TEST BANK For Craven & Hirnle's Fundamentals of
Nursing: Concepts and Competencies for Practice, 10th
Edition by Christine Henshaw, Renee Rassilyer
A nurse is caring for a client after internal fixation of a compound fracture in the
tibia. The nurse finds that the client has not had his dinner, seems restless, and is
tossing on the bed. Keeping in mind that the client is a Latino, what is the most
appropriate response by the nurse? - ANSWER:"Tell me what you are feeling."
A nursing instructor has assigned a student to care for a patient of Asian descent.
The instructor reminds the student that personal space considerations vary among
cultures. What personal space preferences are important for the student to consider
when caring for this patient? - ANSWER:People of Asian descent prefer some
distance between themselves and others.
An Arab client has been admitted to the health care facility with varicose veins. What
should the nurse avoid while conducting the interview of the client? -
ANSWER:Maintaining eye contact
A nurse in the hospital is caring for a Native American male. What person is most
important to include in the care of the client? - ANSWER:Tribal medicine man
The inability of a person to recognize his or her own values, beliefs, and practices
and those of others because of strong ethnocentric tendencies is termed what? -
ANSWER:Cultural blindness.
The inability of a person to recognize his or her own values, beliefs, and practices
and those of others because of strong ethnocentric tendencies is termed what -
ANSWER:Cultural blindness.
What have the models of health promotion and illness prevention been used for? -
ANSWER:To help healthcare providers understand health-related behaviors.
While providing client care, a nurse determines that a client adheres to the health
belief model. Which of the following would the nurse need to assess as a factor
possibly affecting the client's response to illness? - ANSWER:Personality
characteristics
An elderly patient has been recently diagnosed with vascular dementia. Because he
lives alone and has poorly controlled hypertension, he has begun to receive home
healthcare. This new aspect of his care is characteristic of which stage of illness? -
ANSWER:Assuming a dependent role
,When admitting an adolescent to the hospital, the nurse anticipates that the client
will respond to questions about his health beliefs based on his - ANSWER:Age and
developmental state
The word ________ originated from the latin word "nutrix" meaning to nourish -
ANSWER:Nurse
A nurse is caring for a client who cannot swallow or expectorate. What interventions
to keep the mouth and throat free of accumulating secretions should the nurse
perform when caring for this client? - ANSWER:• Provide frequent mouth
care........................Arrange for suctioning to remove mucus.....................Assist the
client to a lateral position.
Which of the following statements about glove use and hand hygiene is true? -
ANSWER:Artificial fingernails should not be worn by staff involved in direct patient
care.
A nurse needs to visit the intensive care unit to administer an enema to a client.
Which of the following steps should the nurse take when using the sterile solution
located at the entrance to the intensive care unit? - ANSWER:Pour and discard a
small amount of the solution.
Which ethical principle refers to the obligation to do good? - ANSWER:Beneficence
The nurse is aware that many products in the hospital have the potential to contain
latex. Which piece of protective equipment is most likely to contain latex? -
ANSWER:Surgical masks
Which of the following are names of the transmission-based precautions defined by
the Centers for Disease Control (CDC)? - ANSWER:Airborne Precautions...................
Droplet Precautions....................Contact Precautions
A nurse is caring for a client with rubella. Which nursing action is an important
precaution to be taken when caring for this client? - ANSWER:Wearing a mask when
working within 3 feet of the client
Hepatitis is classified as a virus that - ANSWER:Causes tissue damage
A nurse is caring for a client with ringworm. Which of the following microorganisms
causes ringworm in a client? - ANSWER:Fungi
Which of the following pieces of personal protective equipment should be removed
first? - ANSWER:Gloves
A nurse follows surgical asepsis techniques for inserting an indwelling urinary
catheter in a patient. Which of the following is an accurate guideline for using this
, technique? - ANSWER:Hold sterile objects above waist level to prevent accidental
contamination.
A nurse is changing the bed linen of a client admitted to the health care facility.
Which of the following isolation precautions should the nurse follow? -
ANSWER:Standard precautions
Routine nasal and rectal swabbing of a newly admitted hospital patient has come
back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that
the patient is colonized with MRSA. The patient is surprised at this finding, since he
enjoys generally robust health. What should the patient's nurse teach him about this
diagnostic finding? - ANSWER:"This means that this organism in present on your skin,
but it doesn't necessarily mean that you will become sick."
What is the most common client site for development of nosocomial infections? -
ANSWER:Urinary tract
When pouring a sterile solution, what care should the nurse take to avoid
contamination of the solution? - ANSWER:Pour and discard a small amount of the
solution before each use
Using the nursing process to make ethical decisions involves following several steps.
Which step is the nurse implementing when he or she reflects on the decision-
making process and the role it will play in making future decisions? -
ANSWER:Evaluating
A nurse needs to check the vital signs of a client with an infectious disease who is
receiving intravenous therapy through an IV pump. Before entering the client's
room, the nurse follows airborne and contact precautions. Which of the following
infectious diseases does the client have? - ANSWER:SARS
A nurse has collected the blood, urine, and stool specimens of a client with
meningococcal meningitis. Which of the following precautions should the nurse take
after the testing is complete?. - ANSWER:Flush the specimens and incinerate the
containers.
A nurse is making an occupied bed. Which of the following is a recommended
guideline for this procedure? - ANSWER:Fan-fold soiled linens as close to patient as
possible.
A nurse is assessing a client during a health care camp. The nurse observes that the
client has poor hygiene and an itchy, infected scalp. Which of the following should
the nurse ask the client to do? - ANSWER:Wash hair daily
Which of the following is an accurate guideline for removing soiled gloves after
patient care? - ANSWER:After removing the glove on the nondominant hand, hold
the removed glove in the remaining gloved hand.
Nursing: Concepts and Competencies for Practice, 10th
Edition by Christine Henshaw, Renee Rassilyer
A nurse is caring for a client after internal fixation of a compound fracture in the
tibia. The nurse finds that the client has not had his dinner, seems restless, and is
tossing on the bed. Keeping in mind that the client is a Latino, what is the most
appropriate response by the nurse? - ANSWER:"Tell me what you are feeling."
A nursing instructor has assigned a student to care for a patient of Asian descent.
The instructor reminds the student that personal space considerations vary among
cultures. What personal space preferences are important for the student to consider
when caring for this patient? - ANSWER:People of Asian descent prefer some
distance between themselves and others.
An Arab client has been admitted to the health care facility with varicose veins. What
should the nurse avoid while conducting the interview of the client? -
ANSWER:Maintaining eye contact
A nurse in the hospital is caring for a Native American male. What person is most
important to include in the care of the client? - ANSWER:Tribal medicine man
The inability of a person to recognize his or her own values, beliefs, and practices
and those of others because of strong ethnocentric tendencies is termed what? -
ANSWER:Cultural blindness.
The inability of a person to recognize his or her own values, beliefs, and practices
and those of others because of strong ethnocentric tendencies is termed what -
ANSWER:Cultural blindness.
What have the models of health promotion and illness prevention been used for? -
ANSWER:To help healthcare providers understand health-related behaviors.
While providing client care, a nurse determines that a client adheres to the health
belief model. Which of the following would the nurse need to assess as a factor
possibly affecting the client's response to illness? - ANSWER:Personality
characteristics
An elderly patient has been recently diagnosed with vascular dementia. Because he
lives alone and has poorly controlled hypertension, he has begun to receive home
healthcare. This new aspect of his care is characteristic of which stage of illness? -
ANSWER:Assuming a dependent role
,When admitting an adolescent to the hospital, the nurse anticipates that the client
will respond to questions about his health beliefs based on his - ANSWER:Age and
developmental state
The word ________ originated from the latin word "nutrix" meaning to nourish -
ANSWER:Nurse
A nurse is caring for a client who cannot swallow or expectorate. What interventions
to keep the mouth and throat free of accumulating secretions should the nurse
perform when caring for this client? - ANSWER:• Provide frequent mouth
care........................Arrange for suctioning to remove mucus.....................Assist the
client to a lateral position.
Which of the following statements about glove use and hand hygiene is true? -
ANSWER:Artificial fingernails should not be worn by staff involved in direct patient
care.
A nurse needs to visit the intensive care unit to administer an enema to a client.
Which of the following steps should the nurse take when using the sterile solution
located at the entrance to the intensive care unit? - ANSWER:Pour and discard a
small amount of the solution.
Which ethical principle refers to the obligation to do good? - ANSWER:Beneficence
The nurse is aware that many products in the hospital have the potential to contain
latex. Which piece of protective equipment is most likely to contain latex? -
ANSWER:Surgical masks
Which of the following are names of the transmission-based precautions defined by
the Centers for Disease Control (CDC)? - ANSWER:Airborne Precautions...................
Droplet Precautions....................Contact Precautions
A nurse is caring for a client with rubella. Which nursing action is an important
precaution to be taken when caring for this client? - ANSWER:Wearing a mask when
working within 3 feet of the client
Hepatitis is classified as a virus that - ANSWER:Causes tissue damage
A nurse is caring for a client with ringworm. Which of the following microorganisms
causes ringworm in a client? - ANSWER:Fungi
Which of the following pieces of personal protective equipment should be removed
first? - ANSWER:Gloves
A nurse follows surgical asepsis techniques for inserting an indwelling urinary
catheter in a patient. Which of the following is an accurate guideline for using this
, technique? - ANSWER:Hold sterile objects above waist level to prevent accidental
contamination.
A nurse is changing the bed linen of a client admitted to the health care facility.
Which of the following isolation precautions should the nurse follow? -
ANSWER:Standard precautions
Routine nasal and rectal swabbing of a newly admitted hospital patient has come
back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that
the patient is colonized with MRSA. The patient is surprised at this finding, since he
enjoys generally robust health. What should the patient's nurse teach him about this
diagnostic finding? - ANSWER:"This means that this organism in present on your skin,
but it doesn't necessarily mean that you will become sick."
What is the most common client site for development of nosocomial infections? -
ANSWER:Urinary tract
When pouring a sterile solution, what care should the nurse take to avoid
contamination of the solution? - ANSWER:Pour and discard a small amount of the
solution before each use
Using the nursing process to make ethical decisions involves following several steps.
Which step is the nurse implementing when he or she reflects on the decision-
making process and the role it will play in making future decisions? -
ANSWER:Evaluating
A nurse needs to check the vital signs of a client with an infectious disease who is
receiving intravenous therapy through an IV pump. Before entering the client's
room, the nurse follows airborne and contact precautions. Which of the following
infectious diseases does the client have? - ANSWER:SARS
A nurse has collected the blood, urine, and stool specimens of a client with
meningococcal meningitis. Which of the following precautions should the nurse take
after the testing is complete?. - ANSWER:Flush the specimens and incinerate the
containers.
A nurse is making an occupied bed. Which of the following is a recommended
guideline for this procedure? - ANSWER:Fan-fold soiled linens as close to patient as
possible.
A nurse is assessing a client during a health care camp. The nurse observes that the
client has poor hygiene and an itchy, infected scalp. Which of the following should
the nurse ask the client to do? - ANSWER:Wash hair daily
Which of the following is an accurate guideline for removing soiled gloves after
patient care? - ANSWER:After removing the glove on the nondominant hand, hold
the removed glove in the remaining gloved hand.
