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np 1st review Flashcards

1
Q
  1. It is a stimulus, either external or internal, that produces tension and results in a degree of instability.
    A. Equilibrium
    B. Stressor
    C. Subsystem
    D. Homeostasis
A

B. Stressor

(stimulus)

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2
Q
  1. Which subsystem has the dual functions of procreation and gratification?
    A Aggressive
    B. Dependency
    C. Achievement
    D. Sexual
A

D. Sexual

(procreation)

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3
Q
  1. Who was the early proponent of nursing as a science as well as an art?
    A. Sister Callista Roy
    B. Dorothy Johnson
    C. Imogene King
    D. D. Myra Levine
A

B. Dorothy Johnson

( Behavioral System Model )

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4
Q
  1. Who proposed that the science of nursing necessary for effective nursing care included a synthesis of key concepts drawn from basic and applied sciences?
    A. Sister Callista Roy
    B. Dorothy Johnson
    C. Imogene King
    D. Myra Levine
A

B. Dorothy Johnson

Johnson (1959) proposed that the knowledge of the science of nursing necessary for effective nursing care included a synthesis of key concepts drawn from basic and applied sciences.

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5
Q
  1. The of nursing should focus on the patient as an individual and not on the specific disease entity:
    A Standards & practices
    B. Philosophy*
    C. Process & therapy
    D. Science & art
A

D. Science & art

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6
Q
  1. Johnson stated that a nurse should use the behavioral system as their knowledge base. This is comparable to the that physicians use as their knowledge.
    A. Psychological system
    B. Interpersonal system
    C. Dependency subsystem
    D. Biological system
A

D. Biological system

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7
Q
  1. It promotes helping behavior that calls for a nurturing response. Its consequences are approval, attention, or recognition, and physical assistance. This refers to:
    A. Attachment subsystem
    B. Aggressive subsystem
    C. Dependency subsystem
    D. D. Ingestive and Eliminative subsystem
A

C. Dependency subsystem

consequence to need for help

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8
Q
  1. The conservation model of Myra Levine shows that family solidarity is a way of:
    A. Conservation of personal integrity
    B. Conservation of structural integrity
    C. Conservation of energy
    D. Conservation of social integrity
A

D. Conservation of social integrity

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9
Q
  1. Eddie enhances his self-esteem through good personal hygiene. He wants to conserve his:
    A. Personal Integrity
    B. Social integrity
    C. Structural Integrity
    D. Energy
A

A. Personal Integrity

(self-esteem)

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10
Q
  1. She proposed the use of 4 conservation principles to guide nursing practice:
    A. Martha Rogers
    B. Myra Lavine
    C. Margaret Newman
    D. Myra Levine
A

D. Myra Levine

Conservation Model of nursing.

energy conservation, conservation of structural integrity, conservation of personal integrity and conservation of social integrity.

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11
Q
  1. The Conservation Model is focused on the
    A. Prevention of the spread of disease
    B. Promotion of individual’s
    wholeness
    C. Prevention of the spread of disease
    D. D. All of the above
A

B. Promotion of individual’s
wholeness

When a person is in a state of conservation, it means that individual has been able to effectively adapt to the health challenges, with the least amount of effort.

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12
Q
  1. Based on the ADAPTATION MODEL, the person is a/an:
    A. Biopsychosocial adaptive system
    B. Biological-adaptive system
    C. Adaptive system
    D. Maladaptive system
A

A. Biopsychosocial adaptive system

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13
Q
  1. The following are the feedback cycles, EXCEPT?
    A. Input
    B. Output
    C. Throughput
    D. Parietal
A

D. Parietal

part of the brain na sya awet

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14
Q
  1. Which feedback cycle pertains to the control processes?
    A. Input
    B. Output
    C. Throughput
    D. All of the above
A

D. All of the above

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15
Q
  1. In the ADAPTIVE MODES presented by Roy, which one reflects social integrity and other role-related concepts?
    A. Physiologic-Physical
    B. Self-concept Group identity
    C. Role Function
    D Interdependence
A

C. Role Function

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16
Q
  1. Which phase/step of the nursing process is involved when the nurse gathers data about the patient’s condition?
    A. Assessment
    B. Diagnosis
    C. Planning
    D. Evaluation
A

A. Assessment

gathering of data pa

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17
Q
  1. When the nurse is setting goals for the patient, what step of the nursing process is she already at?
    A. Assessment
    B. Implementation
    C. Evaluation
    D. Planning
A

D. Planning

setting goals is part of the initial phase which is planning

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18
Q
  1. All but one is the classification of STIMULI:
    A. Focal
    B. Contextual
    C. Conceptual
    D. Residual
A

C. Conceptual

the three are from The Roy Adaptation Model

  • sees the person as a biopsychosocial being in continuous interaction with a changing environment. The environment includes focal, contextual and residual stimuli.
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19
Q
  1. Which stimulus has the most immediate effect on a person?
    A Focal
    B. Contextual
    C. Conceptual
    D. Residual
A

A. Focal

internal or external, involves the immediate awareness of the individual and requires the use of energy and resources.

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20
Q
  1. Environment refers to the internal and external environments of the person. Internal environment is composed of the physiologic and pathophysiologic domains of the person. External environment has three levels: perceptual, operational, and conceptual. Lance knows that this level refers to things that physically affect the individual but may not be perceived by the individual himself:
    A. Perceptual level
    B. Operational level
    C. Conceptual level
    D. Any of the above
A

C. Conceptual level

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21
Q
  1. It is a body defense mechanism that protects the body tissue from insults in an unfriendly environment:
    A. Fight or flight*??
    B. Response to stress
    C. Inflammatory response
    D. Perceptual awareness
A

C. Inflammatory response

Flight or fight: An instantaneous response to real or imagined threat, most primitive response
2. Inflammatory: response intended to provide for structural integrity and the promotion of healing *

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22
Q
  1. It refers to the wear and tear of body tissues that reflect the body’s continued response and adaptation to stressful situations. It is characterized by irreversibility. It influences the way the patients respond to nursing care
    A. Fight or flight
    B. Response to stress
    C. Inflammatory response
    D. Perceptual awareness
A

B. Response to stress

  1. Stress: Response developed over time and influenced by each stressful experience encountered by person * 4
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23
Q
  1. The primary purpose of nursing is:
    A. Health promotion
    B. Disease prevention
    C. Rehabilitation
    D. Treatment
A

A. Health promotion

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24
Q
  1. Are statements of clinical judgments about the individual, family or community response to actual or potential health problems and life processes that reflect patient behaviors patient status and provide the basis for selection of nursing interventions to achieve desired outcomes:
    A. Nursing process
    B. Nursing diagnosis
    C. Nursing analysis
    D. Nursing planning
A

B. Nursing diagnosis

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25
Q
  1. Who postulated the WHOLISTIC concept that the totality is greater than the sum of its parts?
    A. Sister Callista Roy
    B. Virginia Henderson
    C. Martha Rogers
    D. Joyce Travelbee
A

C. Martha Rogers

  • The Science of Unitary Human Beings. Rogers envisions the human being as a system of energy in motion within other such systems, themselves forming more complex systems.
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26
Q
  1. It refers to the actualization of both innate and obtained human potential gleaned from rewarding relationships with others, goal directed behavior, and expert personal care
    A. Nursing care
    B. Optimum health
    C. Wellness
    D. Optimum care
A

B. Optimum health

  • is the actualization of both innate and obtained human potential gathered from rewarding relationships with others, goal directed behavior, and expert personal care.
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27
Q
  1. Martha Roger’s theory asserts that nurses should focus on:
    A. Patient’s needs
    B. Decreasing the stressors
    C. Totality of the person
    D. Prevention of Diseases
A

C. Totality of the person

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28
Q
  1. Rogers viewed the person as an open system in constant process with the open system of the environment. She added that man is describe by the following statements, except:
    A. Not unified whole possessing his own
    integrity and manifesting characteristics
    thought, sensation, and emotion,
    B. In continuously exchanging matter and energy with the environment
    C. Identified by pattern and organization and reflects his innovative wholeness
    D. Characterized by the capacity for abstraction and imagery, language and thought, sensation, and emotion.
A

A. Not unified whole possessing his own
integrity and manifesting characteristics
thought, sensation, and emotion,

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29
Q
  1. It refers to the state in which the human being is regarded as a unified whole which is more than and different from the sum”öf the parts:
    A Wholeness
    B.Openness
    C.Open systems
    D. Undirectionality
A

A Wholeness

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30
Q
  1. Are the fundamental unit of the living and the non-living?
    A Energy fields
    B. Environmental field
    C Pan dimensionality
    D. Wholeness
A

A Energy fields

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31
Q
  1. The person according to Neuman’s theory has 3 lines of defenses, which among the following lines below serves as a guide to assess deviations from the client’s usual wellness?
    A. Flexible line of defense
    B. Lines of Resistance
    C. Normal line of defense
    D. Normal lines of resistance
A

C. Normal line of defense

from Betty Neuman: Neuman Systems Model

The lines of defense are defined as flexible lines of defense, normal lines of defense, and the lines of resistance; and each line involves physical, psychological, socio-cultural, developmental and spiritual variables.

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32
Q
  1. While the line that serves as a protective layer for preventing stressors from breaking through the usual wellness state is?
    A. Flexible line of defense
    B. Lines of Resistance
    C. Normal line of defense
    D. Normal lines of resistance
A

A. Flexible line of defense

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33
Q
  1. In the SYSTEMS MODEL, there are 3 modalities of prevention. What type of prevention is carried out when the client is already manifesting the signs and symptoms from stress?
    A Primary Prevention
    B. Secondary Prevention
    C. Tertiary Prevention
    D. Any of the above
A

B. Secondary Prevention

Primary prevention occurs before the stressor invades the system; secondary prevention occurs after the system has reacted to an invading stressor; tertiary prevention occurs after secondary prevention as reconstitution is being established.

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34
Q
  1. What type of prevention is appropriate before symptoms occur?
    A Primary Prevention B.Secondary Prevention C.Tertiary Prevention
    D. Any of the above
A

A Primary Prevention

Primary prevention occurs before the stressor invades the system; secondary prevention occurs after the system has reacted to an invading stressor; tertiary prevention occurs after secondary prevention as reconstitution is being established.

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35
Q
  1. What is the focus of nursing in Primary Prevention?
    A Return of system client balance or client wellness.
    B. Strengthen the flexible line of defense
    C. Build up the internal lines of resistance.
    D. All of the above
A

B. Strengthen the flexible line of defense

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36
Q
  1. On the other hand, this type of prevention focuses on the return of system client balance, or client wellness:
    A Primary Prevention
    B. Secondary Prevention
    C. Tertiary Prevention
    D. Any of the above
A

C. Tertiary Prevention

tertiary prevention occurs after secondary prevention as reconstitution is being established.

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37
Q
  1. The Systems Model of Betty Neuman identified stressors as capable of producing either a positive or negative effect on the system. She described them as interpersonal, meaning

A. Occurring within the person
B. Occurring outside the individual
C. Occurring outside the individual
D. Occurring within the environment

A

D. Occurring within the environment

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38
Q
  1. Natural calamities like flood & landslides are examples of:
    A Intrapersonal stressors
    B. Interpersonal stressors
    C. Extra- personal stressors
    D. Both A and C
A

C. Extra- personal stressors

keyword extr
all interactions that occur outside the body, that is, it is the entire environment in which the elderly are exposed.

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39
Q
  1. To maintain & retain systems stability, the nurse can do which of the following?

A. Educate the patient how to prevent dengue infestation
B. Administer the medication as ordered by the doctor
C. Administer immunization to the children
D. All of the above

A

D. All of the above

all are correct

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40
Q
  1. Arrange the following steps in nursing process
    I. Diagnosis
    II. Planning
    III. Evaluation
    IV. Implementation
    V. Ässessment

A. V, i, i, iii and iv
B. V, i, iii, i and ii
C. V, iii, ii, iv, i
D. V, i, ii, iv and iii

A

D. V, i, ii, iv and iii

ADPIE

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41
Q
  1. An area of nursing that involves comforting and caring for people of all ages who are dying?

A. Promoting Health and Wellness
B. Preventing illness
C. Palliative care
D. Providing medications

A

C. Palliative care

specialized medical care for people living with a serious illness, such as cancer or heart failure. Patients in palliative care may receive medical care for their symptoms, or palliative care, along with treatment intended to cure their serious illness.

42
Q
  1. A nurse has instituted a turn schedule for a patient to prevent skin breakdown. Upon evaluation, the nurse finds that the patient has a stage II pressure ulcer on the buttocks. Which action will the nurse take next?

A. Reassess the patient and
situation
B. Revise the turning schedule to increase the frequency.
C. Delegate turning to the nursing assistive personnel.
D. Apply medication to the area of skin that is broken down.

A

A. Reassess the patient and
situation

43
Q
  1. The nurse inserts an intravenous (IV) catheter using the correct technique and following the recommended steps according to standards of care and hospital policy. Which type of implementation skill is the nurse using?

A. Cognitive
B. Interpersonal
C. Psychomotor
D. Judgmental

A

C. Psychomotor

Psychomotor ability refers to the process of a muscular action based directly on a mental process.

44
Q
  1. Which of the following is considered as rules of performance in a redesigned Health Care System?
    A. Safety is a system property & focused on increasing errors
    B. Waste is continuously decreased
    C. Transparency is necessary through withholding information to patients & families.
    D. Cooperation & communication among clinicians are not priorities but needed
A

B. Waste is continuously decreased

45
Q
  1. This is an organization that analyzes and evaluates current performance and uses the results to develop focused improvement actions:

A. Quality Improvement
B. Performance Improvement
C. Quality Improvement Data
D. Quality Data

A

B. Performance Improvement

46
Q
  1. What is the meaning of the PDSA Cycle?
    A. Plan, Do, Study, Assess
    B. Plan, Do, Study, Access
    C. Plan, Do, Study, Act
    D. Plan, Do, Study, Alter
A

C. Plan, Do, Study, Act

planning it, trying it, observing the results, and acting on what is learned.

47
Q
  1. In providing holistic care to Tin, the nurse should consider all dimensions of the patient’s health - physically, emotionally, psychologically. socially, and spiritually. This best exemplifies what nursing role?
    A. Case Manager
    B. Client Advocate
    C. Change Agent
    D. Caregiver
A

D. Caregiver

holistic approach

48
Q
  1. Part of the providing services and care, Nurse Sam must speak to Clee to relay information and/or to assess verbal and non-verbal cues from the patient to determine any client concerns. By so doing, the nurse assumes what
    role?
    A. Communicator
    B. Leader
    C. Teacher
    D. Counselor
A

A. Communicator

relaying info thru verbal and non-verbal

49
Q
  1. Patient Ying is admitted in the psychiatric unit of Metro Iloilo Medical Center, due to alcohol addiction. Nurse Sam, assist him in his therapy while coordinating his plan of care to other health care team. Through this, he can modify his behavior. This exemplifies what role of the nurse?
    A. Nurse Leader
    B. Counselor
    C. Client Advocate
    D. Nurse Manager
A

C. Client Advocate

ex. is a specialized form of customer service in which companies focus on what is deemed to be best for the customer.

50
Q
  1. In advanced practice nursing, which of the following statements reflects a role of Clinical Nurse Specialist?
    A. Provides care and services under the supervision of an anesthesiologist.
    B. Provides independent care, including pregnancy and gynecological services
    C. Expert clinician in a specialized
    area of practice such as adult
    diabetic care.
    D. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions.
A

C. Expert clinician in a specialized
area of practice such as adult
diabetic care.

51
Q
  1. Nurse Hiromi is presenting information to a management class of nursing student regarding financial reimbursement for achievement of measurable patient outcomes. As a student nurse, you know that this is on which topic?
    A. Prospective Payment System
    B. Managed Care System C.Capitation Payment System
    D. Pay for Performance
A

A. Prospective Payment System

method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount.

52
Q
  1. Nurse Aya is providing restorative care to a patient following an extended hospitalization for influenza. Which of the following is an appropriate goal for restorative care?
    A. The patient will be able to heal without signs of infection.
    B. The patient will express concerns related to going home.
    C. The patient will identify strategies to boost the immune system.
    D. The patient will be able to walk 100 feet without breath shortness.
A

D. The patient will be able to walk 100 feet without breath shortness.

What is Influenza (Flu)? Flu is a contagious respiratory illness caused by influenza viruses that infect the nose, throat, and sometimes the lungs.

53
Q
  1. Which of the following nursing activities is provided in a secondary health environment?
    A. Performing suctioning for a
    patient on a mechanical ventilator.
    B. Performing the first wound dressing for a patient in the unit after surgery.
    C. Conducting blood pressure screening for pregnant women at the Health Center.
    D. Teaching a patient diagnosed with asthma on how to perform deep breathing exercises
A

A. Performing suctioning for a
patient on a mechanical ventilator.
B. Performing the first wound dressing for a patient in the unit after surgery.

Secondary care refers to all the medical services the patient will receive after they’ve had their primary care doctor see them.

54
Q
  1. While doing your requirements as a student nurse in the nurse’s station, the staff nurse on your duty suddenly had to leave the station immediately as one of her patients was having code. You observed that the computer monitor displayed a medical history of a patient not assigned to your care. What would be your
    most appropriate action?
    A. Call the attention of your clinical instructor and report the incidence.
    B. Print the documents to serve as a future reference, if in case the patient will be assigned to your care.
    C. Turn off the computer as soon as possible
    D. Read the medical history for educational purposes.
A

C. Turn off the computer as soon as possible

basta do not read oy

55
Q
  1. What does HIPAA mandates to all health care personnel with regards to patient’s records?
    A. Privacy
    B. Availability
    C. Accessibility
    D. Confidentiality
A

D. Confidentiality

Health Insurance Portability and Accountability Act

The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other individually identifiable health information

56
Q
  1. Trisha, an irate patient admitted last week, informs the clerk, “This is too much! I have paid a ton of money every time I come to this hospital, even the clinics for routine check-ups. Those medical records belong to me. I need them now!” What would be the best response to Trisha?
    A. “Your original health care record belongs to the hospital. However, I may only give you the duplicate copies.’
    B. “I am required to give you a
    request form. This is intended to prove that you personally need your medical records, and not just anyone else.”
    C. “One moment please. Let me get them for you. Just relax and calm yourself.”
    D. “I am so sorry, but you do not have the right to look at your own medical records.’
A

B. “I am required to give you a
request form. This is intended to prove that you personally need your medical records, and not just anyone else.”

57
Q
  1. Critical pathways are interprofessional care plans that identify patient problems, key interventions, and expected outcomes within an established time frame. As a student nurse, you know that these pathways are, except:
    A. These allow the staff nurses to develop standardized integrated care plans for projected length of stay for patients of a specific case type.-
    B. The exact contents and format of these must be the same among different institutions to be standardized.
    C. These delve in cases occur in high volumes and are predictable
    D. These replace other nursing forms, such as the nursing care plans.-
    E. charting by exception is usually the method used.
A

B. The exact contents and format of these must be the same among different institutions to be standardized.

58
Q
  1. Nurse Kenji had been assigned to patient Luke who had been admitted to the hospital with chief complaints of gastric upset and fever. The physician ordered HNBB 20mg/mL IV q4h. Due to incompetence, Nurse Kenji missed to verify the doctor’s order and administered HNBB per Orem. He immediately reported this to his nursing supervisor and required him to put this in documentation. Which of the following should not be considered when writing an incident report?
    A. Assessment and judgment of the incident from your point of view.
    B. Do not admit liability or give unnecessary details.
    C. When writing the incident to the patient’s chart, do not mention the incident report.
    D. List the date, time, and care given to patient and the name of the doctor to be notified.
A

A. Assessment and judgment of the incident from your point of view.

for legal reasons

59
Q
  1. Sashi, a new graduate nurse, is employed in a public hospital utilizing the Focus Charting in nurse’s notes. Which of the following statements regarding this format of documentation is/are correct:
    I. Some agencies include patient teachings-
    II. Data, action, response, patient teachings-
    Ill. Response is the same as evaluation.-
    IV. Action combines planning and implementation.-
    V. Must use all the steps each time you make nurse’s notes on particular focus.
    VI. Data is both subjective and objective
    A. I, I, IV. V. VI
    B. II, III, IV. V, VI
    C. I. II. III. V. VI—
    D. I. II. Ill IV. VI
A

B. II, III, IV. V, VI

60
Q
  1. Which of the following is considered as a Passive Strategy of health promotion?
    A Smoking Cessation Program
    B. Fluoridation of Municipal Drinking Water
    C. Fitness Activity (Zumba Dance) every 5:00 PM
    D. Weight Reduction Program
A

B. Fluoridation of Municipal Drinking Water

Passive health promotion occurs when the client benefits from the activities of others without necessarily acting themselves

61
Q
  1. Nurse Jacob is presenting to the senior high school student covering the facts about HIV awareness in a certain public school. Which level of prevention is he practicing?
    A. Primary Prevention
    B. Secondary Prevention
    C. Tertiary Prevention
    D. Quaternary Prevention
A

A. Primary Prevention

health teaching

Primary Prevention—intervening before health effects occur, through.

62
Q
  1. A charge nurse is reviewing outcome statements using the SMART approach. Which patient outcome statement will the charge nurse praise to the new nurse?
    A. The patient will ambulate in hallways.
    B. The nurse will monitor the patient’s heart rhythm continuously this shift.
    C. The patient will feed self at all
    mealtimes today without reports of
    shortness of breath.
    D. The nurse will administer pain medication every 4 hours to keep the patient free from discomfort.
A

B. The nurse will monitor the patient’s heart rhythm continuously this shift.

63
Q
  1. A patient’s son decides to stay at the bedside while his father is confused. When developing the plan of care for this patient, what should the nurse do?
    A Individualize the care plan only according to the patient’s needs
    B. Request that the son leave at bedtime, so the patient can rest.
    C. Suggest that a female member of the family stay with the patient.
    D. Involve the son in the plan of care as much as possible
A

D. Involve the son in the plan of care as much as possible

64
Q
  1. Risk factors play a major role in how a nurse identifies a patient’s health status. Which of the following is not considered as a risk factor?
    A. Genetic predisposition
    B. Age
    C. Poor diet
    D Low education attainment
A

D Low education attainment

65
Q
  1. In caring for a client with chronic disease, Nurse Star is performing skillfully the needed nursing interventions to alleviate the client’s pain while preserving his dignity. According to Swanson’s Theory of Caring, this is included in what caring process?
    A. Knowing
    B. Being With
    C. Doing For
    D. Enabling
    E. Maintaining Belief
A

E. Maintaining Belief

Swanson’s caring theory outlines five caring processes: knowing, being with, doing for, enabling, and maintaining belief

66
Q
  1. Of the five caring processes described by Swanson, which describes “Being With”?
    A. Providing for another as he would do for themselves
    B. Being emotionally there for another person
    C. Striving to understand an event as meaning for another person
    D. Sustaining faith in one’s capacity to get through a situation
A

B. Being emotionally there for another person

67
Q
  1. A student nurse wants to clarify touch from a caring perspective. As a nurse, what will be your best response?
    A. “I do not touch the patient unless I am performing a procedure or doing an assessment.
    B “Touch is only used when a patient is in pain.”
    C.”Touch is a type of verbal communication
    D. “Touch forms a connection between the nurse and patient.
A

D. “Touch forms a connection between the nurse and patient.

68
Q
  1. Nurse Edward enters patient Bella’s room arranges the supplies for endotracheal suctioning, and explains the procedure to her He informs the patient what to expect during the procedure. Nurse Edward proceeds to skillfully perform endotracheal suctioning. This is an example of what type of touch.
    A.Protective Touch
    B Task-Oriented Touch
    C. Interpersonal Touch
    D. Caring Touch
A

B Task-Oriented Touch

69
Q
  1. Which of the following is not an outcome of nurses providing presence to patients?
    A. Alleviating suffering
    B. Personal growth
    C. Connectedness
    D. Decreasing sense of isolation and vulnerability
A

B. Personal growth

70
Q
  1. Nurse Rhoda is attending to Patient Pinas. She is not only physically present, but also understands the patient’s concerns and health issues. She is manifesting:
    A. Being there to the patient.
    B. Being with the patient.
    C. Being for the patient.
    D. Being together with patient.
A

B. Being with the patient.

71
Q
  1. This is a form of nonverbal communication which influences a patient’s security and comfort, enhances self-esteem, increases confidence of health team & improves well-being.
    A. Contact Touch
    B. Noncontact Touch
    C.. Task-Oriented Touch
    D. Protective Touch
    e. Caring Touch
A

e. Caring Touch

72
Q
  1. All of the following are guiding principles for the role of the nurse in the future of patient care delivery, except?
    A. Managing the journey
    B. Relationships of virtual care presence a Knowledge is analyzed
    C. The core of nursing is knowledge and caring
    D. None of the above
A

D. None of the above

73
Q
  1. All of the following serve as guidelines for quality documentation, except?
    A Writing in detailed, narrative format.
    B. Avoiding the use of jargons or abbreviations.
    C. Sticking to the facts.
    D. Use short sentences.
A

D. Use short sentences.

74
Q
  1. Nurse Sky has been assigned as a reliever today. At 2:00 AM, a patient has been rushed to the ER department with a case of Motor Vehicular Accident (MVA). After gathering the patient’s necessary data, the nurse informed the doctor via telephone call. The doctor then provided numerous orders to be done to the patient As a nurse, which of the following guidelines must be considered in accepting telephone orders?
    A. Read back any prescribed orders made to the doctor. ???
    B. Document every detail of the order into the physician’s order sheet.
    C. Follow agency’s protocols regarding telephone orders
    D. Sign the complete name of the physician.
A

C. Follow agency’s protocols regarding telephone orders

75
Q
  1. In the problem-oriented medical record (POMR), which of the following is questionable in listing the problem?
    A. Team members list the problems in alphabetical order.
    B. Team members add and date new problems as they arise.
    C. The problem list includes a patient’s physiological, psychological, social, cultural, spiritual, developmental, and environmental needs.
    D. When a problem is resolved, the text of that problem is lined out
A

A. Team members list the problems in alphabetical order.

76
Q
  1. The nurse supervisor is assisting a new nurse on faxing a medical record of her patient for immediate clinical needs. Which of the following if done by the nurse must be interrupted by her nurse supervisor?
    A. The nurse uses a cover sheet.
    B. The nurse authenticates the data to verify the source and destination are correct after transmission.
    C. The nurse uses an encryption feature
    on the machine.
    D. The nurse verifies the fax number of the transmittal confirmation sheet
A

C. The nurse uses an encryption feature
on the machine.

77
Q
  1. Which of the following documentation entries is most accurate?
    A. “Patient arrived to ER clutching chest, restless, and diaphoretic. Reports midsternal chest pain radiating to left shoulder starting 30mins ago, pain scale of 8/10. VS of BP: 180/100, HR: 102, RR: 22, T: 37.5°C and 02Sat of 97%.’
    B. “Patient arrived to ER via wheelchair with chief complaints of chest pain. Upon assessment, patient is restless and diaphoretic. VS taken and recorded on
    PR sheet’s
    C. “Patient arrived to ER at 12:03AM due to chest pain”
    D “Patient reported midsternal chest pain radiating to left shoulder starting 30mins ago, pain scale of 8/10. Informed
    the AP with patient’s status and carried
    out orders made. VS of BP: 180/100, HR:
    102, RR: 22, T: 37.5°C and 02Sat of 97%.
    Endorsed to private room for further
    monitoring.’
A

D “Patient reported midsternal chest pain radiating to left shoulder starting 30mins ago, pain scale of 8/10. Informed
the AP with patient’s status and carried out orders made. VS of BP: 180/100, HR: 102, RR: 22, T: 37.5°C and 02Sat of 97%. Endorsed to private room for further monitoring.’

78
Q
  1. In developing communication skills, Nurse Marco recognizes different opinions that may conflict with his patient. This is showing what aspect of attitude?
    A. Self-Confidence
    B. Integrity
    C. Humility
    D. Critical Thinking
    E. Ethical Standards of Care
A

E. Ethical Standards of Care

79
Q
  1. This is an assessment and communication technique that enables use of self-awareness, motivation, empathy, social skills to build therapeutic relationship with patients?
    A. Motivational Interview
    B. Narrative Approach
    C. Emotional Intelligence
    D. Perceptual Biases
A

C. Emotional Intelligence

80
Q
  1. Student Nurse Xia is about to perform NGTfeeding for the first time with her clinical instructor’s guidance. Before preparing the equipment needed, she whispers “This is my opportunity to learn, and I can ask for help. This is what type of communication?
    A. Intrapersonal Communication
    B. Interpersonal Communication
    C. Small-Group Communication
    D. Public Community Communication
    E. Electronic Communication
A

A. Intrapersonal Communication

intra for self

81
Q
  1. All are considered negative feedback mechanism, except:
    A. Body temperature regulation
    B. Uterine contractions during delivery
    C. Increase in blood pressure
    D. Doing exercises.
A

D. Doing exercises.

82
Q
  1. Which of the following activities does NOT represent an anatomical study:
    A. making a section through the heart to observe its interior
    B. examining the surface of a bone
    C. viewing muscle tissue through a microscope
    D. studying how the nerves conduct electrical impulses
    e. observing the parts of a reproducing cell
A

D. studying how the nerves conduct electrical impulses

83
Q
  1. Disruption in normal functioning of cells may result in death. One possible cause of disruption is the occurrence of disease.
    A. The first statement is correct. The second statement is wrong.
    B. The first statement is wrong. The second statement is correct.
    C. Both statements are correct.
    D. Both statements are wrong.
A

C. Both statements are correct.

84
Q
  1. Carrier mediated transport mechanisms: (Select all that apply)
    A. Exhibit specificity.
    B. Function to move small water-soluble molecules.
    C Function to move electrically charged ions.
    D. Include facilitated diffusion, active transport, and secondary active transport.
A

A. Exhibit specificity.
C Function to move electrically charged ions.
D. Include facilitated diffusion, active transport, and secondary active transport.

85
Q
  1. Understanding tissue structure and function is important because
    A. There is a relationship between the structure of each tissue type (how it is organized) and its function (what it does)
    B. There is a relationship between tissue structure and organ function.
    C. Many diseases and pathologies are tissue and cell type specific.
    D. Changes at the tissue level affect the function of organs
    E. All of these are correct.
    F. All are correct except option C.
A

E. All of these are correct.

86
Q
  1. Which of these is NOT one of the four basic tissue types?
    A. glandular
    B. connective
    C. muscle
    D. epithelium
    E. nervous
A

A. glandular

There are 4 basic types of tissue: connective tissue, epithelial tissue, muscle tissue, and nervous tissue.

87
Q
  1. Basement membranes:
    A. Function as a filter and barrier to cell or pathogen movement
    B. Attach epithelial cells to the underlying tissue
    C. Are secreted partially by epithelial cells and partially by the cells of the underlying tissue.
    D. Function as a filter and barrier to cell or pathogen movement, attach epithelial
    cells to the underlying tissue and are secreted partially by epithelial cells and partially by the cells of the underlying
    tissue are true of basement membranes.
    E. None of these is correct.
A

D. Function as a filter and barrier to cell or pathogen movement, attach epithelial
cells to the underlying tissue and are secreted partially by epithelial cells and partially by the cells of the underlying
tissue are true of basement membranes.

88
Q
  1. All are true statement about epithelial tissue: (Select all that apply)
    A Epithelial tissue is vascular
    B. Epithelial tissue provides physical protection for organs.
    C. Epithelial tissue functions in absorption & secretion.
    D. Epithelial tissue controls the permeability into and out of an area/organ.
    E. Epithelial tissue consists almost entirely of extracellular material between them thereby forming a barrier against
    entry into the body
A

All are true.

89
Q
  1. Which of these is not a factor that control stroke volume?
    A. sympathetic stimulation of the myocardium
    B. end-diastolic volume
    C. end-systolic volume
    D. cardiac output
    E. contractility of the heart
A

C. end-systolic volume

90
Q
  1. A client with pyrexia will most likely demonstrate:
    A. Elevated blood pressure
    B. Dyspnea
    C. Increased pulse rate
    D. Precordial pain
A

C. Increased pulse rate

Pyrexia is medical term for fever

91
Q
  1. The Nurse explains to a client that the mechanism mediating long-term blood pressure regulation is the
    A. Adjustment of urinary output
    B. Fight or flight response
    C. Capillary fluid shifts
    D. Nervous system baroreceptors
A

A. Adjustment of urinary output

92
Q
  1. The nurse is assisting a client to the bedside commode to urinate. Which brain structures influence the client’s bladder function? Select all that apply.
    A. Brainstem,
    B. Hypothalamus.
    C. Thalamus.
    D. Cerebral cortex.
A

A. Brainstem,
B. Hypothalamus.
C. Thalamus.
D. Cerebral cortex.

All are true

93
Q
  1. Compression of what nerve arising from the brachial plexus results in numbness, tingling, and pain in the fingers, a condition called carpal tunnel syndrome.
    A. Median nerve
    B. Musculocutaneous nerve
    C. Axillary nerve
    D. Radial nerve
A

A. Median nerve

The median nerve helps you move your forearm, wrist, hand and fingers. It also provides sensation to the forearm and certain parts of the hand.

94
Q
  1. When a variation outside of normal limits triggers an automatic response that corrects the situation, the mechanism is called:
    A Homeostasis
    B. positive feedback
    C. Crisis management
    D Negative feedback
A

D Negative feedback

A variation outside the desired. range triggers an automatic response that corrects the. situation. This method of homeostatic regulation is. called negative feedback, because an effector activated.

95
Q
  1. The sciatic nerves arise from which of these plexuses?
    A. Cervical
    B. Choroid
    C. Lumbosacral
    D. Brachial
A

C. Lumbosacral

The sciatic nerve is the largest nerve in the human body and is derived from the sacral plexus

96
Q
  1. Which part of the neuron receives information?
    A. The axon
    B. The dendrite
    C. The Node of Ranvier
    D. The myelin sheaths
A

B. The dendrite

Dendrites extend out from the cell body and receive messages from other nerve cells.

97
Q
  1. A role of immunoglobulin G (IgG) is to:
    A. Activate the T-cell lymphocytes
    B. Activate the kinin system
    C. Activate the complement system
    D. Activate the process of inflammation
A

D. Activate the process of inflammation

IgG neutralizes pathogens such as viruses and bacteria by binding to key pathogen surface proteins and preventing interaction of the pathogen with host cells. In doing so, the antibody neutralizes the ability of the pathogen to enter host cells and replicate.

98
Q
  1. Which of the following is an example of naturally acquired active immunity?
    A. A child receives the measles, mumps, and rubella (MMR) vaccine.
    B. An adult contract a streptococcus infection and recovers in a couple of weeks.
    C. A child bitten by a rabid animal receives an injection of rabies antibodies.
    D. Antibodies pass from mother to the developing child in the womb.
    E. All of the above.
A

A. A child receives the measles, mumps, and rubella (MMR) vaccine.

Naturally acquired active immunity occurs when a person is exposed to a live pathogen, develops the disease, and then develops immunity.

99
Q
  1. The endocrine functions of the kidney and the heart include the production and secretion of the hormones:
    A. insulin and glucagon
    B. erythropoietin and atrial natriuretic peptic
    C. epinephrine and norepinephrine
    D. renin and angiotensinogen
A

B. erythropoietin and atrial natriuretic peptic

100
Q
  1. Which of the following does not stimulate the release of renin from the kidneys?
    A. a decline in renal blood flow
    B. parasympathetic stimulation
    C. sympathetic stimulation
    D. none of the above
A

B. parasympathetic stimulation

Body functions stimulated by the parasympathetic nervous system (PSNS) include sexual arousal, salivation, lacrimation, urination, digestion, and defecation.

While your sympathetic nervous system carries signals that put your body’s systems on alert, your parasympathetic carries signals that relax those systems.

NP (5 decks)

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