FON Exam 4
The nurse is participating at a health fair at the local mall, giving influenza vaccines to senior citizens.
What level of prevention is the nurse practicing?
Primary prevention.
A patient experienced a myocardial infarction 4 weeks ago and is currently participating in the daily
cardiac rehabilitation sessions at the local fitness center. In what level of prevention is the patient
participating?
Tertiary prevention.
Based on the trans theoretical model of change, what is the most appropriate response to a patient who
states: "Me, exercise? I haven't done that since junior high gym class, and I hated it then!"
"I understand. Can you think of one reason why being more
active would be helpful for you?"
A patient comes to the local health clinic and states: "I've noticed how many people are out walking in
my neighborhood. Is walking good for you?" What is the best response to help the patient through the
stages of change for exercise?
"Yes, walking is great exercise. Do you think you could go
for a 5-minute walk next week?"
A male patient has been laid off from his construction job and has many unpaid bills. He is going
through a divorce from his marriage of 15 years and has been seeing his pastor to help him through this
difficult time. He does not have a primary health care provider because he has never really been sick
and his parents never took him to the physician when he was a child. Which external variables
influence the patient's health
practices?
- Difficulty paying his bills
- Family practice of not routinely seeing a health care
provider
- Stress from the divorce and the loss of a job
The nurse is conducting a home visit with an older adult couple. She assesses that the lighting in the
home is poor and there are throw rugs throughout the home and a low footstool in the living room. She
discusses removing the rugs and footstool and improving the lighting with the couple. The nurse is
addressing which level of need according to Maslow?
Safety and security
When taking care of patients, the nurse routinely asks them if they take any vitamins or herbal
medications, encourages family members to bring in music that the patient likes to help the patient
relax, and frequently prays with her patients if that is important to them. The nurse is practicing which
model?
Holistic
When illness occurs, different attitudes about it cause people to react in different ways. What do
medical sociologists call this reaction to illness?
Illness behavior.
A patient at the community clinic asks the nurse about health promotion activities that she can do
because she is concerned about getting diabetes mellitus since her grandfather and father both have the
disease. This statement reflects that the patient is in what stage of the health belief model?
Perceived susceptibility to the disease.
,A nurse works in a special care unit for children with severe immunology problems and is caring for a
3-year-old boy from Greece. The boy's father is with him while his mother and sister are back in
Greece. The nurse is having difficulty communicating with the father. What action does the nurse take?
Search for help with interpretation and understanding of
the cultural differences by contacting someone from the
local Greek community.
A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which statement made
by the patient indicates that he is experiencing a problem with body image?
"I don't go out very much because everyone stares
at me."
The patient states she joined a fitness club and attends the aerobics class three nights a week. The
patient is in what stage of behavioral change?
Action.
The nurse is developing a health promotion program on healthy eating and exercise for high school
students using the health belief model as a framework. Which statement made by a nursing student is
related to the individual's perception of susceptibility to an illness?
"I'm worried about becoming overweight and getting diabetes because my father has diabetes."
The nurse assesses the following risk factors for coronary artery disease (CAD) in a male patient.
Which factors are classified as genetic and physiological?
- Father died from CAD at age 50
- History of hypertension
- Elevated cholesterol level
- Age is 44 years
Which activity represents secondary prevention?
A home health care nurse visits a patient's home to change
a wound dressing.
A nurse hears a colleague tell a nursing student that she never touches a patient unless she is
performing a procedure or doing an assessment. The nurse tells the student that from a caring
perspective:
Touch forms a connection between nurse and patient.
Of the five caring processes described by Swanson, which describes "knowing the patient"?
Establishing an understanding of a specific patient.
A Muslim woman enters the clinic to have a woman's health examination for the first time. Which
nursing behavior applies Swanson's caring process of "knowing the patient?"
Gaining an understanding of what a woman's health examination
means to the patient.
Helping a new mother through the birthing experience demonstrates which of Swanson's five caring
processes?
Enabling.
A patient is fearful of upcoming surgery and a possible cancer diagnosis. He discusses his love for the
Bible with his nurse, who recommends a favorite Bible verse. Another nurse tells the patient's nurse
that there is no place in nursing for spiritual caring. The patient's nurse replies:
"Spiritual, mind, and body connections can affect health."
Which of the following is a strategy for creating work environments that enable nurses to demonstrate
more caring behaviors?
Creating a setting that allows flexibility and autonomy for
staff.
When a nurse helps a patient find the meaning of cancer by supporting beliefs about life, this is an
example of:
,Instilling hope and faith.
An example of a nurse caring behavior that families of acutely ill patients perceive as important to
patients' well-being is:
Asking permission before performing a procedure on a
patient.
A nurse demonstrates caring by helping family members:
Become active participants in care.
Listening is not only "taking in" what a patient says; it also includes:
Interpreting and understanding what the patient means.
A nurse is caring for an older adult who needs to enter an assisted-living facility following discharge
from the hospital. Which of the following is an example of listening that displays caring?
The nurse listens to the patient's story while sitting on the
side of the bed and then summarizes the story.
Presence involves a person-to-person encounter that:
Conveys a closeness and a sense of caring.
A nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, and explains the
procedure to the patient. She tells the patient what to expect; just before inserting the catheter, she tells
the patient to relax and that, once the catheter is in place, she will not feel the bladder pressure. The
nurse then proceeds to skillfully insert the Foley catheter. This is an example of what type of touch?
Task-oriented touch.
A hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his parents
made the decision that he would move home and they would help him in the final stages of his disease.
The family participates in his care, but lately the nurse has increased the amount of time she spends
with the family. Whenever she enters the room or approaches the patient to give care, she touches his
shoulder
and tells him that she is present. This is an example of what type of touch?
Caring touch.
Holistic Nursing consists of what?
Mind, Body & Spirit.
One type of health issue that Healthy People 2020 focusses on is what?
Obesity.
What is the biggest thing that nurses do in their care plans?
Teach.
What is the definition of Health?
- Health is more than the absence of disease.
- A state of complete physical, mental & social well-being, not merely the absence of disease or
inflamilty.
- A state of being that people define in relation to their own values, personality and lifestyle.
According to Maslow's hierarchy of needs, which of these needs would the patient seek to meet first?
Shelter.
After evaluating a patient's external variables, the nurse concludes that health beliefs and practices can
be influenced by what?
Socioeconomic factors.
Give an example of primary care.
Flue shots.
Give an example of secondary care.
Mammograms.
Give an example of tertiary care.
Spinal cord damage, heart attack or kidney damage.
, You will use the concept of primary prevention when instructing a patient to what?
Get a flu shot every year.
Sally has decided to set aside 30 minutes a day to walk after work next week. Sally is in what stage of
risk factor modification?
Preparation.
What are some implications of nursing practice?
- Know the patients cultural norms for caring practices.
- Know the patients cultural practices regarding end of life.
- Determine whether a family member or cultural group is the best resource to use for caring practices
such as provided presence.
- Know the patients cultural practices regarding removal of life support.
A female patient has just found a large lump in her breast. The physician needs to perform a breast
biopsy. The nurse helps the patient into the proper position and offers support during the biopsy. The
nurse is demonstrating what?
A Sense of Presence.
Spiritual care consists of what?
- Spiritual health is achieved when a person can find a balance between his life values, goals and belief
symptoms and those of others.
- Spiritually offers a sense of interpersonal and transpersonal connectedness.
When a nurse enters a patient's room and says "Good morning" before starting care, the nurse combines
nursing tasks and conversation. An important aspect of care for the nurse to remember is the need to
what?
Assess the patient's emotional needs.
You are participating in a clinical care coordination conference for a patient with terminal cancer. You
talk with your colleagues about using the nursing code of ethics for professional registered nurses to
guide care decisions. A non-nursing colleague asks about this code. Which of the following statements
best describes this code?
Defines the principles of right and wrong to provide patient care.
An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her
vital signs, auscultates her lung sounds, listens to her heart sounds, determines her level of comfort, and
collects blood and sputum samples for analysis. Which standard of practice is performed?
Assessment
A patient in the emergency department has developed wheezing and shortness of breath. The nurse
gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is
performed?
Implementation
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen
and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains
the risk and benefits of the surgery to the family and discusses the patient's wishes with the family. The
nurse is acting as the patient's:
Advocate
Evidence-based practice is defined as:
A problem-solving approach that integrates best current
evidence with clinical practice.
The examination for registered nurse licensure is exactly the same in every state in the United States.
This examination:
Provides a minimal standard of knowledge for a registered
nurse in practice.
The nurse is participating at a health fair at the local mall, giving influenza vaccines to senior citizens.
What level of prevention is the nurse practicing?
Primary prevention.
A patient experienced a myocardial infarction 4 weeks ago and is currently participating in the daily
cardiac rehabilitation sessions at the local fitness center. In what level of prevention is the patient
participating?
Tertiary prevention.
Based on the trans theoretical model of change, what is the most appropriate response to a patient who
states: "Me, exercise? I haven't done that since junior high gym class, and I hated it then!"
"I understand. Can you think of one reason why being more
active would be helpful for you?"
A patient comes to the local health clinic and states: "I've noticed how many people are out walking in
my neighborhood. Is walking good for you?" What is the best response to help the patient through the
stages of change for exercise?
"Yes, walking is great exercise. Do you think you could go
for a 5-minute walk next week?"
A male patient has been laid off from his construction job and has many unpaid bills. He is going
through a divorce from his marriage of 15 years and has been seeing his pastor to help him through this
difficult time. He does not have a primary health care provider because he has never really been sick
and his parents never took him to the physician when he was a child. Which external variables
influence the patient's health
practices?
- Difficulty paying his bills
- Family practice of not routinely seeing a health care
provider
- Stress from the divorce and the loss of a job
The nurse is conducting a home visit with an older adult couple. She assesses that the lighting in the
home is poor and there are throw rugs throughout the home and a low footstool in the living room. She
discusses removing the rugs and footstool and improving the lighting with the couple. The nurse is
addressing which level of need according to Maslow?
Safety and security
When taking care of patients, the nurse routinely asks them if they take any vitamins or herbal
medications, encourages family members to bring in music that the patient likes to help the patient
relax, and frequently prays with her patients if that is important to them. The nurse is practicing which
model?
Holistic
When illness occurs, different attitudes about it cause people to react in different ways. What do
medical sociologists call this reaction to illness?
Illness behavior.
A patient at the community clinic asks the nurse about health promotion activities that she can do
because she is concerned about getting diabetes mellitus since her grandfather and father both have the
disease. This statement reflects that the patient is in what stage of the health belief model?
Perceived susceptibility to the disease.
,A nurse works in a special care unit for children with severe immunology problems and is caring for a
3-year-old boy from Greece. The boy's father is with him while his mother and sister are back in
Greece. The nurse is having difficulty communicating with the father. What action does the nurse take?
Search for help with interpretation and understanding of
the cultural differences by contacting someone from the
local Greek community.
A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which statement made
by the patient indicates that he is experiencing a problem with body image?
"I don't go out very much because everyone stares
at me."
The patient states she joined a fitness club and attends the aerobics class three nights a week. The
patient is in what stage of behavioral change?
Action.
The nurse is developing a health promotion program on healthy eating and exercise for high school
students using the health belief model as a framework. Which statement made by a nursing student is
related to the individual's perception of susceptibility to an illness?
"I'm worried about becoming overweight and getting diabetes because my father has diabetes."
The nurse assesses the following risk factors for coronary artery disease (CAD) in a male patient.
Which factors are classified as genetic and physiological?
- Father died from CAD at age 50
- History of hypertension
- Elevated cholesterol level
- Age is 44 years
Which activity represents secondary prevention?
A home health care nurse visits a patient's home to change
a wound dressing.
A nurse hears a colleague tell a nursing student that she never touches a patient unless she is
performing a procedure or doing an assessment. The nurse tells the student that from a caring
perspective:
Touch forms a connection between nurse and patient.
Of the five caring processes described by Swanson, which describes "knowing the patient"?
Establishing an understanding of a specific patient.
A Muslim woman enters the clinic to have a woman's health examination for the first time. Which
nursing behavior applies Swanson's caring process of "knowing the patient?"
Gaining an understanding of what a woman's health examination
means to the patient.
Helping a new mother through the birthing experience demonstrates which of Swanson's five caring
processes?
Enabling.
A patient is fearful of upcoming surgery and a possible cancer diagnosis. He discusses his love for the
Bible with his nurse, who recommends a favorite Bible verse. Another nurse tells the patient's nurse
that there is no place in nursing for spiritual caring. The patient's nurse replies:
"Spiritual, mind, and body connections can affect health."
Which of the following is a strategy for creating work environments that enable nurses to demonstrate
more caring behaviors?
Creating a setting that allows flexibility and autonomy for
staff.
When a nurse helps a patient find the meaning of cancer by supporting beliefs about life, this is an
example of:
,Instilling hope and faith.
An example of a nurse caring behavior that families of acutely ill patients perceive as important to
patients' well-being is:
Asking permission before performing a procedure on a
patient.
A nurse demonstrates caring by helping family members:
Become active participants in care.
Listening is not only "taking in" what a patient says; it also includes:
Interpreting and understanding what the patient means.
A nurse is caring for an older adult who needs to enter an assisted-living facility following discharge
from the hospital. Which of the following is an example of listening that displays caring?
The nurse listens to the patient's story while sitting on the
side of the bed and then summarizes the story.
Presence involves a person-to-person encounter that:
Conveys a closeness and a sense of caring.
A nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, and explains the
procedure to the patient. She tells the patient what to expect; just before inserting the catheter, she tells
the patient to relax and that, once the catheter is in place, she will not feel the bladder pressure. The
nurse then proceeds to skillfully insert the Foley catheter. This is an example of what type of touch?
Task-oriented touch.
A hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his parents
made the decision that he would move home and they would help him in the final stages of his disease.
The family participates in his care, but lately the nurse has increased the amount of time she spends
with the family. Whenever she enters the room or approaches the patient to give care, she touches his
shoulder
and tells him that she is present. This is an example of what type of touch?
Caring touch.
Holistic Nursing consists of what?
Mind, Body & Spirit.
One type of health issue that Healthy People 2020 focusses on is what?
Obesity.
What is the biggest thing that nurses do in their care plans?
Teach.
What is the definition of Health?
- Health is more than the absence of disease.
- A state of complete physical, mental & social well-being, not merely the absence of disease or
inflamilty.
- A state of being that people define in relation to their own values, personality and lifestyle.
According to Maslow's hierarchy of needs, which of these needs would the patient seek to meet first?
Shelter.
After evaluating a patient's external variables, the nurse concludes that health beliefs and practices can
be influenced by what?
Socioeconomic factors.
Give an example of primary care.
Flue shots.
Give an example of secondary care.
Mammograms.
Give an example of tertiary care.
Spinal cord damage, heart attack or kidney damage.
, You will use the concept of primary prevention when instructing a patient to what?
Get a flu shot every year.
Sally has decided to set aside 30 minutes a day to walk after work next week. Sally is in what stage of
risk factor modification?
Preparation.
What are some implications of nursing practice?
- Know the patients cultural norms for caring practices.
- Know the patients cultural practices regarding end of life.
- Determine whether a family member or cultural group is the best resource to use for caring practices
such as provided presence.
- Know the patients cultural practices regarding removal of life support.
A female patient has just found a large lump in her breast. The physician needs to perform a breast
biopsy. The nurse helps the patient into the proper position and offers support during the biopsy. The
nurse is demonstrating what?
A Sense of Presence.
Spiritual care consists of what?
- Spiritual health is achieved when a person can find a balance between his life values, goals and belief
symptoms and those of others.
- Spiritually offers a sense of interpersonal and transpersonal connectedness.
When a nurse enters a patient's room and says "Good morning" before starting care, the nurse combines
nursing tasks and conversation. An important aspect of care for the nurse to remember is the need to
what?
Assess the patient's emotional needs.
You are participating in a clinical care coordination conference for a patient with terminal cancer. You
talk with your colleagues about using the nursing code of ethics for professional registered nurses to
guide care decisions. A non-nursing colleague asks about this code. Which of the following statements
best describes this code?
Defines the principles of right and wrong to provide patient care.
An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her
vital signs, auscultates her lung sounds, listens to her heart sounds, determines her level of comfort, and
collects blood and sputum samples for analysis. Which standard of practice is performed?
Assessment
A patient in the emergency department has developed wheezing and shortness of breath. The nurse
gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is
performed?
Implementation
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen
and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains
the risk and benefits of the surgery to the family and discusses the patient's wishes with the family. The
nurse is acting as the patient's:
Advocate
Evidence-based practice is defined as:
A problem-solving approach that integrates best current
evidence with clinical practice.
The examination for registered nurse licensure is exactly the same in every state in the United States.
This examination:
Provides a minimal standard of knowledge for a registered
nurse in practice.
