Chapter 01. Nursing in the 21st Century
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or
answers the question.
1) The
... [Show More] nurse is preparing to conduct an assessment on a client in the clinic setting. The client
asks the nurse why
nurses assess when the physician will as well. The nurse responds with which of the following?
A) The physician will treat with procedures.
B) The physician does not really assess.
C) The nurse treats the clientʹs response to illness.
D) The nurse assesses to determine needed medications.
Answer: C
Explanation: A) The physician does treat with procedures, but this does not answer the clientʹs
question.
B) The physician assesses the client based on the clientʹs need.
C) The nurse assesses in order to provide nursing care based on the client response to illness.
D) The physician, not the nurse, orders medications.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Assessment
Learning Outcome: 1-1
2) The nurse is conducting an assessment of a 65-year-old client who has come for an annual
assessment. The
nurse expects to give the client immunizations as a part of:
(Select all that apply.)
A) Promoting client health.
B) Caring for the clientʹs illness.
C) Maintaining the clientʹs health.
D) Alleviating the clientʹs suffering.
E) Caring for the clientʹs family.
Answer: A, C
Explanation: A) Providing immunizations is an example of promoting health.
B) The client receiving immunizations is not generally ill.
C) Immunizations help to maintain the clientʹs health status.
D) The client having an annual assessment is usually not suffering.
E) Immunizing a client is not an example of care of the family.
Cognitive Level: Comprehension
Client Need: Health Promotion and Maintenance
Nursing Process: Planning
Learning Outcome: 1-1
3) The nurse performs daily, routine equipment checks to detect possible malfunction. Which
core competency is
the nurse demonstrating with this action?
A) Providing agency-centered care B) Working on an interdisciplinary team
C) Using information technology D) Applying quality improvement principles
Answer: D
Explanation: A) Nurses provide patient-centered care.
B) The nurse is functioning alone when inspecting equipment.
C) Information technology is the use of computers during health care.
D) Part of the responsibility of the nurse is to ensure the clientʹs safety by inspecting equipment
used during care. This is a quality improvement principle.
Cognitive Level: Knowledge
Client Need: Safe, Effective Care Environment
Nursing Process: Implementation
Learning Outcome: 1-1
1
4) A client who is experiencing abdominal pain is being assessed by the Emergency Department
nurse. The nurse
asks the client to describe the pain and the clientʹs usual means of relieving pain. The nurse is
providing:
A) A nursing diagnosis. B) Client-centered care.
C) Health promotion. D) Health maintenance.
Answer: B
Explanation: A) A nursing diagnosis is made after the assessment is completed.
B) The nurse is providing client-centered care by asking the client about the perception of pain
and the clientʹs usual methods of relief.
C) Health promotion might include assisting the client to alter risk factors for a disease.
D) Immunization is an example of health maintenance.
Cognitive Level: Comprehension
Client [Show Less]