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NUR 100 Final /100% correct answers already

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1. The nurse is caring for a young Hispanic mother and her 4-year old child. While interviewing the mother, the nurse discovers that the mother speaks no English. The nurse does not speak Spanish. The most appropriate thing for the nurse to do is to a. interview the child b. Provide all instructions in writing c. Request an interpreter to help d. explain that care cannot be provided at this time: C 2. The nurse that is caring for a patient that is ill knows that which of the following is a characteristic of chronic illness? a. it causes irreversible alterations in anatomy and physiology b. it requires a short period of care or support c. it is a temporary change d. it requires special patient education for rehabilitation: a 3. The patient always thanks clerks at the grocery store. Her six year old daughter echoes her thank you. The nurse is aware that the child is demon- strating what mode of value transmission? a. Reward and punishment b. modeling c. moralizing d. responsible choice: b 4. The nurse is caring for baby B who has been diagnosed with lead poisoning. The poisoning has been related to the paint on the walls in the apartment where baby B resides. Using the agent-host-environment model, the nurse knows that the agent is this situation is a. Baby B b. apartment c. paint d. lead poisoning: c 5. A nurse wants to acquire more knowledge of a specific culture. Where should the start first to get a beginning knowledge base? a. talk to her co-workers

2 / b. ask other with more experience for guidance

3 / c. Review the literature d. talk to family members: c

6. A nursing instructor explains the concept of health to her students. The students know that which of the following statements accurately describes health? a. health is always an objective state b. health is a state of optimal functioning c. health is not determined by the patient d. Health is the absence of illness: b 7. The nurses neighbor phones and states, "I have a temperatures and a sore throat. I am not feeling well and have decided not to go to work." What stage of illness behavior is the neighbor exhibiting? a. Assuming the sick role b. assuming the dependent role c. Achieving recovery and rehabilitation d. Experiencing symptoms: a 8. What is the best way the nurse can develop cultural self-awareness? a. Objectively examine own beliefs, values, and practices b. realize nothing can be done to change one's values and beliefs c. Assert to others that personal biases cannot be changed d. ask peers and colleagues about practicing cultural competence: a 9. An 80-year old woman says to the nurse that, " I have successfully raised my family and had a good life." This statement illustrates meeting which basic human need? a. safety and security b. love and belonging c. self esteem d. self-actualization: d 10. A nurse working in a health clinic that primarily serves Hispanic patients. what does this statement imply about the nurse. a. The nurse's knowledge and skills are not adequate to care for patients with acute illness. b. The nurse is attempting to overcome cultural blindness

4 / c. The nurse respects and values each patient providing culturally competent care d. The nurse embraces the stereotypical aspects of this culture in order to provide culturally competent care: c

11. The nurse is aware that the family functions are important to help individ- ual family members meet their basic human needs and maintain their health. Which of the following are included as part of the family's major functions (select all that apply) a. physical b. economical c. reproductive d. housing codes e. socialization: a, b, c, e 12. The nurse understands that Maslow's hierarchy of Needs is used to con- sider which needs is a person are the most important at any given time. The is hierarchy need that includes the understanding and acceptance of others. a. safety and security b. love and belonging c. self esteem d. self actualization e. physiologic: b 13. A nurse caring for a patient in a long-term health care facility measures his intake and output and weighs him to asses water balance. These actions help to meet which of Maslow's hierarchy of needs? a. love and belonging b. physiologic c. safety and security d. self- actualization: b 14. The nurse is asked to teach a group of your adults a healthy lifestyle. One participant says, " I stopped eating fast food to lose weight." What health-illness model explains this behavior? a. health-illness continuum

5 / b. health promotion model c. agent-host-environment model d. health belief model: b

15. The nurse is teaching a group of new mothers about the importance of diet and exercise following delivery. What level of health promotion and preventative care does this activity represent? a. secondary b. tertiary c. Intermediate d. Primary: d 16. The nurse hears a group of people talking. On e person says, " I know I have more money than most other people." What does this statement indicate to the nurse? a. Racism b. stereotyping c. cultural assimilation d. Ethnocentrism: d 17. The nurse understands that the population is expanding most rapidly, resulting in changes in the delivery of healthcare. a. newborns b. young adults c. school aged children d. older adults: d 18. When the nurse practices handwashing, he is meeting which basic human need? a. self actualization b. self esteem c. physiologic d. safety and security e. loving and belonging: d 19. The nurse considers the following factors when providing care to patients with limited income. The nurse knows that a. Risk for increased incidence of disease b. decreased access to healthcare services is the most important.

6 / c. limited access to reliable transportation d. basic human needs may go unmet: d

20. The nurse uses the Care Model of nursing by to help to guide their nursing practice. a. Jean Watson b. Madeline Leininger c. Dorothea Orem D. Virginia Henderson: a 21. The nurse understands that there are four major ways that healthcare is financed. Which one is federally funded and sate regulated? a. medicare b. private insurance c. LTC insurance d. medicaid: d 22. A nurse conducts a smoking cessation program for patients of a neighbor- hood clinic. This is an example of which of the following aims of nursing? A. Promoting health b. facilitating coping with disability or death c. restoring health d. preventing illness: d 23. The is a major source of health assessment for children in the school setting? a. pediatric protection and affordable care act b. daycare centers c. health departments d. school nurse: d 24. What is one responsibility of nurses who work in a physicians office? a. conducting health assessments b. making independent home visits c. prescribing medications d. performing major surgery: a 25. A grade school is preparing a series of classes on the dangers of smoking. Who would be most likely to teach the classes?

7 / a. the school nurse b. the principal c. an outside consultant d. a teacher: a

26. Why are the developmental theories important to nursing practice? a. They explain the importance of legal and ethical care b. they define human adaptation to others and to the environment c. the outline the process of human growth and development d. they described how parts work together as a system: c 27. The nurse teaches the patient that is a federally funded healthcare program for older adults. a. medicare b. health insurance program c. health insurance marketplace d. medicade: a 28. The nurse knows that which of the following HCDS employs the largest percentage of RNs a. Hospitals b. Long-Term Care c. Ambulatory care d. Physicians offices: a 29. After reviewing information about the four concepts common to nursing theories, the students demonstrate understanding of the information when they identify as the most important concept a. Nursing b. Environment c. Person d. Health: c 30. The nursing profession has multiple nursing organizations which set stan- dards for practice and education. Choose the professional nursing organiza- tion which helps nursing students to practice self-governance, to advocate for student and patient rights, and to take collective, responsible action on social and political issues. A. NLN

8 / b. AACN c. NSNA d. ANA: c

31. After graduating from an accredited program in nursing and successfully passing the NCLEX-RN, what gives the nurse the legal right to practice? a. Being licensed by the state board of nursing b. Enrolling in an advanced degree program c. Having a signed letter confirming graduation d. Filing NCLEX_RN results in the county of residence: a 32. The nurse understands that which of the following is a major trend to watch in healthcare delivery? a. Lower costs of healthcare b. Current nursing shortage c. decreased diversity d. uneducated consumers: b 33. A high school senior wants to become a gerontological nurse practitioner. What nursing degree will she need to attain this goal? a. Licensed Practical Nurse b. Baccalaureate degree c. Associate degree d. Masters degree: d 34. The nurse is caring for a patient with a family history of diabetes. The primary focus for the patients health care is. a. health restoration b. health promotion c. care of the acute illness d. care of the chronic illness: b 35. The nurse knows that to meet the aims of nursing practice, he must use four essential skills/competencies to provide safe and knowledgeable care. When the nurse uses skills , he is trusted to act in ways that advance the interests of nursing within the contents of a professional code of ethics, and uses legal safeguards that reduce the risk of litigation. A. Technical b. cognitive

9 / c. Ethical / Legal d. Interpersonal: c

36. A beginner nursing student is reading an EBP article. Where in the article would the student find the abstract? a. In the introduction b. after the reference c. In the methods section d. at the beginning: d 37. Which if the following is a criterion that defines nursing as a profession? a. a strong service orientation b. a dependence on the medical profession c. an ability to diagnose medical problems d. an undefined body of knowledge: a 38. The nurse is aware that which of the following are important members of the interdisciplinary healthcare team (select all that apply) a. Physician b. speech therapist c. social worker d. nurse e. patient f. patients visitor: a, b, c, d, e 39. Nursing school graduates must pass a licensure exam administered by the a. State Boards of Nurses b. accredited school of nursing c. National league for nursing d. American Nurses Association: a 40. The nurse provides patient care within a philosophy of ethical decision making and professional expectations. What is the nurse using as a framework for practice? a. Values Clarification b. Definition of nursing c. code of ethics d. standards of care: c

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41. Which of the following words refers to a number of fields and disciplines grouped under the rubric life science? a. Principal based b. nursing c. bioethics d. Clinical: c 42. The nurse knows that which of the following best describes the utilitarian theory of ethics? a. there is no way to determine whether an action is ethical or not b. all actions are wither right or wrong, regardless od consequences c. It is ethically correct is the action follows the law d. the consequences of an action determine if it is right or wrong: d 43. The nurse recognizes that ethical theories explain how one ought to live and why. Which major ethical theory states that the action is right or wrong independent of the consequences? a. Nursing b. Feminist c. Deontologic d. utilitarian: c 44. The nurse knows that which of the following is the best professional response to a patient who says she believes that " my race is smarter that other races"? a. "What I think does not matter as what you believe is most important". b. "I do not believe that being smarter is related to race or ethnicity". c. " You are right, as the customer is always right". d. "I will not respond to that statement as it is wrong".: b 45. The nurse is aware that which of the following statements accurately describe a characteristic of ethics? (select all that apply) a. The ability to be ethical begins in your childhood b. the values are intimately related to, and direct ethical conduct.

11 / c. Ethics usually refers to personal standards of right and wrong d. it is important to distinguish ethics from religion, law, custom, and institutional practice. e. ethics is a systematic inquiry into principals of right and wrong conduct f. ethics cannot be defined as a code of professional conduct.: a, b, d, e

46. A professional nurse committed to the principal of autonomy would be careful to a. keep any promises made to a patient or another professional caregiver b. treat each patient fairly, trying to give everyone his or her due c. provide the info and support a patient needs to make decisions about his care d. avoid causing harm to a patient: c 47. Which component of nursing care is central to care based approach to bioethics? a. relationships with healthcare providers b. provisions of physical care c. management of care d. nurse-patient relationship: d 48. The American Association of colleges of Nursing identifies five values that epitomize the caring professional nurse. Which value best describes acting in accordance with as appropriate code of ethics and accepted standards of practice? a. Altruism b. Autonomy c. Social Justice d. Integrity e. Human dignity: d 49. The nurse knows that which of the following phrases best describes a value?

12 / a. The process by which one decides what is important in life. b. Dispositions of character that motivate goodness c. Questions about how one should act and live d. A belief about the worth of something to guide behavior.: d

50. A student nurse is working in the library on her plan of care for a clinical assignment. The patients name is written at the top of her plan. What ethical responsibility is the student violating? a. Confidentiality b. Accountability c. Trust d. Informed Consent: a 51. A patient nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a feeding tube. What situation does this create for the nurse providing care? a. The nurse is unable to provide effective care for the patient b. An ethical dilemma arises about which course of action to carry out c. The nurse must follow physicians orders. There is no issue present d. There is no barrier to establishing an effective nurse-patient relationship: b 52. The American Association of Colleges of Nursing identified five values that epitomize the caring professional nurse. Which value is described as upholding morale, legal, and humanistic principals? a. Social Justice b. Autonomy c. Human Dignity d. Altruism e. integrity: a 53. A home health nurse performing a safety assessment of the apartment of an older adult to reduce harm to the patient demonstrates the principals of bioethics called.

13 / a. Nonmaleficence b. Beneficence c. autonomy d. Fidelity: a

54. The nurse understands that the principal based approach to bioethics identifies key concepts when approaching an ethical situation. The nurse is implementing this principal when he respects the right of the patient or their significant other to make healthcare decisions. a. Justice b. Autonomy c. Beneficence d. nonmaleficence: b 55. The nurse knows that which of the following phrases best describes the term advocacy? a. the consequence of an action determines if it is right or wrong b. The protection and support of another's right c. A belief about the worth of something to guide behavior d. A systematic inquiry into the principals of right and wrong conduct: b 56. The nurse recognizes that the ethical theories explain how one ought to live and why. Which major ethical theory focuses on rightness or wrongness of an action depending on the consequences of the action? a. Utilitarian b. Deontologic c. Nursing d. Feminist: A 57. The nurse is asked to witness the signing of the informed consent form. The patient remains unsure about having the surgery and wants more time to decide. The nurse requests that the surgeon come back to speak with the patient again regarding the surgery. Which action is the nurse demonstrating? a. Valid Consent b. Paternalism

c. Whistle-blowing d. Advocacy: d

58. A dying client tells the nurse that he doesn't want to see his family because he doesn't want to cause them more sadness. Which action by the nurse is MOST appropriate? a. Allow the client time for quiet reflection b. help the client clarify his values c. Educate the client on death and dying concepts d. Arrange a meeting between the family and the client: b 59. The nurse understands that which of the following words are most closely associated with the term ethics? a. reward system b. right and wrong conduct c. values and standards d. role modeling: b 60. Which of the following accreditations is a mandatory legal requirement for a school of nursing to exist? a. American Association of colleges of Nursing accreditation AACN b. Educational Institution accreditation SAC c. National league for Nursing Accreditation Commission NLNAC d. State Board of Nursing accreditation BON: d 61. A nurse has been named as a defendant in a lawsuit. With whom should the nurse discuss the case? a. Plaintiff b. Colleagues c. Attorney d. Reporters: c 62. Two patients are discussing a patient's condition in an elevator full of visitors. With what crime might the nurses be charged? a. Invasion of Privacy b. Defamation of Character

c. Unintentional negligence d. intentional negligence: a

63. A nurse is working with hazardous materials in the workplace. The pro- cedures followed while using these substances is based on guidelines from which of the following agencies? a. health insurance portability and accountability HIPPA b. Americans with disabilities Act ADA c. Occupational Safety and Health Act OSHA d. Controlled Substances Act CSA: c 64. What is the legal source of rules of conduct for nurses? a. Nurse practice act b. American nurses association c. Constitution of the United States d. Agency policies and protocols: a 65. A nurse has been tried and found guilty of the felony crime of forgery. How might this affect the nurse's license to practice nursing? a. the license will permanently carry the felony conviction b. the nurse can practice nursing at a less-skilled level c. the license may be revoked or suspended d. It will have no effect on the ability to practice nursing: c 66. A patient is suing a nurse for malpractice. What is the term used for the person being accused of the wrongdoing? a. defendant b. plaintiff c. litigator d. witness: a 67. The nurse moves from Ohio to Missouri. Where can a copy f the nurse practice act in Missouri be obtained? a. National League of Nursing b. Missouri State Board of Nursing

c. Ohio State Board of Nursing d. Federal government nursing guidelines: b

68. Which if the following is the most frequent reason for revocation or sus- pension of a nurse's license? a. Fraud b. Abandonment c. Mental Impairment d. Drug Abuse: d 69. A nurse does not assist with ambulation on a post-operative patient on the first day after surgery. The patient falls and fractures a hip. What charge might be brought against the nurse. a. Fraud b. Battery c. Negligence d. Assault: c 70. A nurse is providing a patient care in a hospital setting. Who has full legal responsibility and accountability for the nurses actions? a. the hospital b. The physician c. the nurse d. the head nurse: c 71. The nursing laws primary function is to protect the public. Each state has regulations or practice acts that protect the public from harm. Which one of the law sources is most specific to the Nurses Practice Acts? a. Administrative b. Statutory / Civil c. Common d. Constitutions: b 72. The nurse is aware that of malpractice liability is the most difficult to prove in a court of law? a. Causation b. Breach of duty c. Damages d. Duty: a

73. A nurse who is found to be taking narcotics from his workplace is held to liability under which of the following types of law? a. administrative law b. common law c. Criminal law d. Constitutional law: c 74. If the nurse wanted to find a list of the state violations that can result in disciplinary actions against a nurse, he should read which of the following? a. Nurse's code of ethics b. Nursing made incredibly easy journal c. Nurse Practice Acts d. American Journal of Nursing: c 75. A patient refuses to have pain medication administered via injection. A nurse says, "If you don't let me give you the shot, I will get help to hold you down and give it." With what crime might the nurse be charged? a. Negligence b. Defamation c. Assault d. Battery: c 76. What nursing law regulates the practice and standards of nursing prac- tice? a. Public Law b. Civil Law c. Common Law d. Criminal Law: b 77. While teaching about advanced care planning, which fact is important for the nurse to share with a client who has been diagnosed with a terminal illness? a. a durable power of attorney for healthcare appoints an agent the person trusts to make decisions b. living wills provide specific instructions related to the clients personal property upon death

c. The patient self determination act of 1990 requires hospital clients to have an advanced directive d. Advanced directives must be completed 30 days prior to hospitalization in order to be valid: a

78. The student nurse is aware that he/she is responsible for his/her own acts of negligence if these result in patient injury. Which of the following statements is true regarding student liability? a. nursing students are not held accountable for their own actions when providing care in the clinical setting b. nursing students who are working in a healthcare setting can perform skills/ interventions learned in the academic lab c. nursing students are required to carry their own personal professional liability insurance. d. Nursing students can perform skills/ interventions unsupervised while volunteering as a health fair: c 79. Which of the following is the nurse's best legal safeguard? a. Competent practice b. written or implied contracts c. collective bargaining d. Patient education: a 80. A nurse is caring for a patient with terminal cancer. The nurse finds the patient lying in bed and staring at the ceiling. The nurse conveys caring by making which statement: a. "Tell me what is on your mind." b. "You have a great doctor and he knows best." c. "Cheer up, tomorrow is another day." d. "Don't worry, you will be fine in a day or two.": a 81. The nurse knows that which of the following statements is the best exam- ple of nonverbal communication? a. A patient's face grimacing with pain. b. A nurse says, "I am going to help you walk now." c. A nurse gives an in-service to a group of patients on exercising. d. A patient asks the nurse for a pain medication.: a

82. 3. The nurse enters the patient's room to complete the physical assess- ment. The patient states, "Well, I have not seen you before. Who are you? Which is the nurse's best response? a. "I am the nurse who is responsible for your care today" b. "I am Jane Doe and I will be caring for you until the end of the shift." c. "I am the nurse who will be completing your physical assessment." d. "I have been transferred to this floor and I will be caring for you.": b 83. Which factor is the most important in the development of rapport between the nurse and the client? a. Skill b. Kindness c. Happiness d. Trust: d 84. The nurse understands that which of the following is an example of a closed- ended question or statement? a. "Describe the type of pain you have." b. "Tell me about the medications do you take at home." c. "How did that make you feel?" d. "Did you take those drugs?": d 85. A nurse is caring for a patient who is visually impaired. Which of the following is a recommended guideline for communication with this patient? a. Ease into the room without acknowledging presence until the patient can be touched. b. Keep communication simple and concrete c. Speak in a louder tone of voice to make up for lack of visual cues. d. Explain reason for touching patient before doing so: d 86. The nurse knows that which of the following statements is an example of verbal communication? a. A patient walking in the hallway b. A patient has a smile on his face. c. A patient writing a note for his physician. d. A patient sitting in his room chair watching TV.: c 87. The process of communication is an exchange of information generally between two or more people. David Berlo classic description of the commu- nication states that is the speech, gesture, etc. of the process. a. Stimulus b. Message c. Encoder d. Channel: b

88. The nurse knows that in a helping relationship (between a nurse and a patient) the phase where the nurse and patient examines the goals to see if they have been met or not met. This phase is called the. a. Working phase b. Termination phase c. Task-oriented phase d. Orientation phase: b 89. The nurse understands that which of the following is a form of nonverbal communication, select all that apply? a. Spoken words b. Eye contact c. Written words d. Touch e. General appearance: b, d, e 90. A nurse tells a patient, "Why won't you get out of bed? Are you always this lazy? This is an example of which of the following barriers to communication? a. Using assertive language b. Using probing questions c. Using leading questions d. Using judgmental language: d 91. The nurse enters the room of a cancer patient who is crying and states, "I feel so alone." Which statement is most therapeutic for the nurse to say? a. The nurse holds the patient's hand and asks, "What makes you feel so alone?" b. While standing at the bedside, she says, "I understand how you feel. My mother felt the same way she had cancer." c. The nurse stands in the room and asks, "Why do you feel so alone? Your family has been here every day." d. The nurse holds the patient's hand and says, "You feel so alone.": a 92. A patient hears the nurse say, "I understand your hip is hurting and I have some pain medication for you." What channel of communication is the nurse using? a. Visual b. Olfactory c. Kinesthetic d. Auditory: d 93. The student nurse is preparing for her first nursing exam and she is nervous. She says to herself, "calm down I have been in challenging situations before and I always survive. I can do this." What type of communication level

is she using? a. Intrapersonal b. Organizational c. Small group d. Interpersonal: a

94. What term describes a nurse who is sensitive to the patient's feelings but remains objective enough to help the patient achieve positive outcomes? a. Honest b. Empathetic c. Caring d. Competent: b 95. A nurse is sitting near a patient while conducting a health history. The patient keeps edging away from the nurse. What might this mean in terms of territoriality? a. The patient has concerns about the questions b. The nurse is in the patient's personal space c. The patient does not like the nurse d. The nurse is too far away from the patient: b 96. The nurse stated to the patient, "I am sure everything will be fine. You have nothing to worry about." This is an example of which of the following communication techniques? a. Giving advice b. Cliché c. Changing the subject d. Being judgmental: b 97. The home health nurse is leaving the home of a patient who is receiving cancer treatments in his home. The neighbor states, "How is he doing today?" What is the nurse's best response to the neighbor question? a. "How are you doing today?" b. "It is a very sad situation for him." c. "Patients with cancer benefit greatly with support." d. "The lack of family nearby is hard for him.": c 98. The nurse knows that in a helping relationship (between a nurse and a patient) the phase where the nurse and patient meet and learn to identify each other by name. This phase is called the. a. Orientation phase b. Working phase c. Task-oriented phase d. Termination phase: a

99. 20. A nurse touches a patient's hand to indicate caring and support. What channel of communication is the nurse using? a. Auditory b. Visual c. Olfactory d. Kinesthetic: d