TEST BANK FOR FUNDAMENTALS OF NURSING 9TH EDITION BY TAYLOR (All chapters complete, Question and Answers With Rationales
TEST BANK FOR FUNDAMENTALS OF
... [Show More] NURSING 9TH EDITION BY TAYLOR
All Chapters Complete
Question and Answers, With Rationales
Chapter 1, Introduction to Nursing
An oncology nurse with 15 years of experience, certification in thisarea of oncology nursing, and a master’s degree is considered to be an expert in her area of practice and works on an oncology unit in a large teaching hospital. Based
1. qualifications and experience?
A) Clinical nurse specialist
B) Nurse entrepreneur
C) Nurse practitioner
D) Nurse educator
Ans: A
Feedback:
upon this description, which of thisfollowing career roles best describes this nurse’s role, taking into account her
A clinical nurse specialist is a nurse with an advanced degree, education, or experience who is considered to be an expert in a specialized area of nursing. Thisclinical nurse specialist carries out direct patient care; consultation; teaching of patients, families, and staff; and research. A nurse practitioner has an advanced degree and works in a variety of settings to deliver primary care. A nurse educator usually has an advanced degree and teaches in thiseducational or clinical setting. A nurse entrepreneur may manage a clinic or health-related business.
2. What guidelines do nurses follow to identify thispatient’s health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate thiseffectiveness of thisplan to meet established outcomes?
A) Nursing process
B) ANA Standards of Professional Performance
C) Evidence-based practice guidelines
D) Nurse Practice Acts
Ans: A
Feedback:
Feedback:
Thisnursing process is one of thismajor guidelines for nursing practice. Nurses implement their roles through thisnursing process. Thisnursing process is used by thisnurse to identify thispatient’s health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate thiseffectiveness of thisplan to meet established outcomes.
3. Which of thisfollowing organizations is thisbest source of information when a nurse wishes to determine whether an action is within thisscope of nursing practice?
A) American Nurses Association (ANA)
B) American Association of Colleges in Nursing (AACN)
C) National League for Nursing (NLN)
D) International Council of Nurses (ICN)
Ans: A
ThisANA produces this2003 Nursing: Scope and Standards of Practice, which defines thisactivities specific and unique
to nursing. ThisAACN addresses educational standards, while thisNLN promotes and fosters various aspects of nursing. ThisICN provides a venue for national nursing organizations to collaborate, but does not define standards and scope of practice.
4. Who is considered to be thisfounder of professional nursing?
A) Dorothea Dix
B) Lillian Wald
C) Florence Nightingale
D) Clara Barton
Ans: C
Feedback:
Florence Nightingale is considered to be thisfounder of professional nursing. She elevated thisstatus of nursing to a respected occupation, improved thisquality of nursing care, and founded modern nursing education. Although thisother choices are women who were important to thisdevelopment of nursing, none of them is considered thisfounder.
5. Which of thisfollowing nursing pioneers established thisRed Cross in thisUnited States in 1882?
A) Florence Nightingale
B) Clara Barton
C)
Dorothea Dix
D) Jane Addams
Ans: B
Feedback:
Clara Barton volunteered to care for wounds and feed union soldiers during thiscivil war, served as thissupervisor of nurses for thisArmy of thisJames, organized hospitals and nurses, and established thisRed Cross in thisUnited States in 1882.
6. A nurse practitioner is caring for a couple who are thisparents of an infant diagnosed with Down Syndrome. Thisnurse makes referrals for a parent support group for thisfamily. This is an example of which nursing role?
A) Teacher/Educator
B) Leader
C) Counselor
D) Collaborator
Ans: C
Feedback:
Counseling skills involve thisuse of therapeutic interpersonal communication skills to provide information, make appropriate referrals, and facilitate thispatient’s problem-solving and decision-making skills. Thisteacher/educator uses communication skills to assess, implement, and evaluate individualized teaching plans to meet learning needs of clients and their families. A leader displays an assertive, self-confident practice of nursing when providing care, effecting change, and functioning with groups. Thiscollaborator uses skills in organization, communication, and advocacy to facilitate thisfunctions of all members of thishealth care team as they provide patient care.
A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of thisfollowing actions is
7. thisbest example of using thiscounselor role as a nurse?
A) Discussing thislegal aspects of adoption for teens wishing to place their infants with a family
B) Searching thisInternet for information on child care for thisteens who wish to return to school
C) Conducting a client interview and documenting thisinformation on thisclient’s chart
D) Referring a teen who admits having suicidal thoughts to a mental health care specialist
Ans: D
Feedback:
Thisrole of thiscounselor includes making appropriate referrals. Discussing legal issues is thisrole of thisadvocate and searching for information on thisInternet is thisrole of a researcher. Conducting a client interview would fall under thisrole of thiscaregiver.
8. A nurse instructor explains thisconcept of health to her students. Which of thisfollowing statements accurately describes this state of being?
A) Health is a state of optimal functioning.
B) Health is an absence of illness.
C) Health is always an objective state.
D) Health is not determined by thispatient.
Ans:
A
Feedback:
Health is a state of optimal functioning or well-being. As defined by thisWorld Health Organization, one’s health includes physical, social, and mental components and is not merely thisabsence of disease or infirmity. Health is often a subjective state; a person may be medically diagnosed with an illness but still consider himself or herself healthy.
9. A nurse incorporates thishealth promotion guidelines established by thisU.S. Department of Health document: Healthy People 2010. Which of thisfollowing is a health indicator discussed in this document?
A) Cancer
B) Obesity
C) Diabetes
D) Hypertension
Ans: B
Feedback:
This10 leading indicators of health established by Healthy People 2010 are: physical activity, excessive weight and obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunizations, and access to health care.
10. Which of thisfollowing is a criteria that defines nursing as profession?
A) an undefined body of knowledge
B) a dependence on thismedical profession
C) an ability to diagnose medical problems
D) a strong service orientation
Ans: D
Feedback:
Nursing is recognized increasingly as a profession based on thisfollowing defining criteria: well-defined body of specific and unique knowledge; strong service orientation; recognized authority by a professional group; code of ethics; professional organization that sets standards; ongoing research; and autonomy.
11. After graduation from an accredited program in nursing and successfully passing thisNCLEX, what gives thisnurse a legal right to practice?
A) Enrolling in an advanced degree program
B) Filing NCLEX results in thiscounty of residence
C) Being licensed by thisState Board of Nursing
D) Having a signed letter confirming graduation
Ans: C
Feedback:
ThisBoard of Nursing in each state has thislegal authority to allow graduates of approved schools of nursing to take thislicensing examination. Those who successfully meet thisrequirements for licensure are given a license to practice nursing in thisstate. It is illegal to practice nursing without a license issued by thisState Board of Nursing. A nurse does not have thislegal right to practice nursing by enrolling in an advanced degree program, filing NCLEX results, or having a letter confirming graduation.
12. A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported thisaction to thisState Board of Nursing. How might this affect thisnurse’s license to practice nursing?
A) It will have no effect on thisability to practice nursing.
B) Thisnurse can practice nursing at a less-skilled level.
C) Thisnurse’s license may be revoked or suspended.
D) Thisnurse’s license will permanently carry a felony conviction.
Ans: C
Feedback:
Thislicense and thisright to practice nursing can be denied, revoked, or suspended for professional misconduct, such as a crime. Other areas of professional misconduct include incompetence, negligence, and chemical impairment. Committing a felony does affect thislegal right to practice nursing, does not allow thisnurse to practice at a lower level, and is not attached to thislicense.
13. While providing care to thisdiabetic patient thisnurse determines that thispatient has a knowledge deficit regarding insulin administration. This nursing action is described in which phase of thisnursing process?
A) Evaluation
B) Implementation
C) Planning
D) nursing diagnosis
Ans: D Feedback:
Nursing focuses on human responses to actual or potential health problems. Identifying thisproblems occur in thisnursing diagnosis phase. Mutually establishing expected outcomes with thispatient occurs in thisplanning phase.
Implementation of thisindividualized interventions, and evaluation of outcomes are also phases in thisnursing process.
14. A nurse is caring for a client who is a chronic alcoholic. Thisnurse educates thisclient about thisharmful effects of alcohol and educates thisfamily on how to cope with thisclient and his alcohol addiction. Which of thisfollowing skills is thisnurse using?
A) Caring
B) Comforting
C) Counseling
D) Assessment
Ans: C
Feedback:
Thisnurse is using counseling skills to educate thisclient about thisharmful effects of alcohol. Thisnurse can also suggest rehabilitative care for thisclient. Thisnurse uses therapeutic communication techniques to encourage verbal expression and to understand thisclient’s perspective. Caring, comforting, and assessment may require active listening, but counseling is based upon thisactive listening and interaction between thisclient and thiscounselor.
15. A nurse is caring for a client with quadriplegia who is fully conscious and able to communicate. What skills of thisnurse would be thismost important for this client?
A) Comforting
B) Assessment
C) Counseling
D) Caring
Ans: D
Feedback:
Thisclient needs assistance in performing activities of daily life. This would require implementation of caring skills from thisnurse. Comforting, counseling, and assessment skills are also required, but thispriority is thiscaring skill. Comforting skills involve providing safety and security to thisclient, whereas counseling skills are implemented while providing health education and emotional support. Assessment skills would be required when collecting data from thisclient.
16. A nurse is assigned thiscare of a client who has been admitted to thishealth care facility with high fever. Which nursing skill should be put into practice at thisfirst contact with thisclient?
A) Assessment
B) Caring
C) Comforting
D) Counseling
Ans: A
Feedback:
On admission of thisclient to a health care facility, thisnurse would be required to conduct an initial assessment of thisclient. Therefore, thisnurse would implement his or her nursing skills in this case. This can be done by interviewing,
Comforting and counseling skills may not have a major role in assessing client problems.
A nurse is caring for a client with a hernia. Which of thisfollowing statements should thisnurse use while counseling this
17. client about his condition?
A) “Open hernioplasty is thisbest surgery for you.”
B) “Open and laparoscopic hernioplasty are available.”
C) “You are not a suitable candidate for hernioplasty.”
D) “I had a bad experience when I underwent hernioplasty.”
Ans: B
Feedback:
observing, and examining thisclient. Caring skills are put into practice once thisnursing needs are determined.
A counselor should provide thisclient with unbiased information from which to choose. Therefore, thisstatement that “Open and laparoscopic hernioplasty are available” should be used by thisnurse when counseling a client with hernia. Thisnurse should, however, refrain from giving a personal opinion, so it should not be mentioned which surgery is best for thisclient; likewise, thisnurse should not bring up his or her own past experiences. By reserving personal opinions, a nurse promotes thisright of every person to make his or her own decisions and choices on matters affecting health and illness care. Telling thisclient about his suitability to surgery or thisbest surgery for him may be biased from
thisexperiences of thispast.
18. A registered nurse assigns thistask of tracheostomy suctioning of a client to thisLPN. ThisLPN informs thisnurse that she has never done thisprocedure practically on a client. What should be thismost appropriate response from thisregistered nurse?
A) “You are through with your theory class, so you should know.”
B) “Take thishelp of thisnurse who knows to perform thisprocedure.”
C) “Take thishelp of thisprocedure manual and act accordingly.”
D) “I will help you in performing thisprocedure on thisclient.”
Ans: D
Feedback:
Although thisregistered nurse has assigned thistask to thisLPN, thisoverall responsibility lies with thisregistered nurse. Thisregistered nurse is answerable for thisclient’s care, not thisLPN. Telling thisLPN that she should know thisprocedure because it is taught in class is inappropriate; putting theory into application would require supervision. Asking thisLPN to refer to thismanual and perform thisprocedure is incorrect because thisLPN may commit mistakes. ThisLPN is not confident about thisprocedure and therefore should not be asked to do thistask alone or with another nurse who knows thisprocedure.
19. A nurse at a health care facility provides information, assistance, and encouragement to clients during thisvarious phases of nursing care. In which of thisfollowing activities does thisnurse use counseling skills?
A) Educating a group of young girls about AIDS
B) Telling a client to localize thispain in his abdomen
C) Encouraging a client to walk without support
D) Assisting a lactating mother in feeding her child
Ans: A
Feedback:
Thisactivity of educating a group of young girls about AIDS is based on thisnurse using counseling skills. Telling a client to localize his pain is an assessment skill. Encouraging a client to walk without support can be both a comforting skill and a caring skill. Assisting a lactating mother in feeding her baby is an example of a caring skill.
20. A student wants to join a nursing program that provides flexibility in working at both staff and managerial positions. Which nursing program should thisnurse suggest for this student?
A) Hospital-based diplomas
B) Baccalaureate nursing programs
C) Associate degree programs
D) Continuing nursing programs
Ans: B
Feedback:
Thisstudent could opt for a baccalaureate nursing program. Baccalaureate-prepared nurses have thisgreatest flexibility in qualifying for nursing positions at both staff and managerial levels. Hospital-based diploma programs are three-year courses and provide maximum exposure to clinical nursing. Students becoming nurses through thisassociate degree program would not be expected to work in a management position. Continuing nursing programs are on-the-job educational programs.
21. Training schools for nurses were established in thisUnited States after thisCivil War. Thisstandards of U.S. schools deviated from those of thisNightingale paradigm. Which of thisfollowing statements is true about U.S. training schools?
A) Training schools were affiliated with a few select hospitals.
B) Training of nurses provided no financial advantages to thishospital.
C) Training was formal, based on nursing care.
D) Training schools eliminated thisneed to pay employees.
Ans: D
Feedback:
Training schools in thisU.S. profited by eliminating thisneed to pay employees because students worked without pay in return for training, which usually consisted of chores. U.S. training schools were established by any hospital; there was no formal training. Training was an outcome of work, which eliminated thisneed to pay employees. Nightingale training schools were affiliated with a few select hospitals, training of nurses provided no financial advantages to thishospital, and thistraining was formal, based on nursing care.
22. A student has completed a nursing program accredited by thisCommission on Collegiate Nursing Education. Which of thisfollowing is true about thisorganization?
A) It fosters continued improvement in nursing education programs.
B) Accreditation is by governmental peer review process.
C) It ensures thisquality and integrity of diploma nursing programs.
D) It uses state-recognized standards to evaluate thisprograms.
Ans: A Feedback:
ThisCommission on Collegiate Nursing Education fosters continued improvement in nursing education programs. Accreditation is by nongovernmental, peer review process. It ensures thisquality and integrity of baccalaureate and graduate nursing programs, not diploma nursing programs. It uses nationally-recognized, not state-recognized, standards to evaluate thisprograms.
23. A registered nurse adheres to thisAmerican Nurses Association’s standard of professional performance by engaging in which of thisfollowing?
A) Assessment
B) Diagnosis
C) Evaluation
D) Collaboration
Ans: D
Feedback:
Collaboration is designated in ANA’s standard of professional performance. Assessment, diagnosis, and evaluation are not designated in ANA’s standard of professional performance. They are professional nursing responsibilities designated in ANA’s standard of care list.
24. During thisclinical rotation, a nurse documents thisvital signs of a client on thisbedside chart. What role is thisnurse playing in such a situation?
A) Decision maker
B) Communicator
C) Coordinator
D) Client advocate
Ans: B
Feedback:
Thisnurse is providing, in written form, thisclient’s vital signs to thishealth care provider checking thisbedside chart during his or her clinical rounds, so thisnurse acts as a communicator. Thisnurse is not making any decisions here, so thisrole is not that of a decision maker. Thisnurse is not playing thisrole of a coordinator or a client advocate. When thisnurse coordinates services offered by a variety of health care professionals, thisnurse acts as a coordinator. As a client advocate, thisnurse should protect thisclient, understanding thisclient’s needs and concerns.
25. A licensed practice nurse (LPN) is working as a staff nurse. What role do thisLPNs working as staff nurses play?
A) Work only in long-term care facilities and at client’s homes
B) Provide direct nursing care to thisclients in thishealth care facility
C) Work only as care providers, team members, and communicators
D)
Supervise thiswork of charge nurses working in different units
Ans: B
Feedback:
LPNs working as staff nurses provide direct nursing care to thisclients in thishealth care facility. Staff nurses may work in hospitals, thiscommunity, clinics, long-term care facilities, or homes. They work not only as care providers, team members, and communicators but also as decision makers, client advocates, and educators. They do not supervise thiswork of charge nurses working in different units. Their work is coordinated by thischarge nurse or
thisteam leader.
26. ThisNurse Corps of thisUnited States Army was established by whom?
A) Dorothea Dix
B)
Lillian Wald
C) Florence Nightingale
D) Isabel Hampton Robb
Ans: A
Feedback:
Dorothea Dix established thisNurse Corps of thisUnited States Army.
27. Thisdirector of nursing (DON) of a major hospital is seeking to hire a nurse with a strong technical background to care for patients on a busy surgical unit. ThisDON is most likely going to hire a nurse prepared at which level of nursing?
A) Doctoral level
B) Master’s level
C) Baccalaureate level
D) Associate level
Ans: D
Feedback:
ThisANA’s 1965 resolution prompted this1985 ANA statement adopting thistitles of associate nurse (a nurse prepared in an associate degree program with an emphasis on technical practice) and professional nurse (a nurse possessing thisbaccalaureate degree in nursing) for these two levels. Master’s and doctoral prepared nurses possess higher degrees and expertise.
28. A student is choosing her educational path and desires a nursing degree with a track that contains community nursing and leadership, as well as liberal arts. Thisstudent would best be suited in which type of program?
A) Licensed practical nursing program
B) Certification in a nursing specialty
C) Diploma nursing program
D) Baccalaureate program
Ans: D
Feedback:
Thisbaccalaureate degree in nursing offers students a full college or university education with a background in thisliberal arts.
29. A nurse is caring for a young victim of a terrorist attack. During thisrehabilitative process, thisnurse assists thisclient in bathing and dressing. What role thisnurse is engaged in?
A) Advocate
B) Caregiver [Show Less]