TEST BANK DAVIS ADVANTAGE FOR FUNDAMENTALS OF NURSING (2 VOLUME SET) 4TH EDITION JUDITH M. WILKINSON
Chapter 1. Evolution of Nursing Thought &
... [Show More] Action
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is working in a community health promotion clinic. Which is an
example of an illness prevention activity?
1. Encouraging the use of a food diary
2. Joining a cancer support group
3. Administering immunization for human papillomavirus (HPV)
4. Teaching a diabetic patient about his diet
____ 2. A practicing nurse is aware that continuing education courses may be
required for license renewal. Which organization can require nurses to obtain a
specified amount of continuing education courses?
1. American Nurses Association
2. National League for Nursing
3. Sigma Theta Tau
4. State Board of Nursing
____ 3. An experienced nurse uses knowledge of patient medical conditions and
intuition to identify patient problems. The nurse often fulfills the role of a resource for
other nurses on the unit. At this point, which stage of proficiency has this nurse
achieved?
1. Novice
2. Advanced beginner
3. Competent
4. Expert
____ 4. Which statement best explains the importance of standards of practice in
the nursing profession?
1. Nurses have the same standards of practice as other healthcare professionals.
2. Standards of practice are applied exclusively to nurses working in hospital settings.
3. Standards of practice identify the components nurses need to provide safe care.
4. Standards of practice differ among registered nurses, based on the population they
serve.
____ 5. The nursing instructor is considering becoming a member of the National
League for Nursing (NLN). Which primary goal of the NLN will most strongly impact the
nurse’s decision to become a member?
1. Emphasizing the necessity for registered nurses to promote patient safety
2. Establishing and maintaining identified standards for nursing education
3. Supporting global health policies and improving health worldwide
4. Fostering nursing scholarship, leadership, and service to improve health
____ 6. The nurse is providing care for a patient following a debilitating stroke.
Which type of care will the nurse recognize as the best choice for this patient?
1. Primary care
2. Secondary care
3. Tertiary care
4. Preventive care
____ 7. The nurse is providing care for an older adult patient in an acute care
setting for various age-related health issues. When planning for discharge, the patient
states concern about being able to adequately provide for health maintenance and selfcare
needs. Which type of facility does the nurse recognize for this patient?
1. Skilled nursing facility
2. Assisted living facility
3. Nursing home facility
4. Independent living facility
____ 8. The nurse understands that the most important reason for the
development of a definition for the profession of nursing is that it:
1. Will result in more informed people being recruited as nurses.
2. Is a means for evaluating the degree of role satisfaction in nurses.
3. Helps dispel the stereotypical images about nurses and nursing.
4. Differentiates the nursing role from those of other health professionals.
____ 9. Which activity provides evidence-based support for the contribution made
by advanced practice nurses (APNs) within healthcare?
1. Reduced use of diagnostics using advanced technology
2. Decreased number of unnecessary visits to the emergency department
3. Improved patient compliance with prescribed treatments
4. Increased use of complementary and alternative therapies
____ 10. The nurse is providing care for a pediatric patient in an acute care facility.
The patient’s parents express concern about the cost of the medical care. The parents
state, “We have jobs, but we don’t make a lot of money and have no insurance.” Which
medical assistance program does the nurse recognize as being most appropriate for
this family?
1. Children’s Health Insurance Program (CHIP)
2. Medicare
3. Medicaid
4. Local charity
____ 11. A nurse working in a rehabilitation facility has a physician’s prescription to
contact therapists as required by patient need. A patient has started to have difficulty
with bathing and grooming. Which therapist does the nurse contact to assist the patient
to regain these skills?
1. Physical therapist
2. Occupational therapist
3. Speech-language pathologist
4. Respiratory therapist
____ 12. An older adult patient is diagnosed with type 1 diabetes mellitus. The
patient can perform self-care activities but needs assistance with shopping and meal
preparation. As well, assistance is necessary for blood glucose monitoring and insulin
administration. Which type of healthcare facility is most appropriate for the patient?
1. Acute care facility
2. Ambulatory care facility
3. Extended care facility
4. Assisted living facility
____ 13. The nurse in the intensive care unit is providing care for only one patient,
who was admitted with a diagnosis of septic shock. Based on this information, which
care delivery model is this nurse following?
1. Functional
2. Primary
3. Case method
4. Team
____ 14. The nurse is providing care for a patient who needs extensive acute care,
which is being rejected by the patient because of financial and family stressors. Which
healthcare worker does the nurse consult to counsel this patient?
1. Social worker
2. Occupational therapist
3. Physician’s assistant
4. Technologist
____ 15. Which type of managed care provides patients with the greatest choice of
providers, medications, and medical devices?
1. Health maintenance organization
2. Integrated delivery network
3. Preferred provider organization
4. Employment-based private insurance
____ 16. The registered nurse is discharging a patient to an assisted living facility.
Which statement by the nurse is most appropriate for the patient?
1. “Therapists will work with you daily to help you regain your functional abilities.”
2. “You will be provided with 24-hour nursing care for the next 6 weeks.”
3. “Assistance with meals and housekeeping tasks is available to you.”
4. “A nurse will come to your home and provide you with nursing care.”
____ 17. Which member of the healthcare team typically serves as the case
manager?
1. Social worker
2. Physician
3. Physician’s assistant
4. Registered nurse
____ 18. The nurse works in a public health department. Which nursing function is
considered a primary care service?
1. Providing wound care
2. Administering childhood immunizations
3. Providing drug rehabilitation
4. Providing outpatient hernia repair
____ 19. A patient who is 80 years of age is in an acute care facility because of a
fractured hip resulting from a fall. Previously, the patient lived at home and managed
activities of daily living independently. The patient goal is to return to the previous living
style. The patient is to be discharged because of insurance regulations. If the patient
cannot walk or provide self-care, to which type of facility will the patient be transferred?
1. Nursing home
2. Rehabilitation center
3. An outpatient therapy center
4. None of these; she should receive home healthcare
____ 20. A health care facility hires new nursing graduates to work on patient care
units. The hired nurses come from a variety of accredited nursing programs.
Additionally, applicants need to be aware of facility hiring practices based on which
specific definition of a nurse?
1. Graduate of a nursing education program, and passed the National Council
Licensure Exam (NCLEX)
2. Obtained certification permitting the administration of medications in certain
healthcare settings
3. Specifically licensed to practice in either an acute care setting or in a home
environment
4. Received advanced education and is licensed to practice under the direct
supervision of a physician
____ 21. A nurse who has been practicing for 3 years in an acute care facility is
caring for a postsurgical patient. The nurse observes an abnormal change in vital signs
and associates these changes with a postoperative bleeding problem. Which level of
proficiency is the nurse demonstrating?
1. Advanced beginner
2. Competent
3. Proficient
4. Expert
____ 22. In the United States, each state enacts its own nurse practice acts. Which
agency is responsible for nurse practice acts?
1. The American Nurses Association
2. Institute of Medicine
3. State Board of Nursing
4. National League for Nursing
____ 23. A nurse is recently hired at an acute care facility. During orientation, the
nurse is given a chart describing each person’s role on the assigned unit. The chart
reflects that registered nurses are responsible for all admission and discharge
assessments and patient treatments. Licensed practical nurses (LPNs) administer
medications, and certified nursing assistants (CNAs) obtain vital signs and perform
personal care. Which model of care does the nurse recognize?
1. Case method
2. Team
3. Primary
4. Functional
____ 24. Nurses currently employed are aware of the trends that affect
contemporary nursing practice. Which trend is a primary cause for changes in the
nursing profession?
1. The expected increase in the number of older adults in society
2. The large amount of medical information that is technically accessible
3. The increasing demands for more medical care from all aspects of society
4. The multiple medical care expectations implemented by the government
____ 25. A patient is preparing to be discharged after total knee replacement. The
patient tells the case manager, “I feel pretty good, but I am having a hard time getting in
and out of the bathroom.” Which is the most appropriate response by the case
manager?
1. “I’ll be sure to teach your family how to help you with this.”
2. “Once you are home for a while, it will get easier.”
3. “I can have a recreational therapist help you take your mind off your concerns.”
4. “An occupational therapist can be ordered to assist you in this area.”
____ 26. An older adult patient is preparing for discharge and tells the case
manager, “I don’t know what I am going to do when I get home. I cannot afford the
medications the doctor has ordered for me.” Which is the most appropriate response by
the case manager?
1. “We can have a social worker see you when you get home.”
2. “Medications are expensive, but you will need to take them.”
3. “I will check if some of the medications can be discontinued.”
4. “The home health nurse will address this when she sees you.”
____ 27. A patient in an ambulatory clinic tells the nurse, “Every visit costs me $10,
even though I have insurance.” Which is the most appropriate response by the nurse?
1. “I am not involved in your insurance; you need to contact the insurance company.”
2. “Let’s check if this is a co-payment described by your insurance plan for each
visit.”
3. “Healthcare is expensive, and insurance companies can’t pay all of the costs.”
4. “This charge is actually part of the insurance premium that you pay monthly.”
____ 28. The nursing staff on a surgical unit expresses to the manager concerns
about not having enough time to complete all wound care and dressing changes. Which
is the initial action the manager takes?
1. Decrease the patient-to-nurse ratio within budget limits
2. Offer an in-service session on time-management strategies
3. Suggest a continuing quality improvement committee to assess the issue
4. Report the concerns to the director of nurses at the next management meeting
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 29. Which activities indicate the implementation of direct nursing care? Select [Show Less]