Test Bank for Fundamentals of Nursing: The Art and Science of Person-Centered Care, 10th North American Edition (Chapters 1-47)

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TEST BANKFundamentals of Nursing: The Art and Science ofPerson-Centered CareCarol R. Taylor, Pamela B. Lynn, and Jennifer L. Bartlett10th Edition

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Table of ContentsChapter 01 Introduction to Nursing and Professional Formation1Chapter 02 Theory, Research, and Evidence-Based Practice7Chapter 03 Health, Wellness, and Health Disparities12Chapter 04 Health of the Individual, Family, Community, and Environment18Chapter 05 Culturally Respectful Care23Chapter 06 Values, Ethics, and Advocacy28Chapter 07 Legal Dimensions of Nursing Practice34Chapter 08 Communication39Chapter 09 Teaching and Counseling44Chapter 10 Leading, Managing, and Delegating49Chapter 11 Health Care Delivery System55Chapter 12 Interprofessional Collaborative Practice and Care Coordination Across Settings60Chapter 13 Blended Competencies, Clinical Reasoning, and Processes of Person-CenteredCare64Chapter 14 Clinical Judgment69Chapter 15 Assessing76Chapter 16 Diagnosis-Problem Identification81Chapter 17 Outcome Identification and Planning86Chapter 18 Implementing92Chapter 19 Evaluating97Chapter 20 Documenting and Reporting102Chapter 21 Informatics and Health Care Technologies107Chapter 22 Developmental Concepts112Chapter 23 Conception Through Young Adulthood118Chapter 24 Middle and Older Adulthood124Chapter 25 Asepsis and Infection Control129Chapter 26 Vital Signs135Chapter 27 Health Assessment142Chapter 28 Safety, Security, and Emergency Preparedness148Chapter 29 Complementary and Integrative Health154Chapter 30 Medications160Chapter 31 Perioperative Nursing166Chapter 32 Hygiene172Chapter 33 Skin Integrity and Wound Care178Chapter 34 Activity184Chapter 35 Rest and Sleep190Chapter 36 Comfort and Pain Management195Chapter 37 Nutrition201Chapter 38 Urinary Elimination207Chapter 39 Bowel Elimination213Chapter 40 Oxygenation and Perfusion219

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Chapter 41 Fluid, Electrolyte, and Acid-Base Balance225Chapter 42 Self-Concept231Chapter 43 Stress and Adaptation236Chapter 44 Loss, Grief, and Dying242Chapter 45 Sensory Functioning248Chapter 46 Sexuality254Chapter 47 Spirituality260

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https://www.stuvia.com/en-us/user/AllStudyGuidesChapter 01: Introduction to Nursing and Professional FormationMULTIPLE CHOICE1.Which of the following set of terms best describes nursing at the end of the Middle Ages?a.continuity, caring, critical thinkingb.purpose, direction, leadershipc.assessment, interventions, outcomesd.advocacy, research, educationANS:BPTS:12.Which of the following is a characteristic of nursing practiced from early civilization to the16th century?a.Most early civilizations believed that illness had supernatural causes.b.The physician was the priest who treated disease with prayer.c.The nurse was a nun committed to caring for the needy and homeless.d.Nursing changed from a spiritual focus to an emphasis on knowledge expansion.ANS:APTS:13.In what time period did nursing care as we now know it begin?a.pre-civilizationb.early civilization to 16th centuryc.16th to 17th centuryd.18th to 19th centuryANS:DPTS:14.Who is considered to be the founder of professional nursing?a.Dorothea Dixb.Lillian Waldc.Florence Nightingaled.Clara BartonANS:CPTS:15.Which of the following nursing pioneers established the Red Cross in the United States in1882?a.Florence Nightingaleb.Clara Bartonc.Dorothea Dixd.Jane AddamsANS:BPTS:16.What was one barrier to the development of the nursing profession in the United States afterthe Civil War?a.lack of educational standardsb.hospital-based schools of nursing______________________________________________________________________________________________1 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesc.lack of influence from nursing leadersd.independence of nursing ordersANS:APTS:17.Which of the following individuals provided community-based care and founded publichealth nursing?a.Adelaide Nuttingb.Lillian Waldc.Sojourner Truthd.Clara BartonANS:BPTS:18.Which of the following nursing groups provides a definition and scope of practice fornursing?a.ICNb.AANc.ANAd.The Joint CommissionANS:BPTS:19.Teaching a woman about breast self-examination is an example of what broad aim ofnursing?a.promoting healthb.preventing illnessc.restoring healthd.facilitating coping with disability and deathANS:BPTS:110.A nurse caring for a patient with diabetes chooses an appropriate plan of care and devisesinterventions to accomplish the desired outcomes. This is an example of using which of thefollowing type of nursing skills?a.Technicalb.Cognitivec.Interpersonald.Ethical/LegalANS:BPTS:111.Which one of the following examples of nursing actions would be considered anethical/legal skill?a.A nurse helps a patient prepare a living will.b.A nurse obtains a urine sample for a urinalysis.c.A nurse explains the rationale for a patients plan of care.d.A nurse holds the hand of a woman whose baby died in childbirth.ANS:APTS:1______________________________________________________________________________________________2 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuides12.A nurse practitioner is caring for a couple who are the parents of an infant diagnosed withDowns Syndrome. The nurse makes referrals for a parent support group for the family. Thisis an example of which nursing role?a.Teacher/Educatorb.Leaderc.Counselord.CollaboratorANS:CPTS:113.A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Whichof the following actions is the best example of using the collaborator role as a nurse?a.Discussing the legal aspects of adoption for teens wishing to place their infantswith a familyb.Searching the Internet for information on child care for the teens who wish toreturn to schoolc.Conducting a patient interview and documenting the information on the patientschartd.Referring a teen who admits having suicidal thoughts to a mental healthcarespecialistANS:DPTS:114.A nurse instructor explains the concept of health to her students. Which of the followingstatements accurately describes this state of being?a.Health is a state of optimal functioning.b.Health is an absence of illness.c.Health is always an objective state.d.Health is not determined by the patient.ANS:APTS:115.A nurse incorporates the health promotion guidelines established by the U.S. Department ofHealth document:Healthy People 2010. Which of the following is a health indicatordiscussed in this document?a.cancerb.obesityc.diabetesd.hypertensionANS:BPTS:116.A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. This isan example of which of the following aims of nursing?a.promoting healthb.preventing illnessc.restoring healthd.facilitating coping with disability or deathANS:BPTS:1______________________________________________________________________________________________3 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuides17.Which of the following is a criteria that defines nursing as profession?a.an undefined body of knowledgeb.a dependence on the medical professionc.an ability to diagnose medical problemsd.a strong service orientationANS:DPTS:118.Although all of the following are nursing responsibilities, which one would be expected of anurse with a baccalaureate degree?a.providing direct physical careb.using research findings to improve practicec.administering medications as prescribedd.collaborating with other healthcare providersANS:BPTS:119.Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. Whatnursing degree will she need to attain this goal?a.licensed practical nurseb.associate degreec.baccalaureate degreed.masters degreeANS:DPTS:120.Why are nursing organizations important for the continued development and improvementof nursing as a whole?a.to provide socialization and networking for membersb.to regulate work activities for membersc.to set standards for nursing education and practiced.to provide information to nurses about legal requirementsANS:CPTS:121.Which of the following organizations has established standards for clinical nursing practice?a.American Nurses Associationb.National League for Nursingc.International Council of Nursesd.State Board of NursingANS:APTS:122.What is the primary purpose of standards of nursing practice?a.to provide a method by which nurses perform skills safelyb.to ensure knowledgeable, safe, comprehensive nursing carec.to establish nursing as a profession and a disciplined.to enable nurses to have a voice in healthcare policyANS:CPTS:1______________________________________________________________________________________________4 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuides23.After graduation from an accredited program in nursing and successfully passing theNCLEX, what gives the nurse a legal right to practice?a.enrolling in an advanced degree programb.filing NCLEX results in the county of residencec.being licensed by the State Board of Nursingd.having a signed letter confirming graduationANS:CPTS:124.A nurse has been tried and found guilty of the felony crime of forgery. How might thisaffect the nurses license to practice nursing?a.It will have no effect on the ability to practice nursing.b.The nurse can practice nursing at a less-skilled level.c.The license may be revoked or suspended.d.The license will permanently carry the felony conviction.ANS:CPTS:125.Nurses use the nursing process to focus care on human responses to what?a.interactions with the environmentb.physical effects of diseasec.outcomes of medical or surgical treatmentd.actual or potential health problemsANS:DPTS:126.Which age group in the population is expanding most rapidly, resulting in changes in thedelivery of healthcare?a.older adultsb.young adultsc.school-aged childrend.newbornsANS:APTS:127.Which of the following is a current trend affecting nursing education and practice?a.over abundance of graduating nursesb.office-based care delivery systemsc.increase in length of hospital stayd.increase in chronic health conditionsANS:DPTS:1MULTIPLE RESPONSE28.Which of the following statements accurately describe an element of nursing? (Select allthat apply).a.The skills involved in nursing are primarily technical in nature.b.The primary focus of nursing is to assist individuals to recover from illnessc.The science of nursing is the knowledge base for the care that is given.d.The art of nursing is the collection of knowledge through research.______________________________________________________________________________________________5 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidese.Nursing is considered to be both an art and a science.f.Nursing is a profession that used specialized knowledge and skills.ANS:C, E, FPTS:129.What nursing activity would meet the broad nursing aim of facilitating coping withdisability and death? (Select all that apply).a.conducting a blood pressure screening programb.teaching testicular self-examinationc.referring to a community diabetic support groupd.administering intravenous fluidse.admitting a patient to a hospice programf.performing a physical assessment on a patientANS:C, EPTS:1______________________________________________________________________________________________6 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesChapter 02: Theory, Research, and Evidence-Based PracticeMULTIPLE CHOICE1.What phrase best describes the science of nursing?a.application of clinical skillsb.body of nursing knowledgec.holistic patient cared.art of individualized nursingANS:BPTS:12.The practice of changing patients’ bed clothes each day in acute care settings is an exampleof what type of knowledge?a.authoritativeb.traditionalc.scientificd.appliedANS:BPTS:13.A student nurse learns how to give injections from the nurse manager. This is an example ofthe acquisition of what type of knowledge?a.authoritativeb.traditionalc.scientificd.appliedANS:APTS:14.Which of the following sources of knowledge is based on objective data?a.authoritativeb.traditionalc.scientificd.appliedANS:APTS:15.A patient undergoing chemotherapy for a brain tumor believes that having a good attitudewill help in the healing process. This is an example of what type of knowledge?a.scienceb.philosophyc.processd.virtueANS:BPTS:16.Which of the following accurately describes Florence Nightingales influence on nursingknowledge?a.She defined nursing practice as the continuation of medical practice.______________________________________________________________________________________________7 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesb.She differentiated between health nursing and illness nursing.c.She established training for nurses under the direction of the medical profession.d.She established a theoretical base for nursing that originated outside theprofession.ANS:BPTS:17.During the first half of the 20th century, a change in the structure of society resulted inchanged roles for women and, in turn, for nursing. What was one of these changes?a.More women retired from the workforce to raise families.b.Women became more dependent and sought higher education.c.The focus of nursing changed to hands-on training.d.Nursing research was conducted and published.ANS:DPTS:18.Who was the first nurse to develop a nursing theory?a.Clara Bartonb.Dorothea Dixc.Florence Nightingaled.Virginia HendersonANS:CPTS:19.A nurse observes that certain patients have less pain after procedures than do others, andforms a theory of why this happens. What is a theory?a.a concept used to directly prove a fact or aroup of factsb.an understanding borrowednesc.a best guess based on intangible ideasd.a statement of an occurrence based on observed factsANS:DPTS:110.A staff nurse asks a student, Why in the world are you studying nursing theory? How wouldthe student best respond?a.Our school requires we take it before we can graduate.b.We do it so we know more than your generation did.c.I think it explains how we should collaborate with others.d.It helps explain how nursing is different from medicine.ANS:DPTS:111.Why are the developmental theories important to nursing practice?a.They describe how parts work together as a system.b.They outline the process of human growth and development.c.They define human adaptation to others and to the environment.d.They explain the importance of legal and ethical care.ANS:BPTS:1______________________________________________________________________________________________8 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuides12.Breaking the healthcare community into separate entities (such as the medical community,the nursing staff, management, support staff) and analyzing how they work as a wholetogether is an example of which nursing theory?a.general systems theoryb.adaptation theoryc.developmental theoryd.compartment theoryANS:APTS:113.There are four concepts common in all nursing theories. Which one of the four concepts isthe focus of nursing?a.personb.environmentc.healthd.nursingANS:APTS:114.What is the ultimate goal of expanding nursing knowledge through nursing research?a.learn improved ways to promote and maintain healthb.develop technology to provide hands-on nursing carec.apply knowledge to become independent practitionersd.become full-fledged partners with other care providersANS:APTS:115.What was significant about theational Center for Nursing Research tothe current National Institute of Nursing Research (NINR)?a.Increased numbers of articles are published in research journals.b.NINR gained equal status with all other National Institutes of Health.c.NINR became the major research body of the International Council of Nurses.d.It decreased emphasis on clinical research as an important area for nursing.ANS:BPTS:116.Which of the following terms are part of quantitative research?a.processb.conceptc.ethnographyd.variableANS:DPTS:117.A nurse uses the process of quantitative research to study the incidence and causes ofhospital-acquired pneumonia in her hospital. The statement of what the researcher expectsto find in these studies is called the:a.variableb.datac.hypothesisd.instrument______________________________________________________________________________________________9 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesANS:CPTS:118.Information is collected for analysis in both quantitative and qualitative research. What isthe information called?a.surveysb.answersc.interviewsd.dataANS:DPTS:119.Which of the following represents the basic framework of the research process?a.Qualitative datab.Quantitative datac.Nursing Processd.Nursing TheoryANS:CPTS:120.Which of the following is a responsibility of an institutional review board (IRB)?a.secure informed consent for researchersb.review written accuracy of research proposalsc.determine risk status of all studiesd.secure funding for institutional researchANS:CPTS:121.Before developing a procedurel current research-based literature oninsertion of a nasogastric tube. What type of nursing will be practiced based on this review?a.institutional practiceb.authoritative nursingc.evidence-based nursingd.factual-based nursingANS:CPTS:122.One step in implementing evidence-based practice is to ask a question about a clinical areaof interest or an intervention. The most common method is the PICO format. Which of thefollowing accurately defines the letters in the PICO acronym?a.P = populationb.I = institutionc.C = compromised.O = outputANS:APTS:123.A beginning student is reading a published research article. Where in the article would thestudent find the abstract?a.in the introductionb.in the methods sectionc.after the references______________________________________________________________________________________________10 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesd.at the beginningANS:DPTS:1MULTIPLE RESPONSE24.Which of the following examples represents the type of knowledge known as process?(Select all that apply).a.A nurse dispenses medications to patients.b.A nurse changes the linens on a patient’s bed.c.A nurse studies a nursing journal article on infection control.d.A nurse consults an ethics committee regarding an ethical dilemma.e.A nurse believes in providing culturally competent nursing care.f.A nurse monitors the vital signs of a postoperative patient.ANS:A, B, FPTS:125.Which of the following are characteristics of nursing theories? (Select all that apply).a.They provide rational reasons for nursing interventions.b.They are based on descriptions of what nursing should be.c.They provide a knowledge base for appropriate nursing responses.d.They provide a base for discussion of nursing issues.e.They help resolve current nursing issues and establish trends.f.They use complex terminology to resolve specific nursing issues.ANS:A, C, D, EPTS:126.A patient in a clinical research study has given informed consent. This means that thepatient has certain rights. These rights include which of the following? (Select all thatapply).a.confidentialityb.free medical carec.refusal to participated.protection from harme.guarantee of treatmentf.consent knowledgeablyANS:A, C, D, FPTS:127.Which of the following are examples of characteristics of evidence-based practice? (Selectall that apply).a.It is a problem-solving approach.b.It uses the best evidence available.c.It is generally accepted in clinical practice.d.It is based on current institutional protocols.e.It blends the science and art of nursing.f.It is not concerned with patient preferences.ANS:A, B, EPTS:1______________________________________________________________________________________________11 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesChapter 03: Health, Wellness, and Health DisparitiesMULTIPLE CHOICE1.What phrase best describes health?a.individually defined by each personb.experienced by each person in exactly the same wayc.the opposite of illnessd.the absence of diseaseANS:APTS:12.Which of the following most accurately defines illness?a.the inability to carry out normal activities of livingb.a pathologic change in mind or body structure or functionc.the response of a person to a diseased.achieving maximum potential and quality of lifeANS:CPTS:13.A patient makes a decision to quit smoking and joins a smoking cessation class. This is anexample of which of Dunn’s processes that help a person know who and what he or she is?a.beingb.belongingc.becomingd.befittingANS:DPTS:14.Which of the following statements accurately describes the concepts of disease and illness?a.A disease is traditionally diagnosed and treated by a nurse.b.The focus of nurses is the person with an illness.c.A person with an illness cannot be considered healthy.d.Illness is a normal process that affects level of functioning.ANS:BPTS:15.A rapid onset of symptoms that last a relatively short time indicates what health problem?a.a chronic illnessb.an acute illnessc.actual risk factord.potential for wellnessANS:BPTS:16.A nurse caring for patients with diabetes knows that the following is a characteristic of achronic illness:a.It is a temporary change.b.It causes reversible alterations in A&P.c.It requires special patient education for rehabilitation.______________________________________________________________________________________________12 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesd.It requires a short period of care or support.ANS:CPTS:17.What manifestation is the most significant symptom indicating an illness?a.bleedingb.runny nosec.paind.itchingANS:CPTS:18.A nurse calls in to his unit to report he has the flu and will not be at work. What stage ofillness behavior is he exhibiting?a.experiencing symptomsb.assuming the sick rolec.assuming a dependent roled.achieving recovery and rehabilitationANS:BPTS:19.A patient accepts the fact that he needs bypass surgery for a blocked artery and is admittedinto the hospital. Which one of the following stages of illness is this patient experiencing?a.Stage 1b.Stage 2c.Stage 3d.Stage 4ANS:CPTS:110.Which of the following is an example of a characteristic of the Stage 2 of illness?a.A person tells his family that he is sick and allows them to take care of him.b.A person experiences a headache and sore throat and takes an aspirin.c.A person visits a physician to receive treatment for symptoms of an infection.d.A person begins rehabilitation following a stroke that left him paralyzed on oneside.ANS:APTS:111.A 4-year-old child has leukemia but is now in remission. What does it mean to be inremission when one has a chronic illness?a.The chronic disease has been cured.b.Nothing further can be done in terms of treatment.c.Severe symptoms of the chronic illness have reappeared.d.The disease is present, but symptoms are not experienced.ANS:DPTS:112.What may happen to the family when an illness occurs in one of the family members?a.alterations in values and religious beliefsb.more public displays of affectionc.changes in roles for the patient and family______________________________________________________________________________________________13 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesd.increased resistance to stressANS:CPTS:113.A baby is born with Down syndrome, which influences his health illness status. This is anexample of which of the following human dimensions?a.Physicalb.Emotionalc.Environmentald.SocioculturalANS:APTS:114.Which of the following is an example of the sociocultural dimension influencing a person’shealth illness status?a.A family lives in a city environment where the air pollution levels are high.b.A father who is a practicing Jehovah’s Witness refuses a blood transfusion for hisson.c.A teenager who was in an automobile accident worries that his scars will causehim to lose friends.d.A single mother of two applies for food stamps in order to feed her family.ANS:DPTS:115.A nurse is caring for a 17-year-old female patient whose left leg was amputated after beingcrushed in a motor vehicle accident. Which of the following interventions might the nurseperform to accommodate the patients intellectual dimension?a.considering the patients dehen planning nursing careb.encouraging friends and relatives to visit often and bring games to distract herc.teaching her how to care for the stump and explaining the rehabilitation programd.providingthe opportunity for a counselor to come in and talk to her about her lossANS:CPTS:116.Which of the following topics is important when teaching teens and young adults?a.safer sex practicesb.blood pressure controlc.immunization for measlesd.effective hand hygieneANS:APTS:117.Which of the following statements illustrates the effect of the sociocultural dimension onhealth and illness?a.Why shouldn’t I drink and drive? Everyone else does.b.My mother has sickle cell anemia, and so do I.c.I know I have heart problems, so I have changed my diet.d.I used biofeedback to lower my blood pressure.ANS:APTS:1______________________________________________________________________________________________14 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuides18.A middle-aged woman is 40 pounds over her ideal weight. Which of the followingstatements best illustrates the effect of her self-concept on health and illness?a.I am just too busy with my kids to bother about a diet.b.Why should I lose weight? I’ll still be fat.c.My sister is thin, but I don’t think she looks that good.d.My husband loves me this way.ANS:BPTS:119.A camp nurse is teaching a group of adolescent girls about the importance of monthly breastself-examination. What level of preventive care does this activity represent?a.primaryb.secondaryc.tertiaryd.restorativeANS:APTS:120.A nurse refers a 67-year-old male patient to group counseling for alcohol cessation.According to Rosenstock’s health belief model, the patient’s knowledge of the diseases thatmay occur with alcoholism is a:a.demographic variableb.sociopsychological variablec.structural variabled.intellectual variableANS:CPTS:121.Which of the following models of health promotion and illness prevention was developed toillustrate how people interact with their environment as they pursue health?a.the health promotion modelb.the health belief modelc.the health illness continuumd.the agent host environment modelANS:APTS:122.Which of the following factors constitute the environment component of the agent hostenvironment model of health and illness (Leavell and Clark, 1965)? (Select all that apply).a.bacteria/virusesb.chemical substancesc.health habitsd.family historye.cultural factorsf.biologic factorsANS:EPTS:1______________________________________________________________________________________________15 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuides23.Nurses use new resources for healthcare practices to promote health and serve as anadvocate for patients and families in all settings. Which one of the following resources hasbeen most instrumental in improving access to care for people living in rural or underservedareas of the nation?a.telehealth practiceb.industrial programsc.community centersd.nontraditional healthcare sitesANS:APTS:124.What is the nurses primary role in promoting health?a.educating others about health promotion activitiesb.avoiding smoking or drinking in publicc.being a role model for health promotiond.implementing stress reduction activitiesANS:CPTS:1MULTIPLE RESPONSE25.Which of the following statements accurately describe how risk factors may increase aperson’s chances for illness or injury? (Select all that apply).a.Risks factors are unrelated to the person or event.b.All risk factors are modifiable.c.An increase in risk factors increases the possibility of illness.d.A family history of breastfiable risk factor.e.School-aged children are at high risk for communicable diseases.f.Multiple sexual relationships increase the risk for sexually transmitted diseases.ANS:C, D, E, FPTS:126.Which of the following nursing interventions are examples of health promotion andpreventive care on the primary level? (Select all that apply).a.A nurse counsels a teenager to stop smoking.b.A nurse conducts a health fair for high blood pressure screening.c.A nurse counsels the family of a patient diagnosed with lung cancer.d.A home healthcare nurse arranges for rehabilitation services for a patient.e.A school nurse arranges for a career seminar for graduating seniors.f.A nurse devises a low-caloriediet for an obese teenager.ANS:A, FPTS:127.On which of the following components is Rosenstock’s health belief model based? (Selectall that apply).a.perceived susceptibility to a diseaseb.perceived consequences of treating diseasec.perceived seriousness of a diseased.perceived benefits of actione.perceived immunity to disease______________________________________________________________________________________________16 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesf.perceived benefits of health insuranceANS:A, C, DPTS:128.Which of the following statements explain why models of health promotion and illnessprevention are useful when planning healthcare? (Select all that apply).a.They help healthcare providers understand health-related behaviors.b.They are useful for adapting care to people from diverse backgrounds.c.They help overcome barriers related to increased number of people withouthealthcare.d.They overcome barriers to care for the predicted downward trend in minoritypopulations.e.They overcome barriers to care for low-income and rural populations.f.They explain why people take advantage of low-cost screens and healthcareinformation.ANS:A, B, C, EPTS:1______________________________________________________________________________________________17 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesChapter 04: Health of the Individual, Family, Community, and EnvironmentMULTIPLE CHOICE1.According to Maslow’s basic human needs hierarchy, which needs are the most basic?a.physiologicb.safety and securityc.love and belongingd.self-esteemANS:APTS:12.Which of the following is a tenant of Maslow’s basic human needs hierarchy?a.A need that is unmet prompts a person to seek a higher level of wellness.b.A person feels ambivalence when a need is successfully met.c.Certain needs are more basic than others and must be met first.d.People have many needs and should strive to meet them simultaneously.ANS:CPTS:13.An 80-year-old woman states, I have successfully raised my family and had a good life.This statement illustrates meeting which basic human need?a.safety and securityb.love and belongingc.self-esteemd.self-actualizationANS:DPTS:14.A 2-year-old boy arrives at the emergency department of a local hospital with difficultybreathing from an asthmatic attack. Which of the following would be the priority nursingintervention?a.giving him his favorite stuffed animal to holdb.assessingrespirations and administering oxygenc.raising the side rails and restraining his armsd.asking his mother what are his favorite foodsANS:BPTS:15.A 75-year-old man is being discharged to his home following a fall in his kitchen thatresulted in a fractured pelvis. The home health nurse makes a home assessment that will beused to design interventions to meet which priority need?a.sleep and restb.support from family membersc.protection from potential harmd.feeling a sense of accomplishmentANS:CPTS:1______________________________________________________________________________________________18 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuides6.A nurse caring for a patient in a long-term health care facility measures his intake andoutput and weighs him to assess water balance. These actions help to meet which ofMaslow’s hierarchy of needs?a.physiologicb.safety and securityc.love and belongingd.self-actualizationANS:APTS:17.What action by a nurse will help a patient meet self-esteem needs?a.verbally negate the patients negative self-perceptionsb.freely give compliments to increase positive self-regardc.independently establish goals to improve self-esteemd.respect the patient’s values and belief systemsANS:DPTS:18.A nurse caring for a female patient with TB who is in isolation is aware that the patientslove and belonging needs may not be properly met. Which of the following nursing actionwould help to meet these needs?a.respecting the patient’s values and beliefsb.focusing on the patient’s strengths rather than problemsc.using hand hygiene and sterile technique to prevent infectiond.encouraging family to visit and help in the care of the patientANS:DPTS:19.Which of the following statements accurately describes how Maslow’s theory can beapplied to nursing practice?a.Nurses can apply this theory to the nursing process.b.Nurses can identify met needs as healthcare needs.c.Nurses cannot use the theory on infants or children.d.Nurses use the theory for ill, as opposed to healthy patients.ANS:APTS:110.Jim and Alice were recently married. Each has previously been married and had twochildren. What name is given to this type of family?a.extended familyb.nuclear familyc.blended familyd.cohabiting familyANS:CPTS:111.Which of the following groups involves all parts of a person’s life and is concerned withmeeting basic human needs to promote health?a.peersb.familyc.community______________________________________________________________________________________________19 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesd.healthcare providersANS:BPTS:112.David and Susan are in a committed relationship and live together with their adopted twinboys. Which of the following best describes this type of family?a.nuclear familyb.extended familyc.blended familyd.adoptive familyANS:APTS:113.When providing nursing care to a patient, the nurse provides family-centered nursing care.What is one rationale for this nursing action?a.The nurse does not want the patient to feel lonely.b.The patient will be more compliant with medical instructions.c.The family will be more willing to listen to instructions.d.Illness in one family member affects all family members.ANS:DPTS:114.A mother teaches her son to respect his elders. This is an example of which of the followingfamily functions?a.physicalb.economicc.affective and copingd.socializationANS:DPTS:115.What is the purpose of the affective and coping function of the family?a.providing a safe environment for growth and developmentb.ensuring financial assistance for family membersc.providing emotional comfort and identityd.transmitting values, attitudes, and beliefsANS:CPTS:116.A nurse provides health promotion and accident prevention programs for a family withadolescents and young adults. Which of the following is a task of a family at this stage?a.Establish a mutually satisfying marriage.b.Adjust to cost of family life.c.Maintain supportive home base.d.Maintain ties with younger and older generations.ANS:CPTS:117.Friedman, Bowden, and Jones (2003) identified the importance of family-centered nursingcare, based on four rationales. Which of the following is one of these rationales?a.The family is composed of dependent members who affect one another.b.If a family member is ill, it does not necessarily affect other family members.______________________________________________________________________________________________20 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesc.A strong relationship exists between the family and health status of members.d.The level of health of the family is established early and is not influenced by healthpromotion.ANS:CPTS:118.Which of the following individuals would the nurse assess as being most at risk for alteredfamily health?a.an unmarried adolescent with a newbornb.a newly married couple who ask about birth controlc.a middle-aged man and woman with no childrend.an older adult, living in an assisted-living communityANS:APTS:119.What is the major effect of a health crisis on family structure?a.adaptation to stressb.change in roles of family membersc.respect for family valuesd.loss of individual identitiesANS:BPTS:120.Mrs. Dunn has cared for her husband with Alzheimer’s disease for 2 years. She comes to alocal health center because she is feeling worn out and stressed. What might be anappropriate nursing diagnosis for Mrs. Dunn?a.Dysfunctional Family Processesb.Health-Seeking Behaviorsc.Risk for Caregiver Burdend.Risk for AnxietyANS:CPTS:121.Which of the following statements accurately describes a characteristic of a community?a.Communities do not exist in rural areas.b.Communities are formed by the characteristics of people and other factors.c.Communities are not limited by geographic boundaries.d.Communities have little or no effect of the health of residents.ANS:BPTS:122.Which of the following is an example of a community factor that may affect health?a.rural settingb.air and water qualityc.number of residentsd.educational levelANS:BPTS:123.Which of the following factors may be a barrier to healthcare services for those living inrural areas?a.inadequate healthcare insurance______________________________________________________________________________________________21 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesb.lack of knowledge about needed carec.living long distances from servicesd.decreased interest in health promotionANS:CPTS:124.Which of the following definitions best describes community-based nursing?a.a focus on populations within the communityb.a focus on older adults living in nursing homesc.care provided in the patients home for chronic illnessesd.care centered onindividual and family healthcare needsANS:DPTS:125.What is one method by which a nurse can be a role model to promote health in thecommunity?a.by demonstrating a healthy lifestyleb.by becoming a member of a familyc.by meeting own basic needsd.by exhibiting self-actualizationANS:APTS:1______________________________________________________________________________________________22 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesChapter 05: Culturally Respectful CareMULTIPLE CHOICE1.How is culture learned by each new generation?a.ethnic heritageb.involvement in religious activitiesc.formal and informal experiencesd.belonging to a subcultureANS:CPTS:12.Which of the following statements is true of cultural assimilation?a.Mutual cultural assimilation occurs when characteristics from two groups aretraded.b.Cultural assimilation is the integration of a majority group with a minority group.c.Moving to a different culture may result in psychological discomfort.d.Cultural assimilation is identifying with a collective cultural group, primarilybased on common heritage.ANS:APTS:13.Mr. Perez is a Mexican immigrant who migrated to the United States and lives in aSpanish-speaking community with other relatives. He is taken to the ER following a fall atwork and is admitted to the hospital for observation. Which of the following is the nursecaring for Mr. Perez aware thaa.cultural assimilationb.cultural shockc.cultural impositiond.cultural blindnessANS:BPTS:14.What characteristic is used to describe racial categories?a.languageb.skin colorc.music preferencesd.food likes and dislikesANS:BPTS:15.A 20-year-old housekeeper, born and educated in Iraq, wears her traditional clothing andhead covering. A 50-year-old patient tells the nurse, They are in America and should dresslike we do. What is this statement an example of?a.cultural assimilationb.cultural blindnessc.cultural conflictd.cultural impositionANS:DPTS:1______________________________________________________________________________________________23 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuides6.A nurse walks by a patients room and observes a Shaman performing a healing ritual for thepatient. The nurse then remarks to a coworker that the ritual is a waste of time anddisruptive to the other patients on the floor. This nurse is displaying the feelings associatedwith:a.culture conflictb.cultural blindnessc.stereotypingd.cultural shockANS:APTS:17.A nurse is doing preoperative teaching for an African American man before he hasabdominal surgery. What topic should be included in the teaching?a.the possibility of developing a keloid over the healed incisionb.the increased risk of developing an infection in the incisionc.his racial characteristics that will slow healingd.cultural influences on his response to surgeryANS:APTS:18.A nurse is caring for a patient from Taiwan who constantly requests pain medication. Whatshould the nurse consider when assessing the patients pain?a.Most people react to pain in the same way.b.Pain in adults in less intense than pain in children.c.The patient is a constant complainer.d.Pain is what the patient sayANS:DPTS:19.A father, mother, grandmother, and three school-aged children have immigrated to theUnited States from Thailand. Which member(s) of the family are likely to learn to speakEnglish more rapidly?a.unemployed fatherb.stay-at-home motherc.grandmotherd.childrenANS:DPTS:110.A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notesthat he looks down at the floor when he answers questions. What should the nurseunderstand about this behavior?a.Thepatient is embarrassed by the questions.b.This is culturally appropriate behavior.c.The patient dislikes the nurse.d.The patient does not understand what is being asked.ANS:BPTS:1______________________________________________________________________________________________24 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuides11.An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, Imjust not hungry. What factors should the staff assess for this problem?a.The woman does not like to eat with other residents of the home.b.The woman is using this as a means of going home.c.The food served may not be culturally appropriate.d.The food served may violate religious beliefs.ANS:CPTS:112.Although all of the following are factors to consider when caring for patients with limitedincome, which one is the most important?a.basic human needs may go unmetb.limited access to reliable transportationc.decreased access to healthcare servicesd.risk for increased incidence of diseaseANS:APTS:113.The nurse is providing home care for a patient who traditionally drinks herbal tea to treat anillness. How should the nurse respond to a request for the herbal tea?a.We do not allow our patients to drink herbal tea.b.Why in the world would you want to drink that stuff?c.Let me check with the doctor to make sure it is okay with your medicines.d.I have to fill out a lot of forms that you will have to sign before I can do that.ANS:CPTS:114.A nurse in a large metropolitag in a health clinic that primarily servesHispanic patients. What does this statement imply about the nurse?a.The nurses knowledge and skills are not adequate to care for patients with acuteillnesses.b.The nurse respects and values providing culturally competent care.c.The nurse is attempting to overcome cultural blindness.d.This employment makes the nurse feel superior to a minority group of people.ANS:BPTS:115.A nurse is providing care for a Cambodian patient. The nurse says, You have to get up andwalk whether you want to or not. What is this statement an example of?a.culture shockb.stereotypingc.cultural impositiond.cultural competenceANS:CPTS:116.A nurse is caring for an African American in an acute care setting. Which one of thefollowing might be a special nursing consideration for this patient?a.The patient might request a visit from a folk healer.b.The patient may be upset by drawing bloodfor a test.c.The patient may perceive illness as a punishment from God.______________________________________________________________________________________________25 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesd.The patient may expect the caregiver to deduce the problem by instinct.ANS:APTS:117.In which of the following populations should the nurse carefully assess the patients use ofover-thecounter medications?a.African Americanb.Hispanicc.White middle classd.AsianANS:CPTS:118.What is one way in which nurses can develop cultural self-awareness?a.Ask peers and colleagues about practicing cultural competence.b.Objectively examine own beliefs, values, and practices.c.Realize nothing can be done to change ones values and beliefs.d.Assert to others that personal biases cannot be changed.ANS:BPTS:119.A home health nurse is visiting a 60-year-old patient. During the initial visit, the patientshusband answers all of the questions. What would the nurse assess based on this behavior?a.The patient does not want the nurse to visit.b.The husband does not trust his wife to answer questions.c.The patient is not able to answer the questions.d.The husband is the dominant member of the family.ANS:DPTS:1MULTIPLE RESPONSE20.A nurse caring for patients in a culturally diverse neighborhood knows that culture affectsthe nurses interactions with patients. Which of the following is a characteristic of culture?(Select all that apply).a.Culture guides what is acceptable behaviorfor people in a specific group.b.Modeling behavior is the primary means of transmitting culture.c.Culture is generally not affected by the groups social and physical environment..d.Cultural practices and beliefs mainly remain constant as long as they satisfy agroups needs.e.Culture influences the way people of a group view themselves, have expectations,and behave.f.Because of individual influences, there are differences both within and amongcultures.ANS:A, D, E, FPTS:121.Which of the following statements accurately describe cultural factors that may influencehealthcare? (Select all that apply).a.Nurses and patients generally agree upon the health practices that are beinginstituted.______________________________________________________________________________________________26 | P a g e

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https://www.stuvia.com/en-us/user/AllStudyGuidesb.Certain racial and ethnic groups are more prone to developing specific diseasesand conditions.c.Although pain affects people differently, most people react to pain in the samemanner.d.Most mental health norms are based on research and observations made of white,middle-class people.e.In many cultures, the man is the dominant figure and generally makes decisions forall family members.f.When people move to the United States, they may speak their own languagefluently but have difficulty speaking English.ANS:B, D, E, FPTS:122.Which of the following are considered cultural norms of the healthcare system? (Select allthat apply).a.inability to define health and illnessb.frequent use of jargon and documentationc.professional deference to pecking orderd.use of a problem-solving methodologye.belief in the fallibility of technologyf.use of certain procedures for birth and deathANS:B, C, D, FPTS:123.A nurse is caring for an Appalachian patient following her hysterectomy. Which of thefollowing Appalachian values and beliefs should be considered when planning nursing carefor this patient? (Select all thaa.Isolation is considered as a way oe.b.Dependence and self-determination are valued.c.Lifestyle is more revered than compliance with healthcare issues.d.They may be fatalistic about losses and deaths.e.There is a deep love, respect, and affection between people and the land.f.Deathis seen as a part of life and not feared.ANS:A, B, DPTS:1______________________________________________________________________________________________27 | P a g e

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