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Test Bank For Fundamentals Of Nursing: Human Health And Function (Craven, Fundamentals Of Nursing: Human Health And Function), 7th Edition

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Test Bank For Fundamentals Of Nursing: Human Health And Function (Craven, Fundamentals Of Nursing: Human Health And Function), 7th Edition helps you familiarize yourself with exam formats and key concepts.

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    Chapter 1- The Profession of Nursing 1. What is the major difference between nursing students today and nursing students 50 ye ago? A) Today’s students are less caring. B) Today’s students are more intelligent. C) Today’s students reflect a more diverse population. D) Today’s students are less likely to be competent nurses. Ans: C Feedback: Nursing students 50 years ago were mostly women and entered nursing school immedia after graduating from high school. Many of today’s nursing students have pursued other career paths prior to nursing, are of various ethnic backgrounds, and have jobs and fami to consider while attending nursing school. In addition, many more men have entered th field of nursing over the last 50 years. 2. T he nurse is caring for a diabetic patient who expresses the desire to learn more about a diabetic diet in an attempt to gain better control of his blood sugar. The nurse’s actions w be based on which non - nursing theory? A) Change theory B) Maslow’s hierarchy of human needs C) Neuman’s systems model D) Watson’s theory of caring Ans: A Feedback: The patient has identified a need for change, which will guide the nurse’s actions. Maslo hierarchy of human needs helps nurses prioritize actions. Neuman and Watson are nursi theorists. 3. The Quality and Safety Education for Nurses Initiative (QSEN) has identified which key competencies for nurses? Select all that apply. A) Patient - centered care B) Teamwork and collaboration C) Evidence - based practice

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    D) Quality improvement E) Correct documentation Ans: A, B, C, D Feedback: The QSEN has identified patient - centered care, teamwork and collaboration, evidence - based practice, and quality improvement as a means for nurses to improve the quality an safety of patient care wherever they work. Additional key competencies identified are sa and informatics. 4. The nurse is caring for a patient who is on a ventilator. The nurse is bathing the patient a talking to them as she is carrying out care, as well as telling the patient what is going to happen next. The nurse speaks to the patient in a soothing manner. The nurse is acting in which role? (Select all that apply) A) Caregiver B) Decision - maker C) Communicator D) Educator E) Patient advocate Ans: A, C, D Feedback: The nurse is fulfilling the role of caregiver by providing the care and speaking to the pat in a soothing manner. The nurse is also acting as a communicator talking to the patient e if the patient can’t respond. The nurse is also acting as an educator by informing the pat of the care that will be performed. The nurse is not assisting in making any decisions or speaking on behalf of the patient. 5. The nurse offers a patient two possible times to ambulate as the physician has ordered. T nurse is acting in which nursing role? A) Communicator B) Patient advocate C) Manager and coordinator D) Caregiver Ans: C Feedback: While the nurse is acting in many roles, the nurse is managing and coordinating the care

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    the patient by giving choices on when care will be implemented. 6. The nurse is performing an extensive dressing change on a burn patient. The nurse expla eac h step as it is being performed. The nurse is acting in which role by providing explanation of each step? A) Caregiver B) Patient advocate C) Decision - maker D) Educator Ans: D Feedback: The nurse is acting in the role of educator by explaining each step. The act of changing dressing and providing support is the caregiver role. 7. What type of nursing program would allow a student with a 4 - year degree in psychology enter and complete a baccalaureate degree in nursing, take the NCLEX exam ination, an transition into a master’s in nursing program? A) Baccalaureate program B) Graduate entry program C) Advanced degree program D) Continuing education program Ans: B Feedback: Graduate entry program students possess a baccalaureate degree in a field other than nursing. These students can track directly into a master’s or doctorate in nursing program after successfully passing the NCLEX - RN. 8. A prospective nursing student desires a career that will allow him to provide patient care and to assist professional nurses with routine technical procedures. The prospective stud needs to be employed in a full - time position quickly due to economic hardship. What ty of nursing program would best suit this student? A) Associate of science registered nursing program B) Baccalaureate of science registered nursing program C) Licensed or vocational nursing program D) Diploma nursing program Ans: C

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    Feedback: A licensed practical or vocational nursing program will allow the student to earn a techn certificate in 1 year and sit for the state board of nursing examination to be licensed as a LPN or LVN. An associate program will take 2 years and a baccalaureate program will 4 years. There are very few diploma programs remaining i n the US, and these programs typically take 3 years to complete. 9. Nurses that enlist their services to the military are able to do so thanks to the work of wh organizer of healthcare? A) Linda Richards B) Florence Nightingale C) Theodor Fliedner D) Dorthea Dix Ans: D Feedback: Dorthea Dix, while not a nurse, established the Nurse Corps of the United States Army during the Civil War. Linda Richards was the first trained nurse to graduate from a nurs program. Theodor Fliedner opened the first hospital - based school of nursing, and Floren Nightingale was nursing’s first professional leader. 10. Due to the rising cost of healthcare services, many procedures and treatments are being delivered in what type of setting? A) hospital B) medical centers C) outpatient facility D) community healthcare center Ans: C Feedback: Many procedures and treatments are being delivered in outpatient settings since hospit and medical center stays significantly increase healthcare costs to the patient and insurance company. “Community healthcare centers” typically refer to facilities such a day care centers or ambulatory clinics. 11. The nurse in a rehabilitative facility makes certain the patient he is caring for is participating in group ac tivities that are of interest to the patient. The nurse is ensuring which patient need is met? A) Love and belonging

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    B) Self - actualization C) Safety and security D) Self - esteem Ans: A Feedback: The nurse is responsible for making sure the needs of the patient are met based on Maslow’s hierarchy of needs. Attending a group activity helps meet the needs of love a belonging (need to feel that one belongs and is loved to avoid loneliness and isolation) Self - actualization is the highest need and refe rs to realizing fully all of one’s abilities a qualities. Safety and security refers to physical and psychological protection issues. Se esteem indicates a feeling of self - worth. 12. The nurse is caring for a postoperative patient. The nurse administers a pain medicatio prescribed on a prn basis by the physician. What best describes the type of intervention nurse is demonstrating? A) Physician - prescribed intervention B) Collaborative intervention C) Patient advocacy intervention D) Nurse - prescribed intervention Ans: B Feedback: Nurse initiated interventions, such as turning and repositioning a patient, are described nurse - prescribed interventions. Physician - directed actions are described as physician - prescribed interventions. The administration of a prn medication requires a physician - prescribed intervention (the medication order) as well as a nurse - prescribed interventio (determining when the order should be carried out and proper administration of the medication); therefore , this action would be considered a collaborative intervention. Patient advocacy refers to communicating the needs and protecting the safety of the patient. 13. A nurse in the community has been asked to join an organization based on the leadersh abilities she has demonstrated both in her facility of employment and community - base activities. What organization best describes this process? A) nurse researcher B) clinical nurse specialist C) nurse educator

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    D) nurse administrator Ans: B Feedback: The clinical nurse specialist has advanced experience and expertise in a specialized are practice such as gerontology, and would be best suited to provide education on palliati care. The nurse researcher is responsible for the continued development and refinemen nursing knowledge and practice through the investigation of nursing problems. The nu educator generally has specific clinical specialties and advanced clinical experience in particular area. The nurse administrator is res ponsible for managing patient care. 14. During the Christian era, nursing care excluded which area? A) Nutrition B) Personal counseling C) Comfort measures D) Psychiatric services Ans: D Feedback: During the Christian era nursing focused on many of the same areas that nursing focus on today. Included areas of focus were nutrition, mobility, medication administration, personal counseling, hygiene, and comfort measures. 15. The nurse is caring for a postoperative patient. The physician has writ ten orders for a p medication. The order gives a dosage range for the amount the nurse may give depend on the severity of the patient’s pain. This type of functioning within the healthcare team called: A) Authoritative functioning B) Independent functioning C) Assistive functioning D) Dependent functioning E) Collaborative functioning Ans: E Feedback: Nurses manage collaborative problems using both nurse - and physician - prescribed interventions to reduce risk of complications (Carpenito - Moyet, 2009). 16. Which of the following is an appropriately stated nursing intervention?

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    A) Ambulate in the hall B) Stand at bedside with assistance C) Ambulate 30 ft. twice a day with assistance of walker D) Ambulate with assistance of walker Ans: C Feedback: Correctly stated patient outcomes are specific, measurable, and realistic. The other cho are poorly defined and do not specify when or how or by whom. 17. All members of the healthcare team are encouraged to read and contribute to the individual plans of care for their patients. Which of the following healthcare providers develops the plan of care? A) The RN B) The LPN or RN C) The physician D) The patient E) Any licensed member of the healthcare team Ans: A Feedback: To serve as evaluation criteria and meet the standards of the Joint Commission (2010), plan must be developed by a registered nurse, it must be documented in the patient’s health record, and it must reflect the standards of care established by the institution and profession. 18. Current trends in nursing practice include the development of A) Acute care centers B) Birthing centers C) Homeless shelters D) Ambulatory surgery centers Ans: B Feedback: Current trends in nursing practice include the development of nursing centers, wellnes promotion programs, care of older adults, birthing centers, and home and community healthcare.

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    19. The Standards of Practice provide nurses with A) Legislation for healthcare reform B) Evaluation of care provided by nurses C) Measurement criteria for payment D) Guidelines for providing care Ans: D Feedback: Standards of practice are essential because they serve as guidelines for providing and evaluating nursing care. 20. A nurse receives an x - ray report on a newly admitted patient suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in? A) Communicator B) Advocate C) Caregiver D) Researcher Ans: A Feedback: Nurses are communicators when they report findings to the healthcare team. Advocacy involves actions such as protecting the patient’s safety or rights. Administering care measures directly to the patient and demonstrates the caregiver role. Research involves collecting and analyzing data. 21. A nurse is caring for a young victim of a terrorist attack. During the rehabilitative proc the nurse assists the patient in bathing and dressing. The role the nurse is engaged in is A) Advocate B) Caregiver C) Counselor D) Educator Ans: B Feedback: As providers of care, nurses assume responsibility for helping patients promote, restor and maintain health and wellness. Communicating the patient’s needs and concerns, an protecting the patient and the patient’s rights are components of the advocacy r ole of

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    nursing. The nurse is simply assisting in hygiene measures; no education or counseling being provided. 22. A student is choosing her educational path and desires a nursing degree that has a track that contains community nursing and leadership, as well as liberal arts. The student wo 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: The baccalaureate degree in nursing offers students a full college or university educati with a background in the liberal arts. 23. The director of nursing (DON) of a major hospital is searching to hire a nurse with a strong technical background to care for patients on a busy surgical unit. The DON is m 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: The ANA’s 1965 resolution prompted the 1985 ANA statement adopting the titles of associate nurse (a nurse prepared in an associate degree program with an emphasis on technical practice) and professional nurse (a nurse possessing the baccalaureate degree nursing) for these two le vels. Master’s and doctoral prepared nurses possess higher degrees and expertise. 24. A nursing student begins to speak using medical terminology. This is considered to be of which process? A) Learning B) Socialization C) Role development D) Evolutionary

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    Ans: B Feedback: Socialization is a process that involves learning theory and skills and internalizing an identity appropriate to a specific role. 25. Which of the following factors has most influenced how nurses practice their professio A) Financial support of nursing education B) Professional organizations such as ANA C) National Commission on Nursing D) Increased incidence of chronic illness Ans: D Feedback: Professional organizations speak to nurses on various topics and may have some influe on ideas regarding nursing care, but longer lifespans, increased incidence of chronic illness, and new family structures have dramatically affected where and how nurses practice. 26. The first nursing journal owned, ope rated, and published by nurses was A) American Journal of Nursing B) Nurse Educator C) Nursing Research D) Standards of Clinical Nursing Practice Ans: A Feedback: The American Journal of Nursing was first published in 1900 and was owned, operated and published by nurses. 27. Advocating for financial support for university - based schools of nursing was noted in which government document? A) The Goldmark Report B) Hill Burton Amendment C) Health Care Initiative Reform Act D) Lysaught Report Ans: A Feedback:

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    The Goldmark Report in 1923 advocated for financial support for university - based sch of nursing. 28. The need for university - based nursing education programs was brought to light during which important historical time? A) Spanish American War B) World War I C) World War II D) Korean War Ans: C Feedback: Esther Lucille Brown, in her report on nursing education published at that time, wrote nursing education belonged in colleges and universities, not in hospitals. 29. The Henry Street Settlement was founded by A) Dorothea Dix B) Lillian Wald C) Florence Nightingale D) Isabel Hampton Robb Ans: B Feedback: Lillian Wald and Mary Brewster established the Henry Street Settlement, which was th first public health service for the sick and poor. 30. The Nurse Corps of the United States Army was established by A) Dorothea Dix B) Lillian Wald C) Florence Nightingale D) Isabel Hampton Robb Ans: A Feedback: Dorothea Dix established the Nurse Corps of the United States Army. 31. Florence Nightingale classified sick nursing as A) Care of the dying patient

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    B) Use of patient’s reparative processes C) Addressing the community problems D) Implementation of restorative processes Ans: B Feedback: Nightingale viewed sick nursing as helping patients use their own reparative processes get well. 32. The purpose of nursing was shaped by which of the following eras? A) Egyptian era B) Christian era C) Revolutionary War era D) Victorian era Ans: B Feedback: Christianity’s influence improved the status of nursing by attracting intelligent individ from respected families. Page 1 Chapter 2- Health, Wellness, and Complementary Medicine 1. A woman over the age of 40 years has an annual mammogram. What level of prevention does this represent? A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Medical prevention Ans: B Feedback: Secondary prevention includes screening for those at risk to develop illness or those wh could be diagnosed early in the process for prompt treatment.

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    2. A patient inquires about the use of herbal therapy. Which statement by the nurse is most accurate? A) “All herbs are equal in purity, so purchase the cheapest brand.” B) “Herbs can have side effects and can interact with prescription medications.” C) “Be sure to pay attention to the packaging’s therapeutic and prevention informati D) “It is best if you select a licensed herbalist as a practitioner.” Ans: B Feedback: It is important for patients to understand that herbs can have side effects and can interac with prescription medications. Standardization of the herb’s constituents is useful, but a limited because not all the compounds or the required levels are known, so the purity an dosage contents may not be equal between herbs. Herbal products cannot make therapeu and prevention claims. There is no current licensing body for herbalists. 3. The nurse is caring for a terminally ill patient and asks the patient’s permission to incorporate therapeutic touch into the care provided. The nurse’s goal for this patient is A) Prolong life B) Control the dying process C) Bring strength D) Produce relaxation Ans: D Feedback: While therapeutic touch does not cure the underlying disease, it does seem to decrease p provide relaxation, and help many dying people experience the final transformation with peace and acceptance. 4. The practitioner of therapeutic touch is listening wi th his/her A) Ears B) Mind C) Soul D) Hands Ans: D Feedback: In the second phase of therapeutic touch, the practitioner is listening with his or her han

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    5. When practicing therapeutic touch, the practitioner begins by performing which intervention? A) Calling to rebalance the soul B) Bringing the practitioner’s attention to an inward peaceful consciousness C) Embracing the patient for energy D) Moving her hands 2 to 6 inches away from the patient’s skin surface Ans: B Feedback: The first and most significant part of the therapeutic touch is termed centering. The practitioner brings his or her attention inward to a quiet, still, peaceful state of consciousness. 6. What nurse theorist developed therapeutic touch? A) Dorothea Orem B) Martha Rogers C) Jean Watson D) Dolores Krieger Ans: D Feedback: Therapeutic touch, a healing method used by thousands of nurses and other professional was developed more than 30 years ago by Dora Kunz, a healer, and Dolores Krieger, an emeritus member of New York University’s nursing faculty. 7. A patient is asking for the nurse to explain acupuncture. What would you tell the patient A) Acupuncture is only done in Eastern countries B) Acupuncture is a dangerous option for the treatment of disease C) Acupuncture is beneficial to creating a mood of distraction D) Acupuncture is used to correct disharmony Ans: D Feedback: Acupuncture can be used to correct disharmony or prevent disharmony from developing 8. A patient is in the last stage of labor. During each contraction, she is focusing on her husband’s voice and a picture brought from home. She is demonstrating which type of meditation?

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    A) Concentrative B) Receptive C) Reflective D) Expressive Ans: A Feedback: Concentrative meditation is probably the most familiar. The person focuses on an intern or external object. Receptive meditation refers to being mindful and aware of the presen moment. Reflective meditation involves gaining insight into one’s own though ts and experiences. Expressive meditation involves actual movement, such as dance. 9. A patient is very anxious before an invasive procedure. What CAM therapy would be m helpful to assist in decreasing anxiety? A) Meditation B) Chinese medicine C) Acupuncture D) Herbs Ans: A Feedback: Meditation is a way to tune and train the mind, leading to greater efficiency in everyday life. This will be most helpful in assisting this patient to decrease the stress level. Chines medicine has a very broad base and includes meditation, acupuncture, and herbs. 10. Which of the following questions or statements to a patient convey acceptance? A) “You know supplements can be harmful. Do you take any supplements?” B) “Have you ever discussed taking vitamins and supplements with your doctor?” C) “Will you please share with me the prescription medicines and vitamins you tak D) “What helpful herbal supplements are you taking?” Ans: C Feedback: Starting with the initial contact with a patient, the nurse includes a basic assessment of or her use of CAM in any intake interview. The nurse asks about vitamins and supplements as well as any healing practices. 11. When obtaining information for a database, which of the following represents a nurse commitment and interest in reflected integrative medicine (CAM)?

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    A) “What types of foods do you consume in 24 hours?” B) “Do you take any vitamins or minerals, and if so, what?” C) “What prescription medications do you take daily?” D) “What diseases do you suffer from and what are your allergies?” Ans: B Feedback: Starting with the initial contact with a patient, the nurse includes a basic assessment of or her use of CAM in an intake interview. The nurse asks about vitamins and suppleme as well as any healing practices. 12. Which of the following forms of medicine combines health promotion, establishment o partnership with the patient and practitioner, and captures an evolving model of healthcare? A) Integrative healthcare and medicine B) Homeopathic healthcare and medicine C) Holistic healthcare and medicine D) Palliative healthcare and medicine Ans: A Feedback: Integrative medicine is the establishment of a partnership between the patient and practitioner and focuses on promoting health and preventing illnesses, as well as treatin disease. Integrative healthcare more accurately reflects the cross - disciplinary reality an progressive acceptance of a broader aspect of care. 13. A patient suffers from chronic pain. The nu rse suggests the patient have monthly massages. This is an example of A) Adjuvant medicine B) Palliative medicine C) Alternative medicine D) Allopathic medicine Ans: C Feedback: The use of conventional therapy as seen with CAM includes the use of herbal medicin massage, megavitamins, self - help groups, folk remedies, energy healing, and homeopa 14. What term is defined as “those practices that do not form part of the dominant system

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    managing health and disease”? A) Alternative medicine B) Complementary health C) Homeopathic medicine D) Holistic healthcare Ans: A Feedback: Complementary or alternative medicine (CAM) was introduced in 1996 and generally refers to “those practices that do not form part of the dominant system for managing he and disease.” Holistic practitioners try to combine the proven successes of Western modern medicine and a wide range of therapies considered complementary or alternati medicine. 15. The mind and body are connected in the provision of ca re. This statement describes A) Homeopathic care B) Holistic care C) Altruistic care D) Allopathic care Ans: B Feedback: Holistic interventions focus on the interrelated needs of body, mind, emotions, and spi 16. What type of practice was challenged by patients who want to be treated as whole pers not just as a disease? A) Homeopathic care B) Holistic care C) Altruistic medicine D) Allopathic medicine Ans: D Feedback: Allopathic medicine was challenged by “patients who wanted to be treated as whole persons, not just as a disease”. 17. To be an effective change agent for wellness, the nurse must A) Skip breakfast to reduce calories

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    B) Drink caffeinated beverages C) Lead a sedentary lifestyle D) Consume a diet low in fat Ans: D Feedback: Nurses focused on wellness advocate the use of lifestyle modification skills that allevia stress and promote a state less susceptible to disease. 18. An 80 - year - old woman has had a cerebrovascular accident. She has flaccidity of her ri side with aphasia. For this patient, which of the following activities constitutes tertiary prevention? A) Assessment of her blood pressure B) Daily bleeding and clotting times C) Gait training and speech therapy D) Education on the symptoms of a CVA Ans: C Feedback: Tertiary prevention occurs when a person already has been diagnosed with a long - term disease or disability. 19. What level of prevention is noted when the nurse educates a group of women who hav school - age children on self breast examinations? A) Educational prevention B) Primary prevention C) Secondary prevention D) Tertiary prevention Ans: B Feedback: Primary prevention focuses on the health of a person with the goal of preventing disea illness. Self - breast examination education is primary prevention. 20. A nurse assists the patient in the development of a healthy lifestyle. The adoption of th lifestyle changes in the patient’s life is considered A) Adaptation B) Self - care

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    C) Self - esteem D) Health management Ans: B Feedback: Self - responsibility is paramount in Dorothea Orem’s nursing theory, which focuses on self - care so that the person can maintain life, health, and well - being. 21. The body’s attempt to restore balance through self - regulatory mechanisms is termed A) Homeostasis B) Equilibration C) Self conception D) Biofeedback Ans: A Feedback: Homeostasis is the organism’s attempt to restore balance. Equilibration is a distractor f this question. Self - conception is related to the individual’s feelings and attitudes about himself or herself. Biofeedback is a relaxation technique. 22. A patient enjoys high - calorie carbohydrates but understands that they raise her blood s sharply and ultimately cause the feeling o f butterflies in her stomach as her blood suga decreases. This is considered A) Health promotion B) Illness prevention C) Holism D) Self - awareness Ans: D Feedback: Self - awareness means knowing and caring for oneself, recognizing one’s strengths and limitations. 23. The concept of holism is based on the belief that A) Individuals can be seen in an atomistic fashion B) Health is achieved through medical care C) Health is achieved by treatment from physicians D) Individuals cannot be seen apart from the environment

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    Ans: D Feedback: Holism is based on the belief that people cannot be fully understood if examined solely pieces apart from their environment. 24. Traditional medicine’s view of health is typically explained by the health model terme A) High - level wellness B) Health belief model C) Wellness - illness continuum D) Holistic health model Ans: C Feedback: Traditional medicine identifies a neutral point at which an individual is free of signs an symptoms of disease. 25. What is defined as the recognition of health as an ongoing process toward a person’s highest potential of functioning? A) Illness B) Agent - host - environment C) Health belief model D) High - level wellness Ans: D Feedback: High - level wellness is defined as recognizing health as an ongoing process toward a person’s highest potential of functioning. 26. A patient states, “I must be in poor health because I am a senior citizen. That’s what m neighbor says and she is older than I am. ” This statement is based on which of the following factors? A) Age B) Gender C) Peer influence D) Illness factors Ans: C Feedback:

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    Peer influence, personality characteristics, ethnicity, and socioeconomic factors may a a person’s response to illness. 27. When admitting an adolescent to the hospital, the nurse anticipates that the patient will respond to questions about his health beliefs based on his A) Age and developmental state B) Gender and medical history C) Peer influence and education D) Health promotion activities Ans: A Feedback: Age and developmental stage are important considerations in the health belief model. 28. What is a dynamic balance among the physical, psychological, social, and spiritual asp of a person’s life? A) Health B) Wellness C) Holism D) Promotion Ans: B Feedback: Wellness is a dynamic balance among the physical, psychological, social, and spiritual aspects of a person’s life. 29. What is a dynamic state in which a person constantly adapts to changes in the internal external environment? A) Health B) Wellness C) Holism D) Infirmity Ans: A Feedback: Health is a dynamic state in which a person constantly adapts to changes in the interna and external environment. 30. What is a state of complete physical, mental, and social well - being, not merely the abs

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    of disease or infirmity? A) Health B) Wellness C) Holism D) Host Ans: A Feedback: The World Health Organization defines health as “a state of complete physical, mental and social well - being, not merely the absence of disease or infirmity.” 31. A nurse is educating women on the need for calcium to prevent bone loss. What level o prevention does this represent? A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Residual prevention Ans: A Feedback: Primary prevention or primary healthcare involves the education of patients in the prevention of disease. 32. A patient has had a total knee replacement and is receiving care that includes learning walk with a walker. What level of prevention is most applicable to this patient? A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Residual prevention Ans: C Feedback: Tertiary prevention and healthcare deals with rehabilitation of the patient. Teaching th patient to walk with a walker is tertiary prevention. Page 1

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    Chapter 3- Healthcare in the Community and Home 1. In the provision of nursing care, it is most important to perform which of the following actions? A) Administration of prescribed medications B) Implementation of physician’s orders C) Evaluation of patient’s responses D) Coordination of care with the healthcare team Ans: D Feedback: Nurses have moved from simply observing and giving prescribed medications to coordinating clinical information for the entire healthcare team. 2. A nurse is caring for a 17 - year - old pregnant woman. The woman needs to buy a baby be and obtain baby items. The nurse should encourage the patient to go to A) The visiting nurse association B) A resale shop C) A rental equipment store D) The welfare office Ans: B Feedback: Nurses should be familiar with available emergency care, equipment rental stores, chore and homemaker services, home - delivered meals, visiting nurse services, and should kno where welfare and Medicare/Medicaid offices are located. The nurse should be familiar with WIC centers and resale stores to assist new mothers. 3. A home care nurse has co mpleted a home assessment. Of the following findings, which should be reported to service providers immediately? A) Infestation with roaches B) The smell of natural gas C) Unclean environment D) Diminished food sources

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    Ans: B Feedback: A comprehensive home assessment includes safety, sanitation, mobility, temperature, an personal space. All of the listed deficiencies are of a concern. The immediate concern fo the nurse’s and patient’s safety is the threat of fire or explosion due to the smell of natur gas. 4. A patient is diagnosed with mild dementia while in the hospital. In preparing for dischar the nurse should discuss with the family the: A) Possible need for home care B) Legal responsibility for the future C) Need for transfer to a long - term care facility D) Lack of free resources of care Ans: A Feedback: The needs of the patient should be considered when making discharge plans. Common r factors associated with the need for home care include limited social, mental, or physica functioning. Legal issues, long - term care, and free resources are not indicated in this situation. 5. The home care nurse asks the patient and family about their socioeconomic status, cultu and beliefs. This occurs during which pha se of care? A) Assessment B) Nursing diagnosis C) Outcome criteria D) Implementation Ans: A Feedback: During the assessment phase of a home care visit, the nurse collects subjective informat on how the person normally manages at home, what the home is like, and what family a community support is available. The nurse explores the patient’s beliefs and culture, competencies, capabilities, concerns, deficits, and limitations to understand how the pat manages at home and what she or he desires . Nursing diagnosis, outcome criteria, and implementation occur later in the nursing process as a result of assessment data. 6. When the nurse is involved in the in - home phase, the nurse should A) Use therapeutic communication

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    B) Record findings C) Plan the next visit D) Summarize accomplishments Ans: A Feedback: The in - home phase involves establishing the professional therapeutic relationship and implementing the nursing process. During the in - home phase, the nurse must use therapeutic communication skills. 7. A home care nurse has just completed a dressing change on her patient. Which statemen best describes the termination phase? A) “You need to eat more protein to assist you with wound healing.” B) “On a scale of 0 to 10 with 0 being no pain and 10 being the worst, where would rate your pain?” C) “Your wound is healing nicely. It is draining less and it is smaller by a half centimeter.” D) “Have you had any problems since our last visit? Is your wife doing well with yo dr essing changes?” Ans: C Feedback: The summarization of the purpose of the visit is evident with the description of the accomplishments of the visit. Discussion of diet, pain, and evaluation of caregiver competency should be done before the termination of care. 8. What is the purpose of the Standards of Care and Standards of Professional Performance A) To list treatments in the home care setting B) To assist with virtual scenarios in the home C) To understand the role of the medical nurse in the home D) To guide the home care nurse in a collaborative role Ans: D Feedback: The Standards of Care and the Standards of Professional Performance guide the home c nurse in his or her collaborative role with the patient and family to identify the healthcar needs for management in the home setting. 9. When initiating home healthcare services, during which phase is it appropriate for the n

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    to implement the initial patient assessment? A) Initiation phase B) Previsit phase C) In - home phase D) Termination phase Ans: C Feedback: Initial assessment should be conducted in the in - home phase according to Stanhope and Lancaster. The initiation phase consists of clarifying the source of referral and the purpo of the visit, as well as the initial contact with the family. Reviewing records and schedul visits occurs during the previsit phase. Summarization and determining the need for furt visits occurs during the termination phase. 10. An 82 - year - old woman is being discharged from the hospital following a bowel resect The woman lives alone and her family is out of town. Which factor will have the great effect on her home care management? A) Support systems B) Medication management C) Transportation D) Psychosocial needs Ans: A Feedback: Since this woman lives alone and has no family available, the patient may not be able t stay at home and may need to be placed in a facility to provide adequate support. 11. A patient has severe pain related to degenerative joint disease. On which aspect of care will the nurse need to focus first? A) Patient education on pathophysiology B) Ability to perform daily activities C) Patient’s financial resources D) The effects of social isolation Ans: B Feedback: Severe pain can decrease a person’s ability to carry out activities of daily living and function; therefore, this is the primary concern of the home health nurse at this time sin

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    this is a basic need. The other areas can be addressed at a later time. 1 2. A single parent, aged 17 years with one child and pregnant with her second child, has t mental age of a 12 - year - old. As the home care nurse, what is your greatest concern in caring for this woman? A) Her ability to bond with her children B) Her ability to receive financial aid C) Her cognitive ability to understand D) Her physical care abilities Ans: C Feedback: The cognitive ability of this individual is of greatest concern regarding all aspects of h survival. The cognitive ability to understand how to organize work, manage financial responsibilities, and ensure safety within the home is essential. 13. A 16 - year - old girl has been injured in an accident and is receiving home care due to fractures and multiple trauma related injuries. S he states, “I don’t know why I survived and not my best friend.” It is most important to A) Communicate her feelings to family and friends B) Allow the religious force in her life to visit C) Be certain that her educational needs are being met D) Increase her activity to assist in her coping ability Ans: A Feedback: The home care nurse can assist in coordinating care needs and encouraging family, teachers, schoolmates, and friends to understand the patient’s struggles and help suppo her needs. 14. An 18 - month - old child is ventilator dependent due to infantile scoliosis. This is the firs time the child has been home since birth. His parents are very concerned about providi care. It is most important to assist the parents with A) Financial needs of care B) Prevention of infection C) Emotional bonding D) Genetic counseling Ans: C

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    Feedback: The child has not been home since birth. Thus, the parents will need emotional assistan to enhance bonding. The nurse supports the parents to meet the infant’s physical and emotional needs and encourages them to strengthen the parent - child bond. 15. Home care nurses are required to complete the Outcome and Assessment Information according to A) Medicare B) Medicaid C) Third - party payer D) Insurance Ans: A Feedback: The Outcome and Assessment Information Set provides standardized guidelines for admission and care, as well as a national database for evaluation, reimbursement, and quality improvement. The OASIS system of data collection is used by Medicare. 16. It is important for home healthcare nurses to remember which point? A) The nurse is the primary caregiver. B) The nurse is the guest in the patient’s home. C) Rehabilitation is the major patient goal. D) The nurse should act as a counselor and advisor. Ans: B Feedback: An essential difference in home care versus acute care is that the home care nurse is a guest in the patient’s home. Family or other support persons are the primary caregivers rehabilitation may not be the goal, and the nurse does not typically act as a counselor o advisor. 17. A patient is having an increasing amount of difficulty caring for herself in her home al She states to the nurse, “I need more help. What am I going to do?” It would be import for the nurse to have the A) Social worker visit to discuss care options B) Physical therapist help with rehabilitation C) Home health aide increase visits for bathing D) Occupational therapist assess for adaptive devices

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    Ans: A Feedback: Services to manage healthcare needs in the home can involve a team of interdisciplinar professionals, including social workers. The social worker is able to identify resources meet the patient’s needs. 18. A woman living alone has degenerative joint disease, hypertension, and neuropathy. It difficult for her to bathe herself, and her blood pressure is unstable. What type of care would this patient benefit from most? A) Acute care B) Ambulatory care C) Home care D) Respite care Ans: C Feedback: Home healthcare services are delivered to persons at home who are recovering from illness, are disabled, or are chronically or terminally ill and need various services to progress, maintain function, or perform their ADLs. Acute and ambulatory care are delivered on a short - term basis, and respite care’s focus is on the caregiver. 19. One of the primary advantages to the managed care model is A) Increased patient satisfaction B) Economic quality care C) All RN staff D) Distinct area of care Ans: B Feedback: Case management is used in such situations to ensure optimum, high - quality care in th most efficient and economic manner. 20. Prior to the patient’s discharge from an acute care facility, the nursing case manager ha the nursing staff, patient, patient’s family, physical therapist, and home health nurse m The purpose of this is to A) Provide patient teaching B) Evaluate the effectiveness of the hospitalization C) Determine hospital - based services

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    D) Prepare the patient for home care Ans: D Feedback: Discharge planning prepares a patient to move from one level of care to another within outside the healthcare facility. 21. A nurse is covering all aspects of admission procedures for a patient who is receiving home health services. The nurse explains what procedures will be covered during his visits. Which of the following aspects of the admission process does this represent? A) Establishing rapport and showing willingness to listen B) Clearly defining the purpose and expectations of the admission C) Documenting the procedure D) Assisting in participation of the care - related decisions Ans: B Feedback: During the admission to the healthcare system, patients should understand the purpose expectations of admission. 22. Continuity of care for a particular patient is important to prevent A) Multiple providers B) Infection C) Fragmentation of services D) Rising healthcare costs Ans: C Feedback: Continuity of care is the provision of healthcare services without disruption, regardless movement between settings. 23. The home care nurse is providing care and education to a woman who is pregnant with first child. The patient states, “I have no money or food. I don’t know what I should do want to provide for my unborn child.” The nurse refers the woman to the WIC program and a local food bank. This is an example of what aspect of community - based nursing? A) Assessment B) Planning C) Restoration

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