TEST BANK
TIMBY’S FUNDAMENTALS OF NURSING SKILLS AND
CONCEPTS
,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
TIMBY’S FUNDAMENTALS OF NURSING SKILLS AND
CONCEPTS
,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
