Situational Question

Question 1

A patient is admitted to a hospital room with a respiratory infection. Which environmental factors should the nurse prioritize to promote healing?
a) Adequate ventilation, cleanliness, and noise control
b) Temperature regulation, lighting, and noise control
c) Cleanliness, temperature regulation, and medication administration
d) Adequate ventilation, medication administration, and noise control

Answer 1

a) Adequate ventilation, cleanliness, and noise control

Question 2

Based on Nightingale’s theory, how can the nurse create a healing environment for a patient with a chronic illness?
a) Restrict visitors and limit noise levels
b) Provide ample natural light and fresh air
c) Ensure comfortable bedding and temperature control
d) All of the above

Answer 2

d) All of the above

Question 3

A patient with diabetes is struggling to manage their blood sugar levels. Which nursing problem would be most relevant to address based on Abdellah’s theory?
a) Lack of knowledge
b) Impaired physical mobility
c) Ineffective coping
d) Lack of communication

Answer 3

a) Lack of knowledge

Question 4

A patient with a spinal cord injury is unable to move their legs. Which basic need would be most impacted based on Henderson’s theory?
a) Breathing
b) Elimination
c) Exercise
d) Sleep

Answer 4

c) Exercise

Question 5

A patient with a new diagnosis of cancer is experiencing anxiety and fear. Which subsystem in Johnson’s model would be most relevant to address?
a) Affiliative subsystem
b) Dependency subsystem
c) Ingestive subsystem
d) Aggressive subsystem

Answer 5

a) Affiliative subsystem

Question 6

A patient with chronic heart failure is experiencing increased stress due to their illness. Which line of defense in Neuman’s model would be most affected?
a) Basic
b) Normal
c) Flexible
d) Lines of resistance

Answer 6

c) Flexible

Question 7

In a scenario where a patient is in pain, how would Nightingale advise the nurse to respond?
A) Administer pain medication only
B) Assess the environment and provide comfort measures
C) Refer to a specialist immediately
D) Document and monitor without intervention

Answer 7

B) Assess the environment and provide comfort measures

Question 8

How would Abdellah suggest measuring the effectiveness of nursing care?
A) Patient’s physical health outcomes only
B) Adherence to treatment plans
C) Completion of tasks
D) Patient satisfaction and needs met

Answer 8

D) Patient satisfaction and needs met

Question 9

A nurse notices that a patient’s room is too hot and poorly ventilated. According to Nightingale, what should the nurse do first?
A) Adjust the temperature and open a window
B) Document the findings
C) Call the physician
D) Provide the patient with a fan

Answer 9

A) Adjust the temperature and open a window

Question 10

When working with a patient adjusting to a new chronic illness, how would Johnson guide the nurse?
A) Limit discussions about emotions
B) Facilitate adaptive coping strategies
C) Focus only on medication management
D) Disregard the emotional impact

Answer 10

B) Facilitate adaptive coping strategies

Question 11

In a case of a patient with diabetes struggling to manage their condition, what would Johnson suggest?
A) Strictly monitor their diet
B) Help them develop adaptive strategies for management
C) Increase medication dosages immediately
D) Refer to a dietician only

Answer 11

B) Help them develop adaptive strategies for management

Question 12

If a nurse identifies poor nutrition in a patient, what would Nightingale advocate?
A) Prescribing supplements
B) Assessing and improving the patient’s food environment
C) Ignoring it if other issues are present
D) Documenting the findings without intervention

Answer 12

B) Assessing and improving the patient’s food environment

Question 13

While assessing a patient, the nurse notices signs of neglect in the home environment. What would Nightingale advocate for?
A) Reporting the situation to authorities
B) Ignoring the situation if the patient is stable
C) Assisting the family in improving the home environment
D) Advising the patient to move

Answer 13

C) Assisting the family in improving the home environment

Question 14

In addressing a patient’s nutritional needs, what would Abdellah emphasize?
A) Cultural preferences and dietary restrictions
B) Importance of vitamins
C) Following a strict diet
D) Consulting a nutritionist only

Answer 14

A) Cultural preferences and dietary restrictions

Question 15

When caring for a terminally ill patient, what would Henderson prioritize?
A) Aggressive treatment
B) Comfort and dignity in care
C) Family involvement
D) Regular assessments

Answer 15

B) Comfort and dignity in care

Question 16

How would Abdellah respond to a patient exhibiting emotional distress after a loss?
A) Refer them to a therapist
B) Provide emotional support and listening
C) Focus solely on physical health
D) Suggest distraction techniques

Answer 16

B) Provide emotional support and listening

Question 17

Henderson would advise that nurses assist patients in what way after hospitalization?
A) Regular follow-ups only
B) Reinforcing self-care practices
C) Limiting contact with healthcare providers
D) Focus on medications only

Answer 17

B) Reinforcing self-care practices

Question 18

In planning discharge for a patient with COPD, what would Nightingale emphasize?
A) Medication adherence
B) Environmental modifications for safety
C) Regular follow-up appointments
D) Avoiding physical activity

Answer 18

B) Environmental modifications for safety

Question 19

A nurse is teaching a newly diagnosed diabetic patient about blood sugar monitoring. What would Abdellah emphasize?
A) Strict adherence to testing times
B) Ignoring the patient’s concerns
C) Focusing on diet restrictions only
D) Understanding the reasons for monitoring

Answer 19

D) Understanding the reasons for monitoring

Question 20

In assessing a patient’s recovery from pneumonia, what would Henderson suggest is important?
A) Monitoring lung sounds only
B) Focusing on medication adherence
C) Assessing the patient’s ability to perform daily activities
D) Ensuring they have a follow-up appointment

Answer 20

C) Assessing the patient’s ability to perform daily activities

Question 21

A nurse notices a patient with hypertension is non-compliant with lifestyle changes. What does Neumann recommend?
A) Ignore the situation
B) Refer to a dietitian without further discussion
C) Increase medication dosage
D) Identify barriers to compliance and address them

Answer 21

D) Identify barriers to compliance and address them

Question 22

For a patient experiencing severe anxiety about their diagnosis, how would Johnson’s theory guide the nurse?
A) Encourage open communication about feelings
B) Limit discussions about the illness
C) Focus only on medical treatment
D) Refer to a counselor immediately

Answer 22

A) Encourage open communication about feelings

Question 23

If a patient recovering from surgery is feeling isolated, what would Henderson encourage the nurse to do?
A) Limit visitor access
B) Focus on medical assessments only
C) Facilitate social interactions
D) Suggest the patient keep to themselves

Answer 23

C) Facilitate social interactions

Question 24

When assessing an elderly patient with multiple health issues, what would Nightingale emphasize?
A) Treating each issue separately
B) Considering the overall environment and health
C) Focusing solely on medication management
D) Limiting patient involvement in care decisions

Answer 24

B) Considering the overall environment and health

Question 25

A patient with heart failure is struggling to adjust to their new diagnosis. Which subsystem in Johnson’s model would be most relevant to address?
a) Affiliative subsystem
b) Dependency subsystem
c) Ingestive subsystem
d) Aggressive subsystem

Answer 25

b) Dependency subsystem

Question 26

A patient who has lost a loved one expresses feelings of loneliness and seeks social interaction. Which subsystem is primarily affected?
A) Dependency
B) Affiliative
C) Achievement
D) Sexual

Answer 26

B) Affiliative

Question 27

A post-operative patient requires assistance with daily activities and is hesitant to perform them alone. This situation highlights which subsystem?
A) Aggressive
B) Ingestive
C) Dependency
D) Eliminative

Answer 27

C) Dependency

Question 28

A patient is struggling to maintain a balanced diet due to emotional distress. Which subsystem is most relevant here?
A) Ingestive
B) Sexual
C) Affiliative
D) Achievement

Answer 28

A) Ingestive

Question 29

A nurse notices a patient is experiencing frequent bowel issues post-surgery. Which subsystem should the nurse focus on?
A) Aggressive
B) Ingestive
C) Eliminative
D) Dependency

Answer 29

C) Eliminative

Question 30

A young adult expresses concerns about their sexual health and relationships. Which subsystem is the nurse most concerned with?
A) Achievement
B) Sexual
C) Affiliative
D) Aggressive

Answer 30

B) Sexual

Question 31

A patient feels frustrated about their inability to complete tasks independently due to a chronic illness. This frustration relates to which subsystem?
A) Dependency
B) Affiliative
C) Eliminative
D) Achievement

Answer 31

D) Achievement

Question 32

A patient in recovery from an eating disorder discusses their relationship with food. Which subsystem is most relevant?
A) Ingestive
B) Achievement
C) Sexual
D) Dependency

Answer 32

A) Ingestive

Question 33

A nurse helps a patient with self-care activities to enhance their self-esteem. This relates to which subsystem?
A) Affiliative
B) Aggressive
C) Achievement
D) Dependency

Answer 33

C) Achievement

Question 34

A nurse helps a patient with self-care activities to enhance their self-esteem. This relates to which subsystem?
A) Affiliative
B) Aggressive
C) Achievement
D) Dependency

Answer 34

C) Achievement