A nurse works in a special care unit for children with severe immunology problems and is caring for a 3-
year-old boy from Greece. The boy's father is wit... [Show More] h him while his mother and sister are back in Greece.
The nurse is having difficulty communicating with the father. What action does the nurse take?
A. Care for the boy as she would any other patient.
B. Search for help with interpretation and understanding of the cultural differences by contacting
someone from the local Greek community.
C. Ask the manager to talk with the father and keep him out of the unit.
D.Have another nurse care for the boy because maybe that nurse will do better with the father. - Ans-B.
Which of the following nursing activities is found in a tertiary health care environment?
A. Working the triage desk in the emergency department.
B. Administering influenza immunizations at the senior independent living facility.
C. Providing well-baby care in the clinic run by the local community health department.
D. Admitting a patient following open heart surgery to the cardiovascular intensive care unit. - Ans-D
When a nurse uses information and technology to communicate, locate and use knowledge, reduce and
eliminate errors, and help make decisions, the nurse is working in which area?
A. Nursing informatics
B. Integrated delivery system
C. Health care patient system
D. Computerized nursing network - Ans-A
The nurse is developing a health promotion program on healthy eating and exercise for high school
students using the health belief model as a framework. Which statement made by a nursing student is
related to the individual's perception of susceptibility to an illness?
A. "I've decided to start a walking club at school for interested students."
B. "I don't have time to exercise because I have to work after school every night."
C. "The statistics of how many teenagers are overweight is scary."
D. "I'm worried about becoming overweight and getting diabetes because my father has diabetes." -
Ans-D
The nurse is providing restorative care to a patient following an extended hospitalization for an acute
illness. Which of the following is an appropriate goal for restorative care?
A. Patient will be able to walk 200 feet without shortness of breath.
B. Patient will express concerns related to return to home.
C. Wound will heal without signs of infection.
D. Patient will identify strategies to improve sleep habits. - Ans-A
When illness occurs, different attitudes about it cause people to react in different ways. What do
medical sociologists call this reaction to illness?
A. Health promotion
B. Illness behavior
C. Health belief
D. Illness prevention - Ans-B
The patient tells the nurse that she is enrolled in a preferred provider organization (PPO) but does not
understand what this is. What is the nurse's best explanation of a PPO?
A. This health plan is operated by the government to provide health care to older adults.
B. This health plan is for people who cannot afford their own health insurance.
C. This health plan provides you with a preferred list of physicians, hospitals, and providers from which
you can choose.
D. This is a fee-for-service plan in which you can choose any physician or hospital. - Ans-C
The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens.
What level of prevention is the nurse practicing?
A. Quaternary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primary prevention - Ans-D
Which activity represents secondary prevention?
A. The school health nurse provides a program to the first-year students on healthy eating.
B. The patient attends cardiac rehabilitation sessions weekly.
C. A home health care nurse visits a patient's home to change a wound dressing.
D. A 50-year-old woman with no history of disease attends the local health fair and has her blood
pressure checked. - Ans-C
Which of the following are examples of the principle of patient-centered care that is focused on respect,
values, preferences, and expressed needs? (Select all that apply).
A. Allowing the patient to ask questions and express his or her concern about surgery.
B. Working with the family to bring in ethnic foods that the patient prefers.
C. Explaining a colonoscopy procedure to the patient.
D. Administer antihypertensive medications to patient daily.
E. Pulling the curtain around the patient bed before changing the wound dressing on the patient's leg. -
Ans-A,B,E
A community center is presenting a nurse-led program on the Patient Protection and Affordable Care
Act. Which statement made by a participant indicates a need for further teaching?
A. "My small company will now have to offer the 75 employees health insurance or pay a penalty."
B. "As long as my son is a full-time student in College, I will be able to keep him on my health insurance
until he is 26 years old."
C. "I signed up for the state health insurance exchange before the designated deadline to make sure I
had health insurance."
D. "Since I have now been diagnosed with diabetes, my health insurance plan cannot charge me higher
premiums." - Ans-B
Which activity performed by a nurse is related to maintaining competency in nursing practice?
A. Asking another nurse about how to change the settings on a medication pump
B. Regularly attending unit staff meetings
C. Participating as a member of the professional nursing council
D. Attending a review course in preparation for a certification examination - Ans-D
A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but does not
understand what this is. What is the nurse's best explanation of a PPO?
A. This health plan is for people who cannot afford their own health insurance
B. This health plan is operated by the government to provide health care to older adults
C. This health plan gives you with a list of physicians and hospitals from which you can choose
D. This is a fee-for-service plan in which you can choose any physician or hospital - Ans-C
Nurses on a nursing unit are discussing the processes that led up to a near-miss error on the clinical unit.
They are outlining strategies that will prevent this in the future. This is an example of nurses working on
what issue in the health care system?
A. Patient safety
B. Evidence-based practice
C. Patient satisfaction
D. Maintenance of competency - Ans-A
Which of the following statements is true regarding Magnet status recognition for a hospital?
A. Nursing is run by a Magnet manager who makes decisions for the nursing units
B. Nurses in Magnet hospitals make all of the decisions on the clinical units
C. Magnet is a term that is used to describe hospitals that are able to hire the nurses they need
D. Magnet is a special designation for hospitals that achieve excellence in nursing practice - Ans-D
A group of staff nurses notice an increased incidence of medication errors on their unit. After further
investigation it is determined that the nurses are not consistently identifying the patient correctly. A
change is needed quickly. What type of quality improvement method would be most appropriate?
A. PDSA
B. Six Sigma
C. Rapid-improvement event
D. A randomized controlled trial - Ans-C
A nurse is providing restorative care to a patient following an extended hospitalization for an acute
illness. Which of the following is an appropriate goal for restorative care?
A. Patient will be able to walk 200 feet without shortness of breath
B. Wound will heal without signs of infection
C. Patient will express concerns related to return to home
D. Patient will identify strategies to improve sleep habits - Ans-A
A nurse is presenting information to a management class of nursing students on the topic of financial
reimbursement for achievement of established, measurable patient outcomes. The nurse is presenting
information to the class on which topic?
A. Prospective payment system
B. Pay for performance
C. Capitation payment system
D. Managed care systems - Ans-B [Show Less]
