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Foundations for Nursing Practice

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1. Question 1 A nurse is applying the nursing process in the care of a patient. Which step involves gathering information about the patient's health status? A. Diagnosis B. Assessment C. Planning D. Implementation Answer: B. Assessment Rationale: The assessment phase involves collecting data to understand the patient’s condition. ________________________________________ 2. Question 2 Which nursing theory emphasizes the importance of the environment in patient healing? A. Orem’s Self-Care Theory B. Peplau’s Interpersonal Theory C. Nightingale’s Environmental Theory D. Roy’s Adaptation Model Answer: C. Nightingale’s Environmental Theory Rationale: Nightingale emphasized the role of the environment in health and healing. ________________________________________ 3. Question 3 A patient expresses fear of surgery. What is the most appropriate initial response by the nurse? A. "There's nothing to worry about." B. "Can you tell me more about your fears?" C. "Surgery is necessary for your health." D. "Many people feel the same way." Answer: B. "Can you tell me more about your fears?" Rationale: This response encourages open communication and allows the patient to express their concerns. ________________________________________ 4. Question 4 What is the primary purpose of documentation in nursing practice? A. To justify nursing interventions B. To provide a legal record of care C. To communicate with other healthcare providers D. To evaluate patient outcomes Answer: B. To provide a legal record of care Rationale: Documentation serves as a legal record that can be referenced in case of disputes or evaluations. ________________________________________ 5. Question 5 A nurse is discussing the concept of holistic care with a student nurse. Which statement best describes holistic care? A. Focusing only on the physical health of the patient. B. Treating the patient as a whole, including emotional and spiritual needs. C. Providing care based solely on medical diagnosis. D. Concentrating on the patient's environment. Answer: B. Treating the patient as a whole, including emotional and spiritual needs. Rationale: Holistic care considers all aspects of a patient's well-being. ________________________________________ 6. Question 6 Which of the following is considered a legal guideline for nursing practice? A. The Nurse Practice Act B. The Code of Ethics C. Hospital policies D. All of the above Answer: D. All of the above Rationale: All these elements guide nursing practice within legal and ethical frameworks. ________________________________________ 7. Question 7 A nurse uses critical thinking to make decisions about patient care. Which of the following actions reflects critical thinking? A. Following protocols without questioning B. Relying solely on textbooks for information C. Analyzing patient data to develop individualized care plans D. Consulting only with senior nurses Answer: C. Analyzing patient data to develop individualized care plans Rationale: Critical thinking involves evaluating information to make informed decisions. ________________________________________ 8. Question 8 In the context of cultural competence, what should a nurse do when caring for a patient from a different cultural background? A. Assume the patient shares the same values as the nurse. B. Use only professional jargon when communicating. C. Ask open-ended questions to understand the patient’s beliefs. D. Provide care based on the nurse's own cultural beliefs. Answer: C. Ask open-ended questions to understand the patient’s beliefs. Rationale: Understanding a patient's cultural background is essential for providing effective care. ________________________________________ 9. Question 9 Which of the following principles is fundamental to patient advocacy? A. Promoting the nurse's interests B. Supporting patient autonomy and decision-making C. Avoiding conflict with healthcare providers D. Prioritizing hospital policies over patient needs Answer: B. Supporting patient autonomy and decision-making Rationale: Patient advocacy focuses on ensuring patients' rights and facilitating their informed choices. ________________________________________ 10. Question 10 A nurse is educating a patient about the importance of hand hygiene. Which statement reflects the rationale for this practice? A. "Hand hygiene prevents infection." B. "It's a hospital requirement." C. "It makes the patient feel better." D. "It's part of my job." Answer: A. "Hand hygiene prevents infection." Rationale: Hand hygiene is crucial for preventing healthcare-associated infections.

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1. Question 1

A nurse is applying the nursing process in the care of a patient. Which step involves gathering
information about the patient's health status?

A. Diagnosis
B. Assessment
C. Planning
D. Implementation

Answer: B. Assessment
Rationale: The assessment phase involves collecting data to understand the patient’s condition.



2. Question 2

Which nursing theory emphasizes the importance of the environment in patient healing?

A. Orem’s Self-Care Theory
B. Peplau’s Interpersonal Theory
C. Nightingale’s Environmental Theory
D. Roy’s Adaptation Model

Answer: C. Nightingale’s Environmental Theory
Rationale: Nightingale emphasized the role of the environment in health and healing.



3. Question 3

A patient expresses fear of surgery. What is the most appropriate initial response by the nurse?

A. "There's nothing to worry about."
B. "Can you tell me more about your fears?"
C. "Surgery is necessary for your health."
D. "Many people feel the same way."

Answer: B. "Can you tell me more about your fears?"
Rationale: This response encourages open communication and allows the patient to express their
concerns.



4. Question 4

,What is the primary purpose of documentation in nursing practice?

A. To justify nursing interventions
B. To provide a legal record of care
C. To communicate with other healthcare providers
D. To evaluate patient outcomes

Answer: B. To provide a legal record of care
Rationale: Documentation serves as a legal record that can be referenced in case of disputes or
evaluations.



5. Question 5

A nurse is discussing the concept of holistic care with a student nurse. Which statement best
describes holistic care?

A. Focusing only on the physical health of the patient.
B. Treating the patient as a whole, including emotional and spiritual needs.
C. Providing care based solely on medical diagnosis.
D. Concentrating on the patient's environment.

Answer: B. Treating the patient as a whole, including emotional and spiritual needs.
Rationale: Holistic care considers all aspects of a patient's well-being.



6. Question 6

Which of the following is considered a legal guideline for nursing practice?

A. The Nurse Practice Act
B. The Code of Ethics
C. Hospital policies
D. All of the above

Answer: D. All of the above
Rationale: All these elements guide nursing practice within legal and ethical frameworks.



7. Question 7

A nurse uses critical thinking to make decisions about patient care. Which of the following
actions reflects critical thinking?

, A. Following protocols without questioning
B. Relying solely on textbooks for information
C. Analyzing patient data to develop individualized care plans
D. Consulting only with senior nurses

Answer: C. Analyzing patient data to develop individualized care plans
Rationale: Critical thinking involves evaluating information to make informed decisions.



8. Question 8

In the context of cultural competence, what should a nurse do when caring for a patient from a
different cultural background?

A. Assume the patient shares the same values as the nurse.
B. Use only professional jargon when communicating.
C. Ask open-ended questions to understand the patient’s beliefs.
D. Provide care based on the nurse's own cultural beliefs.

Answer: C. Ask open-ended questions to understand the patient’s beliefs.
Rationale: Understanding a patient's cultural background is essential for providing effective
care.



9. Question 9

Which of the following principles is fundamental to patient advocacy?

A. Promoting the nurse's interests
B. Supporting patient autonomy and decision-making
C. Avoiding conflict with healthcare providers
D. Prioritizing hospital policies over patient needs

Answer: B. Supporting patient autonomy and decision-making
Rationale: Patient advocacy focuses on ensuring patients' rights and facilitating their informed
choices.



10. Question 10

A nurse is educating a patient about the importance of hand hygiene. Which statement reflects
the rationale for this practice?
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