EAQ prep for midterm Flashcards
Which nursing theorist used anthropology to form a theory of universality?
Madeleine Leininger
Callista Roy
Imogene king
Dorothea Orem
Madeleine Leininger
Which statement is true regarding the goal of core measures?
They help recognize prejudices and assumptions about other people
They help reduce mortality, complications, and inpatient readmissions
They help provide care that fits with the patient’s own values, beliefs, and traditions
They help assess social, cultural and biophysical factors that influence patient treatment and care
They help reduce mortality, complications, and inpatient readmissions
Which term correlates with “the ability of family to cope with expected and unexpected stressors’’?
family diversity
family durability
family resiliency
family dynamics
family resiliency
which phase accurately describes the output component of the nursing process?
data entering the system
the end product of a system
data related to system functioning
the product and information obtained from the system
the end product of a system
The nurse wants to assess health literacy in a group of patients. which measure does the nurse use to evaluate word recognition?
Calm-Listen, affirm, respond, Add (C-LARA)
Test of functional health literacy in adults (TOFHLA)
Rapid estimate of adult literacy in medicine (REALM)
Culturally and linguistically appropriate services (CLAS)
Rapid estimate of adult literacy in medicine (REALM)
Which respiratory change occurs in older adults?
increased ciliary activity
increased number of alveoli
increased cough reflex
increased chest wall rigidity
increased chest wall rigidity
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 2023 does this represent?
assess the health care needs of individuals, families, or communities
develop and implement public health polices and improve access to care
gather information on incident rates of certain disease and social
increase life expectancy and quality of life (QOL) and eliminate health disparities
increase life expectancy and quality of life (QOL) and eliminate health disparities
which priority level would be assigned to a patient diagnosed with decreased gas exchanged
high
low
medium
intermediate
high
which concept of intersectionality involves unequal access to resources and services
overinclusion
marginalization
oppression
matrix of domination
oppression
which stage of cognitive learning involves the breakdown of information into organized parts?
applying
analyzing
evaluating
understanding
analyzing
which phase accurately describes feedback as it relates to the nursing process as a system?
data entering the system
the end product
data related to system functioning
the product and information obtained from the system
data related to system functioning
which action will the nurse take using the electronic health record(EHR) to help select the appropriate nursing diagnosis and intervention for a patient?
use standard nursing terminology
document information in a timely matter
confirm the patients diagnosis after receiving a handoff report
ensure the care plan accessible to all health care team members
use standard nursing terminology
which term is often applies to the age group balancing responsibilities related to care of children and care of aging parents?
the sandwich generation
the millennial generation
generation X
generation Y
the sandwich generation
A nurse who is an effective would possess which characteristic?(choose all that apply)
take initiative and sustain motivation, especially during times of uncertainty
maintain a neutral approach in decision making’
rebound from setbacks with positivity
identify the need to change and support change effectively
display impassivity toward other to avoid discrimination
take initiative and sustain motivation, especially during times of uncertainty
rebound from setbacks with positivity
identify the need to change and support change effectively
which evaluative measure for an ability to tolerate ambulation would the nurse use for a patient with limited mobility n the lower extremities who uses a walker?
score on a perceived-stress scale
presence of altered balance
limited mobility in lower extremities
observation of dyspnea while walking
observation of dyspnea while walking
according to Freud’s developmental theory which age group is referred to as the phallic stage?
infancy
toddler
preschool
adolescence
preschool
which patient behavior reflects the contemplation stage of change?
has integrated changes into their lifestyle
is activity involved in changing their behavior
has started considering a change in their behavior
in defensive when confronted about their behavior
has started considering a change in their behavior
which statement will the nurse make when communicating to the health provider to convey a patients problem effectively?
I have given the patient acetaminophen because they have a fever of 100.5 F
I will continue to monitor the patient temperature since it has been elevated
I am concerned about the patients temperature of 100.5 F because of their risk for infection
I have updated the electronic health record with the patients current temperature and interventions
I am concerned about the patients temperature of 100.5 F because of their risk for infection
which statement will the nurse make when communicating to the health provider to convey a patients problem effectively?
I have given the patient acetaminophen because they have a fever of 100.5 F
I will continue to monitor the patient temperature since it has been elevated
I am concerned about the patients temperature of 100.5 F because of their risk for infection
I have updated the electronic health record with the patients current temperature and interventions
I am concerned about the patients temperature of 100.5 F because of their risk for infection
which explanation describes input as it relates to the nursing process as a system?
data or information that comes from a patients assessment
the change in the patients status as a result of nursing care
data related to system functioning
the product and information obtained from the system
data or information that comes from a patients assessment
which evaluative criterion would the nurse use to measure nursing care for a patient who is short of breath?
observe the patients level of comfort
measure the respiratory rate
ask the patient if breathing is easier
administer a bronchodilator
instruct the patient to perform deep breathing
observe the patients level of comfort
measure the respiratory rate
ask the patient if breathing is easier
A patient with end-stage lung disease wants to go home on oxygen and be comfortable. the family wants the patient to have a new surgical procedure. the nurse explains the risks and benefits of the surgery to the family and discusses the patients wishes. which role is the nurse demonstrating for the patient?
educator
advocate
caregiver
manager
advocate
which statement by the nursing student indicates effective learning regarding the authority element of the decision-making process?
I will develop a plan of care for my patients
I will be responsible for my actions and decisions
I will make my decisions about the scheduling of work
I will ask the self-care team to brief the patient on discharge
I will ask the self-care team to brief the patient on discharge
By which age has the young adult usually completed physical growth?
18
20
25
30
20
which level of prevention describes a nurse conducting health awareness training programs at a community center?
primary
secondary
tertiary
indirect
primary
which implementation skill describes a nurse explaining to the patient about inserting a feeding tube?
cognitive
technical
interpersonal
psychomotor
interpersonal
which implementation skill describes a nurse explaining to the patient about inserting a feeding tube?
cognitive
technical
interpersonal
psychomotor
interpersonal
which theory states that the patient adapts to changes in phycological needs, self-concept, and interdependence domains?
Roy’s
Orem’s
Peplau’s
Henderson’s
Roy’s
which developmental theorist explained the behavior of a 4-year-old who fantasizes about the parent of the opposite sex?
Sigmund Freud
Arnold Gesell
Erik Erikson
Jean Piaget
Sigmund Freud
Which theory would the nurse include in a session on moral development stages in children?
Piaget’s Theory
Freud’s theory
Kohlberg’s theory
Erikson’s theory
Kohlberg’s theory
Which type of grief is exemplified when the survivor of a motor vehicle accident attempts suicide because of feeling responsible for the friends death?
Delayed
masked
exaggerated
ambiguous
exaggerated
Which nursing theory is useful for developing interpersonal relationships?
Leininger’s
Roy’s
Peplau’s
Nightingale’s
Peplau’s
Which leadership quality can result in the success of the health care organization after decentralization?
Delegation
Decisions making
team communication
clinical care coordination
Decisions making
which therapy does the nurse suggest to help older adults recall their past to resolve current conflicts?
Reminiscence
Validation therapy
Reality orientation
Therapeutic communication
Reminiscence
The nurse discusses the would health organization recommendations to prevent chronic noncommunicable illness with a group of adult community members. which exercise routine would the nurse suggest?
150 minutes of moderate-intensity activity per week
60 minutes of vigorous aerobic activity per week
strengthening exercises 4 or more days per week
for older adults with limited mobility to enhance balance 2 or more days per week
150 minutes of moderate-intensity activity per week
which endocrine change is associated with aging?
increased sensitivity to insulin
increased thyroid secretions
decreased ability to respond to stress
decreased anti-inflammatory hormone secretions
decreased ability to respond to stress
While caring for an 8 year old patient the nurse finds that the child appears scared of the parents and has bruises on the soles of his feet and on the back. which laws obligate the nurse to report suspected abuse to law enforcement authorities?
public health laws
good Samaritan laws
mental health parity act (MHPA)
failure to act laws
public health laws
which system is responsible for the physiology of flight-or-flight Reponses?
renin-angiotensin
respiratory
sympathetic nervous
parasympathetic nervous
sympathetic nervous
Which goal is appropriate for the patient who is at high risk of skin injuries?
Patient will be turned every 2 hours within 24 hours
patient skin will remain intact through discharge
patients skin condition will improve by discharge
patient will begin a weight-loss program
patient skin will remain intact through discharge
which description explains the evaluation tool of reflective journaling/
dialogue that allows for questions, differing viewpoints, and sharing of experiences
consciously thinking through an activity or experience’
a visual representation of patient problems and interventions that shows their relationships to one another
a reasoning process used to cognitively apply and analyze the thoughts, actions, and knowledge apply and analyze the thoughts, action, and knowledge to make sound clinical judgements
consciously thinking through an activity or experience
Which statement describes a patient who is in the precontemplation stage to quite smoking?
Intends to quite smocking in the next 6 months
has begun making plans for smoking cessation
is actively taking measures to quite smoking
does not intend to quit smoking this year
does not intend to quit smoking this year
A patient is scheduled for a mastectomy. which intervention is performed out of respect for the patients autonomy? (choose all that apply)
review the surgical procedure
explain the risks and benefits of the procedure
withhold information about the possible harmful effects
ensure that the patient reads the surgery documents and signs the consent form
ensure that the patient makes full advance payment
review the surgical procedure
explain the risks and benefits of the procedure
ensure that the patient reads the surgery documents and signs the consent form
Which method of a patient teaching is suitable just prior to a colonoscopy?
telling
entrusting
reinforcing
participating
telling
Gesell’s theory of development is based on which principle?
moral development
Psychosocial development
psychosexual development
biophysical development
biophysical development
In the communication process which person is the receiver of the message?
The person who encodes a message
the person who decodes a message
the person who delivers a message
the person who seeks feedback
the person who decodes a message
Which nursing intervention is appropriate for a dying patient who has fatigue?
increases fiber in the patients diet
encourage the patient to eat small, frequent meals of preferred foods
educate the patient about energy conservation
providing an opportunity for the patient to express feelings through active listening
educate the patient about energy conservation
which condition does the nurse suspect in an older adult who reports gradual hearing decline?
delirium
dementia
presbyopia
presbycusis
presbycusis
Which intervention for a patient with an amputated left foot who is depressed is a tertiary preventive measure?
implanting a prosthetic foot for the left leg
referring the patient for a vocational retraining
referring the patient to an occupational therapist
advising the patient about measures to prevent accidents
administering antidepressant medication to the patient
implanting a prosthetic foot for the left leg
referring the patient for a vocational retraining
referring the patient to an occupational therapist
Which communication technique is nontherapeutic?
sympathizing
focusing
clarifying
summarizing
sympathizing
Which definition describes the knowing component of Swansons theory of caring?
being emotionally present for the patient
facilitating the patients passage through changes in life
striving to understand an event as it has meaning in the life of the patient
caring for the patient as the nurse would have done for themselves
striving to understand an event as it has meaning in the life of the patient
When an older adult states even though I turn up the volume on my television, I cant seem to hear it what condition would the nurse suspect?
Kyphosis
keratoses
presbyopia
presbycusis
presbycusis
which minimum font size should be used for printed materials intended for a visually impaired patient?
(enter whole number)
14
The surgical nurse is collecting the necessary documents to obtain a patients informed consent before surgery. In which instance would the nurse refrain from obtaining informed consent?
the patient voices no concerns regarding the surgery
the patient was administer morphine
the patients family members are not present
the surgery is associated with risk of severe complication
the patient was administer morphine
Which type of theory would be helpful to the nurse when gaining knowledge about the underlying pathology of a disease?
grand
educational
biomedical
prescriptive
biomedical
Which element is the final step of the nursing process?
counseling
discharge
evaluation
implementation
evaluation
The nurse is caring for a Korean women who has just delivered her first baby. which would the nurse anticipate the family to provide as the first meal to the woman?
tomato soup
sweetcorn soup
seaweed soup
hot garlic soup
seaweed soup
Which modifications will the nurse make to the care plan for a patient with diabetes who can no longer prepare or administer inulin because if tremors and has a caregiver who lives in the home?
continue with current care plan
charge the medication to an oral form
instruct the caregiver to prepare the insulin but have the patient administer it
teach the caregiver to prepare and inject the insulin
teach the caregiver to prepare and inject the insulin
Which phase of the helping relationship is involved when the nurse and a patient meet and become acquainted?
working
orientation
termination
preinteraction
orientation
Which action would the nurse take for a patient who continues to have congested lungs after coughing and deep-breathing exercises?
double the dose of antibiotics
hand over the patient to another nurse
repeat the patients chest x-ray
increase frequency of coughing and deep-breathing exercises
increase frequency of coughing and deep-breathing exercises
which information is true about chronic grief?
suicides is a high risk for patients with this type of grief response
it may last for years or decades
a patient with this type of grief response often exhibits maladaptive obsessions
it is associated with self-destructive behaviors’
it may last for years or decades
when teaching tool is beneficial for patients with reading comprehension problems and visual deficits?
graphs
physical objects
audiovisual materials
computer instructions
audiovisual materials
Which chronic disease is associated with the costliest health care?
cancer
diabetes
dementia
heart disease and stroke
diabetes
Which symptom is managed by the nurse offering ice chips to the dying patient?
fatigue
dehydration
constipation
altered nutrition
dehydration
Which statement about Kohlberg’s theory of moral development is accurate?
stages 3 and 4 are found in the postconventional level
the theory expands upon Freuds psychanalytic theory
Kohlberg identified 6 stages of moral development under three levels
this theory is especially useful for understanding children younger than 4 years of age
Kohlberg identified 6 stages of moral development under three levels
which action is appropriate when nurse finds a patient scheduled for an appendicectomy is crying and infers this is because of anxiety?
the nurse h=that the patient is frightened of surgery
the nurse ignores it because such behavior is normal
the nurse infers that the patient does not want to be admitted to a hospital
the nurse validates the inference by asking the patient about the crying behavior
the nurse validates the inference by asking the patient about the crying behavior
which option explains the primary purpose for the nurse performing evaluated measures?
to verify specific nursing interventions were completed
to validate the nurse’s physical assessment
to make sure the nurse made the correct nursing diagnoses
to determine whether a patient met expected outcomes
to determine whether a patient met expected outcomes
which definition relates to the family durability?
the uniqueness of each family unit
the ability of the family to cope with expected and unexpected stressors
the interactions between family member that are affected by a family’s makeup and function
a system of support and structure within a family that extends beyond the walls of the household
a system of support and structure within a family that extends beyond the walls of the household
To apply critical thinking how would the nurse respond when a patient asks the nurse why do i have a rash on my hand? it happened soon after I took penicillin for an infection?
ask the patient about a hypothesis for the cause of the rash
inquire why the patient is concerned
use knowledge from previous experiences
determine which health care provider prescribed the drug
use knowledge from previous experiences
which type of problem is a high priority?
one related to nonurgent needs of the patient
one related to life-threatening needs of a patient
one focused on the patients long term health care needs
one focused only on the physiological diagnosis
one related to life-threatening needs of a patient
The nurse stops to help in an emergency at the scene of an accident. the injured party files a suit and the insurance of the nurses employing institution does not cover the nurse. which would probably cover the nurse in this situation?
the nurses automobile insurance
the nurses homeowners insurance
the good Samaritans laws, which grant immunity from suit if there is no gross negligence
the patient care partnership, which may grant immunity form suit of the injured party consents
the good Samaritans laws, which grant immunity from suit if there is no gross negligence
A patient is brought to the hospital after a motor vehicle accident. which law makes it mandatory for the health care agency to provide emergency care to patient before transferring them to other hospital?
good Samaritans laws
mental health parity act (MHPA)
Americans with disabilities act (ADA)
emergency medical treatment and active labor act (EMTALA)
emergency medical treatment and active labor act (EMTALA)
Which critical thinking attitude motivates the nurse to communicate and know more about a patients?
curiosity
creativity
perseverance
self-confidence
curiosity
Which purpose is served by predictive and presymptomatic genetic testing?
help identify fetuses that have certain disease during a pregnancy
identify a genetic condition that will make a patient ill in the future
provide information regarding a person carrying a gen that can cause a disease
find variation that increase a persons chance of developing a specific disease
find variation that increase a persons chance of developing a specific disease
which educational program would the nurse recommend to a student who wants to enroll in the shortest available prelicensure nursing program?
BS
AS
DR
MS
AS
which is the correct when providing care to a married couple form different cultural backgrounds?
advise the couple about effective ways to earn money
arrange a meeting with the local lawyer for divorce
make a final decision on behalf of a the couple
learn more about the culture of wife and the husbands and help them appropriate decisions
learn more about the culture of wife and the husbands and help them appropriate decisions
which activity would be a component of the evaluation phase of the nursing program? (choose all that apply)
determining goals
writing expected outcomes
assessing the patient for nursing needs
measuring a patient clinical progress
judging if the desired change has occurred
measuring a patient clinical progress
judging if the desired change has occurred
which determination does an evaluative measure make?
if the nursing education meets the standards of care
if the nurses follow the nursing process
if the nurses record the number of patient falls
if the nursing care was effective for meeting expected outcomes
if the nursing care was effective for meeting expected outcomes
which component of a nursing theory can be either abstract or concrete and is used to communicate meaning?
concepts
definitions
assumptions
phenomenon
concepts
Which theory of grief and mourning includes denial and acceptance?
stages of dying
attachment theory
rondos “R” process model
grief tasks model
stages of dying
Which type of report is given at the end of a shift so that the next nurse can follow the appropriate treatment plan and care for the patient?
discharge summary
incident report
hand-off report
telephone report
hand-off report
Which patient problem would be a high priority?
risk of skin breakdown
need for rehabilitation
mild anxiety
chest pain
chest pain
Which level of communication is exhibited by the nurse performing a mental rehearsal on how to deal effectively in difficult situations with increased confidence?
public
small-group
intrapersonal
interpersonal
intrapersonal
The nurse wraps and ties a cloth to prevent bleeding from the sit of injury for a patient who is a victim of a traffic accident. The patient is taken to the hospital and presents with signs of infection. which action will be taken against the nurse?
the nurse will not be face any action
the nurse will be given warning for gross negligence
the nurse will face liable charges for not getting an informed consent
the nurse will be sued for not obtaining prescription from the health care provider begore intervening
the nurse will not be face any action
which action would the nurse take for a dying patient who is breathing loudly?
administer narcotics
elevate head of the bed
apply lip balm to the patients lips
position the patient on the right side
elevate head of the bed
which question would be most relevant when the nurse is seeking more specific information about an area?
are you feeling better now
how has your pain affected your life at home
how many times a day do you take pain medication
are you worried that you will not be able to return to your usual way of life
how has your pain affected your life at home
which lifestyle choice is an example of a risk factor? (choose all that apply)
poor nutrition
smoking cigarettes
regular vigorous physical activity
excessive alcohol consumption
exposure to second hand smoke
poor nutrition
smoking cigarettes
excessive alcohol consumption
exposure to second hand smoke
which statement describes the process of evaluation?
is ongoing and comprehensive
occurs at particular intervals set by the nurse
requires a quick check of a patient
is performed once in the nursing process
is ongoing and comprehensive
The nurse instructs the patient to hold the syringe like a dart. which instructional method did the nurse use?
telling
analogy
demonstration
simulation
analogy
Which action would the nurse take when the patient needs to void right before the nurse begins to initiate an intravenous (IV) line?
sedate the patient
start the IV line immediately
insert a foley catheter
assist the patient to the bathroom
assist the patient to the bathroom
When preparing a research project which level of evidence is highest for a scientific study?
single nonexperimental cohort study
controlled trial without randomization
systematic review of a qualitative study
meta-analysis of a randomized clinical trial
meta-analysis of a randomized clinical trial
Which symptom is the nurse addressing when advising the caregiver of a patient who is terminally ill increase fiber in the patients diet?
fatigue
nausea
diarrhea
constipation
constipation
according to Orem’s theory which goal is appropriate for the patient?
self-care
adaptation
synergy
health transitions
self-care
which action would the nurse take when the patient asks for a bedpan as the nurse is reassessing the patient?
call the assistive personnel(AP) and ask the person to bring a bedpan for the patient
assist the patient onto the bedpan
quickly finished the reassessment
reassure the patient that an AP will bring bedpan soon
assist the patient onto the bedpan
Which action is an example of an independent nursing intervention?(choose all that apply)
provide health education
start intravenous (IV) fluids
administer a hypertension agent
assist with daily activities
reposition a patient
provide health education
assist with daily activities
reposition a patient
which statement made by the student nurse indicates a need for further teaching regarding delegation?
providing appropriate monitoring is the principle of right direction
none of the steps if the nursing process should be delegated
delegation s the act of transferring responsibility but retaining the accountability of the task
one of the rights of delegation right supervision provides appropriate monitoring and feedback
providing appropriate monitoring is the principle of right direction
Which type of order describes a prewritten prescription in the intensive care unit (ICU) that states in case of a headache, acetaminophen is to given to the patient?
protocol
intervention
standard prescription
standing order
standing order
A nurse describes arterial blood pressure as like water flowing though a hose which teaching technique does this exemplify?
analogy
role play
demonstration
simulation
analogy
which method does the nurse use to teach insulin administration to a patient with newly diagnosed diabetes?
simulation
demonstration
group instruction
one- on-one discussion
demonstration
which interpretation will the nurse make when a 65 year old patient scheduled for a cholecystectomy asks a number of questions is restless and has poor eye contact when speaking?
the patient is anxious
the patient has major depression
the patient has visual impairment
the patient has age-related cognitive impairment
the patient is anxious
