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

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 Nursing1.Whatisthemajordifferencebetweennursingstudentstodayandnursingstudents50yeago?A)Today’sstudentsarelesscaring.B)Today’sstudentsaremoreintelligent.C)Today’sstudentsreflectamorediversepopulation.D)Today’sstudentsarelesslikelytobecompetentnurses.Ans:CFeedback:Nursingstudents50yearsagoweremostlywomenandenterednursingschoolimmediaaftergraduatingfromhighschool.Manyoftoday’snursingstudentshavepursuedothercareerpathspriortonursing,areofvariousethnicbackgrounds,andhavejobsandfamitoconsiderwhileattendingnursingschool.Inaddition,manymoremenhaveenteredthfieldofnursingoverthelast50years.2.Thenurseiscaringforadiabeticpatientwhoexpressesthedesiretolearnmoreaboutadiabeticdietinanattempttogainbettercontrolofhisbloodsugar.Thenurse’sactionswbebasedonwhichnon-nursingtheory?A)ChangetheoryB)Maslow’shierarchyofhumanneedsC)Neuman’ssystemsmodelD)Watson’stheoryofcaringAns:AFeedback:Thepatienthasidentifiedaneedforchange,whichwillguidethenurse’sactions.Maslohierarchyofhumanneedshelpsnursesprioritizeactions.NeumanandWatsonarenursitheorists.3.TheQualityandSafetyEducationforNursesInitiative(QSEN)hasidentifiedwhichkeycompetenciesfornurses?Selectallthatapply.A)Patient-centeredcareB)TeamworkandcollaborationC)Evidence-basedpractice

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D)QualityimprovementE)CorrectdocumentationAns:A,B,C,DFeedback:TheQSENhasidentifiedpatient-centeredcare,teamworkandcollaboration,evidence-basedpractice,andqualityimprovementasameansfornursestoimprovethequalityansafetyofpatientcarewherevertheywork.Additionalkeycompetenciesidentifiedaresaandinformatics.4.Thenurseiscaringforapatientwhoisonaventilator.Thenurseisbathingthepatientatalkingtothemassheiscarryingoutcare,aswellastellingthepatientwhatisgoingtohappennext.Thenursespeakstothepatientinasoothingmanner.Thenurseisactinginwhichrole?(Selectallthatapply)A)CaregiverB)Decision-makerC)CommunicatorD)EducatorE)PatientadvocateAns:A,C,DFeedback:Thenurseisfulfillingtheroleofcaregiverbyprovidingthecareandspeakingtothepatinasoothingmanner.Thenurseisalsoactingasacommunicatortalkingtothepatienteifthepatientcan’trespond.Thenurseisalsoactingasaneducatorbyinformingthepatofthecarethatwillbeperformed.Thenurseisnotassistinginmakinganydecisionsorspeakingonbehalfofthepatient.5.Thenurseoffersapatienttwopossibletimestoambulateasthephysicianhasordered.Tnurseisactinginwhichnursingrole?A)CommunicatorB)PatientadvocateC)ManagerandcoordinatorD)CaregiverAns:CFeedback:Whilethenurseisactinginmanyroles,thenurseismanagingandcoordinatingthecare

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thepatientbygivingchoicesonwhencarewillbeimplemented.6.Thenurseisperforminganextensivedressingchangeonaburnpatient.Thenurseexplaeachstepasitisbeingperformed.Thenurseisactinginwhichrolebyprovidingexplanationofeachstep?A)CaregiverB)PatientadvocateC)Decision-makerD)EducatorAns:DFeedback:Thenurseisactingintheroleofeducatorbyexplainingeachstep.Theactofchangingdressingandprovidingsupportisthecaregiverrole.7.Whattypeofnursingprogramwouldallowastudentwitha4-yeardegreeinpsychologyenterandcompleteabaccalaureatedegreeinnursing,taketheNCLEXexamination,antransitionintoamaster’sinnursingprogram?A)BaccalaureateprogramB)GraduateentryprogramC)AdvanceddegreeprogramD)ContinuingeducationprogramAns:BFeedback:Graduateentryprogramstudentspossessabaccalaureatedegreeinafieldotherthannursing.Thesestudentscantrackdirectlyintoamaster’sordoctorateinnursingprogramaftersuccessfullypassingtheNCLEX-RN.8.Aprospectivenursingstudentdesiresacareerthatwillallowhimtoprovidepatientcareandtoassistprofessionalnurseswithroutinetechnicalprocedures.Theprospectivestudneedstobeemployedinafull-timepositionquicklyduetoeconomichardship.Whattyofnursingprogramwouldbestsuitthisstudent?A)AssociateofscienceregisterednursingprogramB)BaccalaureateofscienceregisterednursingprogramC)LicensedorvocationalnursingprogramD)DiplomanursingprogramAns:C

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Feedback:Alicensedpracticalorvocationalnursingprogramwillallowthestudenttoearnatechncertificatein1yearandsitforthestateboardofnursingexaminationtobelicensedasaLPNorLVN.Anassociateprogramwilltake2yearsandabaccalaureateprogramwill4years.ThereareveryfewdiplomaprogramsremainingintheUS,andtheseprogramstypicallytake3yearstocomplete.9.Nursesthatenlisttheirservicestothemilitaryareabletodosothankstotheworkofwhorganizerofhealthcare?A)LindaRichardsB)FlorenceNightingaleC)TheodorFliednerD)DortheaDixAns:DFeedback:DortheaDix,whilenotanurse,establishedtheNurseCorpsoftheUnitedStatesArmyduringtheCivilWar.LindaRichardswasthefirsttrainednursetograduatefromanursprogram.TheodorFliedneropenedthefirsthospital-basedschoolofnursing,andFlorenNightingalewasnursing’sfirstprofessionalleader.10.Duetotherisingcostofhealthcareservices,manyproceduresandtreatmentsarebeingdeliveredinwhattypeofsetting?A)hospitalB)medicalcentersC)outpatientfacilityD)communityhealthcarecenterAns:CFeedback:Manyproceduresandtreatmentsarebeingdeliveredinoutpatientsettingssincehospitandmedicalcenterstayssignificantlyincreasehealthcarecoststothepatientandinsurancecompany.“Communityhealthcarecenters”typicallyrefertofacilitiessuchadaycarecentersorambulatoryclinics.11.Thenurseinarehabilitativefacilitymakescertainthepatientheiscaringforisparticipatingingroupactivitiesthatareofinteresttothepatient.Thenurseisensuringwhichpatientneedismet?A)Loveandbelonging

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B)Self-actualizationC)SafetyandsecurityD)Self-esteemAns:AFeedback:ThenurseisresponsibleformakingsuretheneedsofthepatientaremetbasedonMaslow’shierarchyofneeds.Attendingagroupactivityhelpsmeettheneedsofloveabelonging(needtofeelthatonebelongsandislovedtoavoidlonelinessandisolation)Self-actualizationisthehighestneedandreferstorealizingfullyallofone’sabilitiesaqualities.Safetyandsecurityreferstophysicalandpsychologicalprotectionissues.Seesteemindicatesafeelingofself-worth.12.Thenurseiscaringforapostoperativepatient.Thenurseadministersapainmedicatioprescribedonaprnbasisbythephysician.Whatbestdescribesthetypeofinterventionnurseisdemonstrating?A)Physician-prescribedinterventionB)CollaborativeinterventionC)PatientadvocacyinterventionD)Nurse-prescribedinterventionAns:BFeedback:Nurseinitiatedinterventions,suchasturningandrepositioningapatient,aredescribednurse-prescribedinterventions.Physician-directedactionsaredescribedasphysician-prescribedinterventions.Theadministrationofaprnmedicationrequiresaphysician-prescribedintervention(themedicationorder)aswellasanurse-prescribedinterventio(determiningwhentheordershouldbecarriedoutandproperadministrationofthemedication);therefore,thisactionwouldbeconsideredacollaborativeintervention.Patientadvocacyreferstocommunicatingtheneedsandprotectingthesafetyofthepatient.13.Anurseinthecommunityhasbeenaskedtojoinanorganizationbasedontheleadershabilitiesshehasdemonstratedbothinherfacilityofemploymentandcommunity-baseactivities.Whatorganizationbestdescribesthisprocess?A)nurseresearcherB)clinicalnursespecialistC)nurseeducator

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D)nurseadministratorAns:BFeedback:Theclinicalnursespecialisthasadvancedexperienceandexpertiseinaspecializedarepracticesuchasgerontology,andwouldbebestsuitedtoprovideeducationonpalliaticare.Thenurseresearcherisresponsibleforthecontinueddevelopmentandrefinemennursingknowledgeandpracticethroughtheinvestigationofnursingproblems.Thenueducatorgenerallyhasspecificclinicalspecialtiesandadvancedclinicalexperienceinparticulararea.Thenurseadministratorisresponsibleformanagingpatientcare.14.DuringtheChristianera,nursingcareexcludedwhicharea?A)NutritionB)PersonalcounselingC)ComfortmeasuresD)PsychiatricservicesAns:DFeedback:DuringtheChristianeranursingfocusedonmanyofthesameareasthatnursingfocusontoday.Includedareasoffocuswerenutrition,mobility,medicationadministration,personalcounseling,hygiene,andcomfortmeasures.15.Thenurseiscaringforapostoperativepatient.Thephysicianhaswrittenordersforapmedication.Theordergivesadosagerangefortheamountthenursemaygivedependontheseverityofthepatient’spain.Thistypeoffunctioningwithinthehealthcareteamcalled:A)AuthoritativefunctioningB)IndependentfunctioningC)AssistivefunctioningD)DependentfunctioningE)CollaborativefunctioningAns:EFeedback:Nursesmanagecollaborativeproblemsusingbothnurse-andphysician-prescribedinterventionstoreduceriskofcomplications(Carpenito-Moyet,2009).16.Whichofthefollowingisanappropriatelystatednursingintervention?

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A)AmbulateinthehallB)StandatbedsidewithassistanceC)Ambulate30ft.twiceadaywithassistanceofwalkerD)AmbulatewithassistanceofwalkerAns:CFeedback:Correctlystatedpatientoutcomesarespecific,measurable,andrealistic.Theotherchoarepoorlydefinedanddonotspecifywhenorhoworbywhom.17.Allmembersofthehealthcareteamareencouragedtoreadandcontributetotheindividualplansofcarefortheirpatients.Whichofthefollowinghealthcareprovidersdevelopstheplanofcare?A)TheRNB)TheLPNorRNC)ThephysicianD)ThepatientE)AnylicensedmemberofthehealthcareteamAns:AFeedback:ToserveasevaluationcriteriaandmeetthestandardsoftheJointCommission(2010),planmustbedevelopedbyaregisterednurse,itmustbedocumentedinthepatient’shealthrecord,anditmustreflectthestandardsofcareestablishedbytheinstitutionandprofession.18.CurrenttrendsinnursingpracticeincludethedevelopmentofA)AcutecarecentersB)BirthingcentersC)HomelesssheltersD)AmbulatorysurgerycentersAns:BFeedback:Currenttrendsinnursingpracticeincludethedevelopmentofnursingcenters,wellnespromotionprograms,careofolderadults,birthingcenters,andhomeandcommunityhealthcare.

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19.TheStandardsofPracticeprovidenurseswithA)LegislationforhealthcarereformB)EvaluationofcareprovidedbynursesC)MeasurementcriteriaforpaymentD)GuidelinesforprovidingcareAns:DFeedback:Standardsofpracticeareessentialbecausetheyserveasguidelinesforprovidingandevaluatingnursingcare.20.Anursereceivesanx-rayreportonanewlyadmittedpatientsuspectedofhavingafracturedtibia.Thenursecontactsthephysiciantoreportthefindings.Whatroleisthenurseengagedin?A)CommunicatorB)AdvocateC)CaregiverD)ResearcherAns:AFeedback:Nursesarecommunicatorswhentheyreportfindingstothehealthcareteam.Advocacyinvolvesactionssuchasprotectingthepatient’ssafetyorrights.Administeringcaremeasuresdirectlytothepatientanddemonstratesthecaregiverrole.Researchinvolvescollectingandanalyzingdata.21.Anurseiscaringforayoungvictimofaterroristattack.Duringtherehabilitativeprocthenurseassiststhepatientinbathinganddressing.TherolethenurseisengagedinisA)AdvocateB)CaregiverC)CounselorD)EducatorAns:BFeedback:Asprovidersofcare,nursesassumeresponsibilityforhelpingpatientspromote,restorandmaintainhealthandwellness.Communicatingthepatient’sneedsandconcerns,anprotectingthepatientandthepatient’srightsarecomponentsoftheadvocacyroleof

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nursing.Thenurseissimplyassistinginhygienemeasures;noeducationorcounselingbeingprovided.22.Astudentischoosinghereducationalpathanddesiresanursingdegreethathasatrackthatcontainscommunitynursingandleadership,aswellasliberalarts.Thestudentwobestbesuitedinwhichtypeofprogram?A)LicensedpracticalnursingprogramB)CertificationinanursingspecialtyC)DiplomanursingprogramD)BaccalaureateprogramAns:DFeedback:Thebaccalaureatedegreeinnursingoffersstudentsafullcollegeoruniversityeducatiwithabackgroundintheliberalarts.23.Thedirectorofnursing(DON)ofamajorhospitalissearchingtohireanursewithastrongtechnicalbackgroundtocareforpatientsonabusysurgicalunit.TheDONismlikelygoingtohireanursepreparedatwhichlevelofnursing?A)DoctorallevelB)Master’slevelC)BaccalaureatelevelD)AssociatelevelAns:DFeedback:TheANA’s1965resolutionpromptedthe1985ANAstatementadoptingthetitlesofassociatenurse(anursepreparedinanassociatedegreeprogramwithanemphasisontechnicalpractice)andprofessionalnurse(anursepossessingthebaccalaureatedegreenursing)forthesetwolevels.Master’sanddoctoralpreparednursespossesshigherdegreesandexpertise.24.Anursingstudentbeginstospeakusingmedicalterminology.Thisisconsideredtobeofwhichprocess?A)LearningB)SocializationC)RoledevelopmentD)Evolutionary

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Ans:BFeedback:Socializationisaprocessthatinvolveslearningtheoryandskillsandinternalizinganidentityappropriatetoaspecificrole.25.WhichofthefollowingfactorshasmostinfluencedhownursespracticetheirprofessioA)FinancialsupportofnursingeducationB)ProfessionalorganizationssuchasANAC)NationalCommissiononNursingD)IncreasedincidenceofchronicillnessAns:DFeedback:Professionalorganizationsspeaktonursesonvarioustopicsandmayhavesomeinflueonideasregardingnursingcare,butlongerlifespans,increasedincidenceofchronicillness,andnewfamilystructureshavedramaticallyaffectedwhereandhownursespractice.26.Thefirstnursingjournalowned,operated,andpublishedbynurseswasA)AmericanJournalofNursingB)NurseEducatorC)NursingResearchD)StandardsofClinicalNursingPracticeAns:AFeedback:TheAmericanJournalofNursingwasfirstpublishedin1900andwasowned,operatedandpublishedbynurses.27.Advocatingforfinancialsupportforuniversity-basedschoolsofnursingwasnotedinwhichgovernmentdocument?A)TheGoldmarkReportB)HillBurtonAmendmentC)HealthCareInitiativeReformActD)LysaughtReportAns:AFeedback:

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TheGoldmarkReportin1923advocatedforfinancialsupportforuniversity-basedschofnursing.28.Theneedforuniversity-basednursingeducationprogramswasbroughttolightduringwhichimportanthistoricaltime?A)SpanishAmericanWarB)WorldWarIC)WorldWarIID)KoreanWarAns:CFeedback:EstherLucilleBrown,inherreportonnursingeducationpublishedatthattime,wrotenursingeducationbelongedincollegesanduniversities,notinhospitals.29.TheHenryStreetSettlementwasfoundedbyA)DorotheaDixB)LillianWaldC)FlorenceNightingaleD)IsabelHamptonRobbAns:BFeedback:LillianWaldandMaryBrewsterestablishedtheHenryStreetSettlement,whichwasthfirstpublichealthserviceforthesickandpoor.30.TheNurseCorpsoftheUnitedStatesArmywasestablishedbyA)DorotheaDixB)LillianWaldC)FlorenceNightingaleD)IsabelHamptonRobbAns:AFeedback:DorotheaDixestablishedtheNurseCorpsoftheUnitedStatesArmy.31.FlorenceNightingaleclassifiedsicknursingasA)Careofthedyingpatient

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B)Useofpatient’sreparativeprocessesC)AddressingthecommunityproblemsD)ImplementationofrestorativeprocessesAns:BFeedback:Nightingaleviewedsicknursingashelpingpatientsusetheirownreparativeprocessesgetwell.32.Thepurposeofnursingwasshapedbywhichofthefollowingeras?A)EgyptianeraB)ChristianeraC)RevolutionaryWareraD)VictorianeraAns:BFeedback:Christianity’sinfluenceimprovedthestatusofnursingbyattractingintelligentindividfromrespectedfamilies.Page 1Chapter 2- Health, Wellness, andComplementary Medicine1.Awomanovertheageof40yearshasanannualmammogram.Whatlevelofpreventiondoesthisrepresent?A)PrimarypreventionB)SecondarypreventionC)TertiarypreventionD)MedicalpreventionAns:BFeedback:Secondarypreventionincludesscreeningforthoseatrisktodevelopillnessorthosewhcouldbediagnosedearlyintheprocessforprompttreatment.

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2.Apatientinquiresabouttheuseofherbaltherapy.Whichstatementbythenurseismostaccurate?A)“Allherbsareequalinpurity,sopurchasethecheapestbrand.”B)“Herbscanhavesideeffectsandcaninteractwithprescriptionmedications.”C)“Besuretopayattentiontothepackaging’stherapeuticandpreventioninformatiD)“Itisbestifyouselectalicensedherbalistasapractitioner.”Ans:BFeedback:Itisimportantforpatientstounderstandthatherbscanhavesideeffectsandcaninteracwithprescriptionmedications.Standardizationoftheherb’sconstituentsisuseful,butalimitedbecausenotallthecompoundsortherequiredlevelsareknown,sothepurityandosagecontentsmaynotbeequalbetweenherbs.Herbalproductscannotmaketherapeuandpreventionclaims.Thereisnocurrentlicensingbodyforherbalists.3.Thenurseiscaringforaterminallyillpatientandasksthepatient’spermissiontoincorporatetherapeutictouchintothecareprovided.Thenurse’sgoalforthispatientisA)ProlonglifeB)ControlthedyingprocessC)BringstrengthD)ProducerelaxationAns:DFeedback:Whiletherapeutictouchdoesnotcuretheunderlyingdisease,itdoesseemtodecreasepproviderelaxation,andhelpmanydyingpeopleexperiencethefinaltransformationwithpeaceandacceptance.4.Thepractitioneroftherapeutictouchislisteningwithhis/herA)EarsB)MindC)SoulD)HandsAns:DFeedback:Inthesecondphaseoftherapeutictouch,thepractitionerislisteningwithhisorherhan

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5.Whenpracticingtherapeutictouch,thepractitionerbeginsbyperformingwhichintervention?A)CallingtorebalancethesoulB)Bringingthepractitioner’sattentiontoaninwardpeacefulconsciousnessC)EmbracingthepatientforenergyD)Movingherhands2to6inchesawayfromthepatient’sskinsurfaceAns:BFeedback:Thefirstandmostsignificantpartofthetherapeutictouchistermedcentering.Thepractitionerbringshisorherattentioninwardtoaquiet,still,peacefulstateofconsciousness.6.Whatnursetheoristdevelopedtherapeutictouch?A)DorotheaOremB)MarthaRogersC)JeanWatsonD)DoloresKriegerAns:DFeedback:Therapeutictouch,ahealingmethodusedbythousandsofnursesandotherprofessionalwasdevelopedmorethan30yearsagobyDoraKunz,ahealer,andDoloresKrieger,anemeritusmemberofNewYorkUniversity’snursingfaculty.7.Apatientisaskingforthenursetoexplainacupuncture.WhatwouldyoutellthepatientA)AcupunctureisonlydoneinEasterncountriesB)AcupunctureisadangerousoptionforthetreatmentofdiseaseC)AcupunctureisbeneficialtocreatingamoodofdistractionD)AcupunctureisusedtocorrectdisharmonyAns:DFeedback:Acupuncturecanbeusedtocorrectdisharmonyorpreventdisharmonyfromdeveloping8.Apatientisinthelaststageoflabor.Duringeachcontraction,sheisfocusingonherhusband’svoiceandapicturebroughtfromhome.Sheisdemonstratingwhichtypeofmeditation?

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A)ConcentrativeB)ReceptiveC)ReflectiveD)ExpressiveAns:AFeedback:Concentrativemeditationisprobablythemostfamiliar.Thepersonfocusesonaninternorexternalobject.Receptivemeditationreferstobeingmindfulandawareofthepresenmoment.Reflectivemeditationinvolvesgaininginsightintoone’sownthoughtsandexperiences.Expressivemeditationinvolvesactualmovement,suchasdance.9.Apatientisveryanxiousbeforeaninvasiveprocedure.WhatCAMtherapywouldbemhelpfultoassistindecreasinganxiety?A)MeditationB)ChinesemedicineC)AcupunctureD)HerbsAns:AFeedback:Meditationisawaytotuneandtrainthemind,leadingtogreaterefficiencyineverydaylife.Thiswillbemosthelpfulinassistingthispatienttodecreasethestresslevel.Chinesmedicinehasaverybroadbaseandincludesmeditation,acupuncture,andherbs.10.Whichofthefollowingquestionsorstatementstoapatientconveyacceptance?A)“Youknowsupplementscanbeharmful.Doyoutakeanysupplements?”B)“Haveyoueverdiscussedtakingvitaminsandsupplementswithyourdoctor?”C)“WillyoupleasesharewithmetheprescriptionmedicinesandvitaminsyoutakD)“Whathelpfulherbalsupplementsareyoutaking?”Ans:CFeedback:Startingwiththeinitialcontactwithapatient,thenurseincludesabasicassessmentoforheruseofCAMinanyintakeinterview.Thenurseasksaboutvitaminsandsupplementsaswellasanyhealingpractices.11.Whenobtaininginformationforadatabase,whichofthefollowingrepresentsanursecommitmentandinterestinreflectedintegrativemedicine(CAM)?

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A)“Whattypesoffoodsdoyouconsumein24hours?”B)“Doyoutakeanyvitaminsorminerals,andifso,what?”C)“Whatprescriptionmedicationsdoyoutakedaily?”D)“Whatdiseasesdoyousufferfromandwhatareyourallergies?”Ans:BFeedback:Startingwiththeinitialcontactwithapatient,thenurseincludesabasicassessmentoforheruseofCAMinanintakeinterview.Thenurseasksaboutvitaminsandsupplemeaswellasanyhealingpractices.12.Whichofthefollowingformsofmedicinecombineshealthpromotion,establishmentopartnershipwiththepatientandpractitioner,andcapturesanevolvingmodelofhealthcare?A)IntegrativehealthcareandmedicineB)HomeopathichealthcareandmedicineC)HolistichealthcareandmedicineD)PalliativehealthcareandmedicineAns:AFeedback:Integrativemedicineistheestablishmentofapartnershipbetweenthepatientandpractitionerandfocusesonpromotinghealthandpreventingillnesses,aswellastreatindisease.Integrativehealthcaremoreaccuratelyreflectsthecross-disciplinaryrealityanprogressiveacceptanceofabroaderaspectofcare.13.Apatientsuffersfromchronicpain.Thenursesuggeststhepatienthavemonthlymassages.ThisisanexampleofA)AdjuvantmedicineB)PalliativemedicineC)AlternativemedicineD)AllopathicmedicineAns:CFeedback:TheuseofconventionaltherapyasseenwithCAMincludestheuseofherbalmedicinmassage,megavitamins,self-helpgroups,folkremedies,energyhealing,andhomeopa14.Whattermisdefinedas“thosepracticesthatdonotformpartofthedominantsystem

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managinghealthanddisease”?A)AlternativemedicineB)ComplementaryhealthC)HomeopathicmedicineD)HolistichealthcareAns:AFeedback:Complementaryoralternativemedicine(CAM)wasintroducedin1996andgenerallyrefersto“thosepracticesthatdonotformpartofthedominantsystemformanagingheanddisease.”HolisticpractitionerstrytocombinetheprovensuccessesofWesternmodernmedicineandawiderangeoftherapiesconsideredcomplementaryoralternatimedicine.15.Themindandbodyareconnectedintheprovisionofcare.ThisstatementdescribesA)HomeopathiccareB)HolisticcareC)AltruisticcareD)AllopathiccareAns:BFeedback:Holisticinterventionsfocusontheinterrelatedneedsofbody,mind,emotions,andspi16.Whattypeofpracticewaschallengedbypatientswhowanttobetreatedaswholepersnotjustasadisease?A)HomeopathiccareB)HolisticcareC)AltruisticmedicineD)AllopathicmedicineAns:DFeedback:Allopathicmedicinewaschallengedby“patientswhowantedtobetreatedaswholepersons,notjustasadisease”.17.Tobeaneffectivechangeagentforwellness,thenursemustA)Skipbreakfasttoreducecalories

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B)DrinkcaffeinatedbeveragesC)LeadasedentarylifestyleD)ConsumeadietlowinfatAns:DFeedback:Nursesfocusedonwellnessadvocatetheuseoflifestylemodificationskillsthatalleviastressandpromoteastatelesssusceptibletodisease.18.An80-year-oldwomanhashadacerebrovascularaccident.Shehasflaccidityofherrisidewithaphasia.Forthispatient,whichofthefollowingactivitiesconstitutestertiaryprevention?A)AssessmentofherbloodpressureB)DailybleedingandclottingtimesC)GaittrainingandspeechtherapyD)EducationonthesymptomsofaCVAAns:CFeedback:Tertiarypreventionoccurswhenapersonalreadyhasbeendiagnosedwithalong-termdiseaseordisability.19.Whatlevelofpreventionisnotedwhenthenurseeducatesagroupofwomenwhohavschool-agechildrenonselfbreastexaminations?A)EducationalpreventionB)PrimarypreventionC)SecondarypreventionD)TertiarypreventionAns:BFeedback:Primarypreventionfocusesonthehealthofapersonwiththegoalofpreventingdiseaillness.Self-breastexaminationeducationisprimaryprevention.20.Anurseassiststhepatientinthedevelopmentofahealthylifestyle.Theadoptionofthlifestylechangesinthepatient’slifeisconsideredA)AdaptationB)Self-care

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C)Self-esteemD)HealthmanagementAns:BFeedback:Self-responsibilityisparamountinDorotheaOrem’snursingtheory,whichfocusesonself-caresothatthepersoncanmaintainlife,health,andwell-being.21.Thebody’sattempttorestorebalancethroughself-regulatorymechanismsistermedA)HomeostasisB)EquilibrationC)SelfconceptionD)BiofeedbackAns:AFeedback:Homeostasisistheorganism’sattempttorestorebalance.Equilibrationisadistractorfthisquestion.Self-conceptionisrelatedtotheindividual’sfeelingsandattitudesabouthimselforherself.Biofeedbackisarelaxationtechnique.22.Apatientenjoyshigh-caloriecarbohydratesbutunderstandsthattheyraiseherbloodssharplyandultimatelycausethefeelingofbutterfliesinherstomachasherbloodsugadecreases.ThisisconsideredA)HealthpromotionB)IllnesspreventionC)HolismD)Self-awarenessAns:DFeedback:Self-awarenessmeansknowingandcaringforoneself,recognizingone’sstrengthsandlimitations.23.TheconceptofholismisbasedonthebeliefthatA)IndividualscanbeseeninanatomisticfashionB)HealthisachievedthroughmedicalcareC)HealthisachievedbytreatmentfromphysiciansD)Individualscannotbeseenapartfromtheenvironment

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Ans:DFeedback:Holismisbasedonthebeliefthatpeoplecannotbefullyunderstoodifexaminedsolelypiecesapartfromtheirenvironment.24.Traditionalmedicine’sviewofhealthistypicallyexplainedbythehealthmodeltermeA)High-levelwellnessB)HealthbeliefmodelC)Wellness-illnesscontinuumD)HolistichealthmodelAns:CFeedback:Traditionalmedicineidentifiesaneutralpointatwhichanindividualisfreeofsignsansymptomsofdisease.25.Whatisdefinedastherecognitionofhealthasanongoingprocesstowardaperson’shighestpotentialoffunctioning?A)IllnessB)Agent-host-environmentC)HealthbeliefmodelD)High-levelwellnessAns:DFeedback:High-levelwellnessisdefinedasrecognizinghealthasanongoingprocesstowardaperson’shighestpotentialoffunctioning.26.Apatientstates,“ImustbeinpoorhealthbecauseIamaseniorcitizen.That’swhatmneighborsaysandsheisolderthanIam.Thisstatementisbasedonwhichofthefollowingfactors?A)AgeB)GenderC)PeerinfluenceD)IllnessfactorsAns:CFeedback:

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Peerinfluence,personalitycharacteristics,ethnicity,andsocioeconomicfactorsmayaaperson’sresponsetoillness.27.Whenadmittinganadolescenttothehospital,thenurseanticipatesthatthepatientwillrespondtoquestionsabouthishealthbeliefsbasedonhisA)AgeanddevelopmentalstateB)GenderandmedicalhistoryC)PeerinfluenceandeducationD)HealthpromotionactivitiesAns:AFeedback:Ageanddevelopmentalstageareimportantconsiderationsinthehealthbeliefmodel.28.Whatisadynamicbalanceamongthephysical,psychological,social,andspiritualaspofaperson’slife?A)HealthB)WellnessC)HolismD)PromotionAns:BFeedback:Wellnessisadynamicbalanceamongthephysical,psychological,social,andspiritualaspectsofaperson’slife.29.Whatisadynamicstateinwhichapersonconstantlyadaptstochangesintheinternalexternalenvironment?A)HealthB)WellnessC)HolismD)InfirmityAns:AFeedback:Healthisadynamicstateinwhichapersonconstantlyadaptstochangesintheinternaandexternalenvironment.30.Whatisastateofcompletephysical,mental,andsocialwell-being,notmerelytheabs

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ofdiseaseorinfirmity?A)HealthB)WellnessC)HolismD)HostAns:AFeedback:TheWorldHealthOrganizationdefineshealthas“astateofcompletephysical,mentalandsocialwell-being,notmerelytheabsenceofdiseaseorinfirmity.”31.Anurseiseducatingwomenontheneedforcalciumtopreventboneloss.Whatlevelopreventiondoesthisrepresent?A)PrimarypreventionB)SecondarypreventionC)TertiarypreventionD)ResidualpreventionAns:AFeedback:Primarypreventionorprimaryhealthcareinvolvestheeducationofpatientsinthepreventionofdisease.32.Apatienthashadatotalkneereplacementandisreceivingcarethatincludeslearningwalkwithawalker.Whatlevelofpreventionismostapplicabletothispatient?A)PrimarypreventionB)SecondarypreventionC)TertiarypreventionD)ResidualpreventionAns:CFeedback:Tertiarypreventionandhealthcaredealswithrehabilitationofthepatient.Teachingthpatienttowalkwithawalkeristertiaryprevention.Page 1

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Chapter 3- Healthcare in the Community andHome1.Intheprovisionofnursingcare,itismostimportanttoperformwhichofthefollowingactions?A)AdministrationofprescribedmedicationsB)Implementationofphysician’sordersC)Evaluationofpatient’sresponsesD)CoordinationofcarewiththehealthcareteamAns:DFeedback:Nurseshavemovedfromsimplyobservingandgivingprescribedmedicationstocoordinatingclinicalinformationfortheentirehealthcareteam.2.Anurseiscaringfora17-year-oldpregnantwoman.Thewomanneedstobuyababybeandobtainbabyitems.ThenurseshouldencouragethepatienttogotoA)ThevisitingnurseassociationB)AresaleshopC)ArentalequipmentstoreD)ThewelfareofficeAns:BFeedback:Nursesshouldbefamiliarwithavailableemergencycare,equipmentrentalstores,choreandhomemakerservices,home-deliveredmeals,visitingnurseservices,andshouldknowherewelfareandMedicare/Medicaidofficesarelocated.ThenurseshouldbefamiliarwithWICcentersandresalestorestoassistnewmothers.3.Ahomecarenursehascompletedahomeassessment.Ofthefollowingfindings,whichshouldbereportedtoserviceprovidersimmediately?A)InfestationwithroachesB)ThesmellofnaturalgasC)UncleanenvironmentD)Diminishedfoodsources

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Ans:BFeedback:Acomprehensivehomeassessmentincludessafety,sanitation,mobility,temperature,anpersonalspace.Allofthelisteddeficienciesareofaconcern.Theimmediateconcernfothenurse’sandpatient’ssafetyisthethreatoffireorexplosionduetothesmellofnaturgas.4.Apatientisdiagnosedwithmilddementiawhileinthehospital.Inpreparingfordischarthenurseshoulddiscusswiththefamilythe:A)PossibleneedforhomecareB)LegalresponsibilityforthefutureC)Needfortransfertoalong-termcarefacilityD)LackoffreeresourcesofcareAns:AFeedback:Theneedsofthepatientshouldbeconsideredwhenmakingdischargeplans.Commonrfactorsassociatedwiththeneedforhomecareincludelimitedsocial,mental,orphysicafunctioning.Legalissues,long-termcare,andfreeresourcesarenotindicatedinthissituation.5.Thehomecarenurseasksthepatientandfamilyabouttheirsocioeconomicstatus,cultuandbeliefs.Thisoccursduringwhichphaseofcare?A)AssessmentB)NursingdiagnosisC)OutcomecriteriaD)ImplementationAns:AFeedback:Duringtheassessmentphaseofahomecarevisit,thenursecollectssubjectiveinformatonhowthepersonnormallymanagesathome,whatthehomeislike,andwhatfamilyacommunitysupportisavailable.Thenurseexploresthepatient’sbeliefsandculture,competencies,capabilities,concerns,deficits,andlimitationstounderstandhowthepatmanagesathomeandwhatsheorhedesires.Nursingdiagnosis,outcomecriteria,andimplementationoccurlaterinthenursingprocessasaresultofassessmentdata.6.Whenthenurseisinvolvedinthein-homephase,thenurseshouldA)Usetherapeuticcommunication

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B)RecordfindingsC)PlanthenextvisitD)SummarizeaccomplishmentsAns:AFeedback:Thein-homephaseinvolvesestablishingtheprofessionaltherapeuticrelationshipandimplementingthenursingprocess.Duringthein-homephase,thenursemustusetherapeuticcommunicationskills.7.Ahomecarenursehasjustcompletedadressingchangeonherpatient.Whichstatemenbestdescribestheterminationphase?A)“Youneedtoeatmoreproteintoassistyouwithwoundhealing.”B)“Onascaleof0to10with0beingnopainand10beingtheworst,wherewouldrateyourpain?”C)“Yourwoundishealingnicely.Itisdraininglessanditissmallerbyahalfcentimeter.”D)“Haveyouhadanyproblemssinceourlastvisit?Isyourwifedoingwellwithyodressingchanges?”Ans:CFeedback:Thesummarizationofthepurposeofthevisitisevidentwiththedescriptionoftheaccomplishmentsofthevisit.Discussionofdiet,pain,andevaluationofcaregivercompetencyshouldbedonebeforetheterminationofcare.8.WhatisthepurposeoftheStandardsofCareandStandardsofProfessionalPerformanceA)TolisttreatmentsinthehomecaresettingB)ToassistwithvirtualscenariosinthehomeC)TounderstandtheroleofthemedicalnurseinthehomeD)ToguidethehomecarenurseinacollaborativeroleAns:DFeedback:TheStandardsofCareandtheStandardsofProfessionalPerformanceguidethehomecnurseinhisorhercollaborativerolewiththepatientandfamilytoidentifythehealthcarneedsformanagementinthehomesetting.9.Wheninitiatinghomehealthcareservices,duringwhichphaseisitappropriateforthen

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toimplementtheinitialpatientassessment?A)InitiationphaseB)PrevisitphaseC)In-homephaseD)TerminationphaseAns:CFeedback:Initialassessmentshouldbeconductedinthein-homephaseaccordingtoStanhopeandLancaster.Theinitiationphaseconsistsofclarifyingthesourceofreferralandthepurpoofthevisit,aswellastheinitialcontactwiththefamily.Reviewingrecordsandschedulvisitsoccursduringtheprevisitphase.Summarizationanddeterminingtheneedforfurtvisitsoccursduringtheterminationphase.10.An82-year-oldwomanisbeingdischargedfromthehospitalfollowingabowelresectThewomanlivesaloneandherfamilyisoutoftown.Whichfactorwillhavethegreateffectonherhomecaremanagement?A)SupportsystemsB)MedicationmanagementC)TransportationD)PsychosocialneedsAns:AFeedback:Sincethiswomanlivesaloneandhasnofamilyavailable,thepatientmaynotbeabletstayathomeandmayneedtobeplacedinafacilitytoprovideadequatesupport.11.Apatienthasseverepainrelatedtodegenerativejointdisease.Onwhichaspectofcarewillthenurseneedtofocusfirst?A)PatienteducationonpathophysiologyB)AbilitytoperformdailyactivitiesC)Patient’sfinancialresourcesD)TheeffectsofsocialisolationAns:BFeedback:Severepaincandecreaseaperson’sabilitytocarryoutactivitiesofdailylivingandfunction;therefore,thisistheprimaryconcernofthehomehealthnurseatthistimesin

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thisisabasicneed.Theotherareascanbeaddressedatalatertime.12.Asingleparent,aged17yearswithonechildandpregnantwithhersecondchild,hastmentalageofa12-year-old.Asthehomecarenurse,whatisyourgreatestconcernincaringforthiswoman?A)HerabilitytobondwithherchildrenB)HerabilitytoreceivefinancialaidC)HercognitiveabilitytounderstandD)HerphysicalcareabilitiesAns:CFeedback:Thecognitiveabilityofthisindividualisofgreatestconcernregardingallaspectsofhsurvival.Thecognitiveabilitytounderstandhowtoorganizework,managefinancialresponsibilities,andensuresafetywithinthehomeisessential.13.A16-year-oldgirlhasbeeninjuredinanaccidentandisreceivinghomecareduetofracturesandmultipletraumarelatedinjuries.Shestates,“Idon’tknowwhyIsurvivedandnotmybestfriend.”ItismostimportanttoA)CommunicateherfeelingstofamilyandfriendsB)AllowthereligiousforceinherlifetovisitC)BecertainthathereducationalneedsarebeingmetD)IncreaseheractivitytoassistinhercopingabilityAns:AFeedback:Thehomecarenursecanassistincoordinatingcareneedsandencouragingfamily,teachers,schoolmates,andfriendstounderstandthepatient’sstrugglesandhelpsuppoherneeds.14.An18-month-oldchildisventilatordependentduetoinfantilescoliosis.Thisisthefirstimethechildhasbeenhomesincebirth.Hisparentsareveryconcernedaboutprovidicare.ItismostimportanttoassisttheparentswithA)FinancialneedsofcareB)PreventionofinfectionC)EmotionalbondingD)GeneticcounselingAns:C

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Feedback:Thechildhasnotbeenhomesincebirth.Thus,theparentswillneedemotionalassistantoenhancebonding.Thenursesupportstheparentstomeettheinfant’sphysicalandemotionalneedsandencouragesthemtostrengthentheparent-childbond.15.HomecarenursesarerequiredtocompletetheOutcomeandAssessmentInformationaccordingtoA)MedicareB)MedicaidC)Third-partypayerD)InsuranceAns:AFeedback:TheOutcomeandAssessmentInformationSetprovidesstandardizedguidelinesforadmissionandcare,aswellasanationaldatabaseforevaluation,reimbursement,andqualityimprovement.TheOASISsystemofdatacollectionisusedbyMedicare.16.Itisimportantforhomehealthcarenursestorememberwhichpoint?A)Thenurseistheprimarycaregiver.B)Thenurseistheguestinthepatient’shome.C)Rehabilitationisthemajorpatientgoal.D)Thenurseshouldactasacounselorandadvisor.Ans:BFeedback:Anessentialdifferenceinhomecareversusacutecareisthatthehomecarenurseisaguestinthepatient’shome.Familyorothersupportpersonsaretheprimarycaregiversrehabilitationmaynotbethegoal,andthenursedoesnottypicallyactasacounseloroadvisor.17.ApatientishavinganincreasingamountofdifficultycaringforherselfinherhomealShestatestothenurse,“Ineedmorehelp.WhatamIgoingtodo?”ItwouldbeimportforthenursetohavetheA)SocialworkervisittodiscusscareoptionsB)PhysicaltherapisthelpwithrehabilitationC)HomehealthaideincreasevisitsforbathingD)Occupationaltherapistassessforadaptivedevices

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Ans:AFeedback:Servicestomanagehealthcareneedsinthehomecaninvolveateamofinterdisciplinarprofessionals,includingsocialworkers.Thesocialworkerisabletoidentifyresourcesmeetthepatient’sneeds.18.Awomanlivingalonehasdegenerativejointdisease,hypertension,andneuropathy.Itdifficultforhertobatheherself,andherbloodpressureisunstable.Whattypeofcarewouldthispatientbenefitfrommost?A)AcutecareB)AmbulatorycareC)HomecareD)RespitecareAns:CFeedback:Homehealthcareservicesaredeliveredtopersonsathomewhoarerecoveringfromillness,aredisabled,orarechronicallyorterminallyillandneedvariousservicestoprogress,maintainfunction,orperformtheirADLs.Acuteandambulatorycarearedeliveredonashort-termbasis,andrespitecare’sfocusisonthecaregiver.19.OneoftheprimaryadvantagestothemanagedcaremodelisA)IncreasedpatientsatisfactionB)EconomicqualitycareC)AllRNstaffD)DistinctareaofcareAns:BFeedback:Casemanagementisusedinsuchsituationstoensureoptimum,high-qualitycareinthmostefficientandeconomicmanner.20.Priortothepatient’sdischargefromanacutecarefacility,thenursingcasemanagerhathenursingstaff,patient,patient’sfamily,physicaltherapist,andhomehealthnursemThepurposeofthisistoA)ProvidepatientteachingB)EvaluatetheeffectivenessofthehospitalizationC)Determinehospital-basedservices

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D)PreparethepatientforhomecareAns:DFeedback:Dischargeplanningpreparesapatienttomovefromonelevelofcaretoanotherwithinoutsidethehealthcarefacility.21.Anurseiscoveringallaspectsofadmissionproceduresforapatientwhoisreceivinghomehealthservices.Thenurseexplainswhatprocedureswillbecoveredduringhisvisits.Whichofthefollowingaspectsoftheadmissionprocessdoesthisrepresent?A)EstablishingrapportandshowingwillingnesstolistenB)ClearlydefiningthepurposeandexpectationsoftheadmissionC)DocumentingtheprocedureD)Assistinginparticipationofthecare-relateddecisionsAns:BFeedback:Duringtheadmissiontothehealthcaresystem,patientsshouldunderstandthepurposeexpectationsofadmission.22.ContinuityofcareforaparticularpatientisimportanttopreventA)MultipleprovidersB)InfectionC)FragmentationofservicesD)RisinghealthcarecostsAns:CFeedback:Continuityofcareistheprovisionofhealthcareserviceswithoutdisruption,regardlessmovementbetweensettings.23.Thehomecarenurseisprovidingcareandeducationtoawomanwhoispregnantwithfirstchild.Thepatientstates,“Ihavenomoneyorfood.Idon’tknowwhatIshoulddowanttoprovideformyunbornchild.”ThenurserefersthewomantotheWICprogramandalocalfoodbank.Thisisanexampleofwhataspectofcommunity-basednursing?A)AssessmentB)PlanningC)Restoration
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