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 of
Person-Centered CareCarol R. Taylor, Pamela B. Lynn, and Jennifer L. Bartlett10th Edition
Person-Centered CareCarol R. Taylor, Pamela B. Lynn, and Jennifer L. Bartlett10th Edition
Table of Contents
Chapter 01 Introduction to Nursing and Professional Formation 1
Chapter 02 Theory, Research, and Evidence-Based Practice 7
Chapter 03 Health, Wellness, and Health Disparities 12
Chapter 04 Health of the Individual, Family, Community, and Environment 18
Chapter 05 Culturally Respectful Care 23
Chapter 06 Values, Ethics, and Advocacy 28
Chapter 07 Legal Dimensions of Nursing Practice 34
Chapter 08 Communication 39
Chapter 09 Teaching and Counseling 44
Chapter 10 Leading, Managing, and Delegating 49
Chapter 11 Health Care Delivery System 55
Chapter 12 Interprofessional Collaborative Practice and Care Coordination Across Settings 60
Chapter 13 Blended Competencies, Clinical Reasoning, and Processes of Person-Centered
Care 64
Chapter 14 Clinical Judgment 69
Chapter 15 Assessing 76
Chapter 16 Diagnosis-Problem Identification 81
Chapter 17 Outcome Identification and Planning 86
Chapter 18 Implementing 92
Chapter 19 Evaluating 97
Chapter 20 Documenting and Reporting 102
Chapter 21 Informatics and Health Care Technologies 107
Chapter 22 Developmental Concepts 112
Chapter 23 Conception Through Young Adulthood 118
Chapter 24 Middle and Older Adulthood 124
Chapter 25 Asepsis and Infection Control 129
Chapter 26 Vital Signs 135
Chapter 27 Health Assessment 142
Chapter 28 Safety, Security, and Emergency Preparedness 148
Chapter 29 Complementary and Integrative Health 154
Chapter 30 Medications 160
Chapter 31 Perioperative Nursing 166
Chapter 32 Hygiene 172
Chapter 33 Skin Integrity and Wound Care 178
Chapter 34 Activity 184
Chapter 35 Rest and Sleep 190
Chapter 36 Comfort and Pain Management 195
Chapter 37 Nutrition 201
Chapter 38 Urinary Elimination 207
Chapter 39 Bowel Elimination 213
Chapter 40 Oxygenation and Perfusion 219
Chapter 01 Introduction to Nursing and Professional Formation 1
Chapter 02 Theory, Research, and Evidence-Based Practice 7
Chapter 03 Health, Wellness, and Health Disparities 12
Chapter 04 Health of the Individual, Family, Community, and Environment 18
Chapter 05 Culturally Respectful Care 23
Chapter 06 Values, Ethics, and Advocacy 28
Chapter 07 Legal Dimensions of Nursing Practice 34
Chapter 08 Communication 39
Chapter 09 Teaching and Counseling 44
Chapter 10 Leading, Managing, and Delegating 49
Chapter 11 Health Care Delivery System 55
Chapter 12 Interprofessional Collaborative Practice and Care Coordination Across Settings 60
Chapter 13 Blended Competencies, Clinical Reasoning, and Processes of Person-Centered
Care 64
Chapter 14 Clinical Judgment 69
Chapter 15 Assessing 76
Chapter 16 Diagnosis-Problem Identification 81
Chapter 17 Outcome Identification and Planning 86
Chapter 18 Implementing 92
Chapter 19 Evaluating 97
Chapter 20 Documenting and Reporting 102
Chapter 21 Informatics and Health Care Technologies 107
Chapter 22 Developmental Concepts 112
Chapter 23 Conception Through Young Adulthood 118
Chapter 24 Middle and Older Adulthood 124
Chapter 25 Asepsis and Infection Control 129
Chapter 26 Vital Signs 135
Chapter 27 Health Assessment 142
Chapter 28 Safety, Security, and Emergency Preparedness 148
Chapter 29 Complementary and Integrative Health 154
Chapter 30 Medications 160
Chapter 31 Perioperative Nursing 166
Chapter 32 Hygiene 172
Chapter 33 Skin Integrity and Wound Care 178
Chapter 34 Activity 184
Chapter 35 Rest and Sleep 190
Chapter 36 Comfort and Pain Management 195
Chapter 37 Nutrition 201
Chapter 38 Urinary Elimination 207
Chapter 39 Bowel Elimination 213
Chapter 40 Oxygenation and Perfusion 219
Table of Contents
Chapter 01 Introduction to Nursing and Professional Formation 1
Chapter 02 Theory, Research, and Evidence-Based Practice 7
Chapter 03 Health, Wellness, and Health Disparities 12
Chapter 04 Health of the Individual, Family, Community, and Environment 18
Chapter 05 Culturally Respectful Care 23
Chapter 06 Values, Ethics, and Advocacy 28
Chapter 07 Legal Dimensions of Nursing Practice 34
Chapter 08 Communication 39
Chapter 09 Teaching and Counseling 44
Chapter 10 Leading, Managing, and Delegating 49
Chapter 11 Health Care Delivery System 55
Chapter 12 Interprofessional Collaborative Practice and Care Coordination Across Settings 60
Chapter 13 Blended Competencies, Clinical Reasoning, and Processes of Person-Centered
Care 64
Chapter 14 Clinical Judgment 69
Chapter 15 Assessing 76
Chapter 16 Diagnosis-Problem Identification 81
Chapter 17 Outcome Identification and Planning 86
Chapter 18 Implementing 92
Chapter 19 Evaluating 97
Chapter 20 Documenting and Reporting 102
Chapter 21 Informatics and Health Care Technologies 107
Chapter 22 Developmental Concepts 112
Chapter 23 Conception Through Young Adulthood 118
Chapter 24 Middle and Older Adulthood 124
Chapter 25 Asepsis and Infection Control 129
Chapter 26 Vital Signs 135
Chapter 27 Health Assessment 142
Chapter 28 Safety, Security, and Emergency Preparedness 148
Chapter 29 Complementary and Integrative Health 154
Chapter 30 Medications 160
Chapter 31 Perioperative Nursing 166
Chapter 32 Hygiene 172
Chapter 33 Skin Integrity and Wound Care 178
Chapter 34 Activity 184
Chapter 35 Rest and Sleep 190
Chapter 36 Comfort and Pain Management 195
Chapter 37 Nutrition 201
Chapter 38 Urinary Elimination 207
Chapter 39 Bowel Elimination 213
Chapter 40 Oxygenation and Perfusion 219
Chapter 01 Introduction to Nursing and Professional Formation 1
Chapter 02 Theory, Research, and Evidence-Based Practice 7
Chapter 03 Health, Wellness, and Health Disparities 12
Chapter 04 Health of the Individual, Family, Community, and Environment 18
Chapter 05 Culturally Respectful Care 23
Chapter 06 Values, Ethics, and Advocacy 28
Chapter 07 Legal Dimensions of Nursing Practice 34
Chapter 08 Communication 39
Chapter 09 Teaching and Counseling 44
Chapter 10 Leading, Managing, and Delegating 49
Chapter 11 Health Care Delivery System 55
Chapter 12 Interprofessional Collaborative Practice and Care Coordination Across Settings 60
Chapter 13 Blended Competencies, Clinical Reasoning, and Processes of Person-Centered
Care 64
Chapter 14 Clinical Judgment 69
Chapter 15 Assessing 76
Chapter 16 Diagnosis-Problem Identification 81
Chapter 17 Outcome Identification and Planning 86
Chapter 18 Implementing 92
Chapter 19 Evaluating 97
Chapter 20 Documenting and Reporting 102
Chapter 21 Informatics and Health Care Technologies 107
Chapter 22 Developmental Concepts 112
Chapter 23 Conception Through Young Adulthood 118
Chapter 24 Middle and Older Adulthood 124
Chapter 25 Asepsis and Infection Control 129
Chapter 26 Vital Signs 135
Chapter 27 Health Assessment 142
Chapter 28 Safety, Security, and Emergency Preparedness 148
Chapter 29 Complementary and Integrative Health 154
Chapter 30 Medications 160
Chapter 31 Perioperative Nursing 166
Chapter 32 Hygiene 172
Chapter 33 Skin Integrity and Wound Care 178
Chapter 34 Activity 184
Chapter 35 Rest and Sleep 190
Chapter 36 Comfort and Pain Management 195
Chapter 37 Nutrition 201
Chapter 38 Urinary Elimination 207
Chapter 39 Bowel Elimination 213
Chapter 40 Oxygenation and Perfusion 219
Chapter 41 Fluid, Electrolyte, and Acid-Base Balance 225
Chapter 42 Self-Concept 231
Chapter 43 Stress and Adaptation 236
Chapter 44 Loss, Grief, and Dying 242
Chapter 45 Sensory Functioning 248
Chapter 46 Sexuality 254
Chapter 47 Spirituality 260
Chapter 42 Self-Concept 231
Chapter 43 Stress and Adaptation 236
Chapter 44 Loss, Grief, and Dying 242
Chapter 45 Sensory Functioning 248
Chapter 46 Sexuality 254
Chapter 47 Spirituality 260
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Chapter 01: Introduction to Nursing and Professional Formation
MULTIPLE CHOICE
1. Which of the following set of terms best describes nursing at the end of the Middle Ages?
a. continuity, caring, critical thinking
b. purpose, direction, leadership
c. assessment, interventions, outcomes
d. advocacy, research, education
ANS: B PTS: 1
2. Which of the following is a characteristic of nursing practiced from early civilization to the
16th 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: A PTS: 1
3. In what time period did nursing care as we now know it begin?
a. pre-civilization
b. early civilization to 16th century
c. 16th to 17th century
d. 18th to 19th century
ANS: D PTS: 1
4. Who is considered to be the founder of professional nursing?
a. Dorothea Dix
b. Lillian Wald
c. Florence Nightingale
d. Clara Barton
ANS: C PTS: 1
5. Which of the following nursing pioneers established the Red Cross in the United States in
1882?
a. Florence Nightingale
b. Clara Barton
c. Dorothea Dix
d. Jane Addams
ANS: B PTS: 1
6. What was one barrier to the development of the nursing profession in the United States after
the Civil War?
a. lack of educational standards
b. hospital-based schools of nursing
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Chapter 01: Introduction to Nursing and Professional Formation
MULTIPLE CHOICE
1. Which of the following set of terms best describes nursing at the end of the Middle Ages?
a. continuity, caring, critical thinking
b. purpose, direction, leadership
c. assessment, interventions, outcomes
d. advocacy, research, education
ANS: B PTS: 1
2. Which of the following is a characteristic of nursing practiced from early civilization to the
16th 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: A PTS: 1
3. In what time period did nursing care as we now know it begin?
a. pre-civilization
b. early civilization to 16th century
c. 16th to 17th century
d. 18th to 19th century
ANS: D PTS: 1
4. Who is considered to be the founder of professional nursing?
a. Dorothea Dix
b. Lillian Wald
c. Florence Nightingale
d. Clara Barton
ANS: C PTS: 1
5. Which of the following nursing pioneers established the Red Cross in the United States in
1882?
a. Florence Nightingale
b. Clara Barton
c. Dorothea Dix
d. Jane Addams
ANS: B PTS: 1
6. What was one barrier to the development of the nursing profession in the United States after
the Civil War?
a. lack of educational standards
b. hospital-based schools of nursing
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c. lack of influence from nursing leaders
d. independence of nursing orders
ANS: A PTS: 1
7. Which of the following individuals provided community-based care and founded public
health nursing?
a. Adelaide Nutting
b. Lillian Wald
c. Sojourner Truth
d. Clara Barton
ANS: B PTS: 1
8. Which of the following nursing groups provides a definition and scope of practice for
nursing?
a. ICN
b. AAN
c. ANA
d. The Joint Commission
ANS: B PTS: 1
9. Teaching a woman about breast self-examination is an example of what broad aim of
nursing?
a. promoting health
b. preventing illness
c. restoring health
d. facilitating coping with disability and death
ANS: B PTS: 1
10. A nurse caring for a patient with diabetes chooses an appropriate plan of care and devises
interventions to accomplish the desired outcomes. This is an example of using which of the
following type of nursing skills?
a. Technical
b. Cognitive
c. Interpersonal
d. Ethical/Legal
ANS: B PTS: 1
11. Which one of the following examples of nursing actions would be considered an
ethical/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: A PTS: 1
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c. lack of influence from nursing leaders
d. independence of nursing orders
ANS: A PTS: 1
7. Which of the following individuals provided community-based care and founded public
health nursing?
a. Adelaide Nutting
b. Lillian Wald
c. Sojourner Truth
d. Clara Barton
ANS: B PTS: 1
8. Which of the following nursing groups provides a definition and scope of practice for
nursing?
a. ICN
b. AAN
c. ANA
d. The Joint Commission
ANS: B PTS: 1
9. Teaching a woman about breast self-examination is an example of what broad aim of
nursing?
a. promoting health
b. preventing illness
c. restoring health
d. facilitating coping with disability and death
ANS: B PTS: 1
10. A nurse caring for a patient with diabetes chooses an appropriate plan of care and devises
interventions to accomplish the desired outcomes. This is an example of using which of the
following type of nursing skills?
a. Technical
b. Cognitive
c. Interpersonal
d. Ethical/Legal
ANS: B PTS: 1
11. Which one of the following examples of nursing actions would be considered an
ethical/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: A PTS: 1
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12. A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with
Downs Syndrome. The nurse makes referrals for a parent support group for the family. This
is an example of which nursing role?
a. Teacher/Educator
b. Leader
c. Counselor
d. Collaborator
ANS: C PTS: 1
13. A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Which
of the following actions is the best example of using the collaborator role as a nurse?
a. Discussing the legal aspects of adoption for teens wishing to place their infants
with a family
b. Searching the Internet for information on child care for the teens who wish to
return to school
c. Conducting a patient interview and documenting the information on the patients
chart
d. Referring a teen who admits having suicidal thoughts to a mental healthcare
specialist
ANS: D PTS: 1
14. A nurse instructor explains the concept of health to her students. Which of the following
statements accurately describes this state of being?
a. Health is a state of optimal functioning.
b. Health is an absence of illness.
c. Health is always an objective state.
d. Health is not determined by the patient.
ANS: A PTS: 1
15. A nurse incorporates the health promotion guidelines established by the U.S. Department of
Health document: Healthy People 2010. Which of the following is a health indicator
discussed in this document?
a. cancer
b. obesity
c. diabetes
d. hypertension
ANS: B PTS: 1
16. A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. This is
an example of which of the following aims of nursing?
a. promoting health
b. preventing illness
c. restoring health
d. facilitating coping with disability or death
ANS: B PTS: 1
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12. A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with
Downs Syndrome. The nurse makes referrals for a parent support group for the family. This
is an example of which nursing role?
a. Teacher/Educator
b. Leader
c. Counselor
d. Collaborator
ANS: C PTS: 1
13. A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Which
of the following actions is the best example of using the collaborator role as a nurse?
a. Discussing the legal aspects of adoption for teens wishing to place their infants
with a family
b. Searching the Internet for information on child care for the teens who wish to
return to school
c. Conducting a patient interview and documenting the information on the patients
chart
d. Referring a teen who admits having suicidal thoughts to a mental healthcare
specialist
ANS: D PTS: 1
14. A nurse instructor explains the concept of health to her students. Which of the following
statements accurately describes this state of being?
a. Health is a state of optimal functioning.
b. Health is an absence of illness.
c. Health is always an objective state.
d. Health is not determined by the patient.
ANS: A PTS: 1
15. A nurse incorporates the health promotion guidelines established by the U.S. Department of
Health document: Healthy People 2010. Which of the following is a health indicator
discussed in this document?
a. cancer
b. obesity
c. diabetes
d. hypertension
ANS: B PTS: 1
16. A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. This is
an example of which of the following aims of nursing?
a. promoting health
b. preventing illness
c. restoring health
d. facilitating coping with disability or death
ANS: B PTS: 1
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17. Which of the following is a criteria that defines nursing as profession?
a. an undefined body of knowledge
b. a dependence on the medical profession
c. an ability to diagnose medical problems
d. a strong service orientation
ANS: D PTS: 1
18. Although all of the following are nursing responsibilities, which one would be expected of a
nurse with a baccalaureate degree?
a. providing direct physical care
b. using research findings to improve practice
c. administering medications as prescribed
d. collaborating with other healthcare providers
ANS: B PTS: 1
19. Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. What
nursing degree will she need to attain this goal?
a. licensed practical nurse
b. associate degree
c. baccalaureate degree
d. masters degree
ANS: D PTS: 1
20. Why are nursing organizations important for the continued development and improvement
of nursing as a whole?
a. to provide socialization and networking for members
b. to regulate work activities for members
c. to set standards for nursing education and practice
d. to provide information to nurses about legal requirements
ANS: C PTS: 1
21. Which of the following organizations has established standards for clinical nursing practice?
a. American Nurses Association
b. National League for Nursing
c. International Council of Nurses
d. State Board of Nursing
ANS: A PTS: 1
22. What is the primary purpose of standards of nursing practice?
a. to provide a method by which nurses perform skills safely
b. to ensure knowledgeable, safe, comprehensive nursing care
c. to establish nursing as a profession and a discipline
d. to enable nurses to have a voice in healthcare policy
ANS: C PTS: 1
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17. Which of the following is a criteria that defines nursing as profession?
a. an undefined body of knowledge
b. a dependence on the medical profession
c. an ability to diagnose medical problems
d. a strong service orientation
ANS: D PTS: 1
18. Although all of the following are nursing responsibilities, which one would be expected of a
nurse with a baccalaureate degree?
a. providing direct physical care
b. using research findings to improve practice
c. administering medications as prescribed
d. collaborating with other healthcare providers
ANS: B PTS: 1
19. Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. What
nursing degree will she need to attain this goal?
a. licensed practical nurse
b. associate degree
c. baccalaureate degree
d. masters degree
ANS: D PTS: 1
20. Why are nursing organizations important for the continued development and improvement
of nursing as a whole?
a. to provide socialization and networking for members
b. to regulate work activities for members
c. to set standards for nursing education and practice
d. to provide information to nurses about legal requirements
ANS: C PTS: 1
21. Which of the following organizations has established standards for clinical nursing practice?
a. American Nurses Association
b. National League for Nursing
c. International Council of Nurses
d. State Board of Nursing
ANS: A PTS: 1
22. What is the primary purpose of standards of nursing practice?
a. to provide a method by which nurses perform skills safely
b. to ensure knowledgeable, safe, comprehensive nursing care
c. to establish nursing as a profession and a discipline
d. to enable nurses to have a voice in healthcare policy
ANS: C PTS: 1
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23. After graduation from an accredited program in nursing and successfully passing the
NCLEX, what gives the nurse a legal right to practice?
a. enrolling in an advanced degree program
b. filing NCLEX results in the county of residence
c. being licensed by the State Board of Nursing
d. having a signed letter confirming graduation
ANS: C PTS: 1
24. A nurse has been tried and found guilty of the felony crime of forgery. How might this
affect 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: C PTS: 1
25. Nurses use the nursing process to focus care on human responses to what?
a. interactions with the environment
b. physical effects of disease
c. outcomes of medical or surgical treatment
d. actual or potential health problems
ANS: D PTS: 1
26. Which age group in the population is expanding most rapidly, resulting in changes in the
delivery of healthcare?
a. older adults
b. young adults
c. school-aged children
d. newborns
ANS: A PTS: 1
27. Which of the following is a current trend affecting nursing education and practice?
a. over abundance of graduating nurses
b. office-based care delivery systems
c. increase in length of hospital stay
d. increase in chronic health conditions
ANS: D PTS: 1
MULTIPLE RESPONSE
28. Which of the following statements accurately describe an element of nursing? (Select all
that 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 illness
c. 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.
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23. After graduation from an accredited program in nursing and successfully passing the
NCLEX, what gives the nurse a legal right to practice?
a. enrolling in an advanced degree program
b. filing NCLEX results in the county of residence
c. being licensed by the State Board of Nursing
d. having a signed letter confirming graduation
ANS: C PTS: 1
24. A nurse has been tried and found guilty of the felony crime of forgery. How might this
affect 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: C PTS: 1
25. Nurses use the nursing process to focus care on human responses to what?
a. interactions with the environment
b. physical effects of disease
c. outcomes of medical or surgical treatment
d. actual or potential health problems
ANS: D PTS: 1
26. Which age group in the population is expanding most rapidly, resulting in changes in the
delivery of healthcare?
a. older adults
b. young adults
c. school-aged children
d. newborns
ANS: A PTS: 1
27. Which of the following is a current trend affecting nursing education and practice?
a. over abundance of graduating nurses
b. office-based care delivery systems
c. increase in length of hospital stay
d. increase in chronic health conditions
ANS: D PTS: 1
MULTIPLE RESPONSE
28. Which of the following statements accurately describe an element of nursing? (Select all
that 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 illness
c. 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.
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e. 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, F PTS: 1
29. What nursing activity would meet the broad nursing aim of facilitating coping with
disability and death? (Select all that apply).
a. conducting a blood pressure screening program
b. teaching testicular self-examination
c. referring to a community diabetic support group
d. administering intravenous fluids
e. admitting a patient to a hospice program
f. performing a physical assessment on a patient
ANS: C, E PTS: 1
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e. 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, F PTS: 1
29. What nursing activity would meet the broad nursing aim of facilitating coping with
disability and death? (Select all that apply).
a. conducting a blood pressure screening program
b. teaching testicular self-examination
c. referring to a community diabetic support group
d. administering intravenous fluids
e. admitting a patient to a hospice program
f. performing a physical assessment on a patient
ANS: C, E PTS: 1
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Chapter 02: Theory, Research, and Evidence-Based Practice
MULTIPLE CHOICE
1. What phrase best describes the science of nursing?
a. application of clinical skills
b. body of nursing knowledge
c. holistic patient care
d. art of individualized nursing
ANS: B PTS: 1
2. The practice of changing patients’ bed clothes each day in acute care settings is an example
of what type of knowledge?
a. authoritative
b. traditional
c. scientific
d. applied
ANS: B PTS: 1
3. A student nurse learns how to give injections from the nurse manager. This is an example of
the acquisition of what type of knowledge?
a. authoritative
b. traditional
c. scientific
d. applied
ANS: A PTS: 1
4. Which of the following sources of knowledge is based on objective data?
a. authoritative
b. traditional
c. scientific
d. applied
ANS: A PTS: 1
5. A patient undergoing chemotherapy for a brain tumor believes that having a good attitude
will help in the healing process. This is an example of what type of knowledge?
a. science
b. philosophy
c. process
d. virtue
ANS: B PTS: 1
6. Which of the following accurately describes Florence Nightingales influence on nursing
knowledge?
a. She defined nursing practice as the continuation of medical practice.
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Chapter 02: Theory, Research, and Evidence-Based Practice
MULTIPLE CHOICE
1. What phrase best describes the science of nursing?
a. application of clinical skills
b. body of nursing knowledge
c. holistic patient care
d. art of individualized nursing
ANS: B PTS: 1
2. The practice of changing patients’ bed clothes each day in acute care settings is an example
of what type of knowledge?
a. authoritative
b. traditional
c. scientific
d. applied
ANS: B PTS: 1
3. A student nurse learns how to give injections from the nurse manager. This is an example of
the acquisition of what type of knowledge?
a. authoritative
b. traditional
c. scientific
d. applied
ANS: A PTS: 1
4. Which of the following sources of knowledge is based on objective data?
a. authoritative
b. traditional
c. scientific
d. applied
ANS: A PTS: 1
5. A patient undergoing chemotherapy for a brain tumor believes that having a good attitude
will help in the healing process. This is an example of what type of knowledge?
a. science
b. philosophy
c. process
d. virtue
ANS: B PTS: 1
6. Which of the following accurately describes Florence Nightingales influence on nursing
knowledge?
a. She defined nursing practice as the continuation of medical practice.
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b. She differentiated between health nursing and illness nursing.
c. She established training for nurses under the direction of the medical profession.
d. She established a theoretical base for nursing that originated outside the
profession.
ANS: B PTS: 1
7. During the first half of the 20th century, a change in the structure of society resulted in
changed roles for women and, in turn, for nursing. What was one of these changes?
a. More women retired from the workforce to raise families.
b. Women became more dependent and sought higher education.
c. The focus of nursing changed to hands-on training.
d. Nursing research was conducted and published.
ANS: D PTS: 1
8. Who was the first nurse to develop a nursing theory?
a. Clara Barton
b. Dorothea Dix
c. Florence Nightingale
d. Virginia Henderson
ANS: C PTS: 1
9. A nurse observes that certain patients have less pain after procedures than do others, and
forms a theory of why this happens. What is a theory?
a. a concept used to directly prove a fact or a roup of facts
b. an understanding borrowed nes
c. a best guess based on intangible ideas
d. a statement of an occurrence based on observed facts
ANS: D PTS: 1
10. A staff nurse asks a student, Why in the world are you studying nursing theory? How would
the student best respond?
a. Our school requires we take it before we can graduate.
b. We do it so we know more than your generation did.
c. I think it explains how we should collaborate with others.
d. It helps explain how nursing is different from medicine.
ANS: D PTS: 1
11. 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: B PTS: 1
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b. She differentiated between health nursing and illness nursing.
c. She established training for nurses under the direction of the medical profession.
d. She established a theoretical base for nursing that originated outside the
profession.
ANS: B PTS: 1
7. During the first half of the 20th century, a change in the structure of society resulted in
changed roles for women and, in turn, for nursing. What was one of these changes?
a. More women retired from the workforce to raise families.
b. Women became more dependent and sought higher education.
c. The focus of nursing changed to hands-on training.
d. Nursing research was conducted and published.
ANS: D PTS: 1
8. Who was the first nurse to develop a nursing theory?
a. Clara Barton
b. Dorothea Dix
c. Florence Nightingale
d. Virginia Henderson
ANS: C PTS: 1
9. A nurse observes that certain patients have less pain after procedures than do others, and
forms a theory of why this happens. What is a theory?
a. a concept used to directly prove a fact or a roup of facts
b. an understanding borrowed nes
c. a best guess based on intangible ideas
d. a statement of an occurrence based on observed facts
ANS: D PTS: 1
10. A staff nurse asks a student, Why in the world are you studying nursing theory? How would
the student best respond?
a. Our school requires we take it before we can graduate.
b. We do it so we know more than your generation did.
c. I think it explains how we should collaborate with others.
d. It helps explain how nursing is different from medicine.
ANS: D PTS: 1
11. 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: B PTS: 1
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12. 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 whole
together is an example of which nursing theory?
a. general systems theory
b. adaptation theory
c. developmental theory
d. compartment theory
ANS: A PTS: 1
13. There are four concepts common in all nursing theories. Which one of the four concepts is
the focus of nursing?
a. person
b. environment
c. health
d. nursing
ANS: A PTS: 1
14. What is the ultimate goal of expanding nursing knowledge through nursing research?
a. learn improved ways to promote and maintain health
b. develop technology to provide hands-on nursing care
c. apply knowledge to become independent practitioners
d. become full-fledged partners with other care providers
ANS: A PTS: 1
15. What was significant about the ational Center for Nursing Research to
the current National Institute of Nursing Research (NINR)?
a. Increased numbers of articles are published in research journals.
b. NINR gained equal status with all other National Institutes of Health.
c. NINR became the major research body of the International Council of Nurses.
d. It decreased emphasis on clinical research as an important area for nursing.
ANS: B PTS: 1
16. Which of the following terms are part of quantitative research?
a. process
b. concept
c. ethnography
d. variable
ANS: D PTS: 1
17. A nurse uses the process of quantitative research to study the incidence and causes of
hospital-acquired pneumonia in her hospital. The statement of what the researcher expects
to find in these studies is called the:
a. variable
b. data
c. hypothesis
d. instrument
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12. 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 whole
together is an example of which nursing theory?
a. general systems theory
b. adaptation theory
c. developmental theory
d. compartment theory
ANS: A PTS: 1
13. There are four concepts common in all nursing theories. Which one of the four concepts is
the focus of nursing?
a. person
b. environment
c. health
d. nursing
ANS: A PTS: 1
14. What is the ultimate goal of expanding nursing knowledge through nursing research?
a. learn improved ways to promote and maintain health
b. develop technology to provide hands-on nursing care
c. apply knowledge to become independent practitioners
d. become full-fledged partners with other care providers
ANS: A PTS: 1
15. What was significant about the ational Center for Nursing Research to
the current National Institute of Nursing Research (NINR)?
a. Increased numbers of articles are published in research journals.
b. NINR gained equal status with all other National Institutes of Health.
c. NINR became the major research body of the International Council of Nurses.
d. It decreased emphasis on clinical research as an important area for nursing.
ANS: B PTS: 1
16. Which of the following terms are part of quantitative research?
a. process
b. concept
c. ethnography
d. variable
ANS: D PTS: 1
17. A nurse uses the process of quantitative research to study the incidence and causes of
hospital-acquired pneumonia in her hospital. The statement of what the researcher expects
to find in these studies is called the:
a. variable
b. data
c. hypothesis
d. instrument
______________________________________________________________________________________________
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ANS: C PTS: 1
18. Information is collected for analysis in both quantitative and qualitative research. What is
the information called?
a. surveys
b. answers
c. interviews
d. data
ANS: D PTS: 1
19. Which of the following represents the basic framework of the research process?
a. Qualitative data
b. Quantitative data
c. Nursing Process
d. Nursing Theory
ANS: C PTS: 1
20. Which of the following is a responsibility of an institutional review board (IRB)?
a. secure informed consent for researchers
b. review written accuracy of research proposals
c. determine risk status of all studies
d. secure funding for institutional research
ANS: C PTS: 1
21. Before developing a procedure l current research-based literature on
insertion of a nasogastric tube. What type of nursing will be practiced based on this review?
a. institutional practice
b. authoritative nursing
c. evidence-based nursing
d. factual-based nursing
ANS: C PTS: 1
22. One step in implementing evidence-based practice is to ask a question about a clinical area
of interest or an intervention. The most common method is the PICO format. Which of the
following accurately defines the letters in the PICO acronym?
a. P = population
b. I = institution
c. C = compromise
d. O = output
ANS: A PTS: 1
23. A beginning student is reading a published research article. Where in the article would the
student find the abstract?
a. in the introduction
b. in the methods section
c. after the references
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ANS: C PTS: 1
18. Information is collected for analysis in both quantitative and qualitative research. What is
the information called?
a. surveys
b. answers
c. interviews
d. data
ANS: D PTS: 1
19. Which of the following represents the basic framework of the research process?
a. Qualitative data
b. Quantitative data
c. Nursing Process
d. Nursing Theory
ANS: C PTS: 1
20. Which of the following is a responsibility of an institutional review board (IRB)?
a. secure informed consent for researchers
b. review written accuracy of research proposals
c. determine risk status of all studies
d. secure funding for institutional research
ANS: C PTS: 1
21. Before developing a procedure l current research-based literature on
insertion of a nasogastric tube. What type of nursing will be practiced based on this review?
a. institutional practice
b. authoritative nursing
c. evidence-based nursing
d. factual-based nursing
ANS: C PTS: 1
22. One step in implementing evidence-based practice is to ask a question about a clinical area
of interest or an intervention. The most common method is the PICO format. Which of the
following accurately defines the letters in the PICO acronym?
a. P = population
b. I = institution
c. C = compromise
d. O = output
ANS: A PTS: 1
23. A beginning student is reading a published research article. Where in the article would the
student find the abstract?
a. in the introduction
b. in the methods section
c. after the references
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d. at the beginning
ANS: D PTS: 1
MULTIPLE RESPONSE
24. 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, F PTS: 1
25. 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, E PTS: 1
26. A patient in a clinical research study has given informed consent. This means that the
patient has certain rights. These rights include which of the following? (Select all that
apply).
a. confidentiality
b. free medical care
c. refusal to participate
d. protection from harm
e. guarantee of treatment
f. consent knowledgeably
ANS: A, C, D, F PTS: 1
27. Which of the following are examples of characteristics of evidence-based practice? (Select
all that apply).
a. It is a problem-solving approach.
b. It uses the best evidence available.
c. It is generally accepted in clinical practice.
d. It is based on current institutional protocols.
e. It blends the science and art of nursing.
f. It is not concerned with patient preferences.
ANS: A, B, E PTS: 1
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d. at the beginning
ANS: D PTS: 1
MULTIPLE RESPONSE
24. 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, F PTS: 1
25. 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, E PTS: 1
26. A patient in a clinical research study has given informed consent. This means that the
patient has certain rights. These rights include which of the following? (Select all that
apply).
a. confidentiality
b. free medical care
c. refusal to participate
d. protection from harm
e. guarantee of treatment
f. consent knowledgeably
ANS: A, C, D, F PTS: 1
27. Which of the following are examples of characteristics of evidence-based practice? (Select
all that apply).
a. It is a problem-solving approach.
b. It uses the best evidence available.
c. It is generally accepted in clinical practice.
d. It is based on current institutional protocols.
e. It blends the science and art of nursing.
f. It is not concerned with patient preferences.
ANS: A, B, E PTS: 1
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Chapter 03: Health, Wellness, and Health Disparities
MULTIPLE CHOICE
1. What phrase best describes health?
a. individually defined by each person
b. experienced by each person in exactly the same way
c. the opposite of illness
d. the absence of disease
ANS: A PTS: 1
2. Which of the following most accurately defines illness?
a. the inability to carry out normal activities of living
b. a pathologic change in mind or body structure or function
c. the response of a person to a disease
d. achieving maximum potential and quality of life
ANS: C PTS: 1
3. A patient makes a decision to quit smoking and joins a smoking cessation class. This is an
example of which of Dunn’s processes that help a person know who and what he or she is?
a. being
b. belonging
c. becoming
d. befitting
ANS: D PTS: 1
4. 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: B PTS: 1
5. A rapid onset of symptoms that last a relatively short time indicates what health problem?
a. a chronic illness
b. an acute illness
c. actual risk factor
d. potential for wellness
ANS: B PTS: 1
6. A nurse caring for patients with diabetes knows that the following is a characteristic of a
chronic illness:
a. It is a temporary change.
b. It causes reversible alterations in A&P.
c. It requires special patient education for rehabilitation.
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Chapter 03: Health, Wellness, and Health Disparities
MULTIPLE CHOICE
1. What phrase best describes health?
a. individually defined by each person
b. experienced by each person in exactly the same way
c. the opposite of illness
d. the absence of disease
ANS: A PTS: 1
2. Which of the following most accurately defines illness?
a. the inability to carry out normal activities of living
b. a pathologic change in mind or body structure or function
c. the response of a person to a disease
d. achieving maximum potential and quality of life
ANS: C PTS: 1
3. A patient makes a decision to quit smoking and joins a smoking cessation class. This is an
example of which of Dunn’s processes that help a person know who and what he or she is?
a. being
b. belonging
c. becoming
d. befitting
ANS: D PTS: 1
4. 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: B PTS: 1
5. A rapid onset of symptoms that last a relatively short time indicates what health problem?
a. a chronic illness
b. an acute illness
c. actual risk factor
d. potential for wellness
ANS: B PTS: 1
6. A nurse caring for patients with diabetes knows that the following is a characteristic of a
chronic illness:
a. It is a temporary change.
b. It causes reversible alterations in A&P.
c. It requires special patient education for rehabilitation.
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d. It requires a short period of care or support.
ANS: C PTS: 1
7. What manifestation is the most significant symptom indicating an illness?
a. bleeding
b. runny nose
c. pain
d. itching
ANS: C PTS: 1
8. A nurse calls in to his unit to report he has the flu and will not be at work. What stage of
illness behavior is he exhibiting?
a. experiencing symptoms
b. assuming the sick role
c. assuming a dependent role
d. achieving recovery and rehabilitation
ANS: B PTS: 1
9. A patient accepts the fact that he needs bypass surgery for a blocked artery and is admitted
into the hospital. Which one of the following stages of illness is this patient experiencing?
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4
ANS: C PTS: 1
10. 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 one
side.
ANS: A PTS: 1
11. A 4-year-old child has leukemia but is now in remission. What does it mean to be in
remission when one has a chronic illness?
a. The chronic disease has been cured.
b. Nothing further can be done in terms of treatment.
c. Severe symptoms of the chronic illness have reappeared.
d. The disease is present, but symptoms are not experienced.
ANS: D PTS: 1
12. What may happen to the family when an illness occurs in one of the family members?
a. alterations in values and religious beliefs
b. more public displays of affection
c. changes in roles for the patient and family
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d. It requires a short period of care or support.
ANS: C PTS: 1
7. What manifestation is the most significant symptom indicating an illness?
a. bleeding
b. runny nose
c. pain
d. itching
ANS: C PTS: 1
8. A nurse calls in to his unit to report he has the flu and will not be at work. What stage of
illness behavior is he exhibiting?
a. experiencing symptoms
b. assuming the sick role
c. assuming a dependent role
d. achieving recovery and rehabilitation
ANS: B PTS: 1
9. A patient accepts the fact that he needs bypass surgery for a blocked artery and is admitted
into the hospital. Which one of the following stages of illness is this patient experiencing?
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4
ANS: C PTS: 1
10. 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 one
side.
ANS: A PTS: 1
11. A 4-year-old child has leukemia but is now in remission. What does it mean to be in
remission when one has a chronic illness?
a. The chronic disease has been cured.
b. Nothing further can be done in terms of treatment.
c. Severe symptoms of the chronic illness have reappeared.
d. The disease is present, but symptoms are not experienced.
ANS: D PTS: 1
12. What may happen to the family when an illness occurs in one of the family members?
a. alterations in values and religious beliefs
b. more public displays of affection
c. changes in roles for the patient and family
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d. increased resistance to stress
ANS: C PTS: 1
13. A baby is born with Down syndrome, which influences his health illness status. This is an
example of which of the following human dimensions?
a. Physical
b. Emotional
c. Environmental
d. Sociocultural
ANS: A PTS: 1
14. Which of the following is an example of the sociocultural dimension influencing a person’s
health 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 his
son.
c. A teenager who was in an automobile accident worries that his scars will cause
him to lose friends.
d. A single mother of two applies for food stamps in order to feed her family.
ANS: D PTS: 1
15. A nurse is caring for a 17-year-old female patient whose left leg was amputated after being
crushed in a motor vehicle accident. Which of the following interventions might the nurse
perform to accommodate the patients intellectual dimension?
a. considering the patients de hen planning nursing care
b. encouraging friends and relatives to visit often and bring games to distract her
c. teaching her how to care for the stump and explaining the rehabilitation program
d. providing the opportunity for a counselor to come in and talk to her about her loss
ANS: C PTS: 1
16. Which of the following topics is important when teaching teens and young adults?
a. safer sex practices
b. blood pressure control
c. immunization for measles
d. effective hand hygiene
ANS: A PTS: 1
17. Which of the following statements illustrates the effect of the sociocultural dimension on
health and illness?
a. Why shouldn’t I drink and drive? Everyone else does.
b. My mother has sickle cell anemia, and so do I.
c. I know I have heart problems, so I have changed my diet.
d. I used biofeedback to lower my blood pressure.
ANS: A PTS: 1
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d. increased resistance to stress
ANS: C PTS: 1
13. A baby is born with Down syndrome, which influences his health illness status. This is an
example of which of the following human dimensions?
a. Physical
b. Emotional
c. Environmental
d. Sociocultural
ANS: A PTS: 1
14. Which of the following is an example of the sociocultural dimension influencing a person’s
health 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 his
son.
c. A teenager who was in an automobile accident worries that his scars will cause
him to lose friends.
d. A single mother of two applies for food stamps in order to feed her family.
ANS: D PTS: 1
15. A nurse is caring for a 17-year-old female patient whose left leg was amputated after being
crushed in a motor vehicle accident. Which of the following interventions might the nurse
perform to accommodate the patients intellectual dimension?
a. considering the patients de hen planning nursing care
b. encouraging friends and relatives to visit often and bring games to distract her
c. teaching her how to care for the stump and explaining the rehabilitation program
d. providing the opportunity for a counselor to come in and talk to her about her loss
ANS: C PTS: 1
16. Which of the following topics is important when teaching teens and young adults?
a. safer sex practices
b. blood pressure control
c. immunization for measles
d. effective hand hygiene
ANS: A PTS: 1
17. Which of the following statements illustrates the effect of the sociocultural dimension on
health and illness?
a. Why shouldn’t I drink and drive? Everyone else does.
b. My mother has sickle cell anemia, and so do I.
c. I know I have heart problems, so I have changed my diet.
d. I used biofeedback to lower my blood pressure.
ANS: A PTS: 1
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18. A middle-aged woman is 40 pounds over her ideal weight. Which of the following
statements best illustrates the effect of her self-concept on health and illness?
a. I am just too busy with my kids to bother about a diet.
b. Why should I lose weight? I’ll still be fat.
c. My sister is thin, but I don’t think she looks that good.
d. My husband loves me this way.
ANS: B PTS: 1
19. A camp nurse is teaching a group of adolescent girls about the importance of monthly breast
self-examination. What level of preventive care does this activity represent?
a. primary
b. secondary
c. tertiary
d. restorative
ANS: A PTS: 1
20. 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 that
may occur with alcoholism is a:
a. demographic variable
b. sociopsychological variable
c. structural variable
d. intellectual variable
ANS: C PTS: 1
21. Which of the following models of health promotion and illness prevention was developed to
illustrate how people interact with their environment as they pursue health?
a. the health promotion model
b. the health belief model
c. the health illness continuum
d. the agent host environment model
ANS: A PTS: 1
22. Which of the following factors constitute the environment component of the agent host
environment model of health and illness (Leavell and Clark, 1965)? (Select all that apply).
a. bacteria/viruses
b. chemical substances
c. health habits
d. family history
e. cultural factors
f. biologic factors
ANS: E PTS: 1
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18. A middle-aged woman is 40 pounds over her ideal weight. Which of the following
statements best illustrates the effect of her self-concept on health and illness?
a. I am just too busy with my kids to bother about a diet.
b. Why should I lose weight? I’ll still be fat.
c. My sister is thin, but I don’t think she looks that good.
d. My husband loves me this way.
ANS: B PTS: 1
19. A camp nurse is teaching a group of adolescent girls about the importance of monthly breast
self-examination. What level of preventive care does this activity represent?
a. primary
b. secondary
c. tertiary
d. restorative
ANS: A PTS: 1
20. 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 that
may occur with alcoholism is a:
a. demographic variable
b. sociopsychological variable
c. structural variable
d. intellectual variable
ANS: C PTS: 1
21. Which of the following models of health promotion and illness prevention was developed to
illustrate how people interact with their environment as they pursue health?
a. the health promotion model
b. the health belief model
c. the health illness continuum
d. the agent host environment model
ANS: A PTS: 1
22. Which of the following factors constitute the environment component of the agent host
environment model of health and illness (Leavell and Clark, 1965)? (Select all that apply).
a. bacteria/viruses
b. chemical substances
c. health habits
d. family history
e. cultural factors
f. biologic factors
ANS: E PTS: 1
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23. Nurses use new resources for healthcare practices to promote health and serve as an
advocate for patients and families in all settings. Which one of the following resources has
been most instrumental in improving access to care for people living in rural or underserved
areas of the nation?
a. telehealth practice
b. industrial programs
c. community centers
d. nontraditional healthcare sites
ANS: A PTS: 1
24. What is the nurses primary role in promoting health?
a. educating others about health promotion activities
b. avoiding smoking or drinking in public
c. being a role model for health promotion
d. implementing stress reduction activities
ANS: C PTS: 1
MULTIPLE RESPONSE
25. Which of the following statements accurately describe how risk factors may increase a
person’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 breast fiable 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, F PTS: 1
26. Which of the following nursing interventions are examples of health promotion and
preventive care on the primary level? (Select all that apply).
a. A nurse counsels a teenager to stop smoking.
b. A nurse conducts a health fair for high blood pressure screening.
c. A nurse counsels the family of a 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-calorie diet for an obese teenager.
ANS: A, F PTS: 1
27. On which of the following components is Rosenstock’s health belief model based? (Select
all that apply).
a. perceived susceptibility to a disease
b. perceived consequences of treating disease
c. perceived seriousness of a disease
d. perceived benefits of action
e. perceived immunity to disease
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23. Nurses use new resources for healthcare practices to promote health and serve as an
advocate for patients and families in all settings. Which one of the following resources has
been most instrumental in improving access to care for people living in rural or underserved
areas of the nation?
a. telehealth practice
b. industrial programs
c. community centers
d. nontraditional healthcare sites
ANS: A PTS: 1
24. What is the nurses primary role in promoting health?
a. educating others about health promotion activities
b. avoiding smoking or drinking in public
c. being a role model for health promotion
d. implementing stress reduction activities
ANS: C PTS: 1
MULTIPLE RESPONSE
25. Which of the following statements accurately describe how risk factors may increase a
person’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 breast fiable 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, F PTS: 1
26. Which of the following nursing interventions are examples of health promotion and
preventive care on the primary level? (Select all that apply).
a. A nurse counsels a teenager to stop smoking.
b. A nurse conducts a health fair for high blood pressure screening.
c. A nurse counsels the family of a 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-calorie diet for an obese teenager.
ANS: A, F PTS: 1
27. On which of the following components is Rosenstock’s health belief model based? (Select
all that apply).
a. perceived susceptibility to a disease
b. perceived consequences of treating disease
c. perceived seriousness of a disease
d. perceived benefits of action
e. perceived immunity to disease
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f. perceived benefits of health insurance
ANS: A, C, D PTS: 1
28. Which of the following statements explain why models of health promotion and illness
prevention 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 without
healthcare.
d. They overcome barriers to care for the predicted downward trend in minority
populations.
e. They overcome barriers to care for low-income and rural populations.
f. They explain why people take advantage of low-cost screens and healthcare
information.
ANS: A, B, C, E PTS: 1
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f. perceived benefits of health insurance
ANS: A, C, D PTS: 1
28. Which of the following statements explain why models of health promotion and illness
prevention 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 without
healthcare.
d. They overcome barriers to care for the predicted downward trend in minority
populations.
e. They overcome barriers to care for low-income and rural populations.
f. They explain why people take advantage of low-cost screens and healthcare
information.
ANS: A, B, C, E PTS: 1
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Chapter 04: Health of the Individual, Family, Community, and Environment
MULTIPLE CHOICE
1. According to Maslow’s basic human needs hierarchy, which needs are the most basic?
a. physiologic
b. safety and security
c. love and belonging
d. self-esteem
ANS: A PTS: 1
2. 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: C PTS: 1
3. 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 security
b. love and belonging
c. self-esteem
d. self-actualization
ANS: D PTS: 1
4. A 2-year-old boy arrives at the emergency department of a local hospital with difficulty
breathing from an asthmatic attack. Which of the following would be the priority nursing
intervention?
a. giving him his favorite stuffed animal to hold
b. assessing respirations and administering oxygen
c. raising the side rails and restraining his arms
d. asking his mother what are his favorite foods
ANS: B PTS: 1
5. A 75-year-old man is being discharged to his home following a fall in his kitchen that
resulted in a fractured pelvis. The home health nurse makes a home assessment that will be
used to design interventions to meet which priority need?
a. sleep and rest
b. support from family members
c. protection from potential harm
d. feeling a sense of accomplishment
ANS: C PTS: 1
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Chapter 04: Health of the Individual, Family, Community, and Environment
MULTIPLE CHOICE
1. According to Maslow’s basic human needs hierarchy, which needs are the most basic?
a. physiologic
b. safety and security
c. love and belonging
d. self-esteem
ANS: A PTS: 1
2. 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: C PTS: 1
3. 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 security
b. love and belonging
c. self-esteem
d. self-actualization
ANS: D PTS: 1
4. A 2-year-old boy arrives at the emergency department of a local hospital with difficulty
breathing from an asthmatic attack. Which of the following would be the priority nursing
intervention?
a. giving him his favorite stuffed animal to hold
b. assessing respirations and administering oxygen
c. raising the side rails and restraining his arms
d. asking his mother what are his favorite foods
ANS: B PTS: 1
5. A 75-year-old man is being discharged to his home following a fall in his kitchen that
resulted in a fractured pelvis. The home health nurse makes a home assessment that will be
used to design interventions to meet which priority need?
a. sleep and rest
b. support from family members
c. protection from potential harm
d. feeling a sense of accomplishment
ANS: C PTS: 1
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6. A nurse caring for a patient in a long-term health care facility measures his intake and
output and weighs him to assess water balance. These actions help to meet which of
Maslow’s hierarchy of needs?
a. physiologic
b. safety and security
c. love and belonging
d. self-actualization
ANS: A PTS: 1
7. What action by a nurse will help a patient meet self-esteem needs?
a. verbally negate the patients negative self-perceptions
b. freely give compliments to increase positive self-regard
c. independently establish goals to improve self-esteem
d. respect the patient’s values and belief systems
ANS: D PTS: 1
8. A nurse caring for a female patient with TB who is in isolation is aware that the patients
love and belonging needs may not be properly met. Which of the following nursing action
would help to meet these needs?
a. respecting the patient’s values and beliefs
b. focusing on the patient’s strengths rather than problems
c. using hand hygiene and sterile technique to prevent infection
d. encouraging family to visit and help in the care of the patient
ANS: D PTS: 1
9. Which of the following statements accurately describes how Maslow’s theory can be
applied to nursing practice?
a. Nurses can apply this theory to the nursing process.
b. Nurses can identify met needs as 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: A PTS: 1
10. Jim and Alice were recently married. Each has previously been married and had two
children. What name is given to this type of family?
a. extended family
b. nuclear family
c. blended family
d. cohabiting family
ANS: C PTS: 1
11. Which of the following groups involves all parts of a person’s life and is concerned with
meeting basic human needs to promote health?
a. peers
b. family
c. community
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6. A nurse caring for a patient in a long-term health care facility measures his intake and
output and weighs him to assess water balance. These actions help to meet which of
Maslow’s hierarchy of needs?
a. physiologic
b. safety and security
c. love and belonging
d. self-actualization
ANS: A PTS: 1
7. What action by a nurse will help a patient meet self-esteem needs?
a. verbally negate the patients negative self-perceptions
b. freely give compliments to increase positive self-regard
c. independently establish goals to improve self-esteem
d. respect the patient’s values and belief systems
ANS: D PTS: 1
8. A nurse caring for a female patient with TB who is in isolation is aware that the patients
love and belonging needs may not be properly met. Which of the following nursing action
would help to meet these needs?
a. respecting the patient’s values and beliefs
b. focusing on the patient’s strengths rather than problems
c. using hand hygiene and sterile technique to prevent infection
d. encouraging family to visit and help in the care of the patient
ANS: D PTS: 1
9. Which of the following statements accurately describes how Maslow’s theory can be
applied to nursing practice?
a. Nurses can apply this theory to the nursing process.
b. Nurses can identify met needs as 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: A PTS: 1
10. Jim and Alice were recently married. Each has previously been married and had two
children. What name is given to this type of family?
a. extended family
b. nuclear family
c. blended family
d. cohabiting family
ANS: C PTS: 1
11. Which of the following groups involves all parts of a person’s life and is concerned with
meeting basic human needs to promote health?
a. peers
b. family
c. community
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d. healthcare providers
ANS: B PTS: 1
12. David and Susan are in a committed relationship and live together with their adopted twin
boys. Which of the following best describes this type of family?
a. nuclear family
b. extended family
c. blended family
d. adoptive family
ANS: A PTS: 1
13. 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: D PTS: 1
14. A mother teaches her son to respect his elders. This is an example of which of the following
family functions?
a. physical
b. economic
c. affective and coping
d. socialization
ANS: D PTS: 1
15. What is the purpose of the affective and coping function of the family?
a. providing a safe environment for growth and development
b. ensuring financial assistance for family members
c. providing emotional comfort and identity
d. transmitting values, attitudes, and beliefs
ANS: C PTS: 1
16. A nurse provides health promotion and accident prevention programs for a family with
adolescents 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: C PTS: 1
17. Friedman, Bowden, and Jones (2003) identified the importance of family-centered nursing
care, 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.
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d. healthcare providers
ANS: B PTS: 1
12. David and Susan are in a committed relationship and live together with their adopted twin
boys. Which of the following best describes this type of family?
a. nuclear family
b. extended family
c. blended family
d. adoptive family
ANS: A PTS: 1
13. 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: D PTS: 1
14. A mother teaches her son to respect his elders. This is an example of which of the following
family functions?
a. physical
b. economic
c. affective and coping
d. socialization
ANS: D PTS: 1
15. What is the purpose of the affective and coping function of the family?
a. providing a safe environment for growth and development
b. ensuring financial assistance for family members
c. providing emotional comfort and identity
d. transmitting values, attitudes, and beliefs
ANS: C PTS: 1
16. A nurse provides health promotion and accident prevention programs for a family with
adolescents 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: C PTS: 1
17. Friedman, Bowden, and Jones (2003) identified the importance of family-centered nursing
care, 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.
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c. 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 health
promotion.
ANS: C PTS: 1
18. Which of the following individuals would the nurse assess as being most at risk for altered
family health?
a. an unmarried adolescent with a newborn
b. a newly married couple who ask about birth control
c. a middle-aged man and woman with no children
d. an older adult, living in an assisted-living community
ANS: A PTS: 1
19. What is the major effect of a health crisis on family structure?
a. adaptation to stress
b. change in roles of family members
c. respect for family values
d. loss of individual identities
ANS: B PTS: 1
20. Mrs. Dunn has cared for her husband with Alzheimer’s disease for 2 years. She comes to a
local health center because she is feeling worn out and stressed. What might be an
appropriate nursing diagnosis for Mrs. Dunn?
a. Dysfunctional Family Processes
b. Health-Seeking Behaviors
c. Risk for Caregiver Burden
d. Risk for Anxiety
ANS: C PTS: 1
21. 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: B PTS: 1
22. Which of the following is an example of a community factor that may affect health?
a. rural setting
b. air and water quality
c. number of residents
d. educational level
ANS: B PTS: 1
23. Which of the following factors may be a barrier to healthcare services for those living in
rural areas?
a. inadequate healthcare insurance
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c. 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 health
promotion.
ANS: C PTS: 1
18. Which of the following individuals would the nurse assess as being most at risk for altered
family health?
a. an unmarried adolescent with a newborn
b. a newly married couple who ask about birth control
c. a middle-aged man and woman with no children
d. an older adult, living in an assisted-living community
ANS: A PTS: 1
19. What is the major effect of a health crisis on family structure?
a. adaptation to stress
b. change in roles of family members
c. respect for family values
d. loss of individual identities
ANS: B PTS: 1
20. Mrs. Dunn has cared for her husband with Alzheimer’s disease for 2 years. She comes to a
local health center because she is feeling worn out and stressed. What might be an
appropriate nursing diagnosis for Mrs. Dunn?
a. Dysfunctional Family Processes
b. Health-Seeking Behaviors
c. Risk for Caregiver Burden
d. Risk for Anxiety
ANS: C PTS: 1
21. 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: B PTS: 1
22. Which of the following is an example of a community factor that may affect health?
a. rural setting
b. air and water quality
c. number of residents
d. educational level
ANS: B PTS: 1
23. Which of the following factors may be a barrier to healthcare services for those living in
rural areas?
a. inadequate healthcare insurance
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b. lack of knowledge about needed care
c. living long distances from services
d. decreased interest in health promotion
ANS: C PTS: 1
24. Which of the following definitions best describes community-based nursing?
a. a focus on populations within the community
b. a focus on older adults living in nursing homes
c. care provided in the patients home for chronic illnesses
d. care centered on individual and family healthcare needs
ANS: D PTS: 1
25. What is one method by which a nurse can be a role model to promote health in the
community?
a. by demonstrating a healthy lifestyle
b. by becoming a member of a family
c. by meeting own basic needs
d. by exhibiting self-actualization
ANS: A PTS: 1
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b. lack of knowledge about needed care
c. living long distances from services
d. decreased interest in health promotion
ANS: C PTS: 1
24. Which of the following definitions best describes community-based nursing?
a. a focus on populations within the community
b. a focus on older adults living in nursing homes
c. care provided in the patients home for chronic illnesses
d. care centered on individual and family healthcare needs
ANS: D PTS: 1
25. What is one method by which a nurse can be a role model to promote health in the
community?
a. by demonstrating a healthy lifestyle
b. by becoming a member of a family
c. by meeting own basic needs
d. by exhibiting self-actualization
ANS: A PTS: 1
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Chapter 05: Culturally Respectful Care
MULTIPLE CHOICE
1. How is culture learned by each new generation?
a. ethnic heritage
b. involvement in religious activities
c. formal and informal experiences
d. belonging to a subculture
ANS: C PTS: 1
2. Which of the following statements is true of cultural assimilation?
a. Mutual cultural assimilation occurs when characteristics from two groups are
traded.
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, primarily
based on common heritage.
ANS: A PTS: 1
3. Mr. Perez is a Mexican immigrant who migrated to the United States and lives in a
Spanish-speaking community with other relatives. He is taken to the ER following a fall at
work and is admitted to the hospital for observation. Which of the following is the nurse
caring for Mr. Perez aware tha
a. cultural assimilation
b. cultural shock
c. cultural imposition
d. cultural blindness
ANS: B PTS: 1
4. What characteristic is used to describe racial categories?
a. language
b. skin color
c. music preferences
d. food likes and dislikes
ANS: B PTS: 1
5. A 20-year-old housekeeper, born and educated in Iraq, wears her traditional clothing and
head covering. A 50-year-old patient tells the nurse, They are in America and should dress
like we do. What is this statement an example of?
a. cultural assimilation
b. cultural blindness
c. cultural conflict
d. cultural imposition
ANS: D PTS: 1
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Chapter 05: Culturally Respectful Care
MULTIPLE CHOICE
1. How is culture learned by each new generation?
a. ethnic heritage
b. involvement in religious activities
c. formal and informal experiences
d. belonging to a subculture
ANS: C PTS: 1
2. Which of the following statements is true of cultural assimilation?
a. Mutual cultural assimilation occurs when characteristics from two groups are
traded.
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, primarily
based on common heritage.
ANS: A PTS: 1
3. Mr. Perez is a Mexican immigrant who migrated to the United States and lives in a
Spanish-speaking community with other relatives. He is taken to the ER following a fall at
work and is admitted to the hospital for observation. Which of the following is the nurse
caring for Mr. Perez aware tha
a. cultural assimilation
b. cultural shock
c. cultural imposition
d. cultural blindness
ANS: B PTS: 1
4. What characteristic is used to describe racial categories?
a. language
b. skin color
c. music preferences
d. food likes and dislikes
ANS: B PTS: 1
5. A 20-year-old housekeeper, born and educated in Iraq, wears her traditional clothing and
head covering. A 50-year-old patient tells the nurse, They are in America and should dress
like we do. What is this statement an example of?
a. cultural assimilation
b. cultural blindness
c. cultural conflict
d. cultural imposition
ANS: D PTS: 1
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6. A nurse walks by a patients room and observes a Shaman performing a healing ritual for the
patient. The nurse then remarks to a coworker that the ritual is a waste of time and
disruptive to the other patients on the floor. This nurse is displaying the feelings associated
with:
a. culture conflict
b. cultural blindness
c. stereotyping
d. cultural shock
ANS: A PTS: 1
7. A nurse is doing preoperative teaching for an African American man before he has
abdominal surgery. What topic should be included in the teaching?
a. the possibility of developing a keloid over the healed incision
b. the increased risk of developing an infection in the incision
c. his racial characteristics that will slow healing
d. cultural influences on his response to surgery
ANS: A PTS: 1
8. A nurse is caring for a patient from Taiwan who constantly requests pain medication. What
should 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 say
ANS: D PTS: 1
9. A father, mother, grandmother, and three school-aged children have immigrated to the
United States from Thailand. Which member(s) of the family are likely to learn to speak
English more rapidly?
a. unemployed father
b. stay-at-home mother
c. grandmother
d. children
ANS: D PTS: 1
10. A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notes
that he looks down at the floor when he answers questions. What should the nurse
understand about this behavior?
a. The patient 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: B PTS: 1
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6. A nurse walks by a patients room and observes a Shaman performing a healing ritual for the
patient. The nurse then remarks to a coworker that the ritual is a waste of time and
disruptive to the other patients on the floor. This nurse is displaying the feelings associated
with:
a. culture conflict
b. cultural blindness
c. stereotyping
d. cultural shock
ANS: A PTS: 1
7. A nurse is doing preoperative teaching for an African American man before he has
abdominal surgery. What topic should be included in the teaching?
a. the possibility of developing a keloid over the healed incision
b. the increased risk of developing an infection in the incision
c. his racial characteristics that will slow healing
d. cultural influences on his response to surgery
ANS: A PTS: 1
8. A nurse is caring for a patient from Taiwan who constantly requests pain medication. What
should 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 say
ANS: D PTS: 1
9. A father, mother, grandmother, and three school-aged children have immigrated to the
United States from Thailand. Which member(s) of the family are likely to learn to speak
English more rapidly?
a. unemployed father
b. stay-at-home mother
c. grandmother
d. children
ANS: D PTS: 1
10. A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notes
that he looks down at the floor when he answers questions. What should the nurse
understand about this behavior?
a. The patient 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: B PTS: 1
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11. An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, Im
just 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: C PTS: 1
12. Although all of the following are factors to consider when caring for patients with limited
income, which one is the most important?
a. basic human needs may go unmet
b. limited access to reliable transportation
c. decreased access to healthcare services
d. risk for increased incidence of disease
ANS: A PTS: 1
13. The nurse is providing home care for a patient who traditionally drinks herbal tea to treat an
illness. 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: C PTS: 1
14. A nurse in a large metropolita g in a health clinic that primarily serves
Hispanic patients. What does this statement imply about the nurse?
a. The nurses knowledge and skills are not adequate to care for patients with acute
illnesses.
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: B PTS: 1
15. A nurse is providing care for a Cambodian patient. The nurse says, You have to get up and
walk whether you want to or not. What is this statement an example of?
a. culture shock
b. stereotyping
c. cultural imposition
d. cultural competence
ANS: C PTS: 1
16. A nurse is caring for an African American in an acute care setting. Which one of the
following 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 blood for a test.
c. The patient may perceive illness as a punishment from God.
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11. An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, Im
just 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: C PTS: 1
12. Although all of the following are factors to consider when caring for patients with limited
income, which one is the most important?
a. basic human needs may go unmet
b. limited access to reliable transportation
c. decreased access to healthcare services
d. risk for increased incidence of disease
ANS: A PTS: 1
13. The nurse is providing home care for a patient who traditionally drinks herbal tea to treat an
illness. 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: C PTS: 1
14. A nurse in a large metropolita g in a health clinic that primarily serves
Hispanic patients. What does this statement imply about the nurse?
a. The nurses knowledge and skills are not adequate to care for patients with acute
illnesses.
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: B PTS: 1
15. A nurse is providing care for a Cambodian patient. The nurse says, You have to get up and
walk whether you want to or not. What is this statement an example of?
a. culture shock
b. stereotyping
c. cultural imposition
d. cultural competence
ANS: C PTS: 1
16. A nurse is caring for an African American in an acute care setting. Which one of the
following 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 blood for a test.
c. The patient may perceive illness as a punishment from God.
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d. The patient may expect the caregiver to deduce the problem by instinct.
ANS: A PTS: 1
17. In which of the following populations should the nurse carefully assess the patients use of
over-thecounter medications?
a. African American
b. Hispanic
c. White middle class
d. Asian
ANS: C PTS: 1
18. 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: B PTS: 1
19. A home health nurse is visiting a 60-year-old patient. During the initial visit, the patients
husband 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: D PTS: 1
MULTIPLE RESPONSE
20. A nurse caring for patients in a culturally diverse neighborhood knows that culture affects
the nurses interactions with patients. Which of the following is a characteristic of culture?
(Select all that apply).
a. Culture guides what is acceptable behavior for 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 a
groups 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 among
cultures.
ANS: A, D, E, F PTS: 1
21. Which of the following statements accurately describe cultural factors that may influence
healthcare? (Select all that apply).
a. Nurses and patients generally agree upon the health practices that are being
instituted.
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d. The patient may expect the caregiver to deduce the problem by instinct.
ANS: A PTS: 1
17. In which of the following populations should the nurse carefully assess the patients use of
over-thecounter medications?
a. African American
b. Hispanic
c. White middle class
d. Asian
ANS: C PTS: 1
18. 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: B PTS: 1
19. A home health nurse is visiting a 60-year-old patient. During the initial visit, the patients
husband 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: D PTS: 1
MULTIPLE RESPONSE
20. A nurse caring for patients in a culturally diverse neighborhood knows that culture affects
the nurses interactions with patients. Which of the following is a characteristic of culture?
(Select all that apply).
a. Culture guides what is acceptable behavior for 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 a
groups 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 among
cultures.
ANS: A, D, E, F PTS: 1
21. Which of the following statements accurately describe cultural factors that may influence
healthcare? (Select all that apply).
a. Nurses and patients generally agree upon the health practices that are being
instituted.
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b. Certain racial and ethnic groups are more prone to developing specific diseases
and conditions.
c. Although pain affects people differently, most people react to pain in the same
manner.
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 for
all family members.
f. When people move to the United States, they may speak their own language
fluently but have difficulty speaking English.
ANS: B, D, E, F PTS: 1
22. Which of the following are considered cultural norms of the healthcare system? (Select all
that apply).
a. inability to define health and illness
b. frequent use of jargon and documentation
c. professional deference to pecking order
d. use of a problem-solving methodology
e. belief in the fallibility of technology
f. use of certain procedures for birth and death
ANS: B, C, D, F PTS: 1
23. A nurse is caring for an Appalachian patient following her hysterectomy. Which of the
following Appalachian values and beliefs should be considered when planning nursing care
for this patient? (Select all tha
a. Isolation is considered as a way o e.
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. Death is seen as a part of life and not feared.
ANS: A, B, D PTS: 1
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b. Certain racial and ethnic groups are more prone to developing specific diseases
and conditions.
c. Although pain affects people differently, most people react to pain in the same
manner.
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 for
all family members.
f. When people move to the United States, they may speak their own language
fluently but have difficulty speaking English.
ANS: B, D, E, F PTS: 1
22. Which of the following are considered cultural norms of the healthcare system? (Select all
that apply).
a. inability to define health and illness
b. frequent use of jargon and documentation
c. professional deference to pecking order
d. use of a problem-solving methodology
e. belief in the fallibility of technology
f. use of certain procedures for birth and death
ANS: B, C, D, F PTS: 1
23. A nurse is caring for an Appalachian patient following her hysterectomy. Which of the
following Appalachian values and beliefs should be considered when planning nursing care
for this patient? (Select all tha
a. Isolation is considered as a way o e.
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. Death is seen as a part of life and not feared.
ANS: A, B, D PTS: 1
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