CH 1,3,6,7
According to the classic definition of health by the World Health Organization, health is defined as...
A) The absence of disease.
B) Complete physical, mental, and social well-being.
C) The absence of symptoms of illness.
D) The ability to carry out daily activities.
What is:
B) Complete physical, mental, and social well-being
The following is an example of nonverbal communication:
a. Written instructions for medication administration
b. A nurse explaining a procedure to a patient
c. Maintaining eye contact during a conversation
d. Sharing information through email
What is:
c. Maintaining eye contact during a conversation
A nurse is teaching a new mother about breastfeeding techniques to prevent nipple cracking and redness. This is the most appropriate short-term learner outcome for this teaching session:
A) Patient demonstrates correct breastfeeding procedure.
B) Patient identifies signs of thrush.
C) Patient describes measures to prevent nipple cracking.
D) Patient values good nutrition and hydration.
What is:
C) Patient describes measures to prevent nipple cracking.
A home health care nurse is making an initial visit to a patient's home. This is a crucial aspect of this phase of the visit:
a. Administering prescribed medications
b. Rearranging the patient's furniture for safety
c. Conducting a thorough physical assessment
d. Providing immediate patient education
What is:
c. Conducting a thorough physical assessment
The following is an example of recognizing a significant cue in data interpretation and analysis:
A) A nurse documenting a patient's weight loss of 5 pounds in the last week.
B) A nurse noting that a patient's blood pressure is 150/90 mm Hg.
C) A nurse observing a patient crying after a difficult conversation.
D) A nurse assessing a 16-year-old single mother's refusal to care for her infant.
What is:
D) A nurse assessing a 16-year-old single mother's refusal to care for her infant.
The primary purpose of the Bill of Rights for Registered Nurses is...
A) To establish the legal obligations of registered nurses
B) To provide a set of ethical guidelines for nursing practice
C) To empower nurses by defining nonnegotiable workplace rights
D) To regulate the professional conduct of nurses
What is:
C) To empower nurses by defining nonnegotiable workplace rights
This structured communication technique is widely recommended for hand-off communication to improve clarity, structure, and ease of use:
A) HIPAA
B) SOAP
C) SBAR
D) HIP
What is:
C) SBAR
This is the key to effective evaluation of learning in the teaching process:
a) The patient's willingness to participate
b) The nurse's assessment of the patient's potential
c) The achievement of learner outcomes specified in the plan
d) The use of standardized questionnaires after each session
What is:
c) The achievement of learner outcomes specified in the plan
During the assessing phase of the nursing process, this is the primary purpose of obtaining an initial database:
A) To gather subjective data from the patient
B) To collect historical information about the patient's family
C) To obtain baseline data through a nursing history and examination
D) To assess the patient's response to medical interventions
What is:
C) To obtain baseline data through a nursing history and examination
Which of the following represents the correct hierarchy of human needs according to Maslow's hierarchy?
A) Safety needs, self-esteem needs, physiologic needs, love and belonging needs, self-actualization needs
B) Self-actualization needs, love and belonging needs, physiologic needs, self-esteem needs, safety needs
C) Physiologic needs, safety needs, love and belonging needs, self-esteem needs, self-actualization needs
D) Love and belonging needs, self-esteem needs, safety needs, self-actualization needs, physiologic needs
What is:
C) Physiologic needs, safety needs, love and belonging needs, self-esteem needs, self-actualization needs
Whistle-blowing in nursing refers to:
A) Nurses disclosing confidential patient information.
B) Nurses reporting unsafe care or unethical practices.
C) Nurses refusing to follow physicians' orders.
D) Nurses advocating for better nurse-patient ratios.
What is:
B) Nurses reporting unsafe care or unethical practices
A nurse is caring for a patient in the working phase of a therapeutic relationship. This action by the nurse best demonstrates the use of empathy in communication:
A. Sharing personal experiences to relate to the patient's situation.
B. Offering sympathy for the patient's difficult circumstances.
C. Identifying with the patient's feelings and expressing understanding.
D. Focusing on the nurse's own emotions to establish rapport.
What is:
C. Identifying with the patient's feelings and expressing understanding.
This is the socioeconomic need(s) typically assessed in a community health needs assessment:
a. High-speed internet access.
b. Air quality and pollution levels.
c. Employment, crime, housing, education, and food environment.
d. Access to specialized healthcare services.
What is:
c. Employment, crime, housing, education, and food environment.
What is the primary purpose of ongoing evaluation of a patient's responses to the care plan?
A) To justify the nursing actions taken
B) To provide documentation for legal purposes
C) To make decisions about continuing or modifying nursing care
D) To create a detailed narrative of the patient's condition
What is:
C) To make decisions about continuing or modifying nursing care
When writing patient outcomes, the acronym SMART stands for this:
A) Specific, Measurable, Achievable, Realistic, Timely
B) Subjective, Measurable, Achievable, Relevant, Targeted
C) Specific, Meaningful, Attainable, Relevant, Time-bound
D) Significant, Measurable, Attainable, Realistic, Timely
What is:
A) Specific, Measurable, Achievable, Realistic, Timely
The nurse's best defense against malpractice claims related to memory discrepancies in a legal case is...
A) Reliable eyewitness accounts
B) Accurate and complete documentation
C) Consulting with the hospital's legal team
D) Providing character references
What is:
B) Accurate and complete documentation
A patient newly diagnosed with diabetes expresses concerns about managing their condition. The nurse should prioritize the following in patient education and counseling:
a. Providing resources and support for coping
b. Teaching medication administration techniques
c. Promoting disease prevention strategies
d. Assessing the patient's knowledge of diabetes
What is:
b. Teaching medication administration techniques
This is the primary responsibility of a nurse in ensuring continuity of care:
a. Administering medications accurately.
b. Performing procedures with precision.
c. Communicating patient needs and facilitating transitions.
d. Monitoring vital signs continuously.
What is:
c. Communicating patient needs and facilitating transitions.
Situational awareness (SA) in healthcare involves:
a. Prioritizing tasks and focusing on immediate patient needs
b. Multitasking efficiently to reduce cognitive load
c. Developing protocols for patient care
d. Recognizing environmental elements and their meaning for future actions
What is:
d. Recognizing environmental elements and their meaning for future actions
This is the primary responsibility of a nurse when delegating a nursing task to an assistive personnel (AP):
a) Supervising the AP's performance of the task.
b) Letting the AP decide how to perform the task.
c) Ensuring the AP has all the necessary qualifications.
d) Transferring full accountability for the task to the AP.
What is:
a) Supervising the AP's performance of the task.
The primary responsibility of nurses concerning the Occupational Safety and Health Act (OSHA) standards is...
A) Report any workplace hazards to their supervisor.
B) Ensure patient confidentiality is maintained.
C) Promote health and safety precautions at the workplace.
D) Administer first aid to injured co-workers.
What is:
C) Promote health and safety precautions at the workplace.
A patient has limited health literacy, and the nurse wants to ensure effective communication during a teaching session. This strategy is most appropriate:
a. Use complex medical terminology to maintain accuracy.
b. Avoid using visual aids as they may confuse the patient.
c. Implement the Teach-Back Method to confirm understanding.
d. Provide written materials only, as they are easier to understand.
What is:
c. Implement the Teach-Back Method to confirm understanding.
A patient might choose to leave the hospital against medical advice (AMA) under certain circumstances. The nurse should provide this advice:
a) AMA discharges void insurance terms
b) AMA discharges are illegal and can result in legal action
c) AMA discharges do not carry any risks
d) AMA discharges can occur when the patient feels ready
What is:
d) AMA discharges can occur when the patient feels ready
Validation of data during data collection might be necessary at this point:
A) When data are lacking objectivity
B) When the data collected are irrelevant or duplicate
C) Only when there is a need for more data
D) When data discrepancies or conflicts arise
What is:
B) When the data collected are irrelevant or duplicate
It is important for nurses to evaluate patient outcome achievement as early as possible for this reason:
A. To celebrate outcome attainment with the patient
B. To make it easier to revise the care plan if needed
C. To improve patient compliance with the care plan
D. To meet the patient's expectations
What is:
B. To make it easier to revise the care plan if needed