TEST BANK
FUNDAMENTALS OF NURSING
,Contents
Unit 1 Nursing And The Health Care Environment
1 Nursing Today
2 The Health Care Delivery System
3 Population Health
4 Theoretical Foundations Of Nursing Practice
5 Evidence-Based Practice
Unit 2 Caring Throughout The Life Span
6 Health And Wellness
7 Caring In Nursing Practice
8 Caring For Patients With Chronic Illness
9 Cultural Care
10 Family Dynamics
11 Developmental Theories
12 Conception Through Adolescence
13 Young And Middle Adults
14 Older Adults
Unit 3 Clinical Judgment In Nursing Practice
15 Critical Thinking And Clinical Judgment
16 Nursing Assessment
17 Analysis And Nursing Diagnosis
18 Planning And Outcomes Identification In Nursing Care
19 Implementing Nursing Care
20 Evaluation
21 Managing Patient Care
Unit 4 Professional Standards In Nursing Practice
22 Ethics And Values
23 Legal Implications In Nursing Practice
24 Communication
25 Patient Education
26 Informatics And Documentation
Unit 5 Foundations For Nursing Practice
27 Patient Safety And Quality
28 Infection Prevention And Control
29 Vital Signs
30 Health Assessment And Physical Examination
31 Medication Administration
32 Complementary, Alternative, And Integrative
Therapies
,Unit 6 Psychosocial Basis For Nursing Practice
33 Self-Concept
34 Sexuality
35 Spiritual Health
36 Loss And Grief
37 Stress And Coping
Unit 7 Physiological Basis For Nursing Practice
38 Activity And Exercise
39 Immobility
40 Hygiene
41 Oxygenation
42 Fluid, Electrolyte, And Acid-Base Balance
43 Sleep
44 Pain Management
45 Nutrition
46 Urinary Elimination
47 Bowel Elimination
48 Skin Integrity And Wound Care
49 Sensory Alterations
50 Perioperative Nursing Care
,Chapter 1 Nursing Today
A Critical Care Nurse Is Using A Computerized Decision Support System To Correctly
Position Her Ventilated Patients To Reduce Pneumonia Caused By Accumulated
Respiratory Secretions. This Is An Example Of Which Quality And Safety In The
Education Of Nurses (QSEN) Competency?
1. Patient-Centered Care
2. Safety
3. Teamwork And Collaboration
4. Informatics - Answer: 4. Informatics
Using Decision Support Systems Is One Example Of Using And Gaining
Competency In Informatics.
A Nurse Is Caring For A Patient With End-Stage Lung Disease. The Patient Wants
To Go Home On Oxygen And Be Comfortable. The Family Wants The Patient To
Have A New Surgical Procedure. The Nurse Explains The Risk And Benefits Of The
Surgery To The Family And Discusses The Patient's Wishes With The Family. The
Nurse Is Acting As The Patient's:
1. Educator
2. Advocate
3. Caregiver
4. Case Manager - Answer: 2. Advocate
An Advocate Protects The Patient's Human And Legal Right To Make Choices
About His Or Her Care. An Advocate May Also Provide Additional Information To
Help A Patient Decide Whether Or Not To Accept A Treatment Or Find An
Interpreter To Help Family Members Communicate Their Concerns.
A Nurse Is Caring For An Older-Adult Couple In A Community-Based Assisted Living
Facility. During The Family Assessment He Notes That The Couple Has Many
Expired Medications And Multiple Medications For Their Respective Chronic
Illnesses. They Note That They Go To Two Different Health Care Providers. The
Nurse Begins To Work With The Couple To Determine What They Know About Their
Medications And Helps Them Decide On One Care Provider Rather Than Two. This
Is An Example Of Which Quality And Safety In The Education Of Nurses (Qsen)
Competency?
1. Patient-Centered Care
2. Safety
3. Teamwork And Collaboration
4. Informatics - Answer: 2. Safety
Helping The Patients Understand The Consequences And Complications Of Multiple
Medications Helps To Build The Competency In Safety.
,A Nurse Is Working With A Young Childbearing Family Who Has One Child With A
Congenital Heart Disease. The Parents Are Trying To Determine The Risks Of A
Second Child Being Born With Congenital Heart Disease.
Describe Why Genomics Information Is Important In Assisting The Parents In This
Decision. - Answer: Genomics Can Help Identify Possible Genetic Defects That The
Parents May Pass On To Their Children.
A Patient In The Emergency Department Has Developed Wheezing And Shortness
Of Breath. The Nurse Gives The Ordered Medicated Nebulizer Treatment Now And
In 4 Hours. Which Standard Of Practice Is Performed?
1. Planning
2. Evaluation
3. Assessment
4. Implementation - Answer: 4. Implementation
Implementation Is Completing Coordinating Care And The Prescribed Plan Of Care.
Advanced Practice Registered Nurses Generally:
1. Function Independently
2. Function As Unit Directors
3. Work In Acute Care Settings
4. Work In The University Setting - Answer: 1. Function Independently
Advanced Practice Registered Nurse Functions Independently As A Clinician,
Educator, Case Manager, Consultant, And Researcher Within His Or Her Area Of
Practice To Plan Or Improve The Quality Of Nursing Care For The Patient And
Family.
An 18-Year-Old Woman Is In The Emergency Department With Fever And Cough.
The Nurse Obtains Her Vital Signs, Auscultates Her Lung Sounds, Listens To Her
Heart Sounds, Determines Her Level Of Comfort, And Collects Blood And Sputum
Samples For Analysis. Which Standard Of Practice Is Performed?
1. Diagnosis
2. Evaluation
3. Assessment
4. Implementation - Answer: 3. Assessment
Assessment Is The Collection Of Comprehensive Data Pertinent To The Patient's
Health And/Or The Situation.
Contemporary Nursing Requires That The Nurse Has Knowledge And Skills For A
Variety Of Professional Roles And Responsibilities. Which Of The Following Are
, Examples? (Select All That Apply.)
1. Caregiver
2. Autonomy And Accountability
3. Patient Advocate
4. Health Promotion
5. Lobbyist - Answer: 1. Caregiver
2. Autonomy And Accountability
3. Patient Advocate
4. Health Promotion
Each Of These Roles Includes Activities For The Professional Nurse. Each Of
These Is Used In Direct Care Or Is Part Of Professionalism That Guides Nursing
Practice. Some Nurses Are Lobbyists, But Being A Lobbyist Is Not Expected Of All
Professional Nurses.
Evidence-Based Practice Is Defined As:
1. Nursing Care Based On Tradition
2. Scholarly Inquiry Of Nursing And Biomedical Research Literature
3. A Problem-Solving Approach That Integrates Best Current Evidence With
Clinical Practice
4. Quality Nursing Care Provided In An Efficient And Economically Sound Manner -
Answer: 3. A Problem-Solving Approach That Integrates Best Current Evidence
With Clinical Practice
Evidence-Based Practice Integrates Best Current Evidence With Clinical Expertise
And Patient/Family Preferences And Values For Delivery Of Optimal Health Care.
Health Care Reform Will Bring Changes In The Emphasis Of Care. Which Of The
Following Models Is Expected From Health Care Reform?
1. Moving From An Acute Illness To A Health Promotion, Illness Prevention Model
2. Moving From Illness Prevention To A Health Promotion Model
3. Moving From An Acute Illness To A Disease Management Model
4. Moving From A Chronic Care To An Illness Prevention Model - Answer: 1.
Moving From An Acute Illness To A Health Promotion, Illness Prevention Model
Health Care Reform Also Affects How Health Care Is Delivered. There Is Greater
Emphasis On Health Promotion, Disease Prevention, And Management Of Illness.
Nurses At A Community Hospital Are In An Education Program To Learn How To
Use A New Pressure-Relieving Device For Patients At Risk For Pressure Ulcers.
This Is Which Type Of Education?
1. Continuing Education
2. Graduate Education
FUNDAMENTALS OF NURSING
,Contents
Unit 1 Nursing And The Health Care Environment
1 Nursing Today
2 The Health Care Delivery System
3 Population Health
4 Theoretical Foundations Of Nursing Practice
5 Evidence-Based Practice
Unit 2 Caring Throughout The Life Span
6 Health And Wellness
7 Caring In Nursing Practice
8 Caring For Patients With Chronic Illness
9 Cultural Care
10 Family Dynamics
11 Developmental Theories
12 Conception Through Adolescence
13 Young And Middle Adults
14 Older Adults
Unit 3 Clinical Judgment In Nursing Practice
15 Critical Thinking And Clinical Judgment
16 Nursing Assessment
17 Analysis And Nursing Diagnosis
18 Planning And Outcomes Identification In Nursing Care
19 Implementing Nursing Care
20 Evaluation
21 Managing Patient Care
Unit 4 Professional Standards In Nursing Practice
22 Ethics And Values
23 Legal Implications In Nursing Practice
24 Communication
25 Patient Education
26 Informatics And Documentation
Unit 5 Foundations For Nursing Practice
27 Patient Safety And Quality
28 Infection Prevention And Control
29 Vital Signs
30 Health Assessment And Physical Examination
31 Medication Administration
32 Complementary, Alternative, And Integrative
Therapies
,Unit 6 Psychosocial Basis For Nursing Practice
33 Self-Concept
34 Sexuality
35 Spiritual Health
36 Loss And Grief
37 Stress And Coping
Unit 7 Physiological Basis For Nursing Practice
38 Activity And Exercise
39 Immobility
40 Hygiene
41 Oxygenation
42 Fluid, Electrolyte, And Acid-Base Balance
43 Sleep
44 Pain Management
45 Nutrition
46 Urinary Elimination
47 Bowel Elimination
48 Skin Integrity And Wound Care
49 Sensory Alterations
50 Perioperative Nursing Care
,Chapter 1 Nursing Today
A Critical Care Nurse Is Using A Computerized Decision Support System To Correctly
Position Her Ventilated Patients To Reduce Pneumonia Caused By Accumulated
Respiratory Secretions. This Is An Example Of Which Quality And Safety In The
Education Of Nurses (QSEN) Competency?
1. Patient-Centered Care
2. Safety
3. Teamwork And Collaboration
4. Informatics - Answer: 4. Informatics
Using Decision Support Systems Is One Example Of Using And Gaining
Competency In Informatics.
A Nurse Is Caring For A Patient With End-Stage Lung Disease. The Patient Wants
To Go Home On Oxygen And Be Comfortable. The Family Wants The Patient To
Have A New Surgical Procedure. The Nurse Explains The Risk And Benefits Of The
Surgery To The Family And Discusses The Patient's Wishes With The Family. The
Nurse Is Acting As The Patient's:
1. Educator
2. Advocate
3. Caregiver
4. Case Manager - Answer: 2. Advocate
An Advocate Protects The Patient's Human And Legal Right To Make Choices
About His Or Her Care. An Advocate May Also Provide Additional Information To
Help A Patient Decide Whether Or Not To Accept A Treatment Or Find An
Interpreter To Help Family Members Communicate Their Concerns.
A Nurse Is Caring For An Older-Adult Couple In A Community-Based Assisted Living
Facility. During The Family Assessment He Notes That The Couple Has Many
Expired Medications And Multiple Medications For Their Respective Chronic
Illnesses. They Note That They Go To Two Different Health Care Providers. The
Nurse Begins To Work With The Couple To Determine What They Know About Their
Medications And Helps Them Decide On One Care Provider Rather Than Two. This
Is An Example Of Which Quality And Safety In The Education Of Nurses (Qsen)
Competency?
1. Patient-Centered Care
2. Safety
3. Teamwork And Collaboration
4. Informatics - Answer: 2. Safety
Helping The Patients Understand The Consequences And Complications Of Multiple
Medications Helps To Build The Competency In Safety.
,A Nurse Is Working With A Young Childbearing Family Who Has One Child With A
Congenital Heart Disease. The Parents Are Trying To Determine The Risks Of A
Second Child Being Born With Congenital Heart Disease.
Describe Why Genomics Information Is Important In Assisting The Parents In This
Decision. - Answer: Genomics Can Help Identify Possible Genetic Defects That The
Parents May Pass On To Their Children.
A Patient In The Emergency Department Has Developed Wheezing And Shortness
Of Breath. The Nurse Gives The Ordered Medicated Nebulizer Treatment Now And
In 4 Hours. Which Standard Of Practice Is Performed?
1. Planning
2. Evaluation
3. Assessment
4. Implementation - Answer: 4. Implementation
Implementation Is Completing Coordinating Care And The Prescribed Plan Of Care.
Advanced Practice Registered Nurses Generally:
1. Function Independently
2. Function As Unit Directors
3. Work In Acute Care Settings
4. Work In The University Setting - Answer: 1. Function Independently
Advanced Practice Registered Nurse Functions Independently As A Clinician,
Educator, Case Manager, Consultant, And Researcher Within His Or Her Area Of
Practice To Plan Or Improve The Quality Of Nursing Care For The Patient And
Family.
An 18-Year-Old Woman Is In The Emergency Department With Fever And Cough.
The Nurse Obtains Her Vital Signs, Auscultates Her Lung Sounds, Listens To Her
Heart Sounds, Determines Her Level Of Comfort, And Collects Blood And Sputum
Samples For Analysis. Which Standard Of Practice Is Performed?
1. Diagnosis
2. Evaluation
3. Assessment
4. Implementation - Answer: 3. Assessment
Assessment Is The Collection Of Comprehensive Data Pertinent To The Patient's
Health And/Or The Situation.
Contemporary Nursing Requires That The Nurse Has Knowledge And Skills For A
Variety Of Professional Roles And Responsibilities. Which Of The Following Are
, Examples? (Select All That Apply.)
1. Caregiver
2. Autonomy And Accountability
3. Patient Advocate
4. Health Promotion
5. Lobbyist - Answer: 1. Caregiver
2. Autonomy And Accountability
3. Patient Advocate
4. Health Promotion
Each Of These Roles Includes Activities For The Professional Nurse. Each Of
These Is Used In Direct Care Or Is Part Of Professionalism That Guides Nursing
Practice. Some Nurses Are Lobbyists, But Being A Lobbyist Is Not Expected Of All
Professional Nurses.
Evidence-Based Practice Is Defined As:
1. Nursing Care Based On Tradition
2. Scholarly Inquiry Of Nursing And Biomedical Research Literature
3. A Problem-Solving Approach That Integrates Best Current Evidence With
Clinical Practice
4. Quality Nursing Care Provided In An Efficient And Economically Sound Manner -
Answer: 3. A Problem-Solving Approach That Integrates Best Current Evidence
With Clinical Practice
Evidence-Based Practice Integrates Best Current Evidence With Clinical Expertise
And Patient/Family Preferences And Values For Delivery Of Optimal Health Care.
Health Care Reform Will Bring Changes In The Emphasis Of Care. Which Of The
Following Models Is Expected From Health Care Reform?
1. Moving From An Acute Illness To A Health Promotion, Illness Prevention Model
2. Moving From Illness Prevention To A Health Promotion Model
3. Moving From An Acute Illness To A Disease Management Model
4. Moving From A Chronic Care To An Illness Prevention Model - Answer: 1.
Moving From An Acute Illness To A Health Promotion, Illness Prevention Model
Health Care Reform Also Affects How Health Care Is Delivered. There Is Greater
Emphasis On Health Promotion, Disease Prevention, And Management Of Illness.
Nurses At A Community Hospital Are In An Education Program To Learn How To
Use A New Pressure-Relieving Device For Patients At Risk For Pressure Ulcers.
This Is Which Type Of Education?
1. Continuing Education
2. Graduate Education
