Chapter 1 - Nursing Foundations
Timby's Fundamental Nursing Skills and
Concepts 13th Edition
Chapter 1 - Nursing Foundations
1. A Client Reports To The Emergency Department With Ankle Pain Due To A Minor Road
Accident. By Asking The Client To Describe The Accident, Which Type Of Nursing Skill Is
The Nurse Using?
A. Assessment Skills
B. Comforting Skills
C. Counseling Skills
D. Caring
Skills Answer:
A
Rationale: By Asking The Client To Describe The Accident, The Nurse Is Using Assessment
Skills To Collect More Information About The Client's Condition. The Nurse Is Interviewing
The Client To Collect Related Data. The Nurse Is Not Using Comforting Skills, As The
Nurse Is Not Providing Any Emotional Support. The Counseling Skills Of The Nurse Are
Also Not Used, As No Health Education Is Provided. Caring Skills Include Assistance
Provided With The Activities Of Daily Living, Which Is Not Applicable In This Scenario.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management Of Care
Integrated Process: Nursing Process
Reference: P. 15
2. One Of The Nursing Achievements In The Crimean War Was That The Death Rate Of
Soldiers Dropped From 60% To 1%. What Is The Most Appropriate Reason For The Fall
In The Death Rate?
A. Increased Motivation Among The Soldiers
B. Decreased Rate Of Infection And Gangrene
C. Increased Funds Courtesy Of Donations From Families
D. College-Based Education And Training Of
Nurses Answer: B
Rationale: During The Crimean War, The Death Rate Of British Soldiers Was 60%, Which
Dropped To 1% Due To The Nursing Care Provided. The Nurses Improved The Ventilation,
Nutritional, And Sanitary Conditions Of The Soldiers, Leading To Decreased Rates Of
Infection And Gangrene. As A Result, The Death Rate Dropped. The Families And The
Soldiers Donated Funds After The War, Not During The War, Through Which An Organized
Education And Training Facility For Nurses Was Started.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Safety And Infection Control
,Integrated Process: Nursing Process
Reference: P. 3
3. A Nurse At A Health Care Facility Provides Information, Assistance, And
Encouragement To Clients During The Various Phases Of Nursing Care. In Which
Activity Does The Nurse Use Counseling Skills?
A. Educating A Group Of Young Girls About AIDS
B. Telling A Client To Localize The Pain In His Abdomen
C. Encouraging A Client To Walk Without Support
,D. Assisting A Lactating Mother In Feeding Her
Child Answer: A
Rationale: The Activity Of Educating A Group Of Young Girls About AIDS Is Based On The
Nurse Using Counseling Skills. Telling A Client To Localize His Pain Is An Assessment
Skill.
Encouraging A Client To Walk Without Support Can Be Both A Comforting Skill And A
Caring Skill. Assisting A Lactating Mother In Feeding Her Baby Is An Example Of A
Caring Skill.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management Of
Care Client Needs: Health Promotion And Maintenance
Client Needs Pn: Health Promotion And
Maintenance Integrated Process: Teaching/Learning
Reference: P. 15
4. A Nurse Is Conducting An Interview Of A 40-Year-Old Client Who Is Admitted With
Chest Pain. Which Action By The Nurse Indicates Active Listening?
A. Listening To The Client Silently
B. Interrupting After Each Sentence
C. Asking For Clarifications And Repetitions
D. Talking About The Nurse's Own
Experience Answer: C
Rationale: Active Listening Is An Important Component Of Counseling Skills. It Encourages
The Client To Open Up And Express Their Concerns. The Nurse May Ask The Client To
Repeat And Clarify Statements. Interrupting After Every Sentence May Annoy The Client.
When The Nurse Listens To The Client Silently, The Client May Feel That The Nurse Is Not
Interested. On The Other Hand, If The Nurse Talks About The Nurse's Own Experience, The
Focus Of The Session Shifts To The Nurse Rather Than To The Client.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Caring
Reference: P. 15
5. A Student Wants To Attend A Nursing Program That Prepares Its Graduates For Both
Staff And Managerial Positions. Which Type Of Nursing Program Should The Nurse
Suggest For This Student?
A. Hospital-Based Diploma
B. Baccalaureate Nursing Program
C. Associate Degree Program
D. Continuing Nursing
Program Answer: B
, Rationale: Baccalaureate-Prepared Nurses Have The Greatest Potential For Qualifying For
Nursing Positions At Both Staff And Managerial Levels. Hospital-Based Diploma Programs
Are 3- Year Courses And Provide Maximum Exposure To Clinical Nursing. Students
Becoming Nurses Through The Associate Degree Program Would Not Be Expected To
Work In A Management Position. Continuing Nursing Programs Are On-The-Job
Educational Programs.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management Of
Care Integrated Process: Teaching/Learning
Reference: P. 11
6. A Client Is Brought To The Emergency Department With A Head Injury Following An
All-Terrain Vehicle (ATV) Accident. The Nurse Asks The Family Members To Describe
How The Accident Occurred. The Nurse Is Implementing Which Type Of Skill?
A. Assessment Skills
B. Caring Skills
C. Counseling Skills
D. Comforting
Skills Answer: A
Rationale: The Immediate Requirement When A Client Is Brought To The Emergency
Department With A Head Injury Is To Assess The Injury And The System Affected, As Well
As A Description Of How The Accident Occurred. This Requires Implementation Of
Assessment Skills. Subsequently, The Nurse Can Implement Caring Skills, Counseling Skills,
And Comforting Skills; However, Assessment Should Be The Priority.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management Of Care
Integrated Process: Nursing Process
Reference: P. 15
7. Training Schools For Nurses Were Established In The United States After The Civil War.
The Standards Of U.S. Schools Deviated From Those Of The Nightingale Paradigm. Which
Statement Is True About U.S. Training Schools?
A. Training Schools Were Affiliated With A Few Select Hospitals.
B. Training Of Nurses Provided No Financial Advantages To The Hospital.
C. Training Was Formal, Based On Nursing Care.
D. Training Schools Eliminated The Need To Pay Employees.
Answer: D
Rationale: Training Schools In The United States Profited By Eliminating The Need To Pay
Employees Because Students Worked Without Pay In Return For Training, Which Usually
Consisted Of Chores. U.S. Training Schools Were Established By Any Hospital; There Was
No Formal Training. Training Was An Outcome Of Work, Which Eliminated The Need To
Pay Employees. Nightingale Training Schools Were Affiliated With A Few Select Hospitals,
Training
Timby's Fundamental Nursing Skills and
Concepts 13th Edition
Chapter 1 - Nursing Foundations
1. A Client Reports To The Emergency Department With Ankle Pain Due To A Minor Road
Accident. By Asking The Client To Describe The Accident, Which Type Of Nursing Skill Is
The Nurse Using?
A. Assessment Skills
B. Comforting Skills
C. Counseling Skills
D. Caring
Skills Answer:
A
Rationale: By Asking The Client To Describe The Accident, The Nurse Is Using Assessment
Skills To Collect More Information About The Client's Condition. The Nurse Is Interviewing
The Client To Collect Related Data. The Nurse Is Not Using Comforting Skills, As The
Nurse Is Not Providing Any Emotional Support. The Counseling Skills Of The Nurse Are
Also Not Used, As No Health Education Is Provided. Caring Skills Include Assistance
Provided With The Activities Of Daily Living, Which Is Not Applicable In This Scenario.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management Of Care
Integrated Process: Nursing Process
Reference: P. 15
2. One Of The Nursing Achievements In The Crimean War Was That The Death Rate Of
Soldiers Dropped From 60% To 1%. What Is The Most Appropriate Reason For The Fall
In The Death Rate?
A. Increased Motivation Among The Soldiers
B. Decreased Rate Of Infection And Gangrene
C. Increased Funds Courtesy Of Donations From Families
D. College-Based Education And Training Of
Nurses Answer: B
Rationale: During The Crimean War, The Death Rate Of British Soldiers Was 60%, Which
Dropped To 1% Due To The Nursing Care Provided. The Nurses Improved The Ventilation,
Nutritional, And Sanitary Conditions Of The Soldiers, Leading To Decreased Rates Of
Infection And Gangrene. As A Result, The Death Rate Dropped. The Families And The
Soldiers Donated Funds After The War, Not During The War, Through Which An Organized
Education And Training Facility For Nurses Was Started.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Safety And Infection Control
,Integrated Process: Nursing Process
Reference: P. 3
3. A Nurse At A Health Care Facility Provides Information, Assistance, And
Encouragement To Clients During The Various Phases Of Nursing Care. In Which
Activity Does The Nurse Use Counseling Skills?
A. Educating A Group Of Young Girls About AIDS
B. Telling A Client To Localize The Pain In His Abdomen
C. Encouraging A Client To Walk Without Support
,D. Assisting A Lactating Mother In Feeding Her
Child Answer: A
Rationale: The Activity Of Educating A Group Of Young Girls About AIDS Is Based On The
Nurse Using Counseling Skills. Telling A Client To Localize His Pain Is An Assessment
Skill.
Encouraging A Client To Walk Without Support Can Be Both A Comforting Skill And A
Caring Skill. Assisting A Lactating Mother In Feeding Her Baby Is An Example Of A
Caring Skill.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management Of
Care Client Needs: Health Promotion And Maintenance
Client Needs Pn: Health Promotion And
Maintenance Integrated Process: Teaching/Learning
Reference: P. 15
4. A Nurse Is Conducting An Interview Of A 40-Year-Old Client Who Is Admitted With
Chest Pain. Which Action By The Nurse Indicates Active Listening?
A. Listening To The Client Silently
B. Interrupting After Each Sentence
C. Asking For Clarifications And Repetitions
D. Talking About The Nurse's Own
Experience Answer: C
Rationale: Active Listening Is An Important Component Of Counseling Skills. It Encourages
The Client To Open Up And Express Their Concerns. The Nurse May Ask The Client To
Repeat And Clarify Statements. Interrupting After Every Sentence May Annoy The Client.
When The Nurse Listens To The Client Silently, The Client May Feel That The Nurse Is Not
Interested. On The Other Hand, If The Nurse Talks About The Nurse's Own Experience, The
Focus Of The Session Shifts To The Nurse Rather Than To The Client.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Caring
Reference: P. 15
5. A Student Wants To Attend A Nursing Program That Prepares Its Graduates For Both
Staff And Managerial Positions. Which Type Of Nursing Program Should The Nurse
Suggest For This Student?
A. Hospital-Based Diploma
B. Baccalaureate Nursing Program
C. Associate Degree Program
D. Continuing Nursing
Program Answer: B
, Rationale: Baccalaureate-Prepared Nurses Have The Greatest Potential For Qualifying For
Nursing Positions At Both Staff And Managerial Levels. Hospital-Based Diploma Programs
Are 3- Year Courses And Provide Maximum Exposure To Clinical Nursing. Students
Becoming Nurses Through The Associate Degree Program Would Not Be Expected To
Work In A Management Position. Continuing Nursing Programs Are On-The-Job
Educational Programs.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management Of
Care Integrated Process: Teaching/Learning
Reference: P. 11
6. A Client Is Brought To The Emergency Department With A Head Injury Following An
All-Terrain Vehicle (ATV) Accident. The Nurse Asks The Family Members To Describe
How The Accident Occurred. The Nurse Is Implementing Which Type Of Skill?
A. Assessment Skills
B. Caring Skills
C. Counseling Skills
D. Comforting
Skills Answer: A
Rationale: The Immediate Requirement When A Client Is Brought To The Emergency
Department With A Head Injury Is To Assess The Injury And The System Affected, As Well
As A Description Of How The Accident Occurred. This Requires Implementation Of
Assessment Skills. Subsequently, The Nurse Can Implement Caring Skills, Counseling Skills,
And Comforting Skills; However, Assessment Should Be The Priority.
Question Format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management Of Care
Integrated Process: Nursing Process
Reference: P. 15
7. Training Schools For Nurses Were Established In The United States After The Civil War.
The Standards Of U.S. Schools Deviated From Those Of The Nightingale Paradigm. Which
Statement Is True About U.S. Training Schools?
A. Training Schools Were Affiliated With A Few Select Hospitals.
B. Training Of Nurses Provided No Financial Advantages To The Hospital.
C. Training Was Formal, Based On Nursing Care.
D. Training Schools Eliminated The Need To Pay Employees.
Answer: D
Rationale: Training Schools In The United States Profited By Eliminating The Need To Pay
Employees Because Students Worked Without Pay In Return For Training, Which Usually
Consisted Of Chores. U.S. Training Schools Were Established By Any Hospital; There Was
No Formal Training. Training Was An Outcome Of Work, Which Eliminated The Need To
Pay Employees. Nightingale Training Schools Were Affiliated With A Few Select Hospitals,
Training
