Evidence-Based Practice in Nursing, Exams of Advanced Education

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Fundamentals Mid-Term

1. You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A non-nursing colleague asks about this code. Which of the following statements best describes this code? a. Improves self-health care b. Protects the patient's confidentiality c. Ensures identical care to all patients d. Defines the principles of right and wrong to provide patient care - d. Defines the principles of right and wrong to provide patient care
2. An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, auscultates her lung sounds, listens to her heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? a. Diagnosis b. Evaluation c. Assessment d. Implementation - c. Assessment
3. A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? a. Planning b. Evaluation c. Assessment d. Implementation - d. Implementation
4. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with the family. The nurse is acting as the patient's:

a. Educator b. Advocate c. Caregiver d. Case manager - b. Advocate

5. Evidence-based practice is defined as: a. Nursing care based on tradition b. Scholarly inquiry of nursing and biomedical research literature c. A problem-solving approach that integrates best current evidence with clinical practice d. Quality nursing care provided in an efficient and economically sound manner - c. A problem-solving approach that integrates best current evidence with clinical practice
6. The examination for registered nurse licensure is exactly the same in every state in the United States. This examination: a. Guarantees safe nursing care for all patients b. Ensures standard nursing care for all patients c. Ensures that honest and ethical care is provided d. Provides a minimal standard of knowledge for a registered nurse in practice - d. Provides a minimal standard of knowledge for a registered nurse in practice
7. Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply.) a. Caregiver b. Autonomy and accountability c. Patient advocate d. Health promotion e. Lobbyist - a. Caregiver b. Autonomy and accountability c. Patient advocate d. Health promotion

8. Advanced practice registered nurses generally: a. Function independently b. Function as unit directors c. Work in acute care settings d. Work in the university setting - a. Function independently
9. Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? a. Moving from an acute illness to a health promotion, illness prevention model b. Moving from illness prevention to a health promotion model c. Moving from an acute illness to a disease management model d. Moving from a chronic care to an illness prevention model - a. Moving from an acute illness to a health promotion, illness prevention model
10. Which of the following nursing roles may have prescriptive authority in their practice? (Select all that apply.) a. Critical care nurse b. Nurse practitioner c. Certified clinical nurse specialist d. Charge nurse - b. Nurse practitioner c. Certified clinical nurse specialist
11. A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? a. Patient-centered care b. Safety c. Teamwork and collaboration d. Informatics - d. Informatics

12. A nurse is caring for an older-adult couple in a community-based assisted living facility. During the family assessment he notes that the couple has many expired medications and multiple medications for their respective chronic illnesses. They note that they go to two different health care providers. The nurse begins to work with the couple to determine what they know about their medications and helps them decide on one care provider rather than two. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? a. Patient-centered care b. Safety c. Teamwork and collaboration d. Informatics - b. Safety
13. The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career? a. Clinical nurse specialist b. Nurse administrator c. Nurse educator d. Nurse researcher - d. Nurse researcher
14. Nurses at a community hospital are in an education program to learn how to use a new pressure- relieving device for patients at risk for pressure ulcers. This is which type of education? a. Continuing education b. Graduate education c. In-service education d. Professional Registered Nurse Education - c. In-service education
15. Which of the following is an example of the principle of patient-centered care focused on continuity and transition? a. The nurse asks the patient who in the family should have access to patient information b. The nurse is teaching the patient how to change the wound dressing at home

c. The nurse responds promptly to the patient's request for pain medication d. The nurse schedules the patient's diagnostic scan following the physical therapy session - b. The nurse is teaching the patient how to change the wound dressing at home

2. Which activity performed by the nurse is related to maintaining competency in nursing practice? a. Asking another nurse about how to change the settings on a medication pump b. Regularly attending unit staff meetings c. Participating as a member of the professional nursing council d. Attending a review course in preparation for the certification examination - d. Attending a review course in preparation for the certification examination
3. The patient tells the nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO? a. This health plan is for people who cannot afford their own health insurance b. This health plan is operated by the government to provide health care to older adults c. This health plan provides you with a preferred list of physicians, hospitals, and providers from which you can choose d. This is a fee-for-service plan in which you can choose any physician or hospital - c. This health plan provides you with a preferred list of physicians, hospitals, and providers from which you can choose
4. Which of the following is an example of the nurse participating in primary care activities? a. Providing prenatal teaching on nutrition to a pregnant woman during the first trimester Correct b. Working with patients in a cardiac rehabilitation program c. Assessing a patient at an emergent care facility d. Providing home wound care to a patient - a. Providing prenatal teaching on nutrition to a pregnant woman
5. Nurses on a nursing unit are discussing the processes that led up to a near-miss error on the clinical unit. They are outlining strategies that will prevent this in the future. This is an example of nurses working on what issue in the health care system? a. Patient safety b. Evidence-based practice

c. Patient satisfaction d. Maintenance of competency - a. Patient safety

6. Which of the following statements is true regarding Magnet status recognition for a hospital? a. Nursing is run by a Magnet manager who makes decisions for the nursing units b. Nurses in Magnet hospitals make all of the decisions on the clinical units c. Magnet is a term that is used to describe hospitals that are able to hire the nurses they need d. Magnet is a special designation for hospitals that achieve excellence in nursing practice - d. Magnet is a special designation for hospitals that achieve excellence in nursing practice
7. Which statement made by the nurse is an example of applying the principle of patient-centered care while focusing on alleviation of a patient's fear and anxiety? a. "Let's talk about the concerns that you have about going home." b. "I'll get the medication prescriptions for you before discharge" c. "I'll be back in 30 minutes to help you get cleaned up" d. "I'll make a referral to the home health nurse for you" - a. "Let's talk about the concerns that you have about going home."
8. Which of the following is/are characteristics of managed care systems? (Select all that apply.) a. Provider receives a predetermined payment for each patient in the program. b. Payment is based on a set fee for each service provided. c. System includes a voluntary prescription drug program for an additional cost. d. System tries to reduce costs while keeping patients healthy. e. Focus of care is on prevention and early intervention. - a. Provider receives a predetermined payment for each patient in the program. d. System tries to reduce costs while keeping patients healthy. e. Focus of care is on prevention and early intervention.
9. Which of the following nursing activities is found in a tertiary health care environment? a. Administering influenza immunizations at the senior independent living facility

b. Providing well-baby care in the clinic run by the local community health department c. Admitting a patient following open heart surgery to the cardiovascular intensive care unit d. Working the triage desk in the emergency department - c. Admitting a patient following open heart surgery to the cardiovascular intensive care unit

10. Which of the following activities performed by the nurse is/are focused on the patient-centered care principle of physical comfort? (Select all that apply.) a. Asking the patient what a tolerable level of pain is for him or her following surgery b. Providing a back rub at bedtime c. Offering the patient a warm washcloth for his or her hands before eating d. Teaching the patient about the new antihypertensive medication ordered e. Scheduling the patient's follow-up appointments on discharge f. Changing the bed linens for a patient who is experiencing diaphoresis - a. Asking the patient what a tolerable level of pain is for him or her following surgery b. Providing a back rub at bedtime c. Offering the patient a warm washcloth for his or her hands before eating f. Changing the bed linens for a patient who is experiencing diaphoresis
11. The nursing staff is developing a quality program for the floor. Which of the following are nursing- sensitive indicators from the National Database of Nursing Quality Indicators that the nurses can use to measure patient safety and quality for the unit? (Select all that apply.) a. Number of medication errors committed by registered nurses (RNs) b. Turnover rate of nurses on the unit c. Incidence of patient falls d. Number of certified RNs e. Number of emergency department admissions per year - b. Turnover rate of nurses on the unit c. Incidence of patient falls d. Number of certified RNs
12. The nurse is providing restorative care to a patient following an extended hospitalization for an acute illness. Which of the following is an appropriate goal for restorative care?

a. Patient will be able to walk 200 feet without shortness of breath b. Wound will heal without signs of infection c. Patient will express concerns related to return to home d. Patient will identify strategies to improve sleep habits - a. Patient will be able to walk 200 feet without shortness of breath

13. A nurse is presenting information to a management class of nursing students on the topic of groups of inpatient hospital services that have a fixed reimbursement amount, with adjustments made on the basis of case severity and regional costs. The nurse is presenting information to the class on which topic? a. Utilization review committee b. Resource utilization group c. Capitation payment system d. Diagnosis-related groups - d. Diagnosis-related groups
14. When a nurse uses information and technology to communicate, locate and use knowledge, reduce and eliminate errors, and help make decisions, the nurse is working in which area? a. Integrated delivery system b. Health care patient system c. Nursing informatics d. Computerized nursing network - c. Nursing informatics
15. Which of the following are examples of the principle of patient-centered care that is focused on respect, values, preferences, and expressed needs? (Select all that apply.) a. Administer antihypertensive medications to patient daily. b. Pulling the curtain around the patient bed before changing the wound dressing on the patient's leg c. Allowing the patient to ask questions and express his or her concern about surgery d. Explaining a colonoscopy procedure to the patient e. Working with the family to bring in ethnic foods that the patient prefers - b. Pulling the curtain around the patient bed before changing the wound dressing on the patient's leg c. Allowing the patient to ask questions and express his or her concern about surgery e. Working with the family to bring in ethnic foods that the patient prefers

1. Which of the following are components of the paradigm of nursing? a. The person, health, environment, and theory b. Health, theory, concepts, and environment c. Nurses, physicians, health, and patient needs d. The person, health, environment/situation, and nursing - d. The person, health, environment/situation, and nursing
2. A theory is a set of concepts, definitions, relationships, and assumptions that: a. Formulate legislation. b. Explain a phenomenon. c. Measure nursing functions. d. Reflect the domain of nursing practice. - b. Explain a phenomenon.
3. A patient with diabetes is controlling the disease with insulin and diet. The nursing health care provider is focusing efforts to teach the patient self-management. Which of the following nursing theories is useful in promoting self management? a. Neuman b. Orem c. Roy d. Peplau - b. Orem
4. While working in a community health clinic, it is important to obtain nursing histories and get to know the patients. Part of history taking is to develop the nurse-patient relationship. Which of the following apply to Peplau's theory when establishing the nurse-patient relationship? (Select all that apply.) a. An interaction between the nurse and patient must develop. b. The patient's needs must be clarified and described. c. The nurse-patient relationship is influenced by patient and nurse preconceptions. d. The nurse-patient relationship is influenced only by the nurse's preconceptions. - a. An interaction between the nurse and patient must develop. b. The patient's needs must be clarified and described.

c. The nurse-patient relationship is influenced by patient and nurse preconceptions.

5. Theory-based nursing practice uses a theoretical approach for nursing care. This approach moves nursing forward as a science. This suggests that: a. One theory will guide nursing practice. b. Scientists will decide nursing decisions. c. Nursing will only base patient care on the practice of other sciences. d. Theories will be tested to describe or predict patient outcomes. - d. Theories will be tested to describe or predict patient outcomes.
6. To practice in today's health care environment, nurses need a strong scientific knowledge base from nursing and other disciplines such as the physical, social, and behavioral sciences. This statement identifies the need for which of the following? a. Systems theories b. Developmental theories c. Interdisciplinary theories d. Health and wellness models - c. Interdisciplinary theories
7. Which of the following theories describe the life processes of an older adult facing chronic illness? a. Systems theories b. Developmental theories c. Interdisciplinary theories d. Health and wellness models - b. Developmental theories
8. Match the following components of systems theory with the definition of that component. a. Feedback: b. Input: c. Content: d. Output: - a. Feedback: "Data related to system functioning" b. Input: "Data entering the system"

c. Content: "Product and information obtained from the system" d. Output: "End product"

9. A patient is admitted to an acute care area. The patient is an active business man who is worried about getting back to work. He has had severe diarrhea and vomiting for the last week. He is weak, and his breathing is labored. Using Maslow's hierarchy of needs, identify this patient's immediate priority. a. Self-actualization b. Air, water, and nutrition c. Safety d. Esteem and self-esteem needs - b. Air, water, and nutrition
10. Match the following theories with their definitions. a. Grand theory: b. Middle-range theory: c. Descriptive theory: d. Prescriptive theory: - a. Grand theory: "Provides a structural framework for broad concepts about nursing" b. Middle-range theory: "Addresses specific phenomena and reflect practice" c. Descriptive theory: "First level in theory development and describes a phenomenon" d. Prescriptive theory: Linked to outcomes (consequences of specific nursing interventions)
11. Which of the following is closely aligned with Leininger's theory? a. Caring for patients from unique cultures b. Understanding the humanistic aspects of life c. Variables affecting a patient's response to a stressor d. Caring for patients who cannot adapt to internal and external environmental demands - a. Caring for patients from unique cultures
12. A nurse is applying Henderson's theory as a basis for theory based-nursing practice. Which other elements are important for theory-based nursing practice? (Select all that apply.)

a. Knowledge of nursing science b. Knowledge of related sciences c. Knowledge about current health care issues d. Knowledge of standards of practice - a. Knowledge of nursing science b. Knowledge of related sciences d. Knowledge of standards of practice

13. Which of the following statements apply to theory generation? (Select all that apply.) a. Builds scientific knowledge base of nursing b. Discovers relationships of phenomena to practice c. Tests specific phenomena d. Identifies observations about a phenomenon - a. Builds scientific knowledge base of nursing b. Discovers relationships of phenomena to practice d. Identifies observations about a phenomenon
14. Which of the following statements about theory-based nursing practice is incorrect? a. Contributes to evidence-based practice b. Provides a systematic process for designing nursing interventions c. Is not linked to nursing outcomes d. Guides the nurse's assessment - c. Is not linked to nursing outcomes
15. As an art nursing relies on knowledge gained from practice and reflection on past experiences. As a science nursing relies on (select all that apply): a. Experimental research. b. Nonexperimental research. c. Research from other disciplines. d. Professional opinions. - a. Experimental research. b. Nonexperimental research. c. Research from other disciplines.

1. A nurse researcher interviews parents of children who have diabetes and asks them to describe how they deal with their child's illness. The analysis of the interviews yields common themes and stories describing the parents' coping strategies. This is an example of which type of study? a. Historical b. Qualitative c. Correlational d. Experimental - b. Qualitative
2. A nurse who works in a newborn nursery asks, "I wonder if the moms who breastfeed their babies would be able to breastfeed more successfully if we played peaceful music while they were breastfeeding." In this example of a PICOT question, the I is: a. Breastfeeding moms. b. Infants. c. Peaceful music. d. The nursery. - c. Peaceful music.
3. A nurse researcher conducts a study that randomly assigns 100 patients who smoke and attend a wellness clinic into two groups. One group receives the standard smoking cessation handouts; the other group takes part in a new educational program that includes a smoking cessation support group. The nurse plans to compare the effectiveness of the standard treatment with the educational program. What type of a research study is this? a. Qualitative b. Descriptive c. Correlational d. Randomized controlled trial - d. Randomized controlled trial
4. A group of nurses have implemented an evidence-based practice (EBP) change and have evaluated the effectiveness of the change. Their next step is to: a. Conduct a literature review. b. Share the findings with others. c. Conduct a statistical analysis.

d. Create a well-defined PICOT question. - b. Share the findings with others.

5. When recruiting subjects to participate in a study about the effects of an exercise program on balance, the researcher provides full and complete information about the purpose of the study and gives the subjects the choice to participate or not participate in the study. This is an example of: a. Bias. b. Anonymity. c. Confidentiality. d. Informed consent. - d. Informed consent.
6. Nurses on a pediatric nursing unit are discussing ways to improve patient care. One nurse asks a colleague, "I wonder how best to measure pain in a child who has sickle cell disease?" This question is an example of a/an: a. Hypothesis. b. PICOT question. c. Problem-focused trigger. d. Knowledge-focused trigger. - d. Knowledge-focused trigger.
7. The nurses on a medical unit have seen an increase in the number of pressure ulcers that develop in their patients. They decide to initiate a quality improvement project using the PDSA model. Which of the following is an example of "Do" from that model? a. Implement the new skin care protocol on all medicine units. b. Review the data collected on patients cared for using the protocol. c. Review the QI reports on the six patients who developed ulcers over the last 3 months. d. Based on findings from patients who developed ulcers, implement an evidence-based skin care protocol. - a. Implement the new skin care protocol on all medicine units.
8. A nurse researcher decides to complete a study to evaluate how Florence Nightingale improved patient outcomes in the Crimean War. This is an example of what type of research? a. Historical b. Evaluation c. Exploratory

d. Experimental - a. Historical

9. A group of nurses on the research council of a local hospital are measuring nursing-sensitive outcomes. Which of the following is a nursing-sensitive outcome that the nurses need to consider measuring? a. Incidence of asthma among children of parents who smoke b. Frequency of low blood sugar episodes in children at a local school c. Number of patients who fall and experience subsequent injury on the evening shift d. Number of sexually active adolescent girls who attend the community-based clinic for birth control - c. Number of patients who fall and experience subsequent injury on the evening shift
10. A group of staff nurses notice an increased incidence of medication errors on their unit. After further investigation it is determined that the nurses are not consistently identifying the patient correctly. A change is needed quickly. What type of quality improvement method would be most appropriate? a. PDSA b. Six Sigma c. Rapid-improvement event d. A randomized controlled trial - c. Rapid-improvement event
11. A nurse is providing care to a patient who is experiencing major abdominal trauma following a car accident. The patient is losing blood quickly and needs a blood transfusion. The nurse finds out that the patient is a Jehovah's Witness and cannot have blood transfusions because of religious beliefs. He or she notifies the patient's health care provider and receives an order to give the patient an alternative to blood products. This is an example of: a. A quality improvement study. b. An evidence-based practice change. c. A time when calling the hospital's ethics committee is essential. d. Considering the patient's preferences and values while providing care. - d. Considering the patient's preferences and values while providing care.
12. A group of staff educators are reading a research study together at a journal club meeting. While reviewing the study, one of the nurses states that it evaluates if newly graduated nurses progress

through orientation more effectively when they participate in patient simulation exercises. Which part of the research process is reflected in this nurse's statement? a. Introduction b. Purpose statement c. Methods d. Results - b. Purpose statement

13. A research study is investigating the following research question: What is the effect of the diagnosis of breast cancer on the roles of the family? In this study "the diagnosis of breast cancer" and "family roles" are examples of: a. Surveys b. The sample c. Variables d. Data collection points - c. Variables
14. A nurse researcher is developing a research proposal and is in the process of selecting an instrument to measure anxiety. In which part of the research process is this nurse? a. Analyzing the data b. Designing the study c. Conducting the study d. Identifying the problem - b. Designing the study
15. The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens. What level of prevention is the nurse practicing? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention - a. Primary prevention

2. A patient experienced a myocardial infarction 4 weeks ago and is currently participating in the daily cardiac rehabilitation sessions at the local fitness center. In what level of prevention is the patient participating? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention - c. Tertiary prevention
3. Based on the transtheoretical model of change, what is the most appropriate response to a patient who states: "Me, exercise? I haven't done that since junior high gym class, and I hated it then!" a. "That's fine. Exercise is bad for you anyway." b. "OK. I want you to walk 3 miles 4 times a week, and I'll see you in 1 month." c. "I understand. Can you think of one reason why being more active would be helpful for you?" d. "I'd like you to ride your bike 3 times this week and eat at least four fruits and vegetables every day." - c. "I understand. Can you think of one reason why being more active would be helpful for you?"
4. A patient comes to the local health clinic and states: "I've noticed how many people are out walking in my neighborhood. Is walking good for you?" What is the best response to help the patient through the stages of change for exercise? a. "Walking is OK. I really think running is better." b. "Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?" c. "Yes, I want you to begin walking. Walk for 30 minutes every day and start to eat more fruits and vegetables." d. "They probably aren't walking fast enough or far enough. You need to spend at least 45 minutes if you are going to do any good." - b. "Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?"
5. A male patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce from his marriage of 15 years and has been seeing his pastor to help him through this difficult time. He does not have a primary health care provider because he has never really been sick and his parents never took him to the physician when he was a child. Which external variables influence the patient's health practices? (Select all that apply.) a. Difficulty paying his bills

b. Seeing his pastor as a means of support c. Family practice of not routinely seeing a health care provider d. Stress from the divorce and the loss of a job - a. Difficulty paying his bills c. Family practice of not routinely seeing a health care provider d. Stress from the divorce and the loss of a job

6. The nurse is conducting a home visit with an older adult couple. She assesses that the lighting in the home is poor and there are throw rugs throughout the home and a low footstool in the living room. She discusses removing the rugs and footstool and improving the lighting with the couple. The nurse is addressing which level of need according to Maslow? a. Physiological b. Safety and security c. Love and belonging d. Self-actualization - b. Safety and security
7. When taking care of patients, the nurse routinely asks them if they take any vitamins or herbal medications, encourages family members to bring in music that the patient likes to help the patient relax, and frequently prays with her patients if that is important to them. The nurse is practicing which model? a. Holistic b. Health belief c. Transtheoretical d. Health promotion - a. Holistic
8. When illness occurs, different attitudes about it cause people to react in different ways. What do medical sociologists call this reaction to illness? a. Health belief b. Illness behavior c. Health promotion d. Illness prevention - b. Illness behavior

9. A patient at the community clinic asks the nurse about health promotion activities that she can do because she is concerned about getting diabetes mellitus since her grandfather and father both have the disease. This statement reflects that the patient is in what stage of the health belief model? a. Perceived threat of the disease b. Likelihood of taking preventive health action c. Analysis of perceived benefits of preventive action d. Perceived susceptibility to the disease. - d. Perceived susceptibility to the disease.
10. A nurse works in a special care unit for children with severe immunology problems and is caring for a 3-year-old boy from Greece. The boy's father is with him while his mother and sister are back in Greece. The nurse is having difficulty communicating with the father. What action does the nurse take? a. Care for the boy as she would any other patient b. Ask the manager to talk with the father and keep him out of the unit c. Have another nurse care for the boy because maybe that nurse will do better with the father d. Search for help with interpretation and understanding of the cultural differences by contacting someone from the local Greek community - d. Search for help with interpretation and understanding of the cultural differences by contacting someone from the local Greek community
11. A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which statement made by the patient indicates that he is experiencing a problem with body image? a. "I just don't have any energy to get out of bed in the morning." b. "I've been attending church regularly with my wife since I got out of the hospital." c. "My wife has taken over paying the bills since I've been in the hospital." d. "I don't go out very much because everyone stares at me." - d. "I don't go out very much because everyone stares at me."
12. The patient states she joined a fitness club and attends the aerobics class three nights a week. The patient is in what stage of behavioral change? a. Precontemplation b. Contemplation c. Preparation d. Action - d. Action

13. The nurse is developing a health promotion program on healthy eating and exercise for high school students using the health belief model as a framework. Which statement made by a nursing student is related to the individual's perception of susceptibility to an illness? a. "I don't have time to exercise because I have to work after school every night." b. "I'm worried about becoming overweight and getting diabetes because my father has diabetes." c. "The statistics of how many teenagers are overweight is scary." d. "I've decided to start a walking club at school for interested students." - b. "I'm worried about becoming overweight and getting diabetes because my father has diabetes."
14. The nurse assesses the following risk factors for coronary artery disease (CAD) in a male patient. Which factors are classified as genetic and physiological? (Select all that apply.) a. Sedentary lifestyle b. Father died from CAD at age 50 c. History of hypertension d. Eats diet high in sodium e. Elevated cholesterol level f. Age is 44 years - b. Father died from CAD at age 50 c. History of hypertension e. Elevated cholesterol level f. Age is 44 years
15. Which activity represents secondary prevention? a. A home health care nurse visits a patient's home to change a wound dressing. b. A 50-year-old woman with no history of disease attends the local health fair and has her blood pressure checked. c. The school health nurse provides a program to the first-year students on healthy eating. d. The patient attends cardiac rehabilitation sessions weekly. - a. A home health care nurse visits a patient's home to change a wound dressing.

1. A nurse hears a colleague tell a nursing student that she never touches a patient unless she is performing a procedure or doing an assessment. The nurse tells the student that from a caring perspective: a. She does not touch the patients either. b. Touch is a type of verbal communication. c. There is never a problem with using touch. d. Touch forms a connection between nurse and patient. - d. Touch forms a connection between nurse and patient.
2. Of the five caring processes described by Swanson, which describes "knowing the patient"? a. Anticipating the patient's cultural preferences b. Determining the patient's physician preference c. Establishing an understanding of a specific patient d. Gathering task-oriented information during assessment - c. Establishing an understanding of a specific patient
3. A Muslim woman enters the clinic to have a woman's health examination for the first time. Which nursing behavior applies Swanson's caring process of "knowing the patient?" a. Sharing feelings about the importance of having regular woman's health examinations b. Gaining an understanding of what a woman's health examination means to the patient c. Recognizing that the patient is modest; obtaining gendercongruent caregiver d. Explaining the risk factors for cervical cancer - b. Gaining an understanding of what a woman's health examination means to the patient
4. Helping a new mother through the birthing experience demonstrates which of Swanson's five caring processes? a. Knowing b. Enabling c. Doing for d. Being with - b. Enabling

5. A patient is fearful of upcoming surgery and a possible cancer diagnosis. He discusses his love for the Bible with his nurse, who recommends a favorite Bible verse. Another nurse tells the patient's nurse that there is no place in nursing for spiritual caring. The patient's nurse replies: a. "Spiritual care should be left to a professional." b. "You are correct, religion is a personal decision." c. "Nurses should not force their religious beliefs on patients." d. "Spiritual, mind, and body connections can affect health." - d. "Spiritual, mind, and body connections can affect health."
6. Which of the following is a strategy for creating work environments that enable nurses to demonstrate more caring behaviors? a. Increasing the working hours of the staff b. Increasing salary benefits of the staff c. Creating a setting that allows flexibility and autonomy for staff d. Encouraging increased input concerning nursing functions from physicians - c. Creating a setting that allows flexibility and autonomy for staff
7. When a nurse helps a patient find the meaning of cancer by supporting beliefs about life, this is an example of: a. Instilling hope and faith. b. Forming a human-altruistic value system. c. Cultural caring. d. Being with. - a. Instilling hope and faith.
8. An example of a nurse caring behavior that families of acutely ill patients perceive as important to patients' well-being is: a. Making health care decisions for patients. b. Having family members provide a patient's total personal hygiene. c. Injecting the nurse's perceptions about the level of care provided. d. Asking permission before performing a procedure on a patient. - d. Asking permission before performing a procedure on a patient.

9. A nurse demonstrates caring by helping family members: a. Become active participants in care. b. Provide activities of daily living (ADLs). c. Remove themselves from personal care. d. Make health care decisions for the patient. - a. Become active participants in care.
10. Listening is not only "taking in" what a patient says; it also includes: a. Incorporating the views of the physician. b. Correcting any errors in the patient's understanding. c. Injecting the nurse's personal views and statements. d. Interpreting and understanding what the patient means. - d. Interpreting and understanding what the patient means.
11. A nurse is caring for an older adult who needs to enter an assisted-living facility following discharge from the hospital. Which of the following is an example of listening that displays caring? a. The nurse encourages the patient to talk about his concerns while reviewing the computer screen in the room. b. The nurse sits at the patient's bedside, listens as he relays his fear of never seeing his home again, and then asks if he wants anything to eat. c. The nurse listens to the patient's story while sitting on the side of the bed and then summarizes the story. d. The nurse listens to the patient talk about his fears of not returning home and then tells him to think positively. - c. The nurse listens to the patient's story while sitting on the side of the bed and then summarizes the story.
12. Presence involves a person-to-person encounter that: a. Enables patients to care for self. b. Provides personal care to a patient. c. Conveys a closeness and a sense of caring. d. Describes being in close contact with a patient. - c. Conveys a closeness and a sense of caring.

13. A nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, and explains the procedure to the patient. She tells the patient what to expect; just before inserting the catheter, she tells the patient to relax and that, once the catheter is in place, she will not feel the bladder pressure. The nurse then proceeds to skillfully insert the Foley catheter. This is an example of what type of touch? a. Caring touch b. Protective touch c. Task-oriented touch d. Interpersonal touch - c. Task-oriented touch
14. A hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his parents made the decision that he would move home and they would help him in the final stages of his disease. The family participates in his care, but lately the nurse has increased the amount of time she spends with the family. Whenever she enters the room or approaches the patient to give care, she touches his shoulder and tells him that she is present. This is an example of what type of touch? a. Caring touch b. Protective touch c. Task-oriented touch d. Interpersonal touch - a. Caring touch
15. Match the following caring behaviors with their definitions. a. Knowing: b. Being with: c. Doing for: d. Maintaining belief: - a. Knowing: "Striving to understand an events meaning for another person" b. Being with: "Being emotionally there for another person" c. Doing for: "Providing for another as he or she would do for themselves." d. Maintaining belief: "Sustaining faith in ones capacity to get through a situation"
16. A 6-month-old child from Guatemala was adopted by an American family in Indiana. The child's socialization into the American midwestern culture is best described as: a. Assimilation. b. Acculturation.

c. Biculturalism. d. Enculturation. - d. Enculturation.

2. A 46-year-old woman from Bosnia came to the United States 6 years ago. Although she did not celebrate Christmas when she lived in Bosnia, she celebrates Christmas with her family now. This woman has experienced assimilation into the culture of the United States because she: a. Chose to be bicultural. b. Adapted to and adopted the American culture. c. Had an extremely negative experience with the American culture. d. Gave up part of her ethnic identity in favor of the American culture. - b. Adapted to and adopted the American culture.
3. To enhance their cultural awareness, nursing students need to make an in-depth self-examination of their own: a. Motivation and commitment to caring. b. Social, cultural, and biophysical factors. c. Engagement in cross-cultural interactions. d. Background, recognizing her biases and prejudices. - d. Background, recognizing her biases and prejudices.
4. Which of the following is required in the delivery of culturally congruent care? a. Learning about vast cultures b. Motivation and commitment to caring c. Influencing treatment and care of patients d. Acquiring specific knowledge, skills, and attitudes - d. Acquiring specific knowledge, skills, and attitudes
5. A registered nurse is admitting a patient of French heritage to the hospital. Which question asked by the nurse indicates that the nurse is stereotyping the patient? a. "What are your dietary preferences?" b. "What time do you typically go to bed?"