivery networks
(IDNs) that include a network of facilities, providers, and services organized to deliver a
continuum of care to a population of patients at a capitated cost in a particular setting.
Nursing-sensitive outcomes are patient outcomes and nursing workforce characteristics that
are directly related to nursing care such as changes in patients’ symptom experiences,
functional status, safety, psychological distress, registered nurse (RN) job satisfaction, total
nursing hours per patient day, and costs. Medicare-qualified hospitals had
physician-supervised utilization review (UR) committees to review the admissions and to
identify and eliminate overuse of diagnostic and treatment services ordered by physicians
caring for patients on Medicare.

Loading page 16...

DIF:Understand (comprehension)
OBJ:Discuss the features of an integrated health care system. TOP: Implementation
MSC: Management of Care
13. Which finding indicates the best quality improvement process?
a. Staff identifies the wait time in the emergency department is too long.
b. Administration identifies the design of the facility’s lobby increases patient stress.
c. Director of the hospital identifies the payment schedule does not pay enough for
overtime.
d. Health care providers identify the inconsistencies of some of the facility’s policy
and procedures.
ANS: A
The quality improvement process begins at the staff level, where problems are defined by the
staff. It is not identified by administration, the hospital director, or health care providers.
DIF:Apply (application)
OBJ:Discuss the features of an integrated health care system. TOP: Evaluation
MSC: Management of Care
14. A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy
and enteral nutrition. What is the home health nurse’s primary objective after providing
necessary care?
a. Screening
b. Education
c. Dependence
d. Counseling
ANS: B
Health promotion and education are traditionally the primary objectives of home care, yet at
present most patients receive home care because they need nursing care. Screening is
preventive care. The home health nurse focuses on patient and family independence.
Counseling is through psychiatric care.
DIF:Understand (comprehension)
OBJ:Discuss the nursing implications regarding issues facing the health care system.
TOP: Planning MSC: Management of Care
15. A nurse hears a co-worker state that anybody could be a nurse since it is so automated with
infusion devices and electronic monitoring; technology is doing the work. What is the nurse’s
best response?
a. ―Technology use has to be combined with nursing judgment.‖
b. ―The focus of effective nursing care is technology.‖
c. ―If it’s so easy, why don’t you do it?‖
d. ―That is true in the twentieth century.‖
ANS: A

Loading page 17...

In many ways, technology makes work easier, but it does not replace nursing judgment.
Technology does not replace your critical eye and clinical judgment. Most importantly, it is
essential to remember that the focus of nursing care is not the machine or the technology; it is
the patient. Using ―why‖ is not beneficial when communicating with others. Agreeing with
the statement furthers misconceptions.
DIF:Apply (application)
OBJ:Explain approaches nurses can use to improve patient satisfaction.
TOP: Communication and Documentation MSC: Management of Care
16. A nurse is completing a minimum data set. Which area is the nurse working?
a. Nursing center
b. Psychiatric facility
c. Rehabilitation center
d. Adult day care center
ANS: A
Nurses who work in a nursing center (nursing home or nursing facility) are required to
complete a minimum data set on each patient. Minimum data set is not needed for psychiatric,
rehabilitation, or adult day care centers. Patients who suffer emotional and behavioral
problems such as depression, violent behavior, and eating disorders often require special
counseling and treatment in psychiatric facilities. Rehabilitation restores a person to the fullest
physical, mental, social, vocational, and economic potential possible. Patients require
rehabilitation after a physical or mental illness, injury, or chemical addiction. Adult day care
centers provide a variety of health and social services to specific patient populations who live
alone or with family in the community. Services offered during the day allow family members
to maintain their lifestyles and employment and still provide home care for their relatives.
DIF:Understand (comprehension)
OBJ:Discuss the role of nurses in various health care settings. TOP: Implementation
MSC: Management of Care
MULTIPLE RESPONSE
1. Which government-instituted programs should the nurse include in a teaching session about
controlling health care costs? (Select all that apply.)
a. Professional standards review organizations
b. Prospective payment systems
c. Diagnosis-related groups
d. Third-party payers
e. ―Never events‖
ANS: A, B, C

Loading page 18...

The federal government, the biggest consumer of health care, which pays for Medicare and
Medicaid, has created professional standards review organizations (PSROs) to review the
quality, quantity, and costs of hospital care. One of the most significant factors that influenced
payment for health care was the prospective payment system (PPS). Established by Congress
in 1983, the PPS eliminated cost-based reimbursement. Hospitals serving patients who
received Medicare benefits were no longer able to charge whatever a patient’s care cost.
Instead, the PPS grouped inpatient hospital services for Medicare patients into
diagnosis-related groups (DRGs). In 2011, the National Quality Forum (not a government
facility) defined a list of 29 ―never events‖ that are devastating and preventable. Through most
of the twentieth century, few incentives existed for controlling health care costs. Insurers or
third-party payers paid for whatever health care providers ordered for a patient’s care and
treatment.
DIF:Understand (comprehension)
OBJ:Discuss the nursing implications regarding issues facing the health care system.
TOP: Teaching/Learning MSC: Management of Care
2. A nurse is teaching the staff about the Institute of Medicine competencies. Which examples
indicate the staff has a correct understanding of the teaching? (Select all that apply.)
a. Use informatics.
b. Use transparency.
c. Apply globalization.
d. Apply quality improvement.
e. Use evidence-based practice.
ANS: A, D, E
The Institute of Medicine competencies include: provide patient-centered care, work in
interdisciplinary teams, use evidence-based practice, apply quality improvement, and use
informatics. Transparency is included in the 10 rules of performance in a redesigned health
care system, not a competency. While globalization is important in health care, it is not a
competency.
DIF:Understand (comprehension)
OBJ:Explain approaches nurses can use to improve patient satisfaction.
TOP: Teaching/Learning MSC: Management of Care
3. A nurse is evaluating care based upon the nursing quality indicators. Which areas should the
nurse evaluate? (Select all that apply.)
a. Patient satisfaction level
b. Hospital readmission rates
c. Nursing hours per patient day
d. Patient falls/falls with injuries
e. Value stream analysis for quality
ANS: B, C, D

Loading page 19...

The American Nurses Association developed the National Database of Nursing Quality
Indicators (NDNQI) to measure and evaluate nursing-sensitive outcomes with the purpose of
improving patient safety and quality care. Nursing quality indicators include the following:
hospital readmission rates, nursing hours per patient day, and patient falls/falls with injuries.
While every major health care organization measures certain aspects of patient satisfaction, it
is not a nursing quality indicator. Value stream analysis is a method that focuses on
improvement of processes in a health care institution.
DIF:Apply (application)
OBJ:Discuss the role of nurses in various health care settings. TOP: Evaluation
MSC: Management of Care
4. A nurse is working in a health care organization that has achieved Magnet status. Which
components are indicators of this status? (Select all that apply.)
a. Empirical quality results
b. Structural empowerment
c. Transformational leadership
d. Exemplary professional practice
e. Willingness to recommend the agency
ANS: A, B, C, D
The American Nurses Credentialing Center (ANCC) established the Magnet Recognition
Program to recognize health care organizations that achieve excellence in nursing practice.
The five components are transformational leadership; structural empowerment; exemplary
professional practice; new knowledge, innovation, and improvements; and empirical quality
results. Willingness to recommend the hospital/agency is a component of the Hospital
Consumer of Assessment of Healthcare Providers and Systems survey.
DIF:Understand (comprehension)
OBJ:Discuss the nursing implications regarding issues facing the health care system.
TOP: Assessment MSC: Management of Care
MATCHING
A nurse is teaching about the different types of health care model. Match the correct
information to the type of health care model the nurse should include in the teaching session.
a. Insurance for low-income families
b. Federal insurance for people aged 65 and older
c. Ties payment to organizations offering Medicare Advantage plans to the quality
ratings of the coverage they offer
d. Uses diagnosis-related group model
1. Prospective payment system (IPPS)
2. Affordable Care Act
3. Medicaid
4. Medicare
1. ANS: D DIF:Understand (comprehension)
OBJ:Discuss the factors that affect a person’s access to health care.
TOP: Teaching/Learning MSC: Management of Care

Loading page 20...

2. ANS: C DIF:Understand (comprehension)
OBJ:Discuss the factors that affect a person’s access to health care.
TOP: Teaching/Learning MSC: Management of Care
3. ANS: A DIF:Understand (comprehension)
OBJ:Discuss the factors that affect a person’s access to health care.
TOP: Teaching/Learning MSC: Management of Care
4. ANS: B DIF:Understand (comprehension)
OBJ:Discuss the factors that affect a person’s access to health care.
TOP: Teaching/Learning MSC: Management of Care
Chapter 03: Community-Based Nursing Practice
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. A nurse is working as a public health nurse. What will be the nurse’s primary focus?
a. The individual as one member of a group
b. Individuals and families
c. Needs of a population
d. Health promotion
ANS: C
Public health nursing primary focus is understanding the needs of a population.
Community-based care focuses on health promotion. Community health nursing focuses on
health care of individuals, families, and groups within the community.
DIF:Understand (comprehension)
OBJ:Explain the relationship between public health and community health nursing.
TOP: Caring MSC: Management of Care
2. A nurse wants to become a specialist in public health nursing. Which educational requirement
will the nurse have to obtain?
a. A baccalaureate degree in nursing
b. Preparation at the basic entry level
c. The same level of education as the community health nurse
d. A graduate level education with a focus in public health science
ANS: D
A specialist in public health has a graduate level education with a focus in public health
science. Public health nursing requires preparation at the basic entry level and sometimes
requires a baccalaureate degree in nursing. A community health nurse is not the same thing as
a public health nursing specialist.
DIF:Understand (comprehension)
OBJ:Explain the relationship between public health and community health nursing.
TOP: Teaching/Learning MSC: Management of Care
3. A nurse is working as a community health nurse. Which action is a priority for this nurse?
a. Provide direct care to subpopulations.
b. Focus on the needs of the ill individual.
c. Provide first level of contact to health care systems.
d. Focus on providing care in various community settings.

Loading page 21...

ANS: A
Community health nursing is nursing practice in the community, with the primary focus on
the health care of individuals, families, and groups within the community. In addition, the
community health nurse provides direct care services to subpopulations within a community.
Community-based nursing centers function as the first level of contact between members of a
community and the health care system. Community-based nursing focuses on providing care
in various community settings, such as the home or a clinic and involves acute and chronic
care.
DIF:Apply (application)
OBJ:Contrast community health nursing from community-based nursing.
TOP: Implementation MSC: Health Promotion and Maintenance
4. A nurse is focusing on acute and chronic care of individuals and families within a community
while enhancing patient autonomy. Which type of nursing care is the nurse providing?
a. Public health
b. Community health
c. Community-based
d. Community assessment
ANS: C
Community-based nursing involves acute and chronic care of individuals and families and
enhances their capacity for self-care while promoting autonomy in decision making. Public
health nursing focuses on the needs of a population. Community health nursing cares for the
community as a whole and considers the individual or the family as only one member of a
group at risk. Community assessment is the systematic data collection on the population,
monitoring the health status of the population, and making information available about the
health of the community.
DIF:Understand (comprehension)
OBJ:Contrast community health nursing from community-based nursing.
TOP: Implementation MSC: Management of Care
5. The community health nurse is administering flu shots to children at a local playground. What
is the rationale for this nurse’s action?
a. To prevent individual illness
b. To prevent community outbreak of illness
c. To prevent outbreak of illness in the family
d. To prevent needs of the local population groups
ANS: B
The nurse is trying to prevent a community outbreak of illness. By focusing on subpopulations
(children), the community health nurse cares for the community as a whole and considers the
individual or the family as only one member of a group at risk. Community-based nursing, as
opposed to community health nursing, focuses on the needs of the individual or family. Public
health nursing focuses on meeting the population groups’ needs.
DIF:Apply (application) OBJ:Discuss the role of the community health nurse.
TOP: Planning MSC: Health Promotion and Maintenance

Loading page 22...

6. A nurse attended a seminar on community-based health care. Which information indicates the
nurse has a good understanding of community-based health care?
a. It occurs in hospitals.
b. Its focus is on ill individuals.
c. Its priority is health promotion.
d. It provides services primarily to the poor.
ANS: C
Community-based health care is a model of care that reaches everyone in the community
(including the poor and underinsured), focuses on primary rather than institutional or acute
care, and provides knowledge about health and health promotion and models of care to the
community. Community-based health care occurs outside traditional health care institutions
such as hospitals.
DIF:Understand (comprehension)
OBJ:Explain the relationship between public health and community health nursing.
TOP: Teaching/Learning MSC: Health Promotion and Maintenance
7. A nurse is using the Healthy People 2030 to establish goals for the community. Which goal is
priority?
a. Reduce health care costs.
b. Increase life expectancy.
c. Provide services close to where patients live.
d. Isolate patients to prevent the spread of disease.
ANS: B
The overall goals of Healthy People 2030 are to increase life expectancy and quality of life
and eliminate health disparities through an improved delivery of health care services. It does
not focus on reducing health care costs, providing services close to where patients live, or
isolating patients to prevent the spread of disease.
DIF:Understand (comprehension)
OBJ:Discuss the role of the nurse in community-based practice.
TOP: Planning MSC: Health Promotion and Maintenance
8. A nurse is working in community-based nursing. Which competency is priority for this
nurse?
a. Caregiver
b. Collaborator
c. Change agent
d. Case manager
ANS: A
First and foremost is the role of caregiver. While collaborator, change agent, and case
manager are important, they are not the priority.
DIF:Understand (comprehension)
OBJ:Explain the competencies important for success in community-based nursing practice.
TOP: Implementation MSC: Management of Care

Loading page 23...

9. A nurse observes an outbreak of lice in a certain school district. The nurse collects data and
identifies a common practice of sharing lockers, caps, and hairbrushes. The nurse shares the
information with the school. Which community-based nursing competency did the nurse use?
a. Educator
b. Caregiver
c. Case manager
d. Epidemiologist
ANS: D
As an epidemiologist, you are involved in case finding, health teaching, and tracking incident
rates of an illness (outbreak of lice). The nurse did not teach the students about lice. The nurse
did not provide care for the lice. The nurse did not coordinate needed resources and services
for a group of patient’s well-being (case manager).
DIF:Understand (comprehension)
OBJ:Describe the competencies important for success in community-based nursing practice.
TOP: Implementation MSC: Safety and Infection Control
10. A nurse is providing screening at a health fair. Which finding indicates the person may be a
vulnerable patient who is most likely to develop health problems?
a. One who is pregnant.
b. One who has excessive risks.
c. One who has unlimited access to health care.
d. One who uses nontraditional healing practices.
ANS: B
Vulnerable populations are the patients who are more likely to develop health problems as a
result of excessive risks or limits in access to health care services or who are dependent on
others for care. Pregnancy is not a cause of vulnerability, except in cases where the mother is
an adolescent, is addicted to drugs, or is at high risk for other reasons. A person who has
unlimited access to health care is not vulnerable. Frequently, the immigrant population
practices nontraditional healing practices. Many of these healing practices are effective and
complement traditional therapies.
DIF:Analyze (analysis)
OBJ:Identify characteristics of patients from vulnerable populations that influence the
community-based nurse’s approach to care. TOP: Assessment
MSC: Health Promotion and Maintenance
11. The instructor is teaching student nurses about identifying members of vulnerable populations
when the nursing student asks, ―Why is it that not all poor people are considered members of
vulnerable populations?‖ How should the nurse respond?
a. ―All poor people are members of a vulnerable population.‖
b. ―Poor people are members of a vulnerable population only if they take drugs.‖
c. ―Poor people are members of a vulnerable population only if they are homeless.‖
d. ―Members of vulnerable groups frequently have a combination of risk factors.‖
ANS: D

Loading page 24...

Members of vulnerable groups frequently have many risks or a combination of risk factors
that make them more sensitive to the negative effects of individual risk factors. Individual risk
factors are not always overwhelming, depending on the patient’s beliefs and values and
sources of social support.
DIF:Apply (application)
OBJ:Identify characteristics of patients from vulnerable populations that influence the
community-based nurse’s approach to care. TOP: Teaching/Learning
MSC: Health Promotion and Maintenance
12. The nurse is making a home visit to a Korean mother after the birth of girl. The spouse is
pressing different parts of the patient’s hand and lower arm to relieve a headache. What is the
nurse’s next action?
a. Tell the spouse to stop and give the mother acetaminophen.
b. Let the spouse finish and then give the mother medication.
c. Ask the mother and/or spouse to explain the procedure.
d. Explain to the spouse that it will not work.
ANS: C
The nurse should not judge the patient’s/family’s beliefs and values about health. The nurse
needs to understand cultural beliefs, values, and practices to determine their specific needs.
Acetaminophen may not be an acceptable alternative for this family. Criticizing the family’s
beliefs and practices or saying they will not work may only create a barrier to care.
DIF:Analyze (analysis)
OBJ:Identify characteristics of patients from vulnerable populations that influence the
community-based nurse’s approach to care. TOP: Implementation
MSC: Psychosocial Integrity
13. A nurse is assessing the social system of a community. Which area should the nurse assess?
a. Housing
b. Economic status
c. Volunteer programs
d. Predominant ethnic groups
ANS: C
Social systems include volunteer programs, education system, government, and health
systems. Housing and economic status are included in the structure assessment. Predominant
ethnic groups are a component of the population assessment.
DIF:Understand (comprehension) OBJ:Identify elements of a community assessment.
TOP: Assessment MSC: Psychosocial Integrity
14. The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an
abortion. The nurse, acting as a counselor, provides the patient with information on
alternatives to abortion. After discussing the options, the patient still expresses an interest in
an abortion. What should the nurse, in the counselor role, do next?
a. Encourage the patient to speak with a ―Right-to-Life‖ advocate.
b. Refuse to provide a referral to an abortion service.
c. Provide referral to an abortion service.
d. Delay referral to an abortion service.

Loading page 25...

ANS: C
As a counselor, the nurse is responsible for providing information, listening objectively, and
being supportive, caring, and trustworthy and providing a referral to an abortion service. The
role of counselor should not be influenced by personal biases or values. The nurse does not
make decisions, like going to a ―Right-to-Life‖ advocate, but rather helps the patient reach
decisions that are best for him or her. To refuse to provide a referral or to delay referral would
not be supportive of the patient’s decision.
DIF:Apply (application)
OBJ:Explain the competencies important for success in community-based nursing practice.
TOP: Implementation MSC: Psychosocial Integrity
15. Before a patient diagnosed in the beginning stage of Alzheimer’s disease is discharged, the
community-based nurse is making a visit to the patient’s home. The patient’s daughter and
family live in the home with the patient. What is the major focus of this visit?
a. Teaching the family how to monitor blood pressure.
b. Demonstrating techniques for providing care.
c. Stressing to the family how difficult it will be to provide care at home.
d. Encouraging the family to send the patient to an extended care facility.
ANS: B
The role of the community health nurse, when dealing with patients with Alzheimer’s disease,
is to maintain the best possible functioning, protection, and safety for the patient. The nurse
should demonstrate to the primary family caregiver techniques for dressing, feeding, and
toileting the patient while providing encouragement and emotional support to the caregiver.
Monitoring blood pressure is not necessary for an Alzheimer’s patient; blood pressure would
be for a patient with hypertension. The nurse should protect the patient’s rights and maintain
family stability, not encourage placement in an extended care facility.
DIF:Analyze (analysis)
OBJ:Explain the competencies important for success in community-based nursing practice.
TOP: Implementation MSC: Management of Care
16. While conducting a community assessment, the nurse seeks data on the average household
income and the number of residents on public assistance. In doing so, the nurse is evaluating
which component of a community assessment?
a. Structure
b. Population
c. Social system
d. Welfare system
ANS: A
Economic status is part of the community structure. Population would involve age and gender
distribution, growth trends, density, education level, and ethnic or religious groups. The
welfare system is part of the social system that also includes the education, government,
communication, and health systems.
DIF:Understand (comprehension) OBJ:Identify elements of a community assessment.
TOP: Assessment MSC: Health Promotion and Maintenance

Loading page 26...

17. The nurse uses statistics on increased incidence of communicable disease to influence
legislatures to pass a bill for mandatory vaccinations to enroll in school. Which type of
nursing will the nurse use in this process?
a. Public health nursing
b. Community-based nursing
c. Community health nursing
d. Vulnerable population nursing
ANS: A
A public health nurse understands factors that influence health promotion and health
maintenance, the trends and patterns influencing the incidence of disease within populations,
environmental factors contributing to health and illness, and the political processes used to
affect public policy. Community health nursing is nursing practice in the community, with the
primary focus on the health care of individuals, families, and groups within the community.
Community-based nursing care takes place in community settings such as the home or a
clinic, where the focus is on the needs of the individual or family. While there is no specific
vulnerable population nursing, all types of nursing should care for these populations.
DIF:Analyze (analysis)
OBJ:Explain the relationship between public health and community health nursing.
TOP: Evaluation MSC: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. A community-based nursing is working with a family. For which key areas will the nurse
need a strong knowledge base? (Select all that apply.)
a. Family theory
b. Communication
c. Group dynamics
d. Cultural diversity
e. Individual-centered care
ANS: A, B, C, D
With the individual and family as the patients, the context of community-based nursing is
family-centered care (not individual-centered care) within the community. This focus requires
a strong knowledge base in family theory, principles of communication, group dynamics, and
cultural diversity. The nurse leans to partner with patients and families, not just with
individuals.
DIF:Understand (comprehension)
OBJ:Discuss the role of the nurse in community-based practice.
TOP: Teaching/Learning MSC: Health Promotion and Maintenance
2. Offering which community-based nursing activities indicates the nurse is working in the role
of educator? (Select all that apply.)
a. Prenatal classes
b. A child safety program
c. To defend patients’ decisions
d. Creative solutions to local problems
e. To coordinate resources after discharge

Loading page 27...

ANS: A, B
Prenatal classes, infant care, child safety, and cancer screening are just some of the health
education programs provided in a community practice setting. Offers to defend patients’
decisions is the role of patient advocate. Offers creative solutions to local problems indicates a
change agent. Collaborator will offer to coordinate resources after discharge.
DIF:Apply (application)
OBJ:Explain the competencies important for success in community-based nursing practice.
TOP: Teaching/Learning MSC: Health Promotion and Maintenance
3. A nurse is caring for vulnerable populations in a local community. Which patients will the
nurse care for in this community? (Select all that apply.)
a. A 47-year-old immigrant who speaks only Spanish
b. A 35-year-old living in own home
c. A 22-year-old pregnant woman
d. A 40-year-old schizophrenic
e. A 15-year-old rape victim
ANS: A, D, E
Individuals living in poverty, older adults, people who are homeless, immigrant populations,
individuals in abusive relationships (rape), substance abusers, and people with severe mental
illnesses (schizophrenic) are examples of vulnerable populations. Middle-aged people living
in their own home are not an example of a vulnerable population. Pregnancy is not an
example of a vulnerable population.
DIF:Analyze (analysis)
OBJ:Identify characteristics of patients from vulnerable populations that influence the
community-based nurse’s approach to care. TOP: Implementation
MSC: Psychosocial Integrity
MATCHING
A nurse is assessing a community. Match each community element the nurse will assess with
the correct example.
a. Education level
b. Housing
c. Government
1. Structure
2. Population
3. Social system
1. ANS: B DIF:Understand (comprehension)
OBJ:Identify elements of a community assessment. TOP: Assessment
MSC: Health Promotion and Maintenance
2. ANS: A DIF:Understand (comprehension)
OBJ:Identify elements of a community assessment. TOP: Assessment
MSC: Health Promotion and Maintenance
3. ANS: C DIF:Understand (comprehension)
OBJ:Identify elements of a community assessment. TOP: Assessment
MSC: Health Promotion and Maintenance

Loading page 28...

Chapter 04: Theoretical Foundations of Nursing Practice
Potter: Fundamentals of Nursing, 11th Edition
MULTIPLE CHOICE
1. The nursing instructor is teaching a class on nursing theory. One of the students asks, ―Why
do we need to know this stuff? It doesn’t really affect patients.‖ What is the instructor’s best
response?
a. ―You are correct, but we have to learn it anyway.‖
b. ―This keeps the focus of nursing narrow.‖
c. ―Theories help explain why nurses do what they do.‖
d. ―Exposure to theories will help you later in graduate school.‖
ANS: C
Theories offer well-grounded rationales for how and why nurses perform specific
interventions and for predicting and/or prescribing nursing care measures. Although nursing
theory will help the nurse in graduate school, it is also an important basis for the nurse’s
approach to daily patient care, and it expands scientific knowledge of the profession.
DIF:Apply (application) OBJ:Explain how theory is used in nursing practice.
TOP: Implementation MSC: Management of Care
2. The nurse is caring for a patient who does not follow the prescribed regimen for diabetes
management. As a prescriber to Orem’s theory, the nurse interviews the patient in an attempt
to identify the cause of the patient’s ―nonadherence.‖ What is the rationale for the nurse’s
behavior?
a. Orem’s theory is useful in designing interventions to promote self-care.
b. Orem’s theory focuses on cultural issues that may affect compliance.
c. Orem’s theory allows for reduction of anxiety with communication.
d. Orem’s theory helps nurses manipulate the patient’s environment.
ANS: A
When applying Orem’s theory, a nurse continually assesses a patient’s ability to perform
self-care and intervenes as needed to ensure that the patients meet physical, psychological,
sociological, and developmental needs. According to Orem, people who participate in
self-care activities are more likely to improve their health outcomes. Leininger’s culture care
theory focuses on culture diversity and provides culturally specific nursing care. According to
Peplau, nurses help patients reduce anxiety by converting it into constructive actions, using
therapeutic communication. Nightingale’s grand theory is a patient’s environment can be
manipulated by nurses to restore a patient to health.
DIF:Understand (comprehension) OBJ:Explain how theory is used in nursing practice.
TOP: Evaluation MSC: Management of Care
3. A nurse is testing meditation for migraine headaches and the expected outcome of care when
performing this intervention. Which type of theory is the nurse using?
a. Grand
b. Prescriptive
c. Descriptive
d. Middle-range

Loading page 29...

ANS: B
A prescriptive theory details nursing interventions (meditation) for a specific phenomenon
(migraine headaches) and the expected outcome of the care. Grand theories are broad in scope
and complex and require further specification through research; it does not provide guidance
for specific nursing interventions. Descriptive theories do not direct specific nursing activities
but help to explain patient assessment. A middle-range theory tends to focus on a concept
found in a specific field of nursing, such as uncertainty, incontinence, social support, quality
of life, and caring, rather than reflect on a wide variety of nursing care situations.
DIF:Understand (comprehension) OBJ:Discuss types of nursing theories.
TOP: Implementation MSC: Management of Care
4. The nurse researcher is evaluating whether holding pressure at an injection site after injecting
the anticoagulant enoxaparin will reduce bruising at the injection site. This study involves a
prescriptive theory. What is the nurse’s rationale for involving a prescriptive theory?
a. It explains why bruising occurs.
b. It is broad in scope and complex.
c. It tests a specific nursing intervention.
d. It reflects a wide variety of nursing care situations.
ANS: C
Prescriptive theories detail nursing interventions for a specific phenomenon and the expected
outcome of the care but it does not explain why. Grand theories are broad in scope and
complex and focus on a wide variety of nursing care situations.
DIF:Understand (comprehension) OBJ:Discuss types of nursing theories.
TOP: Planning MSC: Management of Care
5. A nurse is using nursing theory and the nursing process simultaneously to plan nursing care.
How will the nurse use nursing theory and the nursing process in practice?
a. Nursing theory can direct how a nurse uses the nursing process.
b. Nursing theory requires the nursing process to develop knowledge.
c. Nursing theory with the nursing process has a minor role in professional nursing.
d. Nursing theory combined with the nursing process is specific to certain ill patients.
ANS: A
Nursing theory can direct how a nurse uses the nursing process. Integration of theory into
practice (nursing process) serves as the basis for professional nursing. The nursing process
provides a systematic process for the delivery of care, not the knowledge component of the
discipline. Useful theories are adaptable to different patients and to all care settings.
DIF:Understand (comprehension) OBJ:Explain how theory is used in nursing practice.
TOP: Implementation MSC: Management of Care
6. The nurse views the patient as an open system that needs help in coping with stressors. Which
theorist is the nurse using?
a. King
b. Levine
c. Neuman
d. Johnson

Loading page 30...

ANS: C
Neuman views a patient as being an open system that is in constant energy exchange with the
environment that the nurse must help cope with stressors. King views a patient as a unique
personal system that is constantly interacting/transacting with other systems that the nurse
helps with goal attainment. Levine believes nurses promote balance between nursing
interventions and patient participation to assist in conserving energy needed for healing.
Johnson perceives patients as a collection of subsystems that forms an overall behavioral
system focusing on balance.
DIF:Understand (comprehension)
OBJ:Determine how to apply different nursing theories in different patient situations.
TOP: Evaluation MSC: Management of Care
7. The nurse is caring for a patient diagnosed with essential hypertension. The health care
provider prescribes blood pressure medication that the nurse administers. The nurse then
monitors the patient’s blood pressure for several days to help determine effectiveness. Which
system component is the nurse evaluating?
a. Input
b. Output
c. Content
d. Feedback
ANS: B
Output is the end product of a system and, in the case of the nursing process, it is defined as
whether the patient’s health status improves or remains stable as a result of nursing care. Input
consists of the data that come from a patient’s assessment. Feedback serves to inform a
system about how it functions. Content is the product and information obtained from the
system.
DIF:Understand (comprehension)
OBJ:Review selected shared theories from other disciplines. TOP: Evaluation
MSC: Management of Care
8. A patient is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) and
is placed in isolation until cultures can be obtained and declared noninfectious. During the
isolation process, the nurse encourages family visits. Which level of Maslow’s hierarchy of
needs is the nurse promoting when the family is encouraged to visit?
a. First level
b. Second level
c. Third level
d. Fourth level
ANS: C
The third level contains love and belonging needs, including family and friends. The first
level includes physiological needs. The second level includes safety and security needs. The
fourth level encompasses esteem and self-esteem needs. The fifth and final level is the need
for self-actualization.
DIF:Understand (comprehension)
OBJ:Review selected shared theories from other disciplines. TOP: Implementation
MSC: Psychosocial Integrity

Loading page 31...

28 more pages available. Scroll down to load them.

Preview Mode

100%

Study Now!

XY-Copilot AI

Unlimited Access

Secure Payment

Instant Access

24/7 Support

AI Assistant

Document Details

Subject

Nursing

Test Bank for Fundamentals of Nursing, 11th edition (Chapters 1-24)

Study Now!

Document Details

Related Documents

Test Bank for Fundamentals of Nursing, 10th Edition (Chapters 1-11)

Class Notes for High-Acuity Nursing, 7th Edition

The Psychiatric-Mental Health Nurse Practitioner Certification Review Manual (2020)

Test Bank for Community and Public Health Nursing: Evidence for Practice, 3rd Edition (Chapters 1-25)

Test Bank for Medical-Surgical Nursing in Canada, 4th Edition

Test Bank For Understanding Medical-Surgical Nursing, 5th Edition

Test Bank for Lehne's Pharmacology for Nursing Care, 11th Edition (Chapters 1-112)

Test Bank for Pharmacology and the Nursing Process, 10th Edition (Chapters 1-57)

Test Bank for Foundations for Population Health in Community/Public Health Nursing, 6th Edition (Chapters 1-32)

Test Bank for LPN to RN Transitions, 5th Edition (Chapters 1-18)