Week 1 Sherpath

Question 1

During which time frame in nursing history did Dorothea Dix organize military hospitals and head the US Sanitary Commission?
-Colonial American period
-19th century
-20th century
-Crimean War

Answer 1

-19th century

Question 2

Which major contribution did Hippocrates make toward the evolution of medicine and health care?
-Was the first to develop procedures to perform surgical operations
-Developed the Mosaic code to organize methods of disease control and prevention
-Was the first to attribute disease to natural causes rather than supernatural causes and curses of the gods
-Established the first military hospital in Europe

Answer 2

-Was the first to attribute disease to natural causes rather than supernatural causes and curses of the gods

Question 3

Which elements are included in the ANA standards of professional performance?
(choose all that apply)
-Ethics
-Collaboration
-Nursing process
-Quality of practice
-Resource utilization

Answer 3

-Ethics
-Collaboration
-Quality of practice
-Resource utilization

Question 4

Which nursing roles are inherent roles?
(choose all that apply)
-Change agent
-Nurse administrator
-Faith community nurse
-Patient advocate
-Case manager

Answer 4

-Change agent
-Patient advocate

Question 5

Which contemporary nursing role is one of the fastest-growing specialties in the 21st century?
-Case manager
-Flight nurse
-Faith community nurse
-Forensic nurse

Answer 5

Forensic nurse

Question 6

A dean in a college of nursing is trying to inspire a faculty member to obtain a terminal degree. Which nursing role does this action represent?
-Leader
-Manager
-Collaborator
-Educator

Answer 6

-Leader

Question 7

Match the contribution to nursing with the associated historical period.

Middle Ages

Early Civilization

Early 20thCentury

Renaissance Period

Answer choices
Recruited women for Sisters of Charity,
Red Cross established,
American Journal of Nursing established,
Care provided based on sanctity of human life,
Advanced hygiene and sanitation practices,
Pharmaceutical developments increased

Answer 7

Middle Ages
Care provided based on sanctity of human life

Early Civilization
Advanced hygiene and sanitation practices

Early 20th Century
American Journal of Nursing established

Renaissance Period
Recruited women for Sisters of Charity

Question 8

Which 19th century nurse used her extensive knowledge in tropical medicine to treat patients during the cholera epidemic in the 1850s?
-Florence Nightingale
-Clara Barton
-Dorothea Dix
-Mary Seacole

Answer 8

Mary Seacole

Question 9

Which organization’s definition of nursing includes the autonomous role of nurses?
-International Council of Nurses (ICN)
-American Nurses Association (ANA)
-State Board of Nursing (SBN)
-National League for Nursing (NLN)

Answer 9

International Council of Nurses (ICN)

Question 10

In which roles do nurses serve?
Select all that apply.
-Care provider
-Educator
-Therapist
-Researcher
-Analyst

Answer 10

Care provider

Educator

Researcher

Question 11

Which role describes how nurses function to ensure that members of the health care team work together to accomplish a common goal?
-Change agent
-Manager
-Collaborator
-Advocate

Answer 11

Collaborator

Question 12

A charge nurse is authorized to make changes in the number of staff members who work a shift. Within which nursing role is the charge nurse functioning?
-Leader
-Manager
-Collaborator
-Delegator

Answer 12

Manager

Question 13

Which roles is the nurse demonstrating when recognizing a problem and collecting data to sufficiently support the need for policy updates?
Select all that apply.
-Patient advocate
-Manager
-Researcher
-Delegator
-Change agent

Answer 13

Researcher

Change agent

Question 14

Which author’s definition of public health is founded on the concept of social justice?
-C. E. Winslow (1960)
-Institute of Medicine (1988)
-American Nurses Association (2015)
-Krieger and Birn (1998)

Answer 14

Krieger and Birn (1998)

Question 15

Which unit of care is the primary focus of public health nurses?
-Disenfranchised groups
-Families
-Individuals at risk
-Populations

Answer 15

Populations

Question 16

Which core public health function is exemplified by the nurse who ensures that essential public health services are available?
-Assurance
-Assessment
-Prevention
-Policy development

Answer 16

Assurance

Question 17

Match the public health intervention with the appropriate Intervention Wheel wedge.
Identifies people with unrecognized health risks or asymptomatic disease

Seeks information and generates solutions to problems

Provides a voice for someone else to develop a system toward empowerment

Coordinates and provides services to optimize self-care capabilities

Answers choices
Coalition building, Community organizing, Screening, Consultation

Answer 17

Identifies people with unrecognized health risks or asymptomatic disease

Coalition building

Seeks information and generates solutions to problems

Community organizing

Provides a voice for someone else to develop a system toward empowerment

Screening

Coordinates and provides services to optimize self-care capabilities

Consultation

Question 18

Which activities are essential to develop local and state health policies?
(choose all that apply)
-Promoting empowerment of individuals
-Developing protocols that support individual and community health
-Monitoring health status of community members
-Mobilizing community partnerships
-Securing a competent health care workforce

Answer 18

-Promoting empowerment of individuals
-Developing protocols that support individual and community health
-Mobilizing community partnerships

Question 19

Which action by a public health nurse focuses on health promotion?
-Creating a supportive environment
-Ensuring nutrition security
-Assessing and maintaining environmental health
-Providing emergency health services

Answer 19

-Creating a supportive environment

Question 20

In which settings does a public health nurse practice?
(choose all that apply)
-Representative on a board of nursing
-Correctional facility
-School
-Outpatient surgery center
-Health department
-Urgent care facility

Answer 20

-Representative on a board of nursing
-Correctional facility
-School
-Health department

Question 21

Which nursing intervention could be identified as the essential function of participating in regulatory activities?
-Design a low-impact aerobics outreach program for older adults.
-Develop “shelter-at-home” policies for a geographic region at high risk for a communicable disease.
-Refer low-income families to a health clinic that provides health care services on a sliding scale.
-Develop a brochure on effective contraceptive for distribution in a family planning clinic.

Answer 21

Develop “shelter-at-home” policies for a geographic region at high risk for a communicable disease.

Question 22

Which scenario is an example of primary prevention?
-Conducting a lead-screening program targeted at preschool-age children
-Providing directly observed drug therapy for patients with active tuberculosis
-Collaborating in the development of a citizens’ emergency-preparedness plan
-Asking about abuse as part of routine health assessment

Answer 22

Collaborating in the development of a citizens’ emergency-preparedness plan

Question 23

When a public health nurse screens for hearing loss, which level of prevention is being addressed?
-Primary
-Primary transitional
-Secondary
-Tertiary

Answer 23

Secondary

Question 24

Which domain of practice is implemented by addressing a population’s values, traditions, and beliefs?
-Leadership and systems thinking
-Cultural competency
-Communication with community stakeholders
-Program planning and policy development

Answer 24

Cultural competency

Question 25

Which level of prevention is being used when a nurse encourages members of the community to receive the influenza vaccine?
-Primary
-Multifactorial
-Secondary
-Tertiary

Answer 25

Primary

Question 26

At the community level of public health practice, which population would be considered a population of interest?
-Homeless individuals
-Healthy school-age children
-A group of patients recently diagnosed with heart failure
-Teenage parents

Answer 26

Healthy school-age children

Question 27

Match the public health service with its appropriate category.
Health promotion

Illness
prevention

Health protection

Answer choices
Encourage emergency preparedness,
Promote sexual health,
Build healthy public policy

Answer 27

Health promotion
Build healthy public policy

Illness prevention
Promote sexual health

Health protection
Encourage emergency preparedness

Question 28

Which actions are methods identified by the Institute of Medicine’s (IOM’s) The Future of the Public’s Health in the 21st Century to ensure the health of communities?
Select all that apply.
-Adopting a population health approach that considers multiple determinants of health
-Coordinating patient services
-Requiring accountability from all sectors of the public health system
-Promoting healthy lifestyles among populations in communities
-Making evidence the foundation of decision-making

Answer 28

Adopting a population health approach that considers multiple determinants of health

requiring accountability from all sectors of the public health system

Making evidence the foundation of decision-making

Question 29

Providing education across the three levels of prevention serves which purpose?
-Enables populations to address health issues individually
-Enables patients to attain optimal health
-Identifies and treats health problems early to eliminate disability
-Teaches people about Healthy People 2020

Answer 29

Enables patients to attain optimal health

Question 30

Which characteristic describes the classification of a practice theory?
-May be generalized to other settings
-Is difficult to test in nursing practice
-Guides nursing care of specific populations
-Is the most abstract and theoretical theory

Answer 30

Guides nursing care of specific populations

Question 31

Which concepts are included in Hildegard Peplau’s Theory of Interpersonal Relations?
(choose all that apply)
-Patient adaptation
-Therapeutic interactions
-Person as a whole
-Interpersonal roles
-Environment

Answer 31

-Therapeutic interactions
-Interpersonal roles

Question 32

The nurse is discussing with a student the importance of caring for patients to promote health and healing. Principles of which contributor’s theory would be part of this discussion?
-Jean Watson
-Imogene King
-Betty Newman
-Rosemary Rizzo Parse

Answer 32

Jean Watson

Question 33

The nurse is implementing concepts from which theorist when facilitating a patient’s independence?
-Betty Newman
-Hildegard Peplau
-Madeline Leininger
-Virginia Henderson

Answer 33

Virginia Henderson

Question 34

The nurse recognizes that the staff seems apprehensive when discussing a new electronic medical record that will be placed on each unit and will require staff training. Based on Lewin’s Change Theory, which stage does the staff apprehension represent?
-Movement
-Unfreeze
-Refreeze
-Contemplate

Answer 34

Unfreeze

Question 35

A 16-year-old patient who is physically stable and healing is acting withdrawn. At various times during interactions with the patient, the nurse observes the patient sucking his thumb. Which contributor’s theory would be beneficial if applied to this patient’s care?
-Rosenstock
-Maslow
-Imogene King
-Erikson

Answer 35

Erikson

Question 36

Which theory predicts general health behaviors of an individual?
-Maslow’s Hierarchy of Needs
-Lewin’s Change Theory
-Rosenstock’s Health Belief Model
-Erikson’s Theory of Development

Answer 36

Rosenstock’s Health Belief Model

Question 37

The nurse implemented strict infection control procedures for an immunocompromised patient. Whose theory did the nurse apply when caring for this patient?
-Jean Watson
-Florence Nightingale
-Hildegard Peplau
-Virginia Henderson

Answer 37

Florence Nightingale

Question 38

Match the theory or conceptual framework with the theorist who developed it.
Madeline Leininger

Martha Rogers

Rosemarie Rizzo Parse

Hildegard Peplau

Answer choices
Theory of Interpersonal Relations

Human Becoming Theory

Science of Unitary Human Beings Model

Cultural Care Theory

Adaptation Model

Systems Model

Answer 38

Madeline Leininger
Cultural Care Theory

Martha Rogers
Science of Unitary Human Beings Model

Rosemarie Rizzo Parse
Human Becoming Theory

Hildegard Peplau
Theory of Interpersonal Relations

Question 39

Which terms are components of critical thinking as listed in Paul’s Critical Thinking Theory?
(choose all that apply)
-Experience
-Reasoning
-Proficiency
-Observation
-Caring

Answer 39

-Experience
-Reasoning
-Observation

Question 40

The nurse is teaching a patient recently diagnosed with diabetes how to administer insulin injections. Whose theory is the nurse demonstrating?
-Betty Newman
-Sister Callista Roy
-Dorothea Orem
-Florence Nightingale

Answer 40

Dorothea Orem

Question 41

Which characteristics are associated with grand theories?
(choose all that apply)
-Define a broad perspective for nursing practice
-Focus on a specific condition or population
-Are the most abstract
-Narrow focus and may be generalized
-Difficult to test in practice

Answer 41

-Define a broad perspective for nursing practice
-Are the most abstract
-Difficult to test in practice

Question 42

Match the theory or model with its description.
three-step process in which individuals encounter the unknown

Skills like conceptualizing and reasoning help guide nursing actions

Resolution of a developmental stage results in age-appropriate behavior

Predicts an individual’s response to treatment and health behaviors

Answer choices
Rosenstock’s Health Belief Model

Lewin’s Change Theory

Paul’s Critical Thinking Theory

Erikson’s Psychosocial Theory

Maslow’s Hierarchy of Needs

Answer 42

Three-step process in which individuals encounter the unknown Lewin’s Change Theory

Skills like conceptualizing and reasoning help guide nursing actions
Paul’s Critical Thinking Theory

Resolution of a developmental stage results in age-appropriate behavior
Erikson’s Psychosocial Theory

Predicts an individual’s response to treatment and health behaviors
Rosenstock’s Health Belief Model

Question 43

Which concept is included in Martha Rogers’ Science of Unitary Human Beings?
-Views the patient’s holistic response to stress
-Each being is unique and needs to be looked at as a whole
-Based on setting goals to meet patients’ needs
-A method for nurses to assist patients to adapt to changes

Answer 43

Each being is unique and needs to be looked at as a whole

Question 44

The nursing student understands that which concepts are tiers in Maslow’s Hierarchy of Needs?
(choose all that apply)
-Motivation
-Safety
-Individuality
-Physiologic
-Esteem

Answer 44

-Safety
-Physiologic
-Esteem

Question 45

Which non-nursing theory do nurses use to plan care for their patients at different stages in life?
-Maslow’s Hierarchy of Needs
-Lewin’s Change Theory
-Erikson’s Psychosocial Theory of Development and Socialization
-Rosenstock’s Health Belief Model

Answer 45

Erikson’s Psychosocial Theory of Development and Socialization

Question 46

The National Institute of Nursing Research (NINR) is focused on the advancement of which major themes?
(choose all that apply)
-Health disparities
-Quality of life in chronic illness
-Wellness
-Illness prevention
-Self-management

Answer 46

-Quality of life in chronic illness
-Wellness
-Illness prevention
-Self-management

Question 47

Which statements are true regarding the process of nursing research?
(choose all that apply)
-It can lead to knowledge to support a change in practice.
-It is thought to have begun with Clara Barton.
-It is a systematic approach to address a problem or question.
-It can be used to prove existing theories or refine existing knowledge.
-It is a static process.

Answer 47

-It can lead to knowledge to support a change in practice.
-It is a systematic approach to address a problem or question.
-It can be used to prove existing theories or refine existing knowledge.

Question 48

A staff nurse is considering a research study on the Hopi Indian culture’s perspective on death and dying. Which type of research method would be best for the study?
-Needs assessment
-Phenomenology
-Ethnography
-Experimental study

Answer 48

Phenomenology

Question 49

Match the PICOT element with the appropriate descriptor from the case study.
Child’s self-report of pain

Inadequate pediatric pain control

Pediatric oncology patients

Population being studied

Comparison of issue of concern

Answer choices
Comparison of issue of concern

Intervention of concern

Outcome related to clinical idea

Population being studied

Time needed to evaluate the effectiveness

Answer 49

Child’s self-report of pain
Outcome related to clinical idea

Inadequate pediatric pain control
intervention of concern

Pediatric oncology patients
Population being studied

Assessment of pediatric pain
Comparison of issue of concern

Question 50

Place the evidence in order from most to least trustworthy.

Randomized controlled trials

Case-control studies

Systematic reviews

Background information and expert opinion

Meta-analysis

Answer 50

Meta-analysis

Systematic reviews

Randomized controlled trials

Case-control studies

Background information and expert opinion

Question 51

Which questions would a nurse ask when appraising researched evidence?
(choose all that apply)
-Does the evidence relate to the proposed question?
-Has personal bias been eliminated?
-Are the results of the evidence reliable?
-What is the target population being studied?
-Can the evidence be applied to a different population group?

Answer 51

-Does the evidence relate to the proposed question?
-Has personal bias been eliminated?
-Are the results of the evidence reliable?
-Can the evidence be applied to a different population group?

Question 52

Which benefits are associated with using evidence-based practice in nursing care?
(choose all that apply)
-Reduced health care costs
-Higher-quality nursing care
-Improved patient outcomes
-Increased nurse-to-patient ratios
-Improved job satisfaction

Answer 52

-Reduced health care costs
-Higher-quality nursing care
-Improved patient outcomes
-Improved job satisfaction

Question 53

Which statements about qualitative research are true?
(choose all that apply)
-The researcher’s personal bias is more likely to have an influence on the results.
-It can be beneficial in providing increased understanding about human emotions.
-It is thought to be more credible than quantitative research.
-The collection of data is more time-consuming compared with quantitative research.
-It usually involves numeric data that require analysis.

Answer 53

-The researcher’s personal bias is more likely to have an influence on the results.
-It can be beneficial in providing increased understanding about human emotions.
-It usually involves numeric data that require analysis.

Question 54

Which characteristics should be present for research to be meaningful to the nursing profession?
(choose all that apply)
-The methods used for analyzing the problem must be fundamentally sound.
-The research must be focused on problems encountered in the clinical setting.
-The research must be grounded in a scientifically based framework.
-The research should be focused on areas of concern relevant to nursing practice.
-The research must be conducted by health care team members, such as health care providers, nurses, and dietitians.

Answer 54

-The methods used for analyzing the problem must be fundamentally sound.
-The research must be focused on problems encountered in the clinical setting.
-The research must be grounded in a scientifically based framework.
-The research should be focused on areas of concern relevant to nursing practice.

Question 55

An experiment studying the treatment on patients who were selected by a process that eliminated bias and uses a control group would be considered which type of study?
-Meta-analysis
-Case series
-Critically appraised topic
-Randomized controlled trial

Answer 55

Randomized controlled trial

Question 56

Which actions would encourage a culture of inquiry and evidence-based practice on a nursing unit?
(choose all that apply)
-A newly graduated nurse questioning vital signs taken at 4 a.m. in stable pediatric patients admitted for observation
-A staff nurse creating a monthly journal club to encourage research among the floor staff
-An experienced nurse being hesitant to change a nursing practice despite the evidence presented by the newer staff member
-Becoming a mentor after attending a conference on evidence-based practice and research studies
-Celebrating a peer who recently implemented a change in nursing practice on the unit

Answer 56

-A newly graduated nurse questioning vital signs taken at 4 a.m. in stable pediatric patients admitted for observation
-A staff nurse creating a monthly journal club to encourage research among the floor staff
-Becoming a mentor after attending a conference on evidence-based practice and research studies
-Celebrating a peer who recently implemented a change in nursing practice on the unit

Question 57

A doctorally prepared registered nurse who is educated in research statistics often works closely with legislators and policymakers when change is needed in a health care policy. Based on the description, in which role is this nurse functioning?
-Clinical nurse researcher (CNR)
-Clinical nurse advocate
-Clinical nurse specialist (CNS)
-Clinical nurse manager

Answer 57

-Clinical nurse researcher (CNR)

Question 58

Which description defines the concept of illness prevention?
-Behaviors that balance a patient’s physical, emotional, social, spiritual, and intellectual well-being
-Conditions that increase a patient’s vulnerability to illness
-Activities that protect a patient from actual or potential health threats
-Actions that motivate a patient to strive for optimal health

Answer 58

Activities that protect a patient from actual or potential health threats

Question 59

Match the dimension of optimal health to its example.
Communities and family

Fitness and nutrition

Charity and hope

Crisis care and stress management

answers choices
Environmental well-being , Social well-being, Physical well-being , Intellectual well-being

Answer 59

Communities and family
Environmental well-being

Fitness and nutrition
Intellectual well-being

Charity and hope
Social well-being

Crisis care and stress management
Physical well-being

Question 60

Which example is a passive strategy for health promotion?
-Attending an exercise program 3 days a week
-Meditating every morning before work
-Participating in a smoking-cessation program
-Drinking fluoridated tap water

Answer 60

Drinking fluoridated tap water

Question 61

Match the intervention to its level of prevention.
Primary

Secondary

Tertiary

Quaternary

Answers choices
Prevention of disease ,Detection of hidden disease ,Protection from overmedication ,Treatment for diagnosed disease

Answer 61

Primary
Prevention of disease

Secondary
Detection of hidden disease

Tertiary
Treatment for diagnosed disease

Quaternary
Protection from overmedication

Question 62

Which phrase describes the goal of secondary prevention?
-To protect from accidents
-To restore functional abilities
-To manage a diagnosed disease
-To provide early detection of health problems

Answer 62

To provide early detection of health problems

Question 63

Which nursing intervention is an example of primary prevention?
-Providing discharge teaching
-Obtaining a fecal occult blood test
-Administering a pneumonia vaccine
-Scheduling a mammogram screening

Answer 63

Administering a pneumonia vaccine

Question 64

Which actions apply to the concept of health promotion?
(choose all that apply)
-Establishing a vaccination program
-Participating in a routine exercise program
-Informing people of what they could do to stay healthy
-Assessing community assets and strengths that influence health and well-being
-Educating individuals on safe-sex practice

Answer 64

-Participating in a routine exercise program
-Informing people of what they could do to stay healthy
-Assessing community assets and strengths that influence health and well-being

Question 65

Which patient findings are risk factors for the development of diabetes?
(choose all that apply)
-Is overweight
-Reports siblings have diabetes
-Reports becoming a nonsmoker
-Has started walking in the evenings
-Watches television 5 hours per night

Answer 65

-Is overweight
-Reports siblings have diabetes
-Watches television 5 hours per night

Question 66

Which action would the nurse take to help a patient implement a risk-reduction plan?
-suggest online health education resources that help to reduce the identified risk factor.
-Collaborate solely with a health care provider.
-Administer a hepatitis vaccine.
-Encourage assistive personnel to teach healthy strategies.

Answer 66

suggest online health education resources that help to reduce the identified risk factor.

Question 67

A nurse is screening children for scoliosis. Which type of prevention does this illustrate?
-Primary
-Secondary
-Tertiary
-Quaternary

Answer 67

Secondary

Question 68

Which nursing intervention is an example of tertiary prevention?
-Encouraging the patient to use seatbelts
-Helping the patient adjust to an incurable disease
-Administering a purified protein derivative (PPD) skin test to a patient
-Facilitating genetic screening for a patient and their significant other

Answer 68

Helping the patient adjust to an incurable disease

Question 69

Match the intervention to its level of prevention.

Primary

Secondary

Tertiary

Quaternary

Answer choices
Administering medication to stop a disease process

Screening for HIV

Teaching about safe-sex practices

Performing a chart audit to evaluate quality care

Answer 69

Primary
Teaching about safe-sex practices

Secondary
Screening for HIV

Tertiary
Administering medication to stop a disease process

Quaternary
Performing a chart audit to evaluate quality care

Question 70

A nurse is providing tertiary prevention for a patient with a stroke that resulted in left-sided weakness. Which concept describes the focus of the nurse’s interventions?
-Early diagnosis
-Prompt detection
-Health promotion
-Rehabilitation efforts

Answer 70

Rehabilitation efforts

Question 71

Which basis of individual belief is the nurse expressing, based on education, to a postoperative patient?
-Evidence
-Awareness
-Scope
-Conviction

Answer 71

Evidence

Question 72

Which terms are components of the Health Belief Model?
(choose all that apply)
-Self-efficacy
-Self-doubt
-Perceived severity
-Perceived barriers
-Self-awareness

Answer 72

-Self-efficacy
-Perceived severity
-Perceived barriers
-Self-awareness

Question 73

To help patients make better health care decisions, which attribute do nurses use to understand their own beliefs?
-Self-reflection
-Self-awareness
-Self-control
-Self-determination

Answer 73

Self-awareness

Question 74

The National League for Nursing describes four values in nursing. Match the nurse’s behavior with the corresponding value.
Caring

Integrity

Diversity

Excellence

Answer choices
Giving health-promotion advice

Respecting cultural beliefs

Listening to patients’ feelings

Supporting community outreach for older adults

Answer 74

Caring
Giving health-promotion advice

Integrity
Listening to patients’ feelings

Diversity
Respecting cultural beliefs

Excellence
Supporting community outreach for older adults

Question 75

A nurse is caring for a woman who declines medications as she delivers her first child. The nurse supports the use of some medication to assist with the birth. Which concept does this scenario illustrate?
-Values clarification
-Values distortion
-Values conflict
-Values system

Answer 75

Values conflict

Question 76

A patient with stage IV heart failure has an advanced directive requesting no lifesaving measures if cardiorespiratory arrest occurs. The nurse believes there are certain lifesaving steps the patient should still consider. Which statements by the nurse are evidence of the values clarification process?
(choose all that apply)
-“Have you thought about the consequences of your decision?”
-“Why is this choice so important to you?”
-“Are you certain you know what you are doing?”
-“Did you consider what this would do to your family?”
-“Will your health care provider go along with your decision?”
-“Have you thought about what my advice for additional care means?”

Answer 76

-“Have you thought about the consequences of your decision?”
-“Why is this choice so important to you?”

Question 77

Order the hierarchical approach to providing culturally competent care.
Acknowledge the differences but build similarities.

Negotiate a treatment plan that includes patient values and beliefs.

Understand the patient’s values and beliefs. Understand your values and beliefs.

Involve the patient when providing the options.

Explain your perception of the patient’s problem.

Answer 77

Understand the patient’s values and beliefs. Understand your values and beliefs.

Explain your perception of the patient’s problem.

Acknowledge the differences but build similarities.

Involve the patient when providing the options.

Negotiate a treatment plan that includes patient values and beliefs.

Question 78

Which action would the nurse take first when working with a patient who has a specific set of values and beliefs regarding health care that is different from that of the nurse?
-Listen to the patient’s beliefs about their health care.
-Suggest that the patient consider other care formats.
-Explain personal thoughts about care to the patient.
-Describe other methods of care.

Answer 78

Listen to the patient’s beliefs about their health care.

Question 79

Which statements relate to the American Nurses Association (ANA) Code of Ethics?
-Provides a statement related to the ethical values, obligations, and duties for the nursing profession
-Provides a statement related to the proper care of persons with cancer
-Serves as the profession’s nonnegotiable ethical standard
-Expresses nurses’ understanding of the commitment to society
-Provides a standardized approach to patient care

Answer 79

-Provides a statement related to the ethical values, obligations, and duties for the nursing profession
-Serves as the profession’s nonnegotiable ethical standard
-Expresses nurses’ understanding of the commitment to society

Question 80

The nurse is concerned that a patient they are treating may have psychological issues that could affect their care. Which type of belief is the nurse expressing?
-Awareness
-Conviction
-Experience
-Stereotyping

Answer 80

Experience

Question 81

Which scenarios show implicit bias toward patients with disabilities?
(choose all that apply)
-A nurse helps a disabled person onto a scale without first asking the person if they want help.
-The health care provider examines a patient who uses a wheelchair while the patient is in the wheelchair.
-There is not a ramped entry to the clinic.
-A nurse uses a teach-back approach to determine learning.
-Evidence-based practice methods are used for patient care.

Answer 81

-A nurse helps a disabled person onto a scale without first asking the person if they want help.
-The health care provider examines a patient who uses a wheelchair while the patient is in the wheelchair.
-There is not a ramped entry to the clinic.

Question 82

Which methods suggest the nurse is applying their beliefs to patient care?
(choose all that apply)
-Use of direct pressure to control bleeding on post angioplasty patients based on previous cases
-Application of aromatherapy based on comments from family members
-Use of stand-and-pivot process to transfer a patient from bed to chair as learned in a nursing course
-Use of hydrogen peroxide to clean a wound based on a health care provider’s directive
-Application of care by listening to the patient while performing a dressing change

Answer 82

-Use of direct pressure to control bleeding on post angioplasty patients based on previous cases
-Use of stand-and-pivot process to transfer a patient from bed to chair as learned in a nursing course
-Application of care by listening to the patient while performing a dressing change

Question 83

Which approach would the nurse take to help with their internal conflicts related to the provision of palliative care to a stage IV cancer patient who has decided to discontinue care modalities?
-Values system
-Higher-order reasoning
-Values clarification
-Self-awareness

Answer 83

Values clarification

Question 84

A patient and a family member disagree about the use of alternative medicine. After the family member leaves the room, the patient asks the nurse for advice. Using the values clarification process, which action would the nurse take?
-Suggest the patient leave the hospital.
-Suggest the patient find alternative treatment.
-Administer a sedating medication so treatment can be initiated.
-Help the patient make an informed decision about next steps.

Answer 84

Help the patient make an informed decision about next steps.

Question 85

A nurse is assisting in the care of a woman having in vitro fertilization. The nurse’s religious belief system considers natural fertilization to be the appropriate means of conception. Which concept describes what the nurse is experiencing?
-Self-reflection
-Values clarification
-Self-awareness
-Values conflict

Answer 85

Values conflict

Question 86

The nurse is caring for a patient who received multiple doses of naloxone after an opioid overdose. After regaining consciousness, the patient is visibly upset and regrets what happened. Which actions would the nurse take?
(choose all that apply)
-Tell the patient that they should not engage in risky behavior.
-Allow the patient to share their feelings.
-Explain to the patient that drugs are illegal and should not be used as a means to avoid dealing with issues.
-Let the patient know that the nurse understands what is happening and will work with them to determine the best course of action.
-Explain to the patient that they will be placed on a psychiatric floor pending further investigation from a health care provider.
-Work with the patient to determine a plan of care that is consistent with their values and beliefs

Answer 86

-Allow the patient to share their feelings.
-Let the patient know that the nurse understands what is happening and will work with them to determine the best course of action.
-Work with the patient to determine a plan of care that is consistent with their values and beliefs

Question 87

Match the values clarification concept with the question examples.

“What would happen if this choice were implemented?”

“Why is this important to you?”

“Have you done anything about this yet?”

Answer choices
Believing

Prizing

Acting

Knowing

Choosing

Answer 87

“What would happen if this choice were implemented?”
Choosing

“Why is this important to you?”
Prizing

“Have you done anything about this yet?”
Acting

Question 88

A nurse explains all options related to the patient’s surgery, reminding the patient the decision is theirs. Which ethical principle is the nurse respecting?
-Justice
-Autonomy
-Beneficence
-Nonmaleficence

Answer 88

Autonomy

Question 89

Which supportive measure would the nurse implement to ensure the safety of older adults with cognitive impairment?
(choose all that apply)
-teach correct body mechanics
-help provide a protective environment
-promote activities that reorient the patient
-provide emotional support to the family
-assist with hydration, nutrition, and hygiene

Answer 89

-help provide a protective environment
-promote activities that reorient the patient
-assist with hydration, nutrition, and hygiene

Question 90

The community health nurse provides care for a 40 year old women who takes insulin to manage her diabetes. the patient is having increased difficulty managing her disease, and the nurse wants her to consider a new insulin pump to help her control it. which option increases the likelihood that the patient will accept this new insulin pump?
- identifying why the patient is reluctant to use the insulin pump
-supporting the patient as she tries the insulin pump as a limited basis
-telling the patient that many other patients you know use the insulin pump successfully
- supporting the patients perception that the insulin pump is more consistent with her health care goals than insulin administration
-telling the patient the insulin pump may initially be inconsistent with her health goals

Answer 90

• identifying why the patient is reluctant to use the insulin pump
  -supporting the patient as she tries the insulin pump as a limited basis
• supporting the patients perception that the insulin pump is more consistent with her health care goals than insulin administration

Question 91

Which health problem is a particular concern for older adults?
-arthritis
-dementia
-sexually transmitted infections
-viruses
-chronic physical illnesses

Answer 91

-arthritis
-dementia
-chronic physical illnesses

Question 92

Which factor is associated with an increased in community child care services?
-homelessness
-substance abuse
-changing economics
-large underinsured populations
-acute and chronic physical illnesses

Answer 92

-homelessness
-changing economics
-large underinsured populations

Question 93

Which action indicates that the public health nurse is assessing the structure component in a community?
-Observing the location of available health care services
-acquiring information about existing health care agencies
-acquiring information about different age groups in a community
-obtaining knowledge about the predominant ethic group in a community

Answer 93

-Observing the location of available health care services

Question 94

Which risk is reduced by taking annual Papanicolaou (pap) tests and mammograms’?
-cancer
-arthritis
-dementia
-hypertension

Answer 94

-cancer

Question 95

A community nurse is working toward achieving health people 2030. Which aim would be the goal?
-Assess the number of new diseases per 1000 people per year
-increase the quality of life through better health care services
-discover a vaccine for acquired immunodeficiency syndrome
-train nurses to give better health care services to rural people

Answer 95

-increase the quality of life through better health care services

Question 96

Which nursing action exemplifies public health nursing practice?
-understanding the needs of the patient in a population
-immunizing patients in a group to manage communicable disease
-providing direct care services to subpopulations within a community
-focusing on the health care of individuals and families in the community

Answer 96

understanding the needs of the patient in a population

Question 97

Which role is the nurse completing when providing information about community resources to a patient?
-counselor
-caregiver
-educator
change agent

Answer 97

-counselor

Question 98

a community based nurse notices an increased prevalence of pertussis infection in children. Which preventive care service would the nurse implement to address this problem?
-mass administration of antibiotics
-provision of prescribed effective immunizations
-prompt referral to tertiary care centers
-effective and extensive use of cough suppressants

Answer 98

-provision of prescribed effective immunizations

Question 99

Which individual is a member of a vulnerable population and at risk for health problems?
-a nurse working in a rural hospital
-an older adult who is homeless immigrant
-an infant recently immunized with live vaccine
-a health care provider taking care of pregnant women who are positive for human immunodeficiency virus

Answer 99

an older adult who is homeless immigrant

Question 100

While teaching a group of student nurses about roles, a registered nurse states, the nurse in this role has to develop mutual trust and respect for the abilities and contributions of other professionals. to which nursing role is the registered nursing referring?
-counselor
-collaborator
-change agent
-case manager

Answer 100

collaborator

Question 101

Which level of prevention would the nurse use when educating a family about the risks of lead based paint used in homes prior to 1978?
-primary
-secondary
-tertiary
-quaternary

Answer 101

-primary

Question 102

Which component helps assess the structure of the community?
(choose all that apply)
-government
-educational system
-economic status
-growth trends
-water and sanitation

Answer 102

-economic status
-water and sanitation

Question 103

A community flu vaccine clinic is a example of which level of prevention?
-primary
-secondary
-tertiary
-restorative

Answer 103

-primary

Question 104

Place in order the components of a community assessment
population
social system
structure

Answer 104

structure
population
social system

Question 105

which factors predispose vulnerable populations of patients to develop health problems?
-chronic diseases and homelessness
-poverty and acute illness
-lack of transportation
-excess health risks, limited access to health care services and dependency on other for care

Answer 105

excess health risks, limited access to health care services and dependency on other for care

Question 106

A patient approaches the community health nurse for help. the patient is unemployed has a family of three children to support and is receiving treatment for tuberculosis. which action would the community health nurse perform to help this patient?
(choose all that apply)
-assess the patients surroundings
-give financial advice to the patient
-educate the patient regarding tuberculosis
-make decisions for the patient to solve their health related issues
-find out which providers in the community could help solve the patients problems

Answer 106

-assess the patients surroundings
-educate the patient regarding tuberculosis
-find out which providers in the community could help solve the patients problems

Question 107

While caring for a patient in a community based hospital the nurse coordinates the resources and services required for the patients well being across a continuum of care. Which role is the nurse preforming?
-caregiver
-change agent
-case manager
-patient advocate

Answer 107

-case manager

Question 108

While caring for a patient in a community based hospital the nurse helps the patient identify and clarify health issues and choose appropriate measures to solve those issues. Which nursing role is the nurse performing in the scenario?
-counselor
-collaborator
-case manager
-epidemiologist

Answer 108

-counselor

Question 109

Which nursing action indicates that the nurse is performing the role of a change agent?
-identifying the quality of community child care services
-helping patients reach decisions that are best for them
-coordinating the activates of multiple providers in different health care settings
-developing a caring partnership with patients to identify needed community resources

Answer 109

identifying the quality of community child care services

Question 110

which action by the nurse when caring for a patient with arthritis indicates the need for further teaching?
-teaching stress management techniques o the patient
-showing patients advertisements that promise arthritis cures
-telling the patient about the need for rest in arthritis management
-educating the patient about the availability of mechanical appliances

Answer 110

-showing patients advertisements that promise arthritis cures

Question 111

Which intervention would the community health nurse perform to help an older adult male patient manage his hypertension?
(choose all that apply)
-monitor blood pressure and weight
-educate the patient about nutrition and dietary modification
-educate the patient about antihypertensive drugs and their side effects
-encourage the patient to preform strenuous exercise
-promote lifestyle changes

Answer 111

-monitor blood pressure and weight
-educate the patient about nutrition and dietary modification
-educate the patient about antihypertensive drugs and their side effects
-promote lifestyle changes

Question 112

A community health nurse has many roles. which responsibility of the nurse exemplifies the role of a change agent?
(choose all that apply)
-identifying and implementing new and more effective approaches to problems
-empowering individuals and their families to solve problems creatively
-becoming instrumental in creating change within health care agency
-establishing an appropriate plan of care based on assessment of patients and families
-coordinating needed resources and services for the patient well being

Answer 112

-identifying and implementing new and more effective approaches to problems
-empowering individuals and their families to solve problems creatively
-becoming instrumental in creating change within health care agency

Question 113

A 54 year old women is poop and suffering from tuberculosis. other people with tuberculosis live in the area. She has a 17 year old daughter. The patient has neglected her health to save money for her daughter. How would the nurse ensure that the patient and her family improve their health conditions?
(choose all that apply)
-provide employment resources to the daughter
-provide financial assistance too the family
-ensure that he environment where they live is clean and safe
-spread awareness about tuberculosis
-correct the patient and her community beliefs about health care

Answer 113

-provide employment resources to the daughter
-ensure that he environment where they live is clean and safe
-spread awareness about tuberculosis

Question 114

A 54 year old women diagnosed with tuberculosis is living in poverty. Which action would the nurse take when collecting information about the patients medical history?
(choose all that apply)
-take a brief history to avoid unnecessary stress to the patient
-avoid questions about financial status of the patient
-include questions about current medications
-determine whether the illness is acute or chronic
-collect date on a comprehensive form that focuses on the specific needs of the vulnerable population with whom the nurse works.

Answer 114

-include questions about current medications
-determine whether the illness is acute or chronic
-collect date on a comprehensive form that focuses on the specific needs of the vulnerable population with whom the nurse works.

Question 115

which intervention would the nurse perform when assessing vulnerable populations?
(choose all that apply)
-provide legal or financial advise to the patient if required.
-provide a linguistically and culturally competent assessment
-conduct an organized and complete history and assessment.
-assess only the chief complaints of the patient
-learn as much as possible about the culture of the patient

Answer 115

-provide a linguistically and culturally competent assessment
-conduct an organized and complete history and assessment.
-learn as much as possible about the culture of the patient

Question 116

When assessing a patients home for safety which question would the nurse consider?
-is the patient home insured
-what is the level of violence in the community
-is there a primary health care center near the patients home
-was the previous community nurse making frequent home visits

Answer 116

-what is the level of violence in the community

Question 117

A female patient living in the community as an immigrant travels out of the local area frequently for work. She is married with 2 children and describes a history of domestic’s violence. she is the sole earner for her family and struggles to have enough money for food. which patient factor makes her vulnerable?
-being an immigrant
-spending a lot of time traveling
-having history of domestic violence
-living away from her workplace
-having an income that is not sufficient to meet her family needs

Answer 117

-being an immigrant
-having history of domestic violence
-having an income that is not sufficient to meet her family needs

Question 118

Which aspect is a key community based health care?
(choose all that apply)
-Focus on primary care
-emphasis on health promotion
-health education about diseases
-emphasis on diagnosis and treatment
-care subsidiary to various hospitals

Answer 118

-Focus on primary care
-emphasis on health promotion
-health education about diseases

Question 119

In a public health clinic the nurse notices bruises on the back and injuries to the genitalia and breast of a female patient. the patient also appears apprehensive in the presence of her husband. which action would the nurse take?
(choose all that apply)
-notify the relevant authorities
-tell the women to ask her husband to leave the room
-discuss the finding with the women when her husbands is not around
-advise the women to divorce their husband
-instructor the women to contact legal authorities

Answer 119

-notify the relevant authorities
-discuss the finding with the women when her husbands is not around

Question 120

A rural community has a high incidence of heart attacks and high blood pressure. which intervention would be helpful in preventing heart attacks in this population?
(choose all that apply)
-educating about nutrition
-monitoring blood pressure
-administering antianxiety or stress releveling medication
-educating about prescribed hypertensive medications
-performing mass administration of hypertensive medications

Answer 120

-educating about nutrition
-monitoring blood pressure
-educating about prescribed hypertensive medications

Question 121

Which action would be the responsibility of a community based nurse as a patient advocate to assist patients with health services?
(choose all that apply)
-help patients make informed decisions
-assist patients in reaching out the appropriate authority
-help defend the health care providers decisions
-aid patients with legal issues of medical practice
-assist patients with specific service requests and appropriate follow up

Answer 121

-help patients make informed decisions
-assist patients in reaching out the appropriate authority
-assist patients with specific service requests and appropriate follow up

Question 122

The nurse works in a community with a high prevalence of cancer. Which nursing intervention would be helpful in reducing cancer related morbidity at the community level?
(choose all that apply)
-Provide emotional support tp the community.
-perform yearly breast self-examinations
-help people quite smoking
-motivate the women to go for annual pap test
encourage mammograms’ in specially active women

Answer 122

-help people quite smoking
-motivate the women to go for annual pap test