Download Test Bank for Fundamental Concepts and Skills for Nursing 6th Edition and more Exams Nursing in PDF only on Docsity! TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS DO NO T COP Y TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS Chapter 01: Nursing and the Health Care System Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. Florence Nightingale’s contributions to nursing practice and education: a. are historically important but have no validity for nursing today. b. were neither recognized nor appreciated in her own time. c. were a major factor in reducing the death rate in the Crimean War. d. were limited only to the care of severe traumatic wounds. ANS: C By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale’s nurses dramatically reduced the death rate from injuries in the Crimean War. DIF: Cognitive Level: KnowledgeREF: p. 2 OBJ: Theory #1 TOP: Nursing History KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. Early nursing education and care in the United States: a. were directed at community health. b. provided independence for women through education and employment. c. were an educational model based in institutions of higher learning. d. have continued to be entirely focused on hospital nursing. ANS: B Because of the influence of early nNuUrRsiSnIgNGleTaBd.eCrOs,Mnursing TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS a. self-actualization, fundamental needs, and belonging. b. stress reduction, self-care, and a systems model. c. curative care, restorative care, and terminal care. d. human relationships, the environment, and health. ANS: D Although nursing theories differ, they all base their beliefs on human relationships, the environment, and health. DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory #2 TOP: Nursing Theories KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 5. Standards of care for the nursing practice of the LPN are established by the: a. Boards of Nursing Examiners in each state. b. National Council of States Boards of Nursing (NCSBN). c. American Nurses Association (ANA). d. National Federation of Licensed Practical Nurses. ANS: D The National Federation of Licensed Practical Nurses modified the standards published by the ANA in 2015 to better fit the role of the LPN. In 2015 the American Nurses Association (ANA) revised the Standards of Nursing Practice which contained 17 standards of national practice of nursing, describing all facets of nursing practice: who, what, when, where, how. DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #2 TOP: Standards of Care KEY: Nursing Process Step: N/A MSC: NCLEX: N/A VERIFIED- TEST BANK TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS 6. The LPN demonstrates an evidence-based practice by: a. using a drug manual to check compatibility of drugs. b. using scientific information to guide decision making. c. using medical history of a patient to direct nursing interventions. d. basing nursing care on advice from an experienced nurse. ANS: B The use of scientific information from high-quality research to guide nursing decisions is reflective of the application of evidence-based practice. DIF: Cognitive Level: KnowledgeREF: p. 7 OBJ: Theory #3 TOP: Evidence-Based Practice KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York in 1893 in order to: a. offer a shelter to injured war veterans. b. found a nursing apprenticeship. c. provide health care to poor persons living in tenements. d. offer better housing to low-income families. ANS: C TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS 11. If a member of a health maintenance organization (HMO) is having respiratory problems such as fever, cough, and fatigue for several days and wants to see a specialist, the person is required to go: a. directly to an emergency room for treatment. b. to any general practitioner of choice. c. directly to a respiratory specialist. d. to a primary care provider for a referral. ANS: D Participants in an HMO must see their primary provider to receive a referral for a specialist in order for the HMO to pay for the care. DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #11 TOP: Managed Care KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 12. An advantage of preferred provider organizations (PPOs) is that: a. they make insurance coverage of employees less expensive to employers. b. there are fewer physicians to choose from than in an HMO. c. long-term relationships with physicians are more likely. d. patients may go directly to a specialist for care. ANS: A The use of PPOs allows insurance companies to keep their premiums low and in turn makes insurance coverage less expensive for the employers. There are usually more physicians from which to choose than from an HMO, but long- term relationships between physician and patient cannot be established easily. Patients still must see their primary physician before being referred to other specialties.VERIFIED-TEST BANK DIF: Cognitive Level: KnowledgeREF: p. 11 OBJ: Theory #11 TOP: Preferred Provider Organizations KEY: Nursing Process Step: N/A MSC: NCLEX: N/A TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS 13. After passing the National Council Licensure Examination for Practical Nurses (NCLEX PN), the nurse is qualified to take an additional certification in the field of: a. pharmacology. b. care of infants and children. c. operating room technology. d. community health. ANS: A After becoming an LPN, the nurse may apply for additional certification in pharmacology or long-term care. DIF: Cognitive Level: KnowledgeREF: p. 7 OBJ: Theory #6 TOP: Educational Opportunities KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 14. Nursing interventions are best defined as activities that: a. are taken to improve the patient’s health. b. involve researching methods to maintain asepsis. c. include the family in nursing care. VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS 18. The founding of the Red Cross is attributed to: a. Lillian Wald. b. Dorothea Dix. c. Florence Nightingale. d. Clara Barton. ANS: D Clara Barton founded the Red Cross. DIF: Cognitive Level: KnowledgeREF: p. 2 OBJ: Theory #4 TOP: Nursing History KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 19. The nursing theorist whose practice framework is based on 14 fundamental needs is: a. Dorothy Johnson. b. Jean Watson. c. Virginia Henderson. d. Martha Rogers. ANS: C Virginia Henderson’s nursing theory framework is based on 14 fundamental needs. DIF: Cognitive Level: KnowledgeREF: p. 5|Table 1-1 OBJ: Theory #2TOP: Nursing Theorists KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 20. The nursing theory that uses seven behavioral subsystems in an adaptation model is: TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS a. Betty Neumann. b. Sister Calista Roy. c. Dorothy Johnson. d. Patricia Benner. ANS: C VERIFIED-TEST BANK Dorothy Johnson’s practice framework is based on seven behavioral subsystems in an adaptation model. DIF: Cognitive Level: KnowledgeREF: p. 5|Table 1-1 OBJ: Theory #2TOP: Nursing Theorists KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 21. The Standards of Nursing Practice are designed to direct LPNs to: a. advance their nursing career. b. seek a scientific basis for their interventions. c. deliver safe, knowledgeable care. d. a leadership role. ANS: C The Standards of Nursing Practice are designed to guide the LPN to deliver safe, knowledgeable care. DIF: Cognitive Level: KnowledgeREF: p. 6 OBJ: TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS 22. A state’s Nurse Practice Act is designed to protect the: a. physician. b. nurse. c. public. d. hospital. ANS: C Nurse Practice Acts are designed to protect the public. DIF: Cognitive Level: KnowledgeREF: p. 6 OBJ: Theory #5 TOP: Nurse Practice Act KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 23. It is appropriate for practical nurses to provide direct patient care to persons in a hospital under the supervision of a: a. medical assistant. b. registered nurse on the unit. c. supervising nurse who is responsible for care on several units. d. more experienced LPN on the unit. ANS: B Practical nurses provide direct patient care under the direct supervision of a registered nurse, physician, or dentist. DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #9 TOP: Scope of Practice KEY: Nursing Process Step: N/A MSC: NCLEX: N/A VERIFIED- TEST BANK 24. An example of tertiary health care is: TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS a. hospice care. b. restorative care. c. emergency care. d. home health care. ANS: A Tertiary health care includes extended care, chronic disease management, medical homes, in-home personal care, and hospice care. DIF: Cognitive Level: Comprehension REF: p. 11|Box 1-2 OBJ: Theory #8TOP: Health Care Services KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 25. Which nursing care delivery systems have some nursing schools adopted as the foundation of their education programs? a. Relationship-based care b. Team nursing c. Patient-centered care d. Total patient care ANS: A TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS VERIFIED-TEST VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS Relationship-based care appeared in the early 2000s (Koloroutis, 2004) and emphasizes three critical relationships: (a) the relationship between caregivers and the patients and families they serve; (b) the caregiver’s relationship with him- or herself; (c) the relationship among health team members (UCLA Department of Nursing, 2015). The motivation behind relationship-based care was to promote a cultural transformation by improving relationships to foster care for the patient. Some schools of nursing have adopted relationship-based care as the foundation of their nursing education curriculum. DIF: Cognitive Level: KnowledgeREF: p. 9 OBJ: Theory #8 TOP: Delivery of Nursing Care KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 26. Which nursing care delivery system has been fully embraced by the nursing community and is identified as one of the seven QSEN competencies? a. Relationship-based care b. Team nursing c. Patient-centered care d. Total patient care ANS: C Patient-centered care has been described since the 1950s, but came to the forefront in 2001 when the Institute of Medicine (IOM) targeted six areas for improvement in the US health care system, including safety, effective, patient- centered, timely, efficient, and equitable (Cliff, 2012). Patient-centered care has been fully embraced by the nursing community, and is identified as one of the seven QSEN competencies (QSEN.org, 2015). DIF: Cognitive Level: Knowledge REF: p. 18 OBJ: Theory #8 TOP: Delivery of Nursing Care VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS NURSINKGETYB:.CNOMursing Process Step: N/A MSC: NCLEX: N/A 27. Which of the following is considered a positive aspect of the Affordable Care Act? a. A 38-year-old mother is penalized on her taxes for not purchasing health insurance. b. A 42-year-old laborer who has chronic kidney disease is denied insurance coverage. c. Jamie, age 24, cannot continue insurance coverage on his parent’s insurance since he has graduated from college. d. Maria, age 60, is able to obtain health insurance at a rate that is manageable on her income. ANS: D VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS The Patient Protection and Affordable Care Act is being phased in over several years. There are positive and negative aspects to this act, and many people have strong opinions about it. Since 2013 there have been insurance exchanges, along with requirements for uninsured people to purchase health insurance. Starting in 2015 people who have failed to purchase health insurance are being penalized on their income taxes. Provisions in the bill now prevent denial of insurance to those with preexisting illnesses who formerly could not buy health insurance, and young adults have been allowed to remain on their parents’ insurance through age 26. Starting in 2013 affluent people began paying an extra 3.8% tax on unearned income; drug manufacturers and the insurance industry are paying large annual fees to help cover the overall costs. Costs of the Medicare program will be contained by reducing payments to hospitals and health care providers. As coverage under the Affordable Care Act has expanded, the national uninsured rate has fallen from 16% to 11% of people under age 65 (people over age 65 are generally have universal coverage by Medicare). People who have benefitted the most from this coverage include people ages 18-34, blacks, Hispanics, and those living in rural areas (Quealy and Sanger-Katz, 2014). It is expected that the emphasis on prevention and coordinated care will produce a shift in nursing from the hospital to the community. There are many controversial parts of the bill, and the country is divided about whether the bill should be repealed and other health care legislation written. What happens in the Congress in the coming years will determine if all parts of the legislation will remain. DIF: Cognitive Level: Analysis REF: p. 11 OBJ: Theory #10 TOP: The Patient Protection and Affordable Care Act KEY: Nursing Process Step: N/A MSC: NCLEX: N/A MULTIPLE VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS schools: (Select all that apply.) a. students worked without pay. b. the core curriculum was the same. c. instruction was presented by physicians at the bedside. d. the educational focus was on nursing care. e. classes were held separately from the clinical experience. ANS: A, C In the United States, the students staffed the hospital and worked without pay. There were no formal classes; education was achieved through work. There was no set curriculum, and content varied depending on the type of cases present in the hospital. Instruction was done at the bedside by the physician and therefore came from a medical viewpoint. DIF: Cognitive Level: Comprehension REF: p. 4 OBJ: Theory #4 TOP: Early Nursing Education KEY: Nursing Process Step: N/A MSC: NCLEX: N/A COMPLETION 1. Preferred provider organizations (PPOs) use to finance their services and pay the physical cost of the service. ANS: capitated cost VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS The capitated cost is the set fee that is paid to the network for each patient enrolled to finance its services. DIF: Cognitive Level: KnowledgeREF: p. 11 OBJ: Theory #8 TOP: Capitated Cost KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. In the United States, the Young Women’s Christian Association (YMCA) in New York opened The School, the first practical nursing school. ANS: Ballard In 1892, the YMCA opened The Ballard School, a 3-month course in practical nursing that was the first school of practical nursing. DIF: Cognitive Level: KnowledgeREF: p. 2 OBJ: Theory #4 TOP: Ballard School KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. Such health services as surgical procedures, restorative care, and home health care would be classified as care. ANS: secondary Surgical procedures, restorative caNrUe,RaSnINdGhToBm.CeOhMealth are part of the many services classified as secondary care. VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS DIF: Cognitive Level: Comprehension REF: p. 11|Box 1-2 OBJ: Theory #10 TOP: Health Care Services KEY: Nursing Process Step: N/A MSC: NCLEX: N/A TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS c. explain that without diet and medication the condition will worsen and serious problems will develop. d. inform the primary care provider that the patient is unable to understand the instructions. ANS: B The patient may have cultural, socioeconomic, or religious values that cause conflicts that prevent her from following the doctor’s instructions. DIF: Cognitive Level: ApplicationREF: p. 16 OBJ: Theory #5 TOP: Concepts of Health and Illness, Cultural Influences KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychological Integrity: Coping and Adaptation 8. A nurse practicing a holistic approach to nursing care must: a. recognize that a change in one aspect of the person’s life can alter the whole of that person’s life. b. take responsibility for health care decisions. c. promote state of the art technology. d. discourage the use of more natural remedies and alternative methods of health care. ANS: A Holistic nursing requires that the nurse recognizes that a change in one aspect of the patient’s life (biological, sociological, psychological, and spiritual) will bring about changes in that patient’s whole life. DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS DIF: Cognitive Level: ComprehensNioUnRSINRGETFB:.CpO.M19 OBJ: Theory #6 TOP: Holistic Approach to Caring KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A 9. Included in Maslow’s hierarchy, physiological needs are those that: a. nurture intimacy. b. foster independence. c. encourage social interaction. d. protect from harm. ANS: D Physiological needs are those that are essential to human life, such as oxygenation, nutrition, and elimination. Protection from physical harm, from a nursing standpoint, is often equivalent in importance to physical needs. DIF: Cognitive Level: ApplicationREF: p. 20 OBJ: Theory #7 TOP: Maslow’s Hierarchy of Needs KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity: Physiological Adaptation 10. The factors involved in assessing the importance the patient attaches to the relief of a particular deficit include: a. needs that the nurse must assess to prioritize care, because they may be different from person to person. b. ordering needs according to Maslow’s hierarchy, with lower level needs being least compelling. VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS c. needs based on a hierarchy in which higher level needs are more prominent and demand attention before lower level needs. d. needs that are usually not known to the patient and that must be determined by the nurse. ANS: A A person’s concern relative to a needs deficit must be assessed by the nurse to meet the needs of each patient. Needs are viewed differently from one person to the next. DIF: Cognitive Level: Comprehension REF: p. 20 OBJ: Theory #7 TOP: Maslow’s Hierarchy of Needs KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 11. The nurse believes that patient teaching of how to give insulin and monitor blood glucose levels will improve the level of the patient’s: a. physiological well-being. b. security, by providing psychological comfort. c. self-esteem, by promoting independence and learning. d. self-actualization, by seeking knowledge and truth. ANS: C Patient education activities that are to be used after discharge enhance independence and promote self-esteem. DIF: Cognitive Level: ApplicationREF: p. 27 OBJ: Theory #7 TOP: Maslow’s Hierarchy of Needs KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS Integrity: Coping and Adaptation 15. The nurse is aware that a stressor NasUeRxSpINerGieTnBc.CedOMby an individual is usually perceived: a. as a negative event or stimulus that affects homeostasis in maladaptive ways. b. in different ways based on previous experience and personality traits. c. as an opportunity for growth and learning. d. in similar ways if age and education are similar. ANS: B Stressors are not perceived the same way by different people or even by the same person at different times. The experience of a stressor depends on previous experience and personality, as well as factors such as physical or emotional conditions, age, and education. DIF: Cognitive Level: Comprehension REF: p. 26 OBJ: Theory #9 TOP: General Adaptation Syndrome KEY: Nursing Process Step: Planning MSC: NCLEX: Psychological Integrity: Psychosocial Adaptation 16. In 1946, the World Health Organization redefined health as the: a. absence of disease or infirmity. b. state of complete physical, mental, and social well-being. c. presence of disease or infirmity. d. state of incomplete physical, mental, and social well-being. ANS: B In 1946, the World Health Organization redefined health as “the state of complete physical, mental, and social well–being, and not merely the absence VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS of disease or infirmity.” VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS DIF: Cognitive Level: KnowledgeREF: p. 28 OBJ: Theory #1 TOP: Views of Health and Illness KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 17. The nurse assesses that a person is in the acceptance stage of illness when the patient: a. looks to home remedies to become well. b. reassumes usual responsibilities and roles. c. assumes the “sick” role. d. rejects medical treatment. ANS: C When a person enters the acceptance stage of illness, he or she assumes the “sick role” and withdraws from usual responsibilities and will frequently seek medical treatment at this time. DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: Theory #1 TOP: Acceptance Stage KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 18. The nurse instructs a patient that according to Selye’s GAS theory, when stress is strong enough and occurs over a long enough period, the patient will enter the stage of: a. convalescence. b. alarm. c. transition. d. exhaustion. ANS: D VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS d. distracting him from his conceNrnUsRbSIyNsGoTcBia.CliOzaMtion. ANS: B A nurse’s ability to use active listening will enhance the sense of security when patients feel that their needs are perceived accurately. DIF: Cognitive Level: ApplicationREF: p. 21 OBJ: Theory #7 TOP: Maslow’s Hierarchy of Needs KEY: Nursing Process Step: Intervention MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 23. The nurse assesses successful adaptation in a post stroke patient when the patient: a. learns to walk and maintain balance with the aid of a walker. b. consistently takes antihypertensive drugs. c. attempts to get out of bed unassisted. d. refuses assistance with feeding. ANS: A Adaptation is a readjustment in habits to limitations and disabilities. Learning to walk and maintain balance with the aid of a walker is an example of this. DIF: Cognitive Level: ApplicationREF: p. 22 OBJ: Theory #1 TOP: Adaptation KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 24. The nurse takes into consideration that in the stage of resistance in Selye’s GAS, the patient: VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS a. regresses to a dependent state. b. continues to battle for equilibrium. c. becomes maladaptive. d. begins to develop stress-related disorders. ANS: B The resistance stage is the second stage in the GAS when a patient is still attempting to find equilibrium. DIF: Cognitive Level: Comprehension REF: p. 24 OBJ: Theory #10 TOP: Salye’s GAS KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Physiological Adaptation 25. A patient states, “I am not obese. My entire family is large.” The nurse assesses that the patient is using the defense mechanism of: a. sublimation. b. projection. c. denial. d. displacement. ANS: C Denial is a defense mechanism that allows a person to live as though an unwanted piece of information or reality does not exist. There is a persistent refusal to be swayed by the evidence. DIF: Cognitive Level: ApplicationREF: p. 27|Table 2-3 OBJ: Theory #8TOP: Denial KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial IntegriNtyU:RCSoIpNiGngTBan.CdOAMdaptation VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS 26. A child who has just been scolded by her mother proceeds to hit her doll with a hairbrush. The nurse recognizes the child’s actions are characteristics of: a. denial. b. displacement. c. rationalization. d. repression. ANS: B Displacement is a defense mechanism that characterizes discharging intense feelings for one person onto an object or another person who is less threatening, thereby satisfying an impulse with a substitute object. DIF: Cognitive Level: ApplicationREF: p. 27| Table 2-3 OBJ: Theory #8 TOP: Defense Mechanisms KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 27. The nurse encourages a patient to participate in health maintenance by maintaining an ideal body weight as a method of: a. primary prevention. b. secondary prevention. c. tertiary prevention. d. simple prevention. VERIFIED-TEST TEST BANK FOR FUNDAMENTALS CONCEPTS AND SKILLS FOR NURSING 6TH EDITION WILLIAMS ALL CHAPTERS QUESTIONS AND ANSWERS Nursing Process Step: N/A MSC: NCLEX: N/A VERIFIED-TEST 2. The nurse describes behaviors of the transition stage of illness, which are: (Select all that apply.) a. awareness of vague symptoms. b. denial of feeling ill. c. resorts to self-medication. d. withdrawal from roles and responsibilities. e. recovery from illness begins. ANS: A, B, C The transition stage (onset) of illness is demonstrated by the patient’s awareness of vague symptoms, denial of feeling ill, and initiation of self- medication; however, he or she still fulfills the roles and responsibilities of life. DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: Theory #1 TOP: Stages of Illness KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. Which defines the holistic approach to caring for the sick and promoting wellness? (Select all that apply.) a. The nurse’s focus is specific to the disease or injury. b. The nurse realizes that each person has a responsibility for his or her own health. c. Health care providers are required to intervene on behalf of all persons to ensure that health goals are met. d. Providers combine traditional methods of health care with relaxation techniques for pain management. VERIFIED-TEST BANK MSC: NCLEX: N/A VERIFIED-TEST e. A change in one aspect of a person’s life may or may not alter the person as a whole. ANS: B, C, D, E The holistic approach to medicine treats the patient as a whole and may use a mix of traditional medicine and alternative medicine. Any change in one aspect of the whole may change the entire whole. DIF: Cognitive Level: Comprehension REF: p. 19 OBJ: Theory #6 TOP: Holistic Approach KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4. The responses during the alarm stage of the general adaptation syndrome as defined by Hans Selye include: (Select all that apply.) a. slight increase in body temperature. b. substantial increase in energy. c. decreased appetite. d. hormones released for mobilization for defense. e. the body’s adaptation abilities temporarily overreacting. ANS: A, C, D The responses during the alarm stage according to the general adaptation syndrome include a slight rise in temperature, a loss of energy, decreased appetite, and a release of hormones that mobilizes the body’s defenses. DEWITS FUNDAMENTALStCuvOiaN.cComEP- ThSeAMarkeStpKlaIcLe LtoooSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK Chapter 03: Legal and Ethical Aspects of Nursing Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. A student nurse who is not yet licensed: a. may not perform nursing actions until he or she has passed the licensing examination. b. is not responsible for his or her actions as a student under the state licensing law. c. are held to the same standards as a licensed nurse. d. must apply for a temporary student nurse permit to practice as a student. ANS: C Student nurses are held to the same standards as a licensed nurse. This means that although a student nurse may not perform a task as quickly or as smoothly as the licensed nurse would, the student is expected to perform it as effectively. In other words, she must achieve the same outcome without harm to the patient. The student is legally responsible for her own actions or inaction, and many schools require the student to carry malpractice insurance. DIF: Cognitive Level: Knowledge REF: p. 32 OBJ: Theory #1 TOP: Practice Regulations for the Student Nurse KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. During an employment interview, the interviewer asks the nurse applicant about HIV status. The nurse applicant can legally reNspUoRnSdI:NGTB.COM a. “No,” even though he or she has a positive HIV test. b. “I don’t know, but I would be willing to be tested.” c. “I don’t know, and I refuse to be tested.” DEWITS FUNDAMENTALStCuvOiaN.cComEP- ThSeAMarkeStpKlaIcLe LtoooSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANKd. “You do not have a right to ask me that question.” ANS: D In employment practice, it is illegal to discriminate against people with certain diseases or conditions. Asking a question about health status, especially HIV or AIDS infection, is illegal. DIF: Cognitive Level: ApplicationREF: p. 34 OBJ: Clinical Practice #1 TOP: Discrimination KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. An example of a violation of criminal law by a nurse is: a. taking a controlled substance from agency supply for personal use. b. accidentally administering a drug to the wrong patient, who then has a serious reaction. c. advising a patient to sue the doctor for a supposed mistake the doctor made. d. writing a letter to the newspaper outlining questionable or unsafe hospital practices. ANS: A Theft of a controlled substance is a federal crime and consequently a crime against society. DIF: Cognitive Level: ApplicationREF: p. 32 OBJ: Theory #2 VERIFIED-TEST DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST TOP: Criminal Law KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4. The LPN (LVN) assigns part of the care for her patients to a nursing assistant. The LPN is legally required to perform which of the following for the residents assigned to the assistant? a. Toilet the residents every 2 hours and as needed. b. Feed breakfast to one of the residents who needs assistance. c. Give medications to the residents at the prescribed times. d. Transport the residents to the physical therapy department. ANS: C Toileting, feeding, and transporting residents or patients are tasks that can be legally assigned to a nurse’s aide. Administering medications is a nursing act that can be performed only by a licensed nurse or by a student nurse under the supervision of a licensed nurse. DIF: Cognitive Level: ApplicationREF: p. 33 OBJ: Theory #3 TOP: Delegation KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 5. If a nurse is reported to a state board of nursing for repeatedly making medication errors, it is most likely that: a. the nurse will immediately have his or her license revoked. b. the nurse will have to take the licensing examination again. c. a course in legal aspects of nursing care will be required. d. there will be a hearing to determine whether the charges are true. ANS: D The nurse may have his or her liceNnUsRe SrIeNvGokTeBd.CoOrMbe DEWITS FUNDAMENTALStCuvOiaN.cComEP- ThSeAMarkeStpKlaIcLe LtoooSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST indicated. DIF: Cognitive Level: ApplicationREF: p. 34 OBJ: Clinical Practice #1 TOP: Sexual Harassment KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 9. A person who has been brought to the emergency room after being struck by a car insists on leaving, although the doctor has advised him to be hospitalized overnight. The nurse caring for this patient should: a. have him sign a Leave Against Medical Advice (AMA) form. b. tell him that he cannot leave until the doctor releases him. c. immediately begin the process of involuntary committal. d. contact the person’s health care proxy to assist in the decision-making process. ANS: A A person has the right to refuse medical care, and agencies use the Leave AMA to document the medical advice given and the patient’s informed choice to leave against that advice. DIF: Cognitive Level: ApplicationREF: p. 39 OBJ: Clinical Practice #3 TOP: Patient Rights KEY: Nursing Process Step: Implementation MSC: NCLEX: N/A 10. The information in a patient’s medical record may legally be: a. copied by students for use in school reports or case studies. DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST b. provided to lawyers or insurers without the patient’s permission. c. shared with other health care providers at the patient’s request. d. withheld from the patient, because it is the property of the doctor or agency. ANS: C A release or consent is required to provide information from a patient’s medical record to anyone not directly caring for that patient. The patient must provide consent to provide information to insurers, lawyers, or other health care agencies or providers. The patient has the right to access the information in his or her medical record (copies), but the agency or doctor retains ownership of the document. DIF: Cognitive Level: ApplicationREF: p. 39 OBJ: Theory #5 TOP: Legal Documents KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 11. If a patient indicates that he is unsure if he needs the surgery he is scheduled for later that morning, the nurse would best reply: a. “Your doctor explained all of that yesterday when you signed the consent.” b. “Your doctor is in the operating room; she can’t talk to you now.” c. “You should have the surgery; your doctor recommended that you have it.” d. “I will call the doctor to speak with you before you go to the operating room.” ANS: D A consent can be withdrawn at any time before the treatment or procedure has been started. The primary care provider should be notified by the supervising nursing staff of the unit. DIF: Cognitive Level: Application REF: p. 38 OBJ: Clinical Practice #4 TOP: Informed Consent NURSINKGETYB:.CNOMursing Process Step: Implementation DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 12. A 16-year-old boy is admitted to the emergency room after fracturing his arm from falling off his bike while visiting with his stepfather who is not the custodial parent. The nurse is preparing him to go to the operating room but must obtain a valid informed consent by: a. having the patient sign the consent for surgery. b. obtaining the signature of his stepfather for the surgery. c. declaring the patient to be an emancipated minor. d. obtaining permission of the custodial parent for the surgery. ANS: D The patient is a minor and cannot legally sign his own consent unless he is an emancipated minor; the guardian for this patient is the custodial parent. A step parent is not a legal guardian for a minor unless the child has been adopted by the step parent. The hospital does not have the authority to declare the patient an emancipated minor. DIF: Cognitive Level: ApplicationREF: p. 38 OBJ: Clinical Practice #3 TOP: Consent KEY: Nursing Process Step: Intervention MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 13. A patient has advance directives spelled out in a durable power of attorney, with the appointment of his daughter as his health care agent. The daughter will be responsible for: a. paying all the medical bills associated with the father’s illness. b. making all informed consent decisions for her father. DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST ANS: A A person who makes untrue, malicious, or harmful remarks that damage a person’s reputation and cause injury (loss of business) is guilty of defamation and slander. Libel is defamation that is written. DIF: Cognitive Level: ApplicationREF: p. 40 OBJ: Clinical Practice #5 TOP: Defamation/Slander KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 17. A licensed nurse is liable for charges of malpractice when she: a. does not show up for work and fails to call to notify the agency. b. clocks in for another nurse to prevent that nurse from having pay docked. c. falsifies data, causing the patient to suffer problems resulting in death. d. assists in performing CPR that is unsuccessful, and the patient dies. ANS: C Malpractice is professional negligence or, in this case, doing (falsifying) something the reasonable and prudent nurse would not do. It is the proximate cause of the patient injury. This is a case of causation. DIF: Cognitive Level: ApplicationREF: p. 40|Box 3-6 OBJ: Theory #5TOP: Negligence and Malpractice KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 18. A postoperative patient in the intensive care unit (ICU) is so confused and agitated that staff have not been able to safely care for him. He has pulled out his central line once, and he slides to the bottom of the bed, where he attempts to climb out, pulling and disrupting the various tubes and monitors. The nurse’s bNesUtRcSoIuNrGseTBo.fCaOcMtion is to: DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST a. place him in a protective vest device. b. use a sheet to tie him in a chair at the nurses’ station. c. request that the doctor write an order for a protective device and/or medication. d. call a family member to stay with the patient. ANS: C A protective device may not be used (except in an emergency) without a doctor’s order, and it is used only when other less restrictive means do not provide safety for the patient. DIF: Cognitive Level: ApplicationREF: p. 41 OBJ: Clinical Practice #3 TOP: False Imprisonment KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 19. An elderly, slightly confused patient sustains an injury from a heating pad that was wrongly applied by the nurse. The nurse should: a. pretend to be unaware of the injury to the patient. b. report the incident to the risk management team via an incident report. c. document in the patient’s medical record that an incident report was filled out. d. not document anything about the injury in the patient’s medical record. ANS: B DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK When an incident occurs that has potential for a future lawsuit, the risk management team should be aware of it as soon as possible. An incident report should be filled out, and the patient medical record should be documented to describe the injury. No mention of the incident report is usually made in the patient medical record. Honesty and a forthright explanation to the patient reduce the risk of lawsuits. DIF: Cognitive Level: ApplicationREF: p. 43 OBJ: Theory #5 TOP: Incident Reports KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 20. Nursing liability insurance is a policy purchased and put into effect by the nurse for the purpose of: a. providing protection against being sued. b. reducing the chance of litigation. c. paying attorney fees and any award won by the plaintiff. d. providing the hospital with added protection. ANS: C Nursing liability insurance pays attorney fees and any award won by the plaintiff. DIF: Cognitive Level: Comprehension REF: p. 43 OBJ: Theory #5 TOP: Nursing Ethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 21. Ethics and law are different from each other in that ethics: a. bear a penalty if violated. b. are voluntary. c. rarely change. VERIFIED-TEST BANK d. can always direct all decisions. ANS: B Ethics are voluntary and are based on values. Ethics may change as parameters
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DEWITS FUNDAMENTALStCuvOiaN.cComEP- ThSeAMarkeStpKlaIcLe LtoooSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST 23. The Health Insurance Portability and Accountability Act’s (HIPAA) main focus is in keeping: a. patients safe from harm. b. patient information in a secure office area. c. medications in a locked area. d. hospital infections under control. ANS: B HIPAA regulates the way patient information is conveyed and stored. DIF: Cognitive Level: Comprehension REF: p. 37|Box 3-4 OBJ: Clinical Practice #1 TOP: HIPAA KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 24. Which of the following could place the nurse in a serious legal situation? a. A nurse posts a poem about the qualities of a compassionate nurse on his or her social media page. b. A nurse’s mother shares a “selfie” of her daughter (a nurse) and a celebrity patient she is caring for on her social media page. c. A nurse posts a request for prayer for strength after a difficult day at work. d. A nurse posts a video of fellow nurse’s lip syncing and dancing to a popular song, “We are Strong.” ANS: B Legal and Ethical Considerations Social Media and HIPAA Health care agencies and institutions have had to become more diligent in protecting personal health information (PHI) as a result. It is imperative that no PHI be disseminated, either intentionally or unintentionally, ovNeUrRsSoIcNiGalTmB.eCdOiaM. Posting of pictures, discussions (even DEWITS FUNDAMENTALStCuvOiaN.cComEP- ThSeAMarkeStpKlaIcLe LtoooSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST those that do not use patient or hospital names), and images of x-rays all violate HIPAA and place the nurse in a serious legal situation. It is generally best to separate one’s personal and professional life when dealing with social media. The National Council of State Boards of Nursing (2011) provides guidelines and suggestions for nurses in dealing with social media and nursing practice. DIF: Cognitive Level: Analysis REF: p. 37 OBJ: Clinical Practice #6 TOP: Social Media and HIPAA KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 25. When a patient asks a nurse to witness the signing of a will, the nurse should refer the request to the: a. nurse supervisor. b. hospital legal department. c. notary public for the hospital. d. nurse’s attorney. ANS: C Although witnessing a legal document for a patient is not illegal, most agencies have a policy regarding the proper course of action by referring the patient to the notary public. DIF: Cognitive Level: ApplicationREF: p. 39 OBJ: Theory #1 TOP: Witnessing Wills and Other Legal Documents KEY: Nursing Process Step: Implementation DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK d. “Are you aware that you could have a stroke?” ANS: B Patients have the right to refuse medication, but it is the nurse’s responsibility to explain the reason for the particular drug. DIF: Cognitive Level: ApplicationREF: p. 38 OBJ: Theory #1 TOP: Legal Standards KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 30. The Occupational Safety and Health Act includes all of the following, except: a. regulations for handling infectious materials. b. radiation and electrical equipment safeguards. c. staffing ratios and delegation criteria. d. regulations for handling toxic materials. ANS: C The Occupational Safety and Health Act was passed in 1970 to improve the work environment in areas that affect workers’ health or safety. It includes regulations for handling infectious or toxic materials, radiation safeguards, and the use of electrical equipment. DIF: Cognitive Level: Comprehension REF: p. 34 OBJ: N/A TOP: OSHA KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 31. The most frequently cited cause of a sentinel event by the Joint Commission is a problem in: a. applying physical restraints. b. methods of patient transportation. DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANKc. medication errors. d. inadequate communication. ANS: D VERIFIED-TEST BANK The most frequently cited cause of a sentinel event by the Joint Commission is communication. During “handoff” communication, there is a risk that critical patient care information might be lost due to lack of communication. DIF: Cognitive Level: KnowledgeREF: p. 35 OBJ: Clinical Practice #2 TOP: CommunicationKEY: Nursing Process Step: N/A MSC: NCLEX: N/A 32. The acronym SBAR is a method to communicate with a primary care provider that clarifies a situation that may result in litigation. The acronym stands for: a. situation, background, alterations, results. b. subjective, believable, actual, recommendation. c. situation, background, assessment, recommendation. d. situation, basis, assessment, recommendation. ANS: C SBAR is an acronym that stands for situation, background, assessment, and recommendation. This undetailed analysis clarifies the situation in a manner that is concise yet complete. DIF: Cognitive Level: KnowledgeREF: p. 35 OBJ: Theory #5 TOP: SBAR Reporting KEY: Nursing Process Step: N/A MSC: NCLEX: N/A DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST
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DEWITS FUNDAMENTALStCuvOiaN.cComEP- ThSeAMarkeStpKlaIcLe LtoooSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST ANS: C Assault is the threat to harm another or even to touch another without that person’s permission. The person being threatened must believe that the nurse has the ability to carry out the threat. DIF: Cognitive Level: Comprehension REF: p. 40 OBJ: Theory #3 TOP: Legal Terms KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 37. The nurse explains that a sentinel event is a situation in which a patient: a. refuses care. b. is accidentally exposed. c. leaves the hospital against medical advice. d. comes to harm. ANS: D A sentinel event is an unexpected situation in which the patient comes to harm. DIF: Cognitive Level: Comprehension REF: p. 35 OBJ: Theory #5 TOP: Legal Terms KEY: Nursing Process Step: N/A MSC: NCLEX: N/A MULTIPLE RESPONSE 1. Professional accountability includes: (Select all that apply.) a. understanding theory. b. adhering to the dress code of the facility. c. asking for assistance when unsure of a procedure or primary care provider order. d. participating in continuing eduNcUaRtiSoInNcGlTasBs.CesO.M DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST d. requirement for membership in a national organization. e. preserving the confidentiality of the nurse-patient relationship. VERIFIED-TEST BANK ANS: A, B, C, E Both Codes of Ethics support maintenance of competency, preservation of confidentiality of the nurse patient relationship, commitment to continuing education, and respect for human dignity. DIF: Cognitive Level: ApplicationREF: p. 43 OBJ: Theory #6 TOP: Ethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A COMPLETION 1. In 2003, the Patients’ Bill of Rights was revised to become the : Understanding Expectations, Rights, and Responsibilities. ANS: Patient Care Partnership The Patient Care Partnership addresses patient rights and the responsibility of health care facilities. DIF: Cognitive Level: KnowledgeREF: p. 33 OBJ: Clinical Practice #3 TOP: Patient Rights KEY: Nursing Process Step: N/A MSC: NCLEX: N/A DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK VERIFIED-TEST 2. CAPTA, passed in 1973, is a law regarding the safety of minors. It is the and . ANS: Child Abuse Prevention; Treatment Act This is a law that requires mandated reporting and defines who is a mandated reporter. DIF: Cognitive Level: KnowledgeREF: p. 34 OBJ: Theory #1 TOP: Professional Accountability KEY: Nursing Process Step: N/A MSC: NCLEX: N/A VERIFIED-TEST BANK DEWITS FUNDAMENTALStCuvOiaN.cComEP- ThSeAMarkeStpKlaIcLe LtoooSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK https://www.coursehero.com/file/62123929/c4pdf/ VERIFIED-TEST BANK Chapter 04: The Nursing Process and Critical Thinking Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. The nurse who uses the nursing process will: a. help reduce the obvious signs of discomfort. b. help the patient adhere to the primary care provider’s treatment protocol. c. approach the patient’s disorder in a step-by-step method. d. make all significant nursing care decisions involving patient care. ANS: C The nursing process is a collaborative process used throughout the patient’s stay. It is an organized method for identifying and meeting patient needs in a step-by-step manner. DIF: Cognitive Level: KnowledgeREF: p. 48 OBJ: Theory #1 TOP: Nursing Process KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. A nurse will arrive at a nursing diagnosis through the nursing process step of: a. planning. b. evaluation. c. research. d. assessment. ANS: D As a result of the nursing assessmNenUtR, SaINnuGrTsBin.CgOdMiagnosis is established. DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK https://www.coursehero.com/file/62123929/c4pdf/ VERIFIED-TEST BANK 6. The nurse completing morning assessments on a patient who is sitting up in bed is told by the patient, “I’m having trouble breathNiUnRg—SINIGcTanB’.Ct OseMem to get enough air.” The best nursing response is to: a. notify the doctor as soon as he or she comes in later in the morning. b. finish the vital signs for the assigned patients, and then notify the charge nurse. c. reassure the patient, if his blood pressure and pulse are normal. d. notify the charge nurse immediately of the patient’s statement. ANS: B The nurse should finish the assessment in order to confirm the complaint and inform the charge nurse. DIF: Cognitive Level: Analysis REF: p. 50|Table 4-2 OBJ: Theory #1TOP: Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 7. The order in which the nursing process is approached is: a. planning, assessment, implementation, nursing diagnosis, evaluation. b. nursing diagnosis, evaluation, assessment, implementation, planning. c. assessment, nursing diagnosis, planning, implementation, evaluation. d. evaluation, nursing diagnosis, planning, implementation, assessment. ANS: C The order of assessment nursing diagnosis, planning, implementation, and evaluation sets up a basis for an organized approach to nursing care. DIF: Cognitive Level: KnowledgeREF: p. 49|Box 4-1 DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANK OBJ: Theory #1TOP: Nursing Process KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 8. Once the nursing plan has been initiated, the nursing care plan will: a. stay in place until all nursing goals have been met. b. change as the patient’s condition changes. c. remain on the patient record to show progress. d. be given to the patient for final approval. ANS: B The nursing care plan is always a work in progress and will change as the patient condition changes. DIF: Cognitive Level: Comprehension REF: p. 50 OBJ: Theory #2 TOP: Nursing Process KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 9. When a patient states, “I can’t walk very well,” the first problem-solving step would be to: a. consider alternatives such as a wheelchair or walker. b. find out what the problem is, such as weakness or poor balance. c. choose the alternative with the best chance of success. d. consider the outcomes of the choices, such as danger of falling with a walker. ANS: B Defining the problem clearly assists in the interventions to reduce the problem. DIF: Cognitive Level: Analysis REF: p. 50 OBJ: Theory #5 TOP: Problem Solving NURSINKGETYB:.CNOMursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 10. A student nurse can begin to develop critical thinking skills by means of: DEWITS FUNDAMENTALStCuvOiaN.cComEP- TThSeAMNarDkeStpKlaIcLe LtoSBFuOy aRndNSUeRll SyoIuNrGStu5dTyHMEatDerIiaTlION WILLIAMS TEST BANKa. working with a more experienced nurse. b. questioning every statement made by instructors to be sure of its correctness. c. memorizing class notes for tests and studying all night for big tests. d. listening attentively and focusing on the speaker’s words and meaning. ANS: D Critical thinking involves foundation skills such as effective reading and writing and attentive listening. DIF: Cognitive Level: Comprehension REF: p. 50 OBJ: Theory #7 TOP: Critical Thinking KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 11. When a nurse prioritizes the patient care, consideration is given to: a. completing assessments before mid-shift. b. considering situations that may result in an alteration of health. c. assuming all health care activities for a group of patients. d. identifying who can assist with the aspect of care. ANS: B Priority setting includes addressing health endangering situations and physiological needs first. https://www.coursehero.com/file/62123929/c4pdf/ VERIFIED-TEST BANK