Ch 1
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
D) 18th to 19th century
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
A) authoritative
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
B) an acute illness
Which of the following is a tenant of Maslows 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.
C) Certain needs are more basic than others and must be met first.
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.
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.
B) Certain racial and ethnic groups are more prone to developing specific diseases and conditions.
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.
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
A) Most early civilizations believed that illness had supernatural causes.
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
A) learn improved ways to promote and maintain health
What manifestation is the most significant symptom indicating an illness?
A) bleeding
B) runny nose
C) pain
D) itching
C) pain
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 Maslows hierarchy of needs?
A) physiologic
B) safety and security
C) love and belonging
D) self-actualization
A) physiologic
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.
C) The food served may not be culturally appropriate.
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
B) Lillian Wald
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
D) instrument
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
C) Stage 3
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.
C) Maintain supportive home base.
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
A) the possibility of developing a keloid over the healed incision
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
C) referring to a community diabetic support group
E) admitting a patient to a hospice program
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
A) P = population
Which of the following statements accurately describe how risk factors may increase a persons 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 cancer is not a modifiable risk factor.
E) School-aged children are at high risk for communicable diseases.
F) Multiple sexual relationships increase the risk for sexually transmitted diseases.
C) An increase in risk factors increases the possibility of illness.
D) A family history of breast cancer is not a modifiable risk factor.
E) School-aged children are at high risk for communicable diseases.
F) Multiple sexual relationships increase the risk for sexually transmitted diseases.
Which of the following factors may be a barrier to healthcare services for those living in rural areas?
A) inadequate healthcare insurance
B) lack of knowledge about needed care
C) living long distances from services
D) decreased interest in health promotion
C) living long distances from services
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.
B) Objectively examine own beliefs, values, and practices.
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
D) Referring a teen who admits having suicidal thoughts to a mental healthcare specialist
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.
A) It is a problem-solving approach
B) It uses the best evidence available
E) It blends the science and art of nursing.
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
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.
E) They overcome barriers to care for low-income and rural populations.
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.
B) Communities are formed by the characteristics of people and other factors.
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 that he is at risk for?
A) cultural assimilation
B) cultural shock
C) cultural imposition
D) cultural blindness
B) cultural shock