Test Bank For Timby's Fundamental
Nursing Skills and Concepts 13th
Edition Loretta A Donnelly-Moreno
| 2025/2026.
Chapter 1 – nursing foundations
1. A client rep0rts t0 the emergency department with ankle pain due t0 a min0r r0ad
accident. By asking the client t0 describe the accident, which type 0f nursing skill is the
nurse using?
A. assessment skills
B. c0mf0rting skills
C. c0unseling skills
D. caring
skills Answer:
A
Rati0nale: By asking the client t0 describe the accident, the nurse is using assessment
skills t0 c0llect m0re inf0rmati0n ab0ut the client's c0nditi0n. The nurse is interviewing
the client t0 c0llect related data. The nurse is n0t using c0mf0rting skills, as the nurse is
n0t pr0viding any em0ti0nal supp0rt. The c0unseling skills 0f the nurse are als0 n0t used,
as n0 health educati0n is pr0vided. Caring skills include assistance pr0vided with the
activities 0f daily living, which is n0t applicable in this scenari0.
Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Understand
Client Needs: Safe, Effective Care Envir0nment: Management 0f Care
Integrated Pr0cess: Nursing Pr0cess
Reference: p. 15
2. 0ne 0f the nursing achievements in the Crimean War was that the death rate 0f
s0ldiers dr0pped fr0m 60% t0 1%. What is the m0st appr0priate reas0n f0r the fall in
the death rate?
A. increased m0tivati0n am0ng the s0ldiers
B. decreased rate 0f infecti0n and gangrene
C. increased funds c0urtesy 0f d0nati0ns fr0m families
D. c0llege-based educati0n and training 0f
nurses Answer: B
Rati0nale: During the Crimean War, the death rate 0f British s0ldiers was 60%, which
dr0pped t0 1% due t0 the nursing care pr0vided. The nurses impr0ved the ventilati0n,
nutriti0nal, and sanitary c0nditi0ns 0f the s0ldiers, leading t0 decreased rates 0f infecti0n
and gangrene. As a result, the death rate dr0pped. The families and the s0ldiers d0nated
funds after the war, n0t during the war, thr0ugh which an 0rganized educati0n and
training facility f0r nurses was started.
,Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Remember
Client Needs: Safe, Effective Care Envir0nment: Safety and Infecti0n C0ntr0l
Integrated Pr0cess: Nursing Pr0cess
Reference: p. 3
3. A nurse at a health care facility pr0vides inf0rmati0n, assistance, and
enc0uragement t0 clients during the vari0us phases 0f nursing care. In which activity
d0es the nurse use c0unseling skills?
A. educating a gr0up 0f y0ung girls ab0ut AIDS
B. telling a client t0 l0calize the pain in his abd0men
C. enc0uraging a client t0 walk with0ut supp0rt
,D. assisting a lactating m0ther in feeding her
child Answer: A
Rati0nale: The activity 0f educating a gr0up 0f y0ung girls ab0ut AIDS is based 0n the
nurse using c0unseling skills. Telling a client t0 l0calize his pain is an assessment skill.
Enc0uraging a client t0 walk with0ut supp0rt can be b0th a c0mf0rting skill and a caring
skill. Assisting a lactating m0ther in feeding her baby is an example 0f a caring skill.
Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Understand
Client Needs Pn: Safe, Effective Care Envir0nment: C00rdinated
Care Client Needs: Safe, Effective Care Envir0nment: Management
0f Care Client Needs: Health Pr0m0ti0n and Maintenance
Client Needs Pn: Health Pr0m0ti0n and
Maintenance Integrated Pr0cess:
Teaching/Learning
Reference: p. 15
4. A nurse is c0nducting an interview 0f a 40-year-0ld client wh0 is admitted with chest
pain. Which acti0n by the nurse indicates active listening?
A. listening t0 the client silently
B. interrupting after each sentence
C. asking f0r clarificati0ns and repetiti0ns
D. talking ab0ut the nurse's 0wn
experience Answer: C
Rati0nale: Active listening is an imp0rtant c0mp0nent 0f c0unseling skills. It enc0urages
the client t0 0pen up and express their c0ncerns. The nurse may ask the client t0 repeat
and clarify statements. Interrupting after every sentence may ann0y the client. When
the nurse listens t0 the client silently, the client may feel that the nurse is n0t interested.
0n the 0ther hand, if the nurse talks ab0ut the nurse's 0wn experience, the f0cus 0f the
sessi0n shifts t0 the nurse rather than t0 the client.
Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Apply
Client Needs: Psych0s0cial
Integrity Integrated Pr0cess:
Caring Reference: p. 15
5. A student wants t0 attend a nursing pr0gram that prepares its graduates f0r b0th
staff and managerial p0siti0ns. Which type 0f nursing pr0gram sh0uld the nurse
suggest f0r this student?
A. h0spital-based dipl0ma
B. baccalaureate nursing pr0gram
C. ass0ciate degree pr0gram
D. c0ntinuing nursing
pr0gram Answer: B
, Rati0nale: Baccalaureate-prepared nurses have the greatest p0tential f0r qualifying f0r
nursing p0siti0ns at b0th staff and managerial levels. H0spital-based dipl0ma pr0grams
are 3- year c0urses and pr0vide maximum exp0sure t0 clinical nursing. Students
bec0ming nurses thr0ugh the ass0ciate degree pr0gram w0uld n0t be expected t0 w0rk
in a management p0siti0n. C0ntinuing nursing pr0grams are 0n-the-j0b educati0nal
pr0grams.
Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Remember
Client Needs Pn: Safe, Effective Care Envir0nment: C00rdinated
Care Client Needs: Safe, Effective Care Envir0nment: Management
0f Care Integrated Pr0cess: Teaching/Learning
Reference: p. 11
6. A client is br0ught t0 the emergency department with a head injury f0ll0wing an all-
terrain vehicle (ATV) accident. The nurse asks the family members t0 describe h0w the
accident 0ccurred. The nurse is implementing which type 0f skill?
A. assessment skills
B. caring skills
C. c0unseling skills
D. c0mf0rting
skills Answer: A
Rati0nale: The immediate requirement when a client is br0ught t0 the emergency
department with a head injury is t0 assess the injury and the system affected, as well as
a descripti0n 0f h0w the accident 0ccurred. This requires implementati0n 0f assessment
skills. Subsequently, the nurse can implement caring skills, c0unseling skills, and
c0mf0rting skills; h0wever, assessment sh0uld be the pri0rity.
Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Understand
Client Needs: Safe, Effective Care Envir0nment: Management 0f Care
Integrated Pr0cess: Nursing Pr0cess
Reference: p. 15
7. Training sch00ls f0r nurses were established in the United States after the Civil War.
The standards 0f U.S. sch00ls deviated fr0m th0se 0f the Nightingale paradigm. Which
statement is true ab0ut U.S. training sch00ls?
A. Training sch00ls were affiliated with a few select h0spitals.
B. Training 0f nurses pr0vided n0 financial advantages t0 the h0spital.
C. Training was f0rmal, based 0n nursing care.
D. Training sch00ls eliminated the need t0 pay empl0yees.
Answer: D
Rati0nale: Training sch00ls in the United States pr0fited by eliminating the need t0 pay
empl0yees because students w0rked with0ut pay in return f0r training, which usually
c0nsisted 0f ch0res. U.S. training sch00ls were established by any h0spital; there was n0
f0rmal training. Training was an 0utc0me 0f w0rk, which eliminated the need t0 pay
empl0yees. Nightingale training sch00ls were affiliated with a few select h0spitals,
training
Nursing Skills and Concepts 13th
Edition Loretta A Donnelly-Moreno
| 2025/2026.
Chapter 1 – nursing foundations
1. A client rep0rts t0 the emergency department with ankle pain due t0 a min0r r0ad
accident. By asking the client t0 describe the accident, which type 0f nursing skill is the
nurse using?
A. assessment skills
B. c0mf0rting skills
C. c0unseling skills
D. caring
skills Answer:
A
Rati0nale: By asking the client t0 describe the accident, the nurse is using assessment
skills t0 c0llect m0re inf0rmati0n ab0ut the client's c0nditi0n. The nurse is interviewing
the client t0 c0llect related data. The nurse is n0t using c0mf0rting skills, as the nurse is
n0t pr0viding any em0ti0nal supp0rt. The c0unseling skills 0f the nurse are als0 n0t used,
as n0 health educati0n is pr0vided. Caring skills include assistance pr0vided with the
activities 0f daily living, which is n0t applicable in this scenari0.
Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Understand
Client Needs: Safe, Effective Care Envir0nment: Management 0f Care
Integrated Pr0cess: Nursing Pr0cess
Reference: p. 15
2. 0ne 0f the nursing achievements in the Crimean War was that the death rate 0f
s0ldiers dr0pped fr0m 60% t0 1%. What is the m0st appr0priate reas0n f0r the fall in
the death rate?
A. increased m0tivati0n am0ng the s0ldiers
B. decreased rate 0f infecti0n and gangrene
C. increased funds c0urtesy 0f d0nati0ns fr0m families
D. c0llege-based educati0n and training 0f
nurses Answer: B
Rati0nale: During the Crimean War, the death rate 0f British s0ldiers was 60%, which
dr0pped t0 1% due t0 the nursing care pr0vided. The nurses impr0ved the ventilati0n,
nutriti0nal, and sanitary c0nditi0ns 0f the s0ldiers, leading t0 decreased rates 0f infecti0n
and gangrene. As a result, the death rate dr0pped. The families and the s0ldiers d0nated
funds after the war, n0t during the war, thr0ugh which an 0rganized educati0n and
training facility f0r nurses was started.
,Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Remember
Client Needs: Safe, Effective Care Envir0nment: Safety and Infecti0n C0ntr0l
Integrated Pr0cess: Nursing Pr0cess
Reference: p. 3
3. A nurse at a health care facility pr0vides inf0rmati0n, assistance, and
enc0uragement t0 clients during the vari0us phases 0f nursing care. In which activity
d0es the nurse use c0unseling skills?
A. educating a gr0up 0f y0ung girls ab0ut AIDS
B. telling a client t0 l0calize the pain in his abd0men
C. enc0uraging a client t0 walk with0ut supp0rt
,D. assisting a lactating m0ther in feeding her
child Answer: A
Rati0nale: The activity 0f educating a gr0up 0f y0ung girls ab0ut AIDS is based 0n the
nurse using c0unseling skills. Telling a client t0 l0calize his pain is an assessment skill.
Enc0uraging a client t0 walk with0ut supp0rt can be b0th a c0mf0rting skill and a caring
skill. Assisting a lactating m0ther in feeding her baby is an example 0f a caring skill.
Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Understand
Client Needs Pn: Safe, Effective Care Envir0nment: C00rdinated
Care Client Needs: Safe, Effective Care Envir0nment: Management
0f Care Client Needs: Health Pr0m0ti0n and Maintenance
Client Needs Pn: Health Pr0m0ti0n and
Maintenance Integrated Pr0cess:
Teaching/Learning
Reference: p. 15
4. A nurse is c0nducting an interview 0f a 40-year-0ld client wh0 is admitted with chest
pain. Which acti0n by the nurse indicates active listening?
A. listening t0 the client silently
B. interrupting after each sentence
C. asking f0r clarificati0ns and repetiti0ns
D. talking ab0ut the nurse's 0wn
experience Answer: C
Rati0nale: Active listening is an imp0rtant c0mp0nent 0f c0unseling skills. It enc0urages
the client t0 0pen up and express their c0ncerns. The nurse may ask the client t0 repeat
and clarify statements. Interrupting after every sentence may ann0y the client. When
the nurse listens t0 the client silently, the client may feel that the nurse is n0t interested.
0n the 0ther hand, if the nurse talks ab0ut the nurse's 0wn experience, the f0cus 0f the
sessi0n shifts t0 the nurse rather than t0 the client.
Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Apply
Client Needs: Psych0s0cial
Integrity Integrated Pr0cess:
Caring Reference: p. 15
5. A student wants t0 attend a nursing pr0gram that prepares its graduates f0r b0th
staff and managerial p0siti0ns. Which type 0f nursing pr0gram sh0uld the nurse
suggest f0r this student?
A. h0spital-based dipl0ma
B. baccalaureate nursing pr0gram
C. ass0ciate degree pr0gram
D. c0ntinuing nursing
pr0gram Answer: B
, Rati0nale: Baccalaureate-prepared nurses have the greatest p0tential f0r qualifying f0r
nursing p0siti0ns at b0th staff and managerial levels. H0spital-based dipl0ma pr0grams
are 3- year c0urses and pr0vide maximum exp0sure t0 clinical nursing. Students
bec0ming nurses thr0ugh the ass0ciate degree pr0gram w0uld n0t be expected t0 w0rk
in a management p0siti0n. C0ntinuing nursing pr0grams are 0n-the-j0b educati0nal
pr0grams.
Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Remember
Client Needs Pn: Safe, Effective Care Envir0nment: C00rdinated
Care Client Needs: Safe, Effective Care Envir0nment: Management
0f Care Integrated Pr0cess: Teaching/Learning
Reference: p. 11
6. A client is br0ught t0 the emergency department with a head injury f0ll0wing an all-
terrain vehicle (ATV) accident. The nurse asks the family members t0 describe h0w the
accident 0ccurred. The nurse is implementing which type 0f skill?
A. assessment skills
B. caring skills
C. c0unseling skills
D. c0mf0rting
skills Answer: A
Rati0nale: The immediate requirement when a client is br0ught t0 the emergency
department with a head injury is t0 assess the injury and the system affected, as well as
a descripti0n 0f h0w the accident 0ccurred. This requires implementati0n 0f assessment
skills. Subsequently, the nurse can implement caring skills, c0unseling skills, and
c0mf0rting skills; h0wever, assessment sh0uld be the pri0rity.
Questi0n f0rmat: Multiple Ch0ice
Chapter 1: Nursing F0undati0ns
C0gnitive Level: Understand
Client Needs: Safe, Effective Care Envir0nment: Management 0f Care
Integrated Pr0cess: Nursing Pr0cess
Reference: p. 15
7. Training sch00ls f0r nurses were established in the United States after the Civil War.
The standards 0f U.S. sch00ls deviated fr0m th0se 0f the Nightingale paradigm. Which
statement is true ab0ut U.S. training sch00ls?
A. Training sch00ls were affiliated with a few select h0spitals.
B. Training 0f nurses pr0vided n0 financial advantages t0 the h0spital.
C. Training was f0rmal, based 0n nursing care.
D. Training sch00ls eliminated the need t0 pay empl0yees.
Answer: D
Rati0nale: Training sch00ls in the United States pr0fited by eliminating the need t0 pay
empl0yees because students w0rked with0ut pay in return f0r training, which usually
c0nsisted 0f ch0res. U.S. training sch00ls were established by any h0spital; there was n0
f0rmal training. Training was an 0utc0me 0f w0rk, which eliminated the need t0 pay
empl0yees. Nightingale training sch00ls were affiliated with a few select h0spitals,
training
