Fundamentals of Nursing Test 1 Practice Questions: Nursing Theory and Concepts, Exams of Nursing

Download Fundamentals of Nursing Test 1 Practice Questions: Nursing Theory and Concepts and more Exams Nursing in PDF only on Docsity! Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code? 1. Improves self-health care 2. Protects the patient's confidentiality 3. Ensures identical care to all patients 4. Defines the principles of right and wrong to provide patient care - Answer 4 An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? 1. Diagnosis 2. Evaluation 3. Assessment 4. Implementation - Answer 3 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 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? 1. Planning 2. Evaluation 3. Assessment 4. Implementation - Answer 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 them. The nurse is acting as the patient's: 1. Educator. 2. Advocate. 3. Caregiver. 4. Case manager. - Answer 2 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 1. Moving from an acute illness to a health promotion, illness prevention model 2. Moving from an illness prevention to a health promotion model 3. Moving from an acute illness to a disease management model 4. Moving from a chronic care to an illness prevention model - Answer 1 A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1. Patient-centered care 2. Safety 3. Teamwork and collaboration 4. Informatics - Answer 3 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? 1. Patient-centered care 2. Safety Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 3. Teamwork and collaboration 4. Informatics - Answer 4 Individual psychotherapy, known as the "couch technique", and dream analysis are therapeutic modalities of which theory? a. Sullivan's Interpersonal Theory b. Erikson's Psychosocial Development Theory c. Caplan's Sociocultural Theory d. Freud's Psychoanalytic Theory - Answer d 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? 1. Clinical nurse specialist 2. Nurse administrator 3. Nurse educator 4. Nurse researcher - Answer 4 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. Nurses in an acute care hospital are attending a unit-based 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? 1. Continuing education 2. Graduate education 3. In-service education 4. Professional Registered Nurse Education - Answer 3 Which of the following Internet resources can help consumers compare quality care measures? (Select all that apply.) 1. WebMD 2. Hospital Compare 3. Magnet Recognition Program 4. Hospital Consumer Assessment of Healthcare 5. The American Hospital Association's webpage. - Answer 2, 4 A nurse is interacting with a client who as part of therapy for a phobic (unrealistic fear) disorder is undergoing a program of systematic desensitization. This therapy is based on which of the following theories? a. Skinner's Behavioral Theory Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. a. The mother is satisfying the physiological needs of the child as well as the child's development of self-esteem. b. The mother's desire to stop the child's crying is only based on a need to conform to societal acceptable behavioral norms. c. The child is in the oral stage and the cookie satisfies the child's need for an oral stimulus. d. The cookie is a positive reinforcer of the whining and crying so that the child will whine and cry the next time they go to the store. - Answer d A husband and wife, ages 30 and 33, actively engage in planning for the arrival of their first child. According to Erikson's theory, the husband and wife are mastering which stage of personality development? a. integrity vs despair b. identity vs role confusion c. generativity vs stagnation d. trust vs mistrust - Answer c A nurse is leading a patient education group session about irrational thinking and how it can lead to "learned helplessness". The nurse is demonstrating knowledge of which theorist/theory? Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. a. Beck and Ellis - cognitive theory b. Skinner - behavioral theory c. Peplau - interpersonal theory d. Maslow - human needs theory - Answer a In addition to her contribution of the Interpersonal Theory of Nursing, Peplau described a continuum of what concept? a. the stages of grieving on a continuum of mild to severe b. anxiety levels from mild to panic c. health on a continuum of wellness to death d. nursing experience from novice to expert - Answer b A nurse is especially nice and attentive to a 75-year old female patient who reminds him of his grandmother. According to psychoanalytic theory, the nurse is experiencing which factor that may influence his therapeutic effectiveness? a. transference b. reaction formation c. countertransference d. anticipatory grief - Answer c Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. A child becomes so angry at his mother for not allowing him to play outside in the rain that he throws his toy truck at the wall. This illustrates which use of the following defense mechanisms? a. reaction formation b. repression c. identification d. displacement - Answer d A 25-year old hospitalized client often breaks into tears and curls up on the chair in group when others confront her about her breaking of unit rules. Which defense mechanism is the client using? a. reaction formation b. regression c. compensation d. denial - Answer b The components of the nursing metaparadigm include: 1. Person, health, environment, and theory Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. Match the following descriptions to the appropriate grand theorist. 1. King 2. Henderson 3. Orem 4. Neuman a. Based on the theory that focuses on wellness and prevention of disease b. Based on the belief that people who participate in self-care activities are more likely to improve their health outcomes c. Based on 14 activities, the belief that the nurse should assist patients with meeting needs until they are able to do so independently d. Based on the belief that nurses should work with patients to develop goals for care - Answer 1d, 2c, 3b, 4a Match the following description to the appropriate middle-range theory. 1. Benner's Skill Acquisition 2. AACN's Synergy Model 3. Mishel's Uncertainty in Illness 4. Kolcaba's Theory of Comfort Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. a. The nurse strives to relieve patients' distress. b. The nurse progresses through five stages of expertise. c. The nurse helps the patient to process and find meaning related to his or her illness. d. Matching nurse competencies to patient needs can improve patient outcomes. - Answer 1b, 2d, 3c, 4a Which of the following statements related to theory-based nursing practice are correct? (Select all that apply.) 1. Nursing theory differentiates nursing from other disciplines. 2. Nursing theories are standardized and do not change over time. 3. Integrating theory into practice promotes coordinated care delivery. 4. Nursing knowledge is generated by theory. 5. The theory of nursing process is used in planning patient care. 6. Evidence-based practice results from theory-testing research. - Answer 1, 3, 4, 6 A nurse is caring for a patient who recently lost a leg in a motor vehicle accident. The nurse best assists the patient to cope with this situation by applying which of the following theories? Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 1. Roy 2. Levine 3. Watson 4. Johnson - Answer 1 Using Maslow's hierarchy of needs, identify the priority for a patient who is experiencing chest pain and difficulty breathing. 1. Self-actualization 2. Air, water, and nutrition 3. Safety 4. Esteem and self-esteem needs - Answer 2 Which of the following categories of shared theories would be most appropriate for a patient who is grieving the loss of a spouse? 1. Biomedical 2. Leadership 3. Psychosocial 4. Developmental - Answer 3 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 2. Qualitative 3. Correlational 4. Experimental - Answer 4 2. A nurse who works on a pediatric unit asks, "I wonder if children who interact with therapy dogs have reduced anxiety when they are in the hospital." In this example of a PICOT question, which of the following is the O? 1. Children 2. Therapy dogs 3. The pediatric unit 4. Anxiety - Answer 4 3. A nurse researcher wants to know which factors are associated with a person's decision to exercise. The nurse distributes a survey to people who recently joined an exercise wellness program and analyzes the data to determine which factors and characteristics are most significantly linked to the decision to start exercising. Which type of a research study is this? 1. Qualitative 2. Descriptive 3. Correlational Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 4. Randomized controlled trial - Answer 3 4. A group of nurses have identified that the elderly patients on their unit have a high incidence of pressure ulcers after they have a stroke. During a unit meeting they discuss different interventions that they think may reduce the development of pressure ulcers. What is the nurses' next step to investigate this clinical problem further? 1. Conduct a literature review 2. Share the findings with others 3. Conduct a statistical analysis 4. Create a well-defined PICOT question - Answer 4 5. Arrange the following steps of evidence-based practice (EBP) in the appropriate order. 1. Integrate the evidence. 2. Ask the burning clinical question. 3. Create a spirit of inquiry. 4. Evaluate the practice decision or change. 5. Share the results with others. 6. Critically evaluate the evidence you gather. Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 7. Collect the most relevant and best evidence. - Answer 3, 2, 7, 6, 1, 4, 5 6. When recruiting subjects to participate in a study about the effects of an educational program to help patients at home take their medications as ordered, the researcher tells the subjects that their names will not be used and no one but the research team will have access to their information and responses. This is an example of: 1. Bias. 2. Anonymity. 3. Confidentiality. 4. Informed consent. - Answer 3 Nurses in a community clinic have seen an increase in the numbers of obese children. The nurses who care for children are discussing ways to reduce childhood obesity. One nurse asks a colleague, "I wonder what the most effective ways are to help school-age children maintain a healthy weight?" This question is an example of a/an: 1. Hypothesis. 2. PICOT question. 3. Problem-focused trigger. Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 3. "A nurse wanting to investigate the evidence to solve a problem starts by forming a PICOT question." 4. "It is important to ask a librarian for help when searching for literature to help you answer your PICOT question." - Answer 1 A nurse is reading a research article. The nurse just finished reading a brief summary of the research study that included the purpose of the study and its implications for nursing practice. Which part of the article did the nurse just read? 1. Abstract 2. Analysis 3. Discussion 4. Literature review - Answer 1 A researcher is studying the effectiveness of an individualized evidence-based teaching plan on young women's intention to wear sunscreen to prevent skin cancer. In this study which of the following research terms best describes the individualized evidence-based teaching plan? 1. Sample 2. Intervention 3. Survey Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 4. Results - Answer 2 A nurse researcher wants to conduct historical research. Which of the following ideas for a study could the nurses conduct? (Select all that apply.) 1. Determining the effect of unemployment on emergency room usage 2. Understanding how Clara Barton shaped nursing in America 3. Evaluating the effect of the Vietnam War on nursing leadership and practice 4. Analyzing the evolution of nursing and patient care during recent disasters 5. Investigating barriers to exercise in women who have become mothers in the past year - Answer 2, 3, 4 A nurse researcher is collecting data following approval from the institutional review board (IRB). In which part of the research process is this nurse? 1. Analyzing the data 2. Designing the study 3. Conducting the study 4. Identifying the problem - Answer 3 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 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: 1. She does not touch the patients either. 2. Touch is a type of verbal communication. 3. Touch is only used when a patient is in pain. 4. Touch forms a connection between nurse and patient. - Answer 4 Of the five caring processes described by Swanson, which describes "knowing the patient?" 1. Anticipating the patient's cultural preferences 2. Determining the patient's physician preference 3. Establishing an understanding of a specific patient 4. Gathering task-oriented information during assessment - Answer 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?" 1. Sharing feelings about the importance of having regular woman's health examinations Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. A nurse demonstrated caring by helping family members to: (Select all that apply.) 1. Become active participants in care. 2. Remove themselves from personal care. 3. Make health care decisions for the patient. 4. Have uninterrupted time for family and patient to be together. 5. Have opportunities for the family to discuss their concerns. - Answer 1, 4, 5 Listening is not only "taking in" what a patient says, but it also includes: 1. Incorporating the views of the physician. 2. Correcting any errors in the patient's understanding. 3. Injecting the nurse's personal views and statements. 4. Interpreting and understanding what the patient means. - Answer 4 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? Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 1. The nurse encourages the patient to talk about his concerns while reviewing the computer screen in the room. 2. 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. 3. The nurse listens to the patient's story while sitting on the side of the bed and then summarizes the story. 4. The nurse listens to the patient talk about his fears of not returning home and then tells him to think positively. - Answer 3 Presence involves a person-to-person encounter that: 1. Enables patients to care for self. 2. Provides personal care to a patient. 3. Conveys a closeness and a sense of caring. 4. Describes being in close contact with a patient. - Answer 3 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 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. then proceeds to skillfully insert the Foley catheter. This is an example of what type of touch? 1. Caring touch 2. Protective touch 3. Task-oriented touch 4. Interpersonal touch - Answer 3 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? 1. Caring touch 2. Protective touch 3. Task-oriented touch 4. Interpersonal touch - Answer 1 Match the following caring behaviors with their definitions. Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 2. Initiative versus guilt 3. Industry versus inferiority 4. Autonomy versus sense of shame and doubt - Answer 3 5. When Ryan was 3 months old, he had a toy train; when his view of the train was blocked, he did not search for it. Now that he is 9 months old, he looks for it, reflecting the presence of: 1. Object permanence. 2. Sensorimotor play. 3. Schemata. 4. Magical thinking. - Answer 1 6. When preparing a 4-year-old child for a procedure, which method is developmentally most appropriate for the nurse to use? 1. Allowing the child to watch another child undergoing the same procedure 2. Showing the child pictures of what he or she will experience 3. Talking to the child in simple terms about what will happen 4. Preparing the child through play with a doll and toy medical equipment - Answer 4 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 7. Which of the following are examples of the conventional reasoning form of cognitive development? (Select all that apply.) 1. A 35-year-old woman is speaking with you about her recent diagnosis of a chronic illness. She is concerned about her treatment options in relation to her ability to continue to care for her family. As she considers the options and alternatives, she incorporates information, her values, and emotions to decide which plan will be the best fit for her. 2. A young father is considering whether or not to return to school for a graduate degree. He considers the impact the time commitment may have on the needs of his wife and infant son. 3. A teenage girl is encouraged by her peers to engage in shoplifting. She decides not to join her peers in this activity because she is afraid of getting caught in the act. 4. A single mother of two children is unhappy with her employer. She has been unable to secu - Answer 1, 2 8. You are caring for a recently retired man who appears withdrawn and says he is "bored with life." Applying the work of Havinghurst, you would help this individual find meaning in life by: 1. Encouraging him to explore new roles. Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 2. Encouraging relocation to a new city. 3. Explaining the need to simplify life. 4. Encouraging him to adopt a new pet. - Answer 1 9. Place the following stages of Freud's psychosexual development in the proper order by age progression. 1. Oedipal 2. Latency 3. Oral 4. Genital 5. Anal - Answer 3, 5, 2, 1, 4 10. According to Piaget's cognitive theory, a 12-year-old child is most likely to engage in which of the following activities? 1. Using building blocks to determine how houses are constructed 2. Writing a story about a clown who wants to leave the circus 3. Drawing pictures of a family using stick figures 4. Writing an essay about patriotism - Answer 2 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. your patients. You adhere to the regulations but at the same time are involved in influencing authorities to change the regulation. This action represents ___________ stage of moral development. - Answer Social contract orientation A community nurse in a diverse community is working with health care professionals to provide prenatal care for underemployed and underinsured South African women. Which overall goal of Healthy People 2020 does this represent? 1. Assess the health care needs of individuals, families, or communities. 2. Develop and implement public health policies and improve access to care. 39 3. Gather information on incident rates of certain diseases and social problems. 4. Increase life expectancy and quality of life and to eliminate health disparities. - Answer 4 Using Healthy People 2020 as a guide, which of the following would improve delivery of care to a community? (Select all that apply.) 1. Community assessment 2. Implementation of public health policies 3. Home safety assessment Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 4. Increased access to care 5. Determining rates of specific illnesses - Answer 1, 2, 4, 5 A nursing student in the last semester of a baccalaureate nursing program is beginning the community health practicum and will be working in a clinic with a focus on asthma and allergies. What is the primary focus of the community health nurse in this clinic setting? (Select all that apply.) 1. Decrease the incidence of asthma attacks in the community 2. Increase patients' ability to self-manage their asthma 3. Treat acute asthma attack in the hospital 4. Provide asthma education programs for the teachers in the local schools 5. Provide scheduled immunizations to people who come to the clinic - Answer 1, 2, 4 The nurse caring for a Bosnian community identifies that the children are undervaccinated and the community is unaware of resources. The nurse assesses the community and determines that there is a health clinic within a 5-mile radius. The nurse meets with the community leaders and explains the need for immunizations, the location of the clinic, and the process of accessing health care resources. Which of the following practices is the nurse providing? (Select all that apply.) Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 1. Providing community resources for the children 2. Teaching the community about health promotion and illness prevention 3. Promoting autonomy in decision-making about health practices 4. Improving the health care of the community's children 5. Participating in professional development activities to maintain nursing competency - Answer 1, 2, 4 Vulnerable populations of patients are those who are more likely to develop health problems as a result of: 1. Chronic diseases, homelessness, and poverty 2. Poverty and limits in access to health care services 3. Lack of transportation, dependence on others for care, and homelessness 4. Excess risks, limits in access to health care services, and dependency on others for care - Answer 4 Which of the following are major public health problems commonly affecting older adults? (Select all that apply.) 1. Substance abuse 2. Confusional states Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 3. Population - Answer 1, 3, 2 On the basis of an assessment, the nurse identifies an increase in the immigrant population group in the community. How would the nurse determine the health needs of this population? (Select all that apply.) 1. Identify what the immigrant population views as the two most important health needs. 2. Apply information from Healthy People 2020. 3. Determine how the population uses available health care resources. 4. Determine which health care agencies will accept immigrant populations. 5. Identify perceived barriers for health care. - Answer 1, 2, 3, 5 A patient is worried about her 76-year-old grandmother who is in very good health and wants to live at home. The patient's concerns are related to her grandmother's safety. The neighborhood does not have a lot of crime. Using this scenario, which of the following are the most relevant to assess for safety? 1. Crime rate, locks, lighting, neighborhood traffic 2. Lighting, locks, clutter, medications 3. Crime rate, medications, support system, clutter 4. Locks, lighting, neighborhood traffic, crime rate - Answer 2 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. The public health nurse is working with the county health department on a task force to fully integrate the goals of Healthy People 2020. In the immigrant community most of the population does not have a primary care provider, nor do they participate in health promotion activities; the unemployment rate in the community is 25%. How does the nurse determine which goals need to be included or updated? (Select all that apply.) 1. Assess the health care resources within the community. 2. Assess the existing health care programs offered by the county health department. 3. Compare existing resources and programs with Healthy People 2020 goals. 4. Initiate new programs to meet Healthy People 2020 goals. 5. Implement educational sessions in the schools to focus on nutritional needs of the children. - Answer 1, 2, 3 Some nurses are collecting data to determine how many adolescents attempt suicide in a community. This is an example of what type of community assessment data? - Answer Incident rates Many older homes in a neighborhood are undergoing a lot of restoration. Lead paint was used. The community clinic in the neighborhood is initiating a lead Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. screening program. This activity is based on which social determinant of health? - Answer Physical environment A nurse is conducting a home visit with an older-adult couple. While in the home the nurse weighs each individual and reviews the 3-day food diary with them. She also checks their blood pressure and encourages them to increase their fluids and activity levels to help with their voiced concern about constipation. The nurse is addressing which level of need according to Maslow? 1. Physiological 2. Safety and security 3. Love and belonging 4. Self-actualization - Answer 1 According to the World Health Organization (WHO), what is the definition of health? 1 Being free from illness or injury 2 Complete physical, mental, and social well-being 3 Absence of symptoms and signs with normal lab reports 4 Total absence of all diseases, disorders, and syndromes - Answer 2 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 2 Supplying a nutritious diet to children with malnutrition 3 Teaching disabled children to use their capacities to the fullest 4 Conducting health examinations to identify children with malnutrition - Answer 1 Primary prevention interventions are done before the development of a disease or disorder. Interventions can take the form of health education or nursing interventions such as immunizations. Primary prevention also includes a nutritious diet to maintain health and prevent illness. Teaching disabled children to use their capacities to the fullest would be considered tertiary prevention, because disability has already occurred. Conducting health examinations to identify children with malnutrition and supplying nutritious diets to children with malnutrition would be considered secondary prevention, because these measures are directed toward managing a disease that has already manifested. The 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. Which action should the nurse take? 1 Care for the boy using hand gestures as if he were from the local community. 2 Ask the manager to talk with the father and keep him out of the unit. Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 3 Have another nurse care for the boy because maybe that nurse will do better with the father. 4 Search for help with language interpretation and develop an understanding of the cultural differences. - Answer 4 The nurse needs to understand how the Greek culture impacts the father's health beliefs and communication with health care providers. Cultural variables must be incorporated into the child's plan of care. Cultural background influences beliefs, values, and customs. It influences the approach to the health care system, personal health practices, and the nurse-patient relationship. Cultural background may also influence an individual's beliefs about causes of illness and remedies or practices to restore health. Utilizing hand gestures is not a genuine way to communicate with a patient from another culture. Parents are integral components in the health and healing of their children. It is not appropriate to pass the child to another nurse unless that nurse has a better understanding of the Greek language and culture. The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens. Which level of prevention is the nurse practicing? 1 Primary 2 Secondary 3 Tertiary Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. 4 Quaternary - Answer 1 Primary prevention is aimed at health promotion and includes health-education programs, immunizations, and physical and nutritional fitness activities. It can be provided to an individual and includes activities that focus on maintaining or improving the general health of individuals, families, and communities. It also includes specific protection such as immunization for influenza. Secondary prevention is diagnosing and treating an illness and limiting disabilities. Tertiary prevention includes restoration and rehabilitation. Quaternary prevention doesn't exist. Based on the transtheoretical model of change, which 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!" 1 "That's fine. I don't exercise either because I hate it, too, and I don't think it's helpful." 2 "OI want you to walk 3 miles four times a week, and I'll see you in 1 month." 3 "I understand. Can you think of one reason why being more active would be helpful for you?" 4 "I'd like you to ride your bike three times this week and eat at least four fruits and vegetables every day." - Answer 3 Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. The patient's response indicates that the patient is in the contemplative state, possibly intending to make a behavior change within the next 6 months. The nurse's statement reinforces the behavior and provides a specific goal for the patient to begin a walking plan. When illness occurs, different attitudes about the illness cause people to react in different ways. What do medical sociologists call this reaction to illness? 1 Health belief 2 Illness behavior 3 Health promotion 4 Illness prevention - Answer 2 Illness behavior involves how people monitor their bodies, define and interpret their symptoms, take remedial actions, and use the resources in the health care system. Personal history, social situations, social norms, and past experiences can affect illness behavior. Health beliefs are a person's ideas, convictions, and attitudes about health and illness. Positive health behaviors are activities related to maintaining, attaining, or regaining good health and preventing illness. Illness prevention motivates people to avoid a decline in health or functional levels. Fundamentals of Nursing Test 1 Practice Questions Guaranteed Solutions Rated A+. A patient is affected with paraplegia following an automobile accident. Arrange the behavioral changes seen in the patient due to the changed body image, starting with the first change to the last. 1. Acknowledgement 2. Shock 3. Withdrawal 4. Rehabilitation 5. Acceptance - Answer 1, 2, 3, 5, 4 A patient wishes to join a relaxation therapy class after going through a period of prolonged stress due to a recent divorce. Initially the patient was reluctant to join the class, but after repeated sessions of counselling, the patient agreed. Arrange the stages of change that the patient experienced in the correct order. 1. Action 2. Preparation 3. Precontemplation 4. Contemplation - Answer 3, 4, 2, 1