Fundamentals of Nursing Care-Concepts, Connections & Skills Edition 3Test Bank

Fundamentals of Nursing Care-Concepts, Connections & Skills Edition 3Test Bank Fundamentals of Nursing Care: Concepts, Connections & Skills Edition 3Test Bank TO GET MORE MATERIALS HESI, ATI. KAPLAN - Chapter 1 The Vista of Nursing 1. The first practicing nurse epidemiologist was a. Florence Nightingale. b. Mildred Montag. c. Clara Barton. d. Mary Agnes Snively. ANS: A Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor sanitation with cholera and dysentery. Mildred Montag, Clara Barton, and Mary Agnes Snively came after Nightingale, each contributing to the nursing profession in her own way. Clara Barton founded the American Red Cross. Dr. Mildred Montag established the first associate degree nursing program in 1952. Mary Agnes Snively began forming the Canadian National Association of Trained Nurses in 1883. 2. The American Red Cross was founded by a. Florence Nightingale. b. Harriet Tubman. c. Clara Barton. d. Mary Mahoney. ANS: C In 1882, the United States ratified the American Red Cross, founded by Clara Barton. Florence Nightingale established the Training School for Nurses in London, England, in 1860. Harriet Tubman was active in the Underground Railroad movement during the American Civil War. Mary Mahoney was the first professionally trained African American nurse. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 3. Nurses working in the Henry Street Settlement in 1893 were among the first nurses to demonstrate autonomy in practice. This was because those nurses a. Had no ability to work in the hospital setting. b. Were required to use critical thinking skills. c. Focused solely on healing the very ill. d. Planned their care around research findings. ANS: B In 1893, nurses working in the Henry Street Settlement were some of the first to demonstrate autonomy in practice because they encountered situations that required quick and innovative problem solving and critical thinking, and provided therapies aimed at maintaining wellness, as well as curing the ill. Nursing hospitals expanded in the late nineteenth century and were major providers of nursing care. Not until the early twentieth century was there a movement toward a scientific, research-based body of nursing knowledge. 4. In 1923, the Goldmark Report was an important study that a. Formed formal nurse midwifery programs. b. Established the Center for Ethics and Human Rights. c. Revised the ANA code of ethics. d. Led to the development of the Yale School of Nursing. ANS: D In 1923, the Goldmark Report identified the need for increased financial support for university- based schools of nursing. As a result, the Yale School of Nursing was developed. Graduate nurse midwifery TO GET MORE MATERIALS HESI, ATI. KAPLAN - programs did not come into existence until the 1940s, and the Center for Ethics and Human Rights was founded in 1990. The ANA code of ethics was published in 1985 and was last updated in 2001. 5. The major difference between a baccalaureate degree nursing program and an associates degree nursing program is that the baccalaureate program includes studies in a. Basic sciences and theoretical courses. b. Social sciences and humanities. c. Theoretical and clinical courses. d. Basic sciences and clinical courses. ANS: B Both associates degree programs and baccalaureate programs focus on basic sciences and on theoretical and clinical courses. Baccalaureate programs, however, also focus on courses in the social sciences, arts, and humanities to support nursing theory. 6. The nurse has been working in the clinical setting for several years as an advanced practice nurse and has earned her masters degree as a family nurse practitioner. However, she seems unfulfilled and has a strong desire to do research. To fulfill her desire, the nurse most likely would apply to attend a program that would lead to a a. Doctor of Nursing Science degree (DNSc). b. Doctor of Philosophy degree (PhD). c. Doctor of Nursing Practice degree (DNP). d. Doctor in the Science of Nursing degree (DSN). ANS: B PhD programs emphasize basic research and theory and are research oriented. Professional doctoral programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse practitioners. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 7. The nurse is caring for her patients and is focused on managing their care as opposed to managing and performing skills. This nurse demonstrates which level of proficiency according to Benner? a. Novice b. Competent c. Proficient d. Expert ANS: C The proficient nurse focuses on managing care as opposed to managing and performing skills. The novice nurse deals with a specific set of rules or procedures, which are usually stepwise and linear. The competent nurse understands the organization and the specific care required by specific types of patients and has experience with psychomotor skills. The expert nurse identifies patient-centered problems, as well as problems related to the health care system. 8. Which of the following resources guides faculty on structure and evaluation of the nursing curriculum? a. ANAs Standards of Nursing Practice b. Essentials of Baccalaureate Education c. NLNAC Interpretive Guidelines d. Standards of Professional Performance ANS: B The American Association of Colleges of Nursing (AACN) published Essentials of Baccalaureate Education for Professional Nursing: A Final Report (1998), which guides faculty on structure and evaluation of the curriculum and the performance of the graduate. The ANAs Standards of Nursing Practice demonstrates the critical thinking model known as the nursing process. Standards of Professional Performance TO GET MORE MATERIALS HESI, ATI. KAPLAN - describes a competent level of behavior in the professional role. NLNAC Interpretive Guidelines identifies core competencies for the professional nurse. 9. The nurse is caring for the patient who has had major abdominal surgery and also has a large sacral pressure sore. The nurse implements coughing and deep breathing exercises and consults the wound care specialist to evaluate and prescribe care for the pressure sore, even though no physician order has provided instructions to do so. In doing this, the nurse is implementing the element of a. Autonomy. b. Accountability. c. Advanced practice. d. Nurse practitioner. ANS: A Autonomy is an essential element of professional nursing. Some independent nursing interventions such as implementing coughing and deep breathing exercises and collaboration with other health professionals can be initiated without medical orders. Accountability means that the nurse is responsible, professionally and legally, for the type and quality of nursing care provided. Advanced practice nurse is an umbrella term for advanced clinical nurses such as nurse practitioners who provide care to a group of patients. 10. The physician is planning to take the patient to surgery in the morning and leaves an order for the nurse to get the patient to sign the surgical permit. The physicians note indicates that the patient has been educated on the procedure. However, the patient tells the nurse, I have no idea what hes going to do. He rushed in and rushed out so fast, I couldnt ask any questions. The nurse does not allow the patient to sign the permit and calls the physician to inform him of the patients statement. This is an example of the nurse acting as a. Patient advocate. b. Patient educator. TO GET MORE MATERIALS HESI, ATI. KAPLAN - c. Manager. d. Clinical nurse specialist. ANS: A As a patient advocate, the nurse protects the patients human and legal rights, including the right of the patient to understand procedures before signing permits. Although nurses can be educators, it is the responsibility of the surgeon to provide education for the patient in preparation for surgery, and it is the nurses responsibility to notify the physician if the patient is not properly educated. Managers coordinate the activities of members of the nursing staff in delivering nursing care, and clinical nurse specialists are experts in a specialized area of nursing practice in a variety of settings. 11. The patient requires routine gynecological services after giving birth to her son, and while seeing the nurse midwife, she asks for a referral to a pediatrician for the newborn. The nurse midwife should a. Provide the referral as requested. b. Offer to provide the newborn care. c. Refer the patient to the supervising physician. d. Tell the patient that she cannot make referrals. ANS: B The practice of nurse midwifery involves providing independent care for women during normal pregnancy, labor, and delivery, as well as care for the newborn. As an independent practitioner, supervising physicians are not required by the certified nurse midwife (CNM). However, a CNM practices with a health care agency that provides medical consultation, collaborative management, and referral. After being apprised of the CNM role, if the patient insists on seeing a pediatrician, the nurse midwife should provide the referral. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 12. The student nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). It is important for the student to understand that the CRNA a. Works under the guidance of an anesthesiologist. b. Manages acute medical conditions. c. Manages gynecological services such as PAP smears. d. Must have a PhD degree in anesthesiology. ANS: A Nurse anesthetists provide surgical anesthesia under the guidance and supervision of an anesthesiologist, who is a physician with advanced knowledge of surgical anesthesia. Nurse practitioners, not CRNAs, manage self-limiting acute and chronic stable medical conditions; certified nurse midwives provide gynecological services such as routine Papanicolaou (Pap) smears. The CRNA is an RN with an advanced education in a nurse anesthesia accredited program. A PhD is not a requirement. 13. The nurse is speaking in front of a group of ninth grade students about nursing as a profession. One student states that she does not want to be a nurse because all nurses do is take care of sick people and play politics. The most appropriate response that the nurse could give and expand on is that a. Nursing is ideal for the person who hates politics. b. Nursing focuses on curing the persons disease. c. Nursing is not political because it has its own knowledge base. d. An area of nursing exists for every interest. TO GET MORE MATERIALS HESI, ATI. KAPLAN - ANS: D It is important to remember that opportunities are limitless for caring, compassionate, and competent nursing care; an area of nursing exists for every interest. Current philosophies and definitions of nursing demonstrate the holistic trend in nursingto address the whole person in all dimensions, in health and illness, and in interaction with family and community. Political activism and commitment are a part of professionalism and are an important aspect of the delivery of health care. Nursing continues to draw on the social sciences and other fields as the focus of nursing care expands. 14. A bill has been submitted to the State House of Representatives that is designed to reduce the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1. The nurse realizes that a. Legislation is politics beyond the nurses control. b. National programs have no bearing on state politics. c. The individual nurse can influence legislative decisions. d. Focusing on nursing care provides the best patient benefit. ANS: C Nurses can influence policy decisions at all governmental levels. One way is to get involved in ANAs national efforts, such as Nursings Agenda for the Future: A Call to the Nation. This effort is critical in exerting nurses influence early in the political process. Nurses need to become serious students of social needs, activists in influencing policy to meet those needs, and generous contributors of time and money to nursing organizations and candidates to help legislate conditions that are likely to produce the best care possible. 15. During the American Civil War, which of the following women was active in the Underground Railroad movement and assisted in leading more than 300 slaves to freedom? TO GET MORE MATERIALS HESI, ATI. KAPLAN - a. Harriet Tubman b. Clara Barton c. Dorothea Dix d. Mary Ann Ball (Mother Bickerdyke) ANS: A Harriet Tubman was active in the Underground Railroad movement and assisted in leading more than 300 slaves to freedom. Clara Barton, founder of the American Red Cross, tended soldiers on the battlefields, cleansing their wounds, meeting their basic needs, and comforting them in death. As superintendent of the female nurses of the Union Army, Dorothea Lynde Dix organized hospitals, appointed nurses, and oversaw and regulated supplies to the troops. Mother Bickerdyke organized ambulance services and walked abandoned battlefields at night, looking for wounded soldiers. 16. Graduates of baccalaureate degree or associates degree nursing programs are eligible to take which of the following to become registered nurses in the state in which they will practice? a. Continuing education credits b. In-service education programs c. National Council Licensure Examination d. Graduate education ANS: C Currently, in the United States, the most common way to become a registered nurse (RN) is through completion of an associates degree or baccalaureate degree program. Graduates of both programs are eligible to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to become registered nurses in the state in which they will practice. Continuing education involves formal, organized educational programs offered by universities, hospitals, state nurse associations, professional nursing organizations, and educational and health care institutions. In-service education programs consist of instruction or training provided by a health care agency or institution. An in-service program is held in the institution and is designed to increase the knowledge, skills, and competencies of nurses and TO GET MORE MATERIALS HESI, ATI. KAPLAN - other health care professionals. A nurse who is completing a graduate program can receive a masters degree in nursing. 17. Which concept means that the nurse is responsible, professionally and legally, for the type and quality of nursing care provided? a. Autonomy b. Accountability c. Patient advocacy d. Patient education ANS: B Accountability means that the nurse is responsible, professionally and legally, for the type and quality of nursing care provided. Autonomy is an essential element of professional nursing that involves the initiation of independent nursing interventions without medical orders. As a patient advocate, the nurse protects the patients human and legal rights and provides assistance in asserting these rights if the need arises. As an educator, the nurse explains concepts and facts about health, describes the reasons for routine care activities, demonstrates procedures such as self-care activities, reinforces learning or patient behavior, and evaluates the patients progress in learning. MULTIPLE RESPONSE 1. The nurse in the twenty-first century is facing an extremely complex profession with multiple external forces affecting the nursing profession. Factors influencing the nursing profession include which of the following? (Select all that apply.) a. Demography b. Womens health care TO GET MORE MATERIALS HESI, ATI. KAPLAN - c. Human rights d. The threat of bioterrorism e. The medically underserved ANS: A, B, C, D, E Multiple external forces affect nursing. These include demographic changes in the population, human rights, increasing numbers of medically underserved, and the threat of bioterrorism. The womens movement brought greater sensitivity to the health care needs of women and the role of women in health care research. 2. After licensure, the practicing nurse is required to update his or her knowledge about the latest research and practice developments. The most common way nurses do this is through programs. (Select all that apply.) a. Continuing education b. Masters degree c. In-service education d. DNP ANS: A, C Continuing education updates the nurses knowledge about the latest research and practice developments. In-service education programs are provided by a health care agency to increase the knowledge, skills, and competencies of nurses employed by the institution. Both can provide the nurse with continuing education credit. Masters degree programs are valuable for those in the role of nurse educator, nurse administrator, or advanced practice nurse. The DNP is a practice doctorate that prepares advanced practice nurses. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 3. Which of the following is (are) an example of an advanced practice nurse? (Select all that apply.) a. Nurse practitioner b. Clinical nurse specialist c. Patient advocate d. Certified registered nurse anesthetist e. Nurse midwife ANS: A, B, D, E Although all nurses should function as patient advocates, advanced practice nurse is an umbrella term for an advanced clinical nurse such as a nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, or nurse midwife. 4. The nurse manager from the oncology unit has had two callouts; the orthopedic unit has had multiple discharges and probably will have to cancel one or two of its nurses. The orthopedic unit has agreed to float two of its nurses to the oncology unit if oncology can float a nursing assistant to the orthopedic unit to help with obtaining vital signs. This is an example of (Select all that apply.) a. Autonomy. b. Accountability. c. Political activism. d. Politics. ANS: A, B, D Staffing is an independent nursing intervention and is an example of autonomy. Along with increased autonomy comes accountability or responsibility for outcomes of an action. Nurses are involved in politics when seeking additional resources. However, political activism usually involves more than dayto-day activities such as unit staffing. TO GET MORE MATERIALS HESI, ATI. KAPLAN - Chapter 2 Health-Care Delivery, Settings and Economics 1. Public health nursing differs from community health nursing in that public health nursing a. Focuses on individuals and families. b. Understands the needs of a population. c. Ignores political processes. d. Considers the individual as one member of a group. ANS: B Public health nursing requires understanding the needs of a population. A public health nurse understands factors that influence the political processes used to affect public policy. The primary focus of community health nursing is the care of individuals, families, and groups in the community. By focusing on subpopulations, the community health nurse cares for the community as a whole and considers the individual or family as only one member of a group at risk. 2. A specialist in public health nursing requires a. The same level of education as the community health nurse. b. Preparation at the basic entry level. c. An advanced degree regardless of public health experience. d. A graduate level education with a focus in public health science. ANS: D TO GET MORE MATERIALS HESI, ATI. KAPLAN - A specialist in public health has a graduate level education with a focus in public health science. Public health nursing requires preparation at the basic entry level and sometimes requires a baccalaureate degree in nursing. Not all hiring agencies require an advanced degree in community health nursing. However, nurses with a graduate degree in nursing who practice in community settings are considered community health nurse specialists, regardless of their public health experience. 3. The community health nurse differs from the community-based nurse in that the community health nurse a. Understands the needs of the population. b. Focuses on the needs of the individual. c. Is the first level of contact in the health care system. d. Involves the family in decision making. ANS: A The community health nurse understands the needs of a population or community through experience with individual families in working through their social and health care issues. The community-based nurse focuses on the needs of the individual or family. Community-based nursing centers function as the first level of contact between members of a community and the health care system. The communitybased nurse learns to partner with patients and families so that ultimately the patient and the family become involved in planning, decision making, implementation, and evaluation of health care approaches. 4. The type of nursing that focuses on acute and chronic care of individuals and families while enhancing patient autonomy is known as nursing. a. Public health b. Community health TO GET MORE MATERIALS HESI, ATI. KAPLAN - c. Community-based d. Community-focused ANS: C Community-based nursing involves acute and chronic care of individuals and families and enhances their capacity for self-care while promoting autonomy in decision making. Public health nursing focuses on the needs of a population. Community health nursing cares for the community as a whole and considers the individual or the family as only one member of a group at risk. Community-focused nursing understands the needs of a population or community. 5. The community health nurse is administering flu shots to children at a local playground. In doing so, the nurses focus is on a. Preventing individual illness. b. Preventing community outbreak of illness. c. Preventing outbreak of illness in the family. d. The needs of the individual or family. ANS: B By focusing on subpopulations, the community health nurse cares for the community as a whole and considers the individual or the family as only one member of a group at risk. Community- based nursing, as opposed to community health nursing, focuses on the needs of the individual or family. 6. The community health nurse is providing counseling to a group of teenage girls related to birth control and disease prevention. The nurse does this because a. Focusing on subpopulations leads to community health. TO GET MORE MATERIALS HESI, ATI. KAPLAN - b. Community health nursing focuses on individuals only. c. Community health nursing excludes direct care to subpopulations. d. The focus is on preventing illness and unwanted pregnancy. ANS: A By focusing on subpopulations, the community health nurse cares for the community as a whole and considers the individual or the family as only one member of a group at risk. Community health nursing is a nursing practice in the community, with the primary focus on the health care of individuals, families, and groups in a community. Subpopulations are often a clinical focus. The goal is to protect, promote, or maintain health, not to prevent illness. 7. Community-based nursing care takes place in community settings such as the home or a clinic. Ideally, this is done to a. Exert greater control over individual or family decisions. b. Provide services close to where patients live. c. Isolate patients and prevent the spread of disease. d. Reduce the need for self-care. ANS: B The ideal is to provide health care services close to where patients live. This lessens the cost of care as well as the stress associated with the financial burdens of care. The focus is on the needs of the individual or family. The nurse learns to partner with patients and families so they assume responsibility for their health care decisions. 8. The community-based nurse is caring for a patient who is home bound by arthritis and chronic lung problems. The patient, however, receives many visitors from the neighborhood and from former coworkers, as well as frequent phone calls from extended family. When concerned about how the large number of visitors may be fatiguing the patient, the nurse should TO GET MORE MATERIALS HESI, ATI. KAPLAN - a. Restrict the number of visitors for the patients welfare. b. Voice concerns to the patient and proceed according to the patients wishes. c. Allow visitors to come and go freely as they have been. d. Create visiting hours when the patient may see nonfamily members. ANS: B With the individual and the family as patients, the context of community-based nursing is familycentered care within the community. This focus requires a strong knowledge base in family theory, principles of communication, group dynamics, and cultural diversity. The nurse learns to partner with patients and families, so ultimately the patient and the family assume responsibility for their health care decisions. 9. The student nurse is trying to determine what type of nurse she wants to be after graduation. In class, she states that community health nursing is probably not for her because community nursing focuses only on community issues such as preventing epidemics. The instructors most appropriate response would be that community health nursing a. Focuses on the health care of individuals, families, and groups in a community. b. Focuses only on the health of a specific subgroup in a community. c. Requires an advanced nursing degree, so the student need not worry. d. Focuses only on maintaining the health of the community. ANS: A Community health nursing is a nursing practice with the primary focus on the health care of individuals, families, and groups in a community. The goal is to preserve, protect, promote, or maintain health. Not all hiring agencies require an advanced degree. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 10. Vulnerable populations include those patients who are more likely to develop health problems as a result of a. Pregnancy. b. Nontraditional healing practices. c. Excessive risk. d. Unlimited access to health care. ANS: C Vulnerable populations are those patients who are more likely to develop health problems as a result of excess risks or limits in access to health care services, or who are dependent on others for care. Pregnancy is not a cause of vulnerability, except in cases where the mother is an adolescent, is addicted to drugs, or is at high risk for other reasons. Frequently, the immigrant population practices nontraditional healing practices. Many of these healing practices are effective and complement traditional therapies. 11. The instructor is teaching student nurses about identifying members of vulnerable populations when the nursing student asks, Why is it that not all poor people are considered members of vulnerable populations? The instructors best answer would be a. All poor people are members of a vulnerable population. b. Poor people are members of a vulnerable population only if they take drugs. c. Poor people are members of a vulnerable population only if they are homeless. d. Members of vulnerable groups frequently have a combination of risk factors. ANS: D TO GET MORE MATERIALS HESI, ATI. KAPLAN - Members of vulnerable groups frequently have many risks or a combination of risk factors that make them more sensitive to the negative effects of individual risk factors. Individual risk factors are not always overwhelming, depending on the patients beliefs and values and sources of social support. 12. The nurse is making a home visit to a Korean family whose daughter gave birth 6 weeks earlier. She finds the daughter in bed with a severe headache. The daughters father is holding her hand and is pressing different parts of the hand and lower arm. The mother explains that the father is trying to cure the headache by using pressure points. The nurses best response would be to a. Tell the father to stop and give the daughter Tylenol. b. Ask the mother and/or father to explain the procedure. c. Explain to the father that what he is doing will not work. d. Let the father finish and then give the daughter Tylenol. ANS: B The nurse should not judge the patients/familys beliefs and values about health. The nurse needs to create a comfortable, nonthreatening environment and to learn as much as possible about the patients culture and values that influence his or her health care practices. Tylenol may not be an acceptable alternative for this family. Criticizing the familys beliefs and practices will only create a barrier to care. 13. The nurse is working in a community clinic when a man and woman bring a 12 year-old boy in, stating that the child fell down a flight of stairs and hurt his arm. The nurse notices several other bruises on the childs body at varying stages of healing. The boy is placed on the stretcher. When asked how he hurt himself, he states that he does not remember. However, the nurse notices that the boy continuously avoids looking at the man, while the man stares at him constantly. The nurse should a. Ask the boy if the man hurt him. b. Confront the man directly. c. Ask the man and woman to step out. TO GET MORE MATERIALS HESI, ATI. KAPLAN - d. Ask the woman if the man hurt the boy. ANS: C Ask the man and woman to step out. When dealing with patients at risk for or who have suffered abuse, it is important to provide protection and to interview the patient at a time when he or she has privacy, and the individual suspected of being the abuser is not present. The boy may be less likely to be forthcoming with his attacker in the room. Confronting the man directly may lead to violence. The woman may also be a victim of abuse and may fear retribution if she discusses their problems with health care providers. 14. The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an abortion. The nurse provides the patient with information on alternatives to abortion, but after several sessions, the patient still insists on having the abortion. The competency of the counselor requires the nurse to a. Insist that the patient speak with a Right-to-Life advocate. b. Provide a referral to an abortion service. c. Refuse to provide referral to an abortion service. d. Delay referral to an abortion service. ANS: B As a counselor, the nurse is responsible for providing information, listening objectively, and being supportive, caring, and trustworthy. The nurse does not make decisions but rather helps the patient reach decisions that are best for him or her. To refuse to provide a referral or to delay referral would not be supportive of the patients decision. Counselors usually suggest and rarely insist. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 15. The patient is in the hospital with the diagnosis of early-onset Alzheimers disease. Before the patient is discharged, the community-based nurse is making a visit to the patients home, where he lives with his daughter and her family. A major focus of this visit will be to a. Demonstrate caregiver techniques for providing care. b. Stress to the family how difficult it will be to provide care at home. c. Encourage the family to send the patient to an extended care facility. d. Teach the family how to have the patient declared incompetent. ANS: A The role of the community health nurse, when dealing with patients with Alzheimers disease, is to maintain the best possible functioning, protection, and safety for the patient. The nurse should demonstrate to the primary family caregiver techniques for dressing, feeding, and toileting the patient while providing encouragement and emotional support to the caregiver. The nurse should protect the patients rights and maintain family stability. 16. The community has three components: structure or locale, the people, and the social systems. While doing a community assessment, the nurse seeks data on the average household income and the number of residents on public assistance. In doing so, the nurse is evaluating which of the following? a. Structure b. Population c. Welfare system d. Social system ANS: A Economic status is part of the community structure. Population would involve age and gender distribution, growth trends, density, education level, and ethnic or religious groups. The welfare system is part of the social system that also includes the education, government, communication and health systems. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 17. The patient is being readmitted to an inner city hospital for chest pain after being discharged 3 months earlier after having a heart attack. The patient was referred to the hospitals cardiac rehabilitation program after her previous admission. The patient states that she began going to cardiac rehabilitation and liked it but stopped. When asked why, she states that, at the beginning, the classes were at 9 AM, but then got switched to 7 PM, when its dark. The cardiac rehabilitation program was within walking distance of the patients home. What is the most likely cause of the patients unwillingness to go to cardiac rehabilitation? a. Lack of transportation b. Fear of walking at night c. Reimbursement issues d. Noncompliance ANS: B A community assessment should be done to determine the level of community violence at night in the patients neighborhood. She claimed that she liked the program when it was at 9 AM. She did not mention finances as a reason for not going, and the program was within walking distance to her house. Noncompliance is a label given unfairly to patients. Most noncompliance is caused. The cause should be identified and dealt with, so the therapy will be successful. MULTIPLE RESPONSE 1. Community-based nursing requires a strong knowledge base in which of the following? (Select all that apply.) a. Family theory b. Communication c. Group dynamics TO GET MORE MATERIALS HESI, ATI. KAPLAN - d. Focus on the individual e. Cultural diversity ANS: A, B, C, E With the individual and family as the patients, the context of community-based nursing is familycentered care within the community. This focus requires a strong knowledge base in family theory, principles of communication, group dynamics, and cultural diversity. The nurse leans to partner with patients and families, not just with individuals. 2. Community-based nursing centers function as the first level of contact between members of a community and the health care delivery system. Ideally, health care services (Select all that apply.) a. Are provided where patients live. b. Reduce the cost of health care for the patient. c. Provide direct access to nurses. d. Exclude interference from family or friends. ANS: A, B, C Community-based nursing centers function as the first level of contact between members of a community and the health care delivery system. Ideally, health care services are provided near where patients live. This approach helps to reduce the cost of health care for the patient and the stress associated with the financial burdens of care. In addition, these centers offer direct access to nurses and patient-centered health services and readily incorporate the patient and the patients family or friends into a plan of care. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 3. Of the following list of patients, which would be considered at high risk to be members of a vulnerable population? (Select all that apply.) a. An immigrant who speaks only Chinese b. An Hispanic truck driver who speaks limited English c. A 22-year-old pregnant woman d. A 15-year-old rape victim e. A 40-year-old schizophrenic ANS: A, B, D, E For some immigrants, access to health care is limited because of language barriers and lack of benefits, resources, and transportation. Immigrant populations face multiple diverse health issues that cities, counties, and states need to address. These health care needs pose significant legal and policy issues. For some immigrants, access to health care is limited because of language barriers and lack of benefits, resources, and transportation. Low-risk mothers and babies usually are not considered vulnerable populations unless other factors are noted. Physical, emotional, and sexual abuse (such as rape), as well as neglect, is a major public health problem affecting older adults, women, and children. When a patient has a severe mental illness such as schizophrenia, multiple health and socioeconomic problems will need to be explored. Chapter 3 Ethics, Law, and Delegation in Nursing 1. The nurse is preparing to administer a medication ordered by the surgeon in a dose much higher than is recommended. What action should the nurse take? A) Call the surgeon to clarify the order. B) Administer the medication as ordered and chart the high dose. TO GET MORE MATERIALS HESI, ATI. KAPLAN - C) Administer the medication and stay with the patient to observe for adverse reactions. D) Administer the medication in the usual dosage. Ans: A Feedback: Under current nurse practice laws, nurses are responsible for their own actions regardless of the providers written order. If an order is ambiguous or inappropriate, the nurse must clarify the medication order with the prescribing healthcare provider. If the nurse is dissatisfied with the providers response and still believes that the order is incorrect or unsafe, he or she must notify a supervisor. 2. When the nurse inserts an ordered urinary catheter into the patients urethra after the patient has refused the procedure and the patient suffers an injury, the patient may sue the nurse for which type of tort? A) Battery B) Assault C) Invasion of privacy D) Dereliction of duty Ans: A Feedback: Battery is the actual carrying out of such threat (unlawful touching of a persons body). A nurse may be sued for battery if he or she fails to obtain consent for a procedure. 3. A baccalaureate-prepared nurse is applying for a nurse practitioner position. The nurse is A) Well educated and can perform these duties B) Able to practice as a nurse practitioner C) Educated to practice only with pediatric patients D) Practicing beyond his scope according to licensure Ans: D Feedback: A nurse without an advanced practice license is not able to practice beyond his or her scope in accordance with the Nurse Practice Act. 4. A nurse fails to administer a medication that prevents seizures, and the patient has a seizure. The nurse is in violation of the Nurse Practice Act. What type of law is the nurse in violation of? TO GET MORE MATERIALS HESI, ATI. KAPLAN - A) Criminal B) Federal C) Civil D) Supreme Ans: C Feedback: Malpractice cases are generally the kind of civil cases that involve nurses. 5. A post-anesthesia nurse is reporting about the patient to the intensive care unit nurse in the elevator. There are staff members and visitors in the elevator. The nurse is A) Implementing therapeutic communication B) Interacting to maintain coordination of care C) Breaching the patients confidentiality D) Maintaining the continuity of care Ans: C Feedback: The principle of confidentiality requires that information about a patient be kept private. Discussing patients outside the clinical setting, telling friends or family about patients, or even discussing patients in the elevator with other workers violates patient confidentiality and must be avoided. 6. When the nurse informs a patients employer of his autoimmune deficiency disease, the nurse is committing the tort of A) Breach of contract B) Assault C) Invasion of privacy D) Battery Ans: C Feedback: Nurses have access to information recorded in the medical record, information shared or observed through care or interactions with friends and family, and through access to the patients body. A loss of privacy occurs if others inappropriately use their access to a person. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 7. A nurse states to the patient that she will keep her free of pain. However, her family wishes to try a treatment to prolong her life that may necessitate withholding pain medication. This factor will cause an ethical dilemma for the nurse in relation to which ethical principle? A) Fidelity B) Veracity C) Justice D) Autonomy Ans: A Feedback: Fidelity means being faithful to ones commitments and promises. 8. An oncology patient in an outpatient chemotherapy clinic asks several questions regarding his care and treatment. The nurse explains the clinics routine, typical side effects of the chemotherapy, and ways to decrease the number of side effects experienced. What characteristic is the nurse demonstrating? A) Veracity B) Fidelity C) Justice D) Autonomy Ans: A Feedback: Veracity means telling the truth, which is essential to the integrity of the patientprovider relationship. 9. The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of A) Veracity B) Autonomy C) Justice D) Confidentiality Ans: C TO GET MORE MATERIALS HESI, ATI. KAPLAN - Feedback: Justice is the foundation for decisions about resource allocation throughout a society or group. 10. The patient being admitted to the oncology unit conveys his wishes regarding resuscitation in the event of cardiopulmonary arrest. The nurse advises the patient that it would be in his best interest to obtain which document? A) A will B) A living will C) Proof of healthcare power of attorney D) A proxy directive Ans: B Feedback: A living will is an advance directive that specifies the type of medical treatment patients do or do not want to receive should they be unable to speak for themselves in a terminal or permanently unconscious condition. 11. A legal document that states a patients health-related wishessuch as a preference for pain management if the patient becomes terminally illand also allows the patients daughter to direct his or her care, is a(an) A) Will B) Standard of care C) License D) Advance directive Ans: D Feedback: Patients communicate their wishes to healthcare providers by verbally participating in healthcare decision making and by employing written documents called advance directives. 12. A patient is in a persistent vegetative state. The patient has no immediate family and is a ward of the state. Under these circumstances, who will speak on her behalf? A) Surrogate decision maker TO GET MORE MATERIALS HESI, ATI. KAPLAN - B) Church-appointed guardian C) A significant other D) Her best friend Ans: A Feedback: Infants, young children, people who are severely mentally handicapped or incapacitated, and people in a persistent vegetative state or coma do not have the capacity to participate in decision making about their healthcare. For such people, a surrogate decision maker must be identified to act on their behalf. 13. An 83-year-old woman who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. This is an example of what ethical principle? A) Nonmaleficence B) Veracity C) Autonomy D) Justice Ans: C Feedback: Autonomy essentially means independence and the ability to be self-directed. 14. An emergency department nurse and healthcare team, caring for a 2-year-old, semiconscious child with numerous fractures and evidence of cigarette burns, suspect child abuse. The nurse reports the family to the child abuse hotline. The nurse is following which ethical principle? A) Beneficence B) Nonmaleficence C) Justice D) Fidelity Ans: B Feedback: TO GET MORE MATERIALS HESI, ATI. KAPLAN - The principle of nonmaleficence means to avoid doing harm, to remove harm, and to prevent harm. 15. A home care nurse visits a patient who is confined to bed and is cared for by her daughter. The daughter is known to suffer from chemical dependence. The home is cluttered and unclean. During the assessment the nurse notes that the patient is wet with urine and has dried feces on her buttocks, and demonstrates signs of dehydration. After caring for the patient, the nurse contacts the physician and reports the incident to Adult Protective Services. This is an example of which ethical framework? A) Justice B) Beneficence C) Nonmaleficence D) Fidelity Ans: C Feedback: The principle of nonmaleficence means to avoid doing harm, to remove harm, and to prevent harm. Beneficence means doing or promoting good. Nurses work to accomplish good for patients by promoting their best interests and striving to achieve optimal outcomes. The patients circumstances indicate harm. 16. A nurse is caring for a 28-year-old woman who has delivered a baby by cesarean section. She describes her pain as a 9. The nurse medicates her for pain. This is an example of which of the following ethical frameworks? A) Justice B) Fidelity C) Beneficence D) Nonmaleficence Ans: C Feedback: Beneficence means doing or promoting good. The treatment of the patients pain is the nurses act of doing good. 17. The American Nurses Associations Code of Ethics for Nurses TO GET MORE MATERIALS HESI, ATI. KAPLAN - A) Serves to establish personal ethics for nurses B) Delineates nurses conduct and responsibilities C) Serves as a guideline for all healthcare D) Plays an important role in legal proceedings Ans: B Feedback: The ANA recently revised the Code of Ethics for Nurses that delineates the conduct and responsibilities expected of all nurses in their nursing practices. 18. A nurse is caring for a patient who is a practicing Jehovahs Witness. The physician orders 2 units of packed cells based on his low hemoglobin and hematocrit levels. The nurse states to the surgeon that it is unethical to go against the patients beliefs even though his blood counts are very low. What is the best description of the nurses intentions? A) Acting in the patients best interest B) Siding with the patient over the surgeon C) Observing institutional policies D) Being legally responsible Ans: A Feedback: Nurses ethical obligations include acting in the best interest of their patients not only as individual practitioners but also as members of the nursing profession, the healthcare team, and the community at large. 19. To practice ethically, the nurse should A) Allow a committee to guide her practice B) Review past cases before guiding practice C) Avoid allowing her judgment to guide practice D) Ask the family their views on caring Ans: C Feedback: TO GET MORE MATERIALS HESI, ATI. KAPLAN - Personal convictions apply only to situations and decisions pertaining to the individual. In ethical practice, nurses avoid allowing personal judgments to bias their treatment of patients. 20. A hospital owned by a Catholic order of nuns will not allow tubal ligations to be performed. This is considered to be A) Personal morality B) Personal values C) Institutional policy D) Legal obligation Ans: C Feedback: Institutional policies are guidelines developed by healthcare institutions to direct professional practice. 21. A nurse is of the Catholic faith and votes pro-life. He is considered to have A) Personal morality B) Personal values C) Ethics D) Legal obligations Ans: B Feedback: Personal values are ideas or beliefs a person considers important and feels strongly about. 22. A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief? A) Personal morality B) Professional values C) Ethics D) Legal obligations Ans: A TO GET MORE MATERIALS HESI, ATI. KAPLAN - Feedback: Personal morality is the set of beliefs about the standards of right and wrong that helps a person determine the correct or permissible action in a given situation. 23. Ethics is best defined as A) Basis for moral reasoning B) Standards of conduct C) Dealing with conflict D) Decision making Ans: B Feedback: Ethics is the branch of philosophy dealing with standards of conduct and moral judgment. 24. A child on a pediatric unit hits one of the other children and subsequently has video game privileges revoked for the rest of the day. The next day the same child plays with the other children without any problems in order to avoid losing video game privileges again. According to Kohlberg, the child is demonstrating what stage of development? A) Trust versus mistrust B) Moralizing C) First-level preconventional stage D) Self-actualization Ans: C Feedback: As children progress to toddlerhood, morals and values development begins as they identify behaviors that elicit reward or punishment. Kohlberg refers to this process as the first-level preconventional stage when children learn to distinguish right from wrong and understand the choice between obedience and punishment. 25. During adolescence, values are primarily formed from A) Schools TO GET MORE MATERIALS HESI, ATI. KAPLAN - B) Work C) Parents D) Peers Ans: D Feedback: In adolescence, peer groups are the primary source of value formation. The attitudes, beliefs, and behaviors that grow out of peer group relationships are powerful. 26. How are values converted from knowledge into messages which can then be processed as information? A) Religion B) Nature C) Time D) Activity Ans: A Feedback: Values are codified in social institutions such as family, school, and religion. Values can then be adopted, adapted, or dismissed based on the persons life experiences and social system. 27. The purpose of a values inquiry discussion with a group of nursing students is to A) Examine past decisions B) Examine social issues C) Alter the groups views D) Improve the groups image Ans: B Feedback: Values inquiry is a method of examining social issues and the values that motivate human choices. 28. The differences between the pro-life and abortion rights movement is an example of TO GET MORE MATERIALS HESI, ATI. KAPLAN - A) Values inquiry B) Social activism C) Ethical inconsistency D) Values clarification Ans: A Feedback: Values inquiry is a method of examining social issues and the values that motivate human choices. 29. A dying patient tells the nurse that he doesnt want to see his family because he doesnt want to cause them more sadness. Which action by the nurse is most appropriate? A) Arrange a meeting between the family and the patient B) Help the patient clarify his values C) Educate the patient on death and dying concepts D) Allow the patient time for quiet reflection Ans: B Feedback: Values clarification is a method of self-discovery by which people identify their personal values and value rankings. The patients value of family may be obscured because of his overwhelming need to protect his family. 30. A hospice nurse is caring for a patient with terminal cancer. The family would like the patient to continue aggressive therapy to treat the cancer, but the patient has voiced to the nurse that, after much thought, he does not want to pursue any further treatment. The nurse speaks to the family about the patients wishes, condition, and terminal state. This action is most likely derived from which nursing obligation? A) Legal responsibilities B) Nursing education principles C) Advanced practice licensure guidelines D) Moral values Ans: D TO GET MORE MATERIALS HESI, ATI. KAPLAN - Feedback: Moral values involve correct behavior, such as having some sense of right and wrong. Moral values help direct nurses to deal with human interactions that involve the integrity of life or health. 31. A nursing students attitude is defined as: A) Belief in ones self B) Desire to do good C) Disposition toward situations D) Choosing between alternatives Ans: C Feedback: An attitude is ones disposition toward an object or a situation; it can be a mental or emotional mindset, and it can be positive or negative. 32. Socialization into the nursing profession may have the most significant effect on A) Roles B) Values C) Documentation D) Planning Ans: B Feedback: Values that the nurse will need to balance include truth, harmony, duty, and responsibility. 33. What are standards for decision making that endure for a significant time in ones life? A) Beliefs B) Ethics C) Roles D) Values TO GET MORE MATERIALS HESI, ATI. KAPLAN - Ans: D Feedback: Values are standards for decision making that endure for a significant time in ones life. Chapter 4 The Nursing Process: Critical Thinking, and Decision Making 1. An elderly woman is receiving Medicare benefits only and her source of income is Social Security. She has limited literacy skills and no family support. What is the major issue that puts her at risk for an alteration in health maintenance? A) Unpleasant past experience B) Family values C) Lack of motivation D) Knowledge deficit Ans: D Feedback: Knowledge deficits about health maintenance can occur due to limited education and lack of health insurance. 2. A woman is admitted to the medical division with pelvic inflammatory disease. Which of the following statements would indicate that she requires more education on health promotion and illness prevention? A) My sexual partner is at risk for infection when I have an infection. B) The number of sexual partners increases my risk for infection. C) Unprotected sexual intercourse increases my risk for infection. D) Sexual relationships have no effect on the infections I get. Ans: D Feedback: A persons lifestyle and habits strongly affect health maintenance. 3. An appropriate topic on secondary prevention and health maintenance for a group of middleaged adults is TO GET MORE MATERIALS HESI, ATI. KAPLAN - A) Medical checkups B) Prenatal checkups C) Pregnancy prevention D) Medication safety Ans: A Feedback: Health maintenance with adults focuses more on secondary prevention, such as exercise, nutrition, social stimulation, and regular medical checkups. 4. A primary health-maintenance concern for adolescents is A) Adequate rest B) Alcohol abstinence C) Exercise regimen D) Job safety Ans: B Feedback: Primary health concerns of adolescents include prevention of sexually transmitted diseases and pregnancy, avoiding drugs and alcohol, and maintaining health. 5. The local health department inspects restaurants and food manufacturing facilities. This is an example of A) Health protection B) Health promotion C) Illness prevention D) Pest surveillance Ans: A Feedback: Health-protection activities are environmental or regulatory measures that seek to protect the health of a community or large population. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 6. The nurse instructs new mothers about illness prevention when the nurse tells the patients to be certain that their newborns are A) Given massages B) Mentally stimulated C) Positioned prone for sleep D) Immunized on schedule Ans: D Feedback: Avoidance behaviors (immunizations) are used to avoid illness rather than to promote health. 7. What health-promotion activity would be the most appropriate to suggest to a 20-year-old female? A) Aerobic exercise three times per week B) Yearly breast mammography C) Weekly blood-pressure screening D) Intake of a diet high in fat Ans: A Feedback: Health-promotion activities are behaviors that seek to expand the potential for health and are often associated with lifestyle choices. 8. The School of Health Sciences, campus health center, and acute care facility establish a wellness center for the uninsured. This is an example of A) Cost containment B) Illness care C) Community partnership D) Mobilized healthcare Ans: C TO GET MORE MATERIALS HESI, ATI. KAPLAN - Feedback: Healthcare priorities include health development and development of community partnerships for health promotion activities. 9. Which of the following guidelines is most important for the nurse to keep in mind when planning to teach an exercise class to a group of older adults? A) Allow ample time for psychomotor skills B) Keep the session at 2 to 3 hours C) Allow for long-term memory loss D) Provide information in a structured format Ans: A Feedback: Older adults need more time to learn psychomotor skills. Sessions of 2 to 3 hours are too long; shortterm rather than long-term memory loss affects older adults; and information can be structured or nonstructured, depending on the content. 10. What is the most appropriate teaching strategy for the nurse to use for a 1-hour presentation on the prevention of osteoporosis to a group of 30 college-age women? A) Role play B) Lecture/discussion C) Demonstration D) Test taking Ans: B Feedback: Lecture/discussion is appropriate for this topic, audience, and group size. A lecture is a formal presentation of information by a teacher to a group of learners. This format is most effective when communicating facts. 11. When the newly diagnosed insulin-dependent diabetic patient tells the nurse that he has never received instruction on the administration of injections, an appropriately stated nursing diagnosis for the patient is A) Self-care deficit related to lack of knowledge about injections TO GET MORE MATERIALS HESI, ATI. KAPLAN - B) Knowledge deficit related to lack of knowledge about injections C) Deficient knowledge of injection administration as verbalized by the patient related to the lack of instruction and experience D) Ineffective healthcare maintenance related to diabetic instructions Ans: C Feedback: Many factors can contribute to a knowledge deficit, such as a lack of exposure, lack of recall, information misinterpretation, cognitive limitations, lack of interest in learning, and unfamiliarity with information resources. 12. A home health nurse is visiting a 40-year-old man who has had abdominal surgery. He is unable to change his dressing because of obesity. The nurse is to instruct his wife on the sterile dressing technique. During the visit, the nurse notes that the wife has limited abilities due to mental disabilities. One assessment to determine the wifes literacy would be A) To assess her motivation to provide care B) To assess her educational records C) To assess her manner of speech D) To assess her reading with WRAT Ans: D Feedback: Tools to determine literacy include reading tests such as the Wide Range Achievement (WRAT) and Rapid Estimate at Adult Literacy in Medicine (REALM), which ask a person to read a passage out loud. 13. The parents of an infant suffering from apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents? A) Educational levels B) Home environment C) Infant bonding D) Baseline knowledge of these concepts Ans: D Feedback: TO GET MORE MATERIALS HESI, ATI. KAPLAN - Before educating parents on the apnea monitor and cardiopulmonary resuscitation, the nurse should determine the parents baseline knowledge so that the nurse knows where to begin. Educational level would be the next assessment in order to plan the appropriate teaching delivery method. 14. When the nurse instructs a patient about breast self-examination, the primary purpose of the patient education is A) Wellness promotion B) Restoration of function C) Illness prevention D) Promotion of coping Ans: C Feedback: Patient education also focuses on teaching patients the knowledge and skills for early detection or prevention of disease and disability. Studies have proven the importance of early detection and support of teaching breast self-examination. 15. Educating women on diet and exercise is an example of what type of patient education? A) Health promotion B) Disease prevention C) Health protection D) Health restoration Ans: A Feedback: Health promotion activities are general recommendations and concentrate on improving someones overall well-being. 16. When providing patient teaching it is essential for the nurse to incorporate what action so that learning can be optimized? A) Have the patients read material after patient teaching B) Be sure that patients are formally engaged TO GET MORE MATERIALS HESI, ATI. KAPLAN - C) Include teaching strategies that encourage patients to be active participants D) Administer tests to evaluate learning Ans: C Feedback: The teachinglearning relationship is a dynamic, interactive process that involves active participation from the nurse and patient. 17. When establishing a teaching-learning relationship with a patient, it is most important for the nurse to remember that effective learning can best be achieved through which concept? A) The nurse is the expert in the teaching-learning environment B) The nurse must be able to handle criticism during the process C) The patient and the nurse are equal participants D) Assimilation and application of psychomotor concepts is essential Ans: C Feedback: Effective learning occurs when patients and healthcare professionals are equal participants in the teaching-learning process. 18. A nurse assisting a new mother in the act of breast feeding is represented by which form of learning? A) Affective B) Psychomotor C) Cognitive D) Simplistic Ans: B Feedback: Psychomotor refers to the muscular movements learned to perform new skills and procedures. 19. A patient shares with the nurse how much she appreciates understanding the physiology of her breastfeeding. She states, I felt very comfortable with what you explained to me and I feel I will be successful at breastfeeding. In affective learning, this represents A) Creating a teaching opportunity for the future TO GET MORE MATERIALS HESI, ATI. KAPLAN - B) Creating an atmosphere for discussion of feelings C) Creating specific learning sessions for new information D) Creating rational thought and learning Ans: B Feedback: When working with patients to change beliefs, values, and attitudes, the nurse creates an atmosphere in which patients can honestly and freely discuss their feelings and emotions. 20. A patient states to the nurse, I understand that I need a mastectomy for the treatment of my breast cancer, but I am fearful of learning about the drains I will need to empty. This is an example of A) Affective learning B) Psychomotor learning C) Cognitive learning D) Behavioral learning Ans: A Feedback: Affective refers to emotions or feelings. Affective learning changes beliefs, attitudes, or values. 21. Which learning domain is the focus for instruction when the nurse teaches a new mother about the breast and its role in milk production for feeding the newborn? A) Affective B) Psychomotor C) Cognitive D) Behavioral Ans: C Feedback: Teaching a new mother about the physiology of the breast and its role in milk production is an example of cognitive learning. TO GET MORE MATERIALS HESI, ATI. KAPLAN - 22. The nurse has educated the patient on the pathophysiology of osteoarthritis and degenerative joint disease. This is an example of what learning theory? A) Adaptive learning theory B) Behavioral learning theory C) Cognitive learning theory D) Developmental learning theory Ans: C Feedback: Cognitive learning theory is the result of people wanting to make sense of the world around them by assimilating and processing information to gain new understandings and insights. 23. A home health nurse states to her patient, I am very proud of you. You gave your first insulin injection without a problem. You have done wonderfully and are learning fast. What technique is the nurse using to compliment the patients progress? A) Reinforcement B) Motivation C) Health promotion D) Positive feedback Ans: D Feedback: Important keys to success when evaluating learning are consistent, immediate, and frequent positive reinforcement, and teaching a small number of skills at any one time, thus creating a high possibility that the learner will master them. 24. To meet accreditation standards regarding patient care, a healthcare facility must show evidence of A) Employee satisfaction surveys B) Financial accounts and statements C) Documentation of indigent care TO GET MORE MATERIALS HESI, ATI. KAPLAN - D) Patient education documentation Ans: D Feedback: The Joint Commission also has established standards for patient education that healthcare agencies must meet to receive accreditation. Chapter 5 Documentation 1. Which of the following statements by the student nurse demonstrates understanding of the appropriate way to document an error in her charting? A) If I make an error, I can draw a red circle around it. B) If I make an error, I have to rewrite the entire entry. C) If I make an error, I draw a single line through it and put my initials by it. D) If I make an error, I place an X through it. E) If I make an error, I use white-out on it. Ans: C Feedback: When an error occurs, draw a single line through the error and place your initials above it. 2. The nurse is caring for an elderly resident in a long-term care facility. The patient i