Timby's Fundamental Nursing Skills and Concepts 13th Edition
Loretta A Donnelly-Moreno | Complete Guide | A Graded.
Chapter 1 -Nursing Foundations
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1. A client reports to the emergency department with ankle pain due to a minor road
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accident. By asking the client to describe the accident, which type of nursing skill is the
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nurse using?
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A. assessment skills fkl
B. comforting skills fkl
C. counseling skills fkl
D. caring skills fkl
fkl Answer: A fkl
Rationale: By asking the client to describe the accident, the nurse is using assessment skills
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to collect more information about the client's condition. The nurse is interviewing the
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client to collect related data. The nurse is not using comforting skills, as the nurse is not
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providing any emotional support. The counseling skills of the nurse are also not used, as no
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health education is provided. Caring skills include assistance provided with the activities of
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daily living, which is not applicable in this scenario.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Understand
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process
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Reference: p. 15 fkl fkl
2. One of the nursing achievements in the Crimean War was that the death rate of
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soldiers dropped from 60% to 1%. What is the most appropriate reason for the fall in the
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death rate?
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A. increased motivation among the soldiers fkl fkl fkl fkl
B. decreased rate of infection and gangrene fkl fkl fkl fkl fkl
C. increased funds courtesy of donations from families fkl fkl fkl fkl fkl fkl
D. college-based education and training of nurses fkl fkl fkl fkl fkl
fkl Answer: B fkl
Rationale: During the Crimean War, the death rate of British soldiers was 60%, which
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dropped to 1% due to the nursing care provided. The nurses improved the ventilation,
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
nutritional, and sanitary conditions of the soldiers, leading to decreased rates of infection
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and gangrene. As a result, the death rate dropped. The families and the soldiers donated
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
funds after the war, not during the war, through which an organized education and
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
training facility for nurses was started.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
fkl fkl fkl fkl
Cognitive Level: Remember
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Client Needs: Safe, Effective Care Environment: Safety and Infection Control
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Integrated Process: Nursing Process
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Reference: p. 3 fkl fkl
3. A nurse at a health care facility provides information, assistance, and encouragement
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to clients during the various phases of nursing care. In which activity does the nurse
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use counseling skills?
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A. educating a group of young girls about AIDS fkl fkl fkl fkl fkl fkl fkl
B. telling a client to localize the pain in his abdomen
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C. encouraging a client to walk without support fkl fkl fkl fkl fkl fkl
,Timby's Fundamental Nursing Skills and Concepts 13th Edition
Loretta A Donnelly-Moreno | Complete Guide | A Graded.
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D. assisting a lactating mother in feeding her child fkl fkl fkl fkl fkl fkl fkl
fkl
Answer: A fkl
Rationale: The activity of educating a group of young girls about AIDS is based on the
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
nurse using counseling skills. Telling a client to localize his pain is an assessment skill.
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Encouraging a client to walk without support can be both a comforting skill and a caring
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skill. Assisting a lactating mother in feeding her baby is an example of a caring skill.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Understand
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Client Needs Pn: Safe, Effective Care Environment: Coordinated
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Care Client Needs: Safe, Effective Care Environment: Management
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of Care Client Needs: Health Promotion and Maintenance
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Client Needs Pn: Health Promotion and Maintenance
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Integrated Process: Teaching/Learning
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Reference: p. 15 fkl fkl
4. A nurse is conducting an interview of a 40-year-old client who is admitted with chest
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pain. Which action by the nurse indicates active listening?
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A. listening to the client silently fkl fkl fkl fkl
B. interrupting after each sentence fkl fkl fkl
C. asking for clarifications and repetitions fkl fkl fkl fkl
D. talking about the nurse's own experience fkl fkl fkl fkl fkl
fkl Answer: C fkl
Rationale: Active listening is an important component of counseling skills. It encourages
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the client to open up and express their concerns. The nurse may ask the client to repeat
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and clarify statements. Interrupting after every sentence may annoy the client. When the
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nurse listens to the client silently, the client may feel that the nurse is not interested. On
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the other hand, if the nurse talks about the nurse's own experience, the focus of the session
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shifts to the nurse rather than to the client.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Apply
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Client Needs: Psychosocial Integrity
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Integrated Process: Caring
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Reference: p. 15
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5. A student wants to attend a nursing program that prepares its graduates for both staff
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and managerial positions. Which type of nursing program should the nurse suggest for
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this student?
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A. hospital-based diploma fkl
B. baccalaureate nursing program fkl fkl
C. associate degree program fkl fkl
D. continuing nursing program fkl fkl
fkl Answer: B fkl
,Timby's Fundamental Nursing Skills and Concepts 13th Edition
Loretta A Donnelly-Moreno | Complete Guide | A Graded.
fkl fkl fkl
Rationale: Baccalaureate-prepared nurses have the greatest potential for qualifying for
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nursing positions at both staff and managerial levels. Hospital-based diploma programs are
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3- year courses and provide maximum exposure to clinical nursing. Students becoming
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nurses through the associate degree program would not be expected to work in a
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management position. Continuing nursing programs are on-the-job educational programs.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Remember
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Client Needs Pn: Safe, Effective Care Environment: Coordinated
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Care Client Needs: Safe, Effective Care Environment: Management
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of Care Integrated Process: Teaching/Learning
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Reference: p. 11 fkl fkl
6. A client is brought to the emergency department with a head injury following an all-
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terrain vehicle (ATV) accident. The nurse asks the family members to describe how the
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accident occurred. The nurse is implementing which type of skill?
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A. assessment skills fkl
B. caring skills fkl
C. counseling skills fkl
D. comforting skills fkl
fkl Answer: A fkl
Rationale: The immediate requirement when a client is brought to the emergency department
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with a head injury is to assess the injury and the system affected, as well as a description
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of how the accident occurred. This requires implementation of assessment skills.
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Subsequently, the nurse can implement caring skills, counseling skills, and comforting
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skills; however, assessment should be the priority.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Understand
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process
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Reference: p. 15 fkl fkl
7. Training schools for nurses were established in the United States after the Civil War.
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The standards of U.S. schools deviated from those of the Nightingale paradigm. Which
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statement is true about U.S. training schools?
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A. Training schools were affiliated with a few select hospitals. fkl fkl fkl fkl fkl fkl fkl fkl
B. Training of nurses provided no financial advantages to the hospital. fkl fkl fkl fkl fkl fkl fkl fkl fkl
C. Training was formal, based on nursing care. fkl fkl fkl fkl fkl fkl
D. Training schools eliminated the need to pay employees. fkl fkl fkl fkl fkl fkl fkl
Answer: D fkl
Rationale: Training schools in the United States profited by eliminating the need to pay
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employees because students worked without pay in return for training, which usually
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consisted of chores. U.S. training schools were established by any hospital; there was no
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formal training. Training was an outcome of work, which eliminated the need to pay
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employees. Nightingale training schools were affiliated with a few select hospitals, training
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, Timby's Fundamental Nursing Skills and Concepts 13th Edition
Loretta A Donnelly-Moreno | Complete Guide | A Graded.
fkl fkl fkl
of nurses provided no financial advantages to the hospital, and the training was formal,
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based on nursing care.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Remember
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Client Needs Pn: Safe, Effective Care Environment: Coordinated
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Care Client Needs: Safe, Effective Care Environment: Management
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of Care Integrated Process: Teaching/Learning
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Reference: p. 5 fkl fkl
8. In a nursing unit, the RN delegates nursing tasks to the LPN. Keeping in mind
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the delegation guidelines, which statement denotes the right task for the LPN?
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A. Make beds with the help of unlicensed assistive personnel.
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B. Assist clients with nasogastric tube feeds. fkl fkl fkl fkl fkl
C. Take orders from an in-house physician. fkl fkl fkl fkl fkl
D. Assess the client's needs and start an intravenous line. fkl fkl fkl fkl fkl fkl fkl fkl
Answer: B fkl
Rationale: Assisting clients with nasogastric tube feeding is an appropriate task for an
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LPN, as it does not require independent decisions and sophisticated techniques.
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According to the delegation guidelines, "right task" means that the task should be
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assigned according to the competency of the caregiver. LPNs may not be authorized to
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make independent decisions, like starting an IV line, for the client. Bed making is a very
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basic task and may not be appropriate for an LPN if the UAP is already present. When
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the RN and LPN are present, the RN takes the physician's orders.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Apply
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Client Needs: Physiological Integrity: Basic Care and Comfort
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Integrated Process: Nursing Process
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Reference: p. 8 fkl fkl
9. A 50-year-old client reports to a primary care unit with an open wound due to a fall in
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the bathroom. Which nursing actions represent caring skills?
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A. The nurse cleans the wound and applies a dressing to it.
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B. The nurse inspects and examines the wound for swelling.
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C. The nurse tells the client to take care while on slippery surfaces.
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D. The nurse informs the client that the wound is small and will heal easily.
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Answer: A fkl
Rationale: The nursing action of cleaning the wound and applying a dressing indicates caring
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skills. Caring skills involve nursing interventions that restore or maintain a person's health.
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The nurse implements assessment skills while inspecting and examining the wound. The
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nurse counsels the client to take care when walking on slippery surfaces. By informing the
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client about the wound's condition, the nurse uses comforting skills.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
fkl fkl fkl fkl
Cognitive Level: Understand
fkl fkl fkl
Loretta A Donnelly-Moreno | Complete Guide | A Graded.
Chapter 1 -Nursing Foundations
fkl fkl fkl
fklkl kl f
1. A client reports to the emergency department with ankle pain due to a minor road
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
accident. By asking the client to describe the accident, which type of nursing skill is the
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
nurse using?
fkl fkl
A. assessment skills fkl
B. comforting skills fkl
C. counseling skills fkl
D. caring skills fkl
fkl Answer: A fkl
Rationale: By asking the client to describe the accident, the nurse is using assessment skills
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
to collect more information about the client's condition. The nurse is interviewing the
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
client to collect related data. The nurse is not using comforting skills, as the nurse is not
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
providing any emotional support. The counseling skills of the nurse are also not used, as no
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
health education is provided. Caring skills include assistance provided with the activities of
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
daily living, which is not applicable in this scenario.
fkl fkl fkl fkl fkl fkl fkl fkl fkl
Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
fkl fkl fkl fkl
Cognitive Level: Understand
fkl fkl fkl
Client Needs: Safe, Effective Care Environment: Management of Care
fkl fkl fkl fkl fkl fkl fkl fkl
Integrated Process: Nursing Process
fkl fkl fkl fkl
Reference: p. 15 fkl fkl
2. One of the nursing achievements in the Crimean War was that the death rate of
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
soldiers dropped from 60% to 1%. What is the most appropriate reason for the fall in the
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
death rate?
fkl fkl
A. increased motivation among the soldiers fkl fkl fkl fkl
B. decreased rate of infection and gangrene fkl fkl fkl fkl fkl
C. increased funds courtesy of donations from families fkl fkl fkl fkl fkl fkl
D. college-based education and training of nurses fkl fkl fkl fkl fkl
fkl Answer: B fkl
Rationale: During the Crimean War, the death rate of British soldiers was 60%, which
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
dropped to 1% due to the nursing care provided. The nurses improved the ventilation,
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
nutritional, and sanitary conditions of the soldiers, leading to decreased rates of infection
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
and gangrene. As a result, the death rate dropped. The families and the soldiers donated
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
funds after the war, not during the war, through which an organized education and
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
training facility for nurses was started.
fkl fkl fkl fkl fkl fkl
Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
fkl fkl fkl fkl
Cognitive Level: Remember
fkl fkl fkl
Client Needs: Safe, Effective Care Environment: Safety and Infection Control
fkl fkl fkl fkl fkl fkl fkl fkl fkl
Integrated Process: Nursing Process
fkl fkl fkl fkl
Reference: p. 3 fkl fkl
3. A nurse at a health care facility provides information, assistance, and encouragement
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
to clients during the various phases of nursing care. In which activity does the nurse
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
use counseling skills?
fkl fkl fkl
A. educating a group of young girls about AIDS fkl fkl fkl fkl fkl fkl fkl
B. telling a client to localize the pain in his abdomen
fkl fkl fkl fkl fkl fkl fkl fkl fkl
C. encouraging a client to walk without support fkl fkl fkl fkl fkl fkl
,Timby's Fundamental Nursing Skills and Concepts 13th Edition
Loretta A Donnelly-Moreno | Complete Guide | A Graded.
fkl fkl fkl
D. assisting a lactating mother in feeding her child fkl fkl fkl fkl fkl fkl fkl
fkl
Answer: A fkl
Rationale: The activity of educating a group of young girls about AIDS is based on the
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
nurse using counseling skills. Telling a client to localize his pain is an assessment skill.
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
Encouraging a client to walk without support can be both a comforting skill and a caring
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
skill. Assisting a lactating mother in feeding her baby is an example of a caring skill.
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
fkl fkl fkl fkl
Cognitive Level: Understand
fkl fkl fkl
Client Needs Pn: Safe, Effective Care Environment: Coordinated
fkl fkl fkl fkl fkl fkl fkl
Care Client Needs: Safe, Effective Care Environment: Management
fkl fkl fkl fkl fkl fkl fkl fkl
of Care Client Needs: Health Promotion and Maintenance
fkl fkl fkl fkl fkl fkl fkl fkl
Client Needs Pn: Health Promotion and Maintenance
fkl fkl fkl fkl fkl fkl
Integrated Process: Teaching/Learning
fkl fkl fkl
Reference: p. 15 fkl fkl
4. A nurse is conducting an interview of a 40-year-old client who is admitted with chest
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
pain. Which action by the nurse indicates active listening?
fkl fkl fkl fkl fkl fkl fkl fkl fkl
A. listening to the client silently fkl fkl fkl fkl
B. interrupting after each sentence fkl fkl fkl
C. asking for clarifications and repetitions fkl fkl fkl fkl
D. talking about the nurse's own experience fkl fkl fkl fkl fkl
fkl Answer: C fkl
Rationale: Active listening is an important component of counseling skills. It encourages
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
the client to open up and express their concerns. The nurse may ask the client to repeat
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
and clarify statements. Interrupting after every sentence may annoy the client. When the
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
nurse listens to the client silently, the client may feel that the nurse is not interested. On
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
the other hand, if the nurse talks about the nurse's own experience, the focus of the session
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
shifts to the nurse rather than to the client.
fkl fkl fkl fkl fkl fkl fkl fkl fkl
Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
fkl fkl fkl fkl
Cognitive Level: Apply
fkl fkl fkl
Client Needs: Psychosocial Integrity
fkl fkl fkl
Integrated Process: Caring
fkl fkl fkl
Reference: p. 15
fkl fkl fkl
5. A student wants to attend a nursing program that prepares its graduates for both staff
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
and managerial positions. Which type of nursing program should the nurse suggest for
fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl fkl
this student?
fkl fkl
A. hospital-based diploma fkl
B. baccalaureate nursing program fkl fkl
C. associate degree program fkl fkl
D. continuing nursing program fkl fkl
fkl Answer: B fkl
,Timby's Fundamental Nursing Skills and Concepts 13th Edition
Loretta A Donnelly-Moreno | Complete Guide | A Graded.
fkl fkl fkl
Rationale: Baccalaureate-prepared nurses have the greatest potential for qualifying for
fkl fkl fkl fkl fkl fkl fkl fkl fkl
nursing positions at both staff and managerial levels. Hospital-based diploma programs are
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3- year courses and provide maximum exposure to clinical nursing. Students becoming
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nurses through the associate degree program would not be expected to work in a
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management position. Continuing nursing programs are on-the-job educational programs.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Remember
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Client Needs Pn: Safe, Effective Care Environment: Coordinated
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Care Client Needs: Safe, Effective Care Environment: Management
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of Care Integrated Process: Teaching/Learning
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Reference: p. 11 fkl fkl
6. A client is brought to the emergency department with a head injury following an all-
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terrain vehicle (ATV) accident. The nurse asks the family members to describe how the
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accident occurred. The nurse is implementing which type of skill?
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A. assessment skills fkl
B. caring skills fkl
C. counseling skills fkl
D. comforting skills fkl
fkl Answer: A fkl
Rationale: The immediate requirement when a client is brought to the emergency department
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with a head injury is to assess the injury and the system affected, as well as a description
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of how the accident occurred. This requires implementation of assessment skills.
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Subsequently, the nurse can implement caring skills, counseling skills, and comforting
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skills; however, assessment should be the priority.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Understand
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process
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Reference: p. 15 fkl fkl
7. Training schools for nurses were established in the United States after the Civil War.
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The standards of U.S. schools deviated from those of the Nightingale paradigm. Which
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statement is true about U.S. training schools?
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A. Training schools were affiliated with a few select hospitals. fkl fkl fkl fkl fkl fkl fkl fkl
B. Training of nurses provided no financial advantages to the hospital. fkl fkl fkl fkl fkl fkl fkl fkl fkl
C. Training was formal, based on nursing care. fkl fkl fkl fkl fkl fkl
D. Training schools eliminated the need to pay employees. fkl fkl fkl fkl fkl fkl fkl
Answer: D fkl
Rationale: Training schools in the United States profited by eliminating the need to pay
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employees because students worked without pay in return for training, which usually
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consisted of chores. U.S. training schools were established by any hospital; there was no
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formal training. Training was an outcome of work, which eliminated the need to pay
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employees. Nightingale training schools were affiliated with a few select hospitals, training
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, Timby's Fundamental Nursing Skills and Concepts 13th Edition
Loretta A Donnelly-Moreno | Complete Guide | A Graded.
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of nurses provided no financial advantages to the hospital, and the training was formal,
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based on nursing care.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Remember
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Client Needs Pn: Safe, Effective Care Environment: Coordinated
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Care Client Needs: Safe, Effective Care Environment: Management
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of Care Integrated Process: Teaching/Learning
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Reference: p. 5 fkl fkl
8. In a nursing unit, the RN delegates nursing tasks to the LPN. Keeping in mind
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the delegation guidelines, which statement denotes the right task for the LPN?
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A. Make beds with the help of unlicensed assistive personnel.
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B. Assist clients with nasogastric tube feeds. fkl fkl fkl fkl fkl
C. Take orders from an in-house physician. fkl fkl fkl fkl fkl
D. Assess the client's needs and start an intravenous line. fkl fkl fkl fkl fkl fkl fkl fkl
Answer: B fkl
Rationale: Assisting clients with nasogastric tube feeding is an appropriate task for an
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LPN, as it does not require independent decisions and sophisticated techniques.
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According to the delegation guidelines, "right task" means that the task should be
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assigned according to the competency of the caregiver. LPNs may not be authorized to
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make independent decisions, like starting an IV line, for the client. Bed making is a very
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basic task and may not be appropriate for an LPN if the UAP is already present. When
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the RN and LPN are present, the RN takes the physician's orders.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Apply
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Client Needs: Physiological Integrity: Basic Care and Comfort
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Integrated Process: Nursing Process
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Reference: p. 8 fkl fkl
9. A 50-year-old client reports to a primary care unit with an open wound due to a fall in
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the bathroom. Which nursing actions represent caring skills?
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A. The nurse cleans the wound and applies a dressing to it.
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B. The nurse inspects and examines the wound for swelling.
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C. The nurse tells the client to take care while on slippery surfaces.
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D. The nurse informs the client that the wound is small and will heal easily.
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Answer: A fkl
Rationale: The nursing action of cleaning the wound and applying a dressing indicates caring
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skills. Caring skills involve nursing interventions that restore or maintain a person's health.
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The nurse implements assessment skills while inspecting and examining the wound. The
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nurse counsels the client to take care when walking on slippery surfaces. By informing the
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client about the wound's condition, the nurse uses comforting skills.
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Question format: Multiple Choice fkl fkl fkl
Chapter 1: Nursing Foundations
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Cognitive Level: Understand
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