TEST BANK
Craven & Hirnle's Fundamentals of Nursing: Concepts and
Competencies for Practice
Christine M. Henshaw, and Renee Rassilyer-Bomers
10th Edition
,Table of Contents
Chapter 01 The Profession of Nursing 1
Chapter 02 The Nurse’s Role in Healthcare Quality and Patient Safety 13
Chapter 03 Values, Ethics, and Legal Issues 26
Chapter 04 Nursing Research and Evidence-Based Care 38
Chapter 05 Introduction to the Nursing Process, Critical Thinking, and Clinical Judgment 50
Chapter 06 Assessment-Recognizing Cues 62
Chapter 07 Diagnosis-Analysis-Analyzing Cues and Prioritizing Hypotheses 74
Chapter 08 Planning Generating Solutions 85
Chapter 09 Implementation and Evaluation-Taking Action and Evaluating Outcomes 96
Chapter 10 Healthcare Team Communication-Documenting and Reporting 109
Chapter 11 Health, Wellness, and Integrative Healthcare 121
Chapter 12 Healthcare in the Community and Home 132
Chapter 13 Culture and Diversity 144
Chapter 14 Communication in the Nurse–Patient Relationship 157
Chapter 15 Patient Education and Health Promotion 169
Chapter 16 Caring for the Older Adult 181
Chapter 17 Safety 193
Chapter 18 Health Assessment 204
Chapter 19 Vital Signs 215
Chapter 20 Asepsis and Infection Control 226
Chapter 21 Medication Administration 238
Chapter 22 Intravenous Therapy 249
Chapter 23 Perioperative Nursing 260
Chapter 24 Hygiene and Self-Care 272
Chapter 25 Mobility 284
Chapter 26 Skin Integrity and Wound Healing 295
Chapter 27 Infection Prevention and Management 306
Chapter 28 Pain Management 317
Chapter 29 Sensory Perception 329
Chapter 30 Respiratory Function 341
Chapter 31 Cardiac Function 352
Chapter 32 Fluids, Electrolytes, and Acid–Base Balance 363
Chapter 33 Nutrition 374
Chapter 34 Urinary Elimination 385
Chapter 35 Bowel Elimination 396
Chapter 36 Sleep 407
Chapter 37 Self-Concept 418
Chapter 38 Families and Their Relationships 429
Chapter 39 Cognitive Processes 440
Chapter 40 Sexuality 452
Chapter 41 Stress, Coping, and Adaptation 464
,Chapter 42 Loss and Grieving 476
Chapter 43 Spiritual Health 488
,______________________________________________________________________________________________
Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
Test Generator Questions, Chapter 01: The
Profession of Nursing
1. A nurse in a high-acuity medical unit is caring for a client with complex health
needs and multiple comorbidities. To create an appropriate care plan for this
client, the nurse should consult which resource?
A. clinical nurse specialist
B. nurse informaticist
C. nurse researcher
D. nurse administrator
Answer: A
Rationale: A clinical nurse specialist has advanced experience and expertise in a
specialized area of practice such as gerontology, pediatrics, critical care, or
pulmonary disease. As such, a clinical nurse specialist can help organize
appropriate care for a client with complex health needs. Nurse informaticists
specialize in the application of information technology in care settings. A nurse
researcher contributes to the knowledge base of nursing but may lack the clinical
expertise to meet this client's complex needs. A nurse administrator is skilled in
organizing and managing departmental operations.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 8-9
2. A nurse has received a referral to provide care for a client who lives 2 hours
away from the nearest health care facility. This client will require extensive
health education from the nurse. To meet this client's needs, what action should
the nurse take?
A. Explore and organize telehealth options for the client.
B. Liaise with a clinical nurse specialist to organize care.
C. Arrange for subsidized transportation so the client can attend appointments.
D. Cluster the client's education into a small number of lengthy teaching
sessions.
Answer: A
Rationale: Telehealth provides a convenient and effective solution for clients who
may be unable or unwilling to attend in-person care, specifically for nursing
actions that do not require physical proximity. A clinical nurse specialist can help
inform complex care but is less likely to be able to present solutions posed by
logistics. Subsidized transportation is not available for most clients, and
geographic distance alone is unlikely to qualify a client. Clustering education may
appear efficient, but retention is likely to suffer.
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1|Page
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Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
Reference: p. 16-18
3. A client has been diagnosed with lung cancer after experiencing several
episodes of hemoptysis. To adopt a functional approach to the client's care, the
nurse will perform what action?
A. Identify and address the ways that the client is being affected by the
diagnosis.
B. Delegate creation of the nursing care plan to a clinical nurse specialist.
C. Explore options for the client to receive care in the home setting.
D. Prioritize psychosocial interventions over physiologic interventions.
Answer: A
Rationale: In addition to using specific nursing theories, another way to organize
nursing information in a holistic way is to use a functional approach. Rather than
focusing on a client's medical diagnosis, the nurse may focus on how the client
responds to that diagnosis. This cannot necessarily be achieved by delegating to
a clinical nurse specialist or providing care in the home. Psychosocial
interventions are important, but may not be appropriate to prioritize over
physiologic interventions in all cases.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Nursing Process
Reference: p. 15-16
4. The postpartum nurse is caring for a client who is experiencing challenges
initiating breastfeeding. The client will soon be discharged and has not yet been
seen by the lactation consultant. The nurse reaches out directly to the lactation
consultant to facilitate a prompt referral. The nurse is acting in which role?
A. client advocate
B. caregiver
C. decision-maker
D. educator
Answer: A
Rationale: Nurses act as client advocates in many situations, including
communicating the needs and concerns of clients and ensuring that clients
receive the care they need. Reaching out directly to a lactation consultant does
not involve making a decision on the client's behalf or providing direct care.
Education focuses on the provision of information, not intervention.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
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2|Page
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Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
Integrated Process: Caring
Reference: p. 11-12
5. The nurse is caring for a client who has been receiving treatment for burns.
The client is scheduled for discharge later this afternoon. The nurse has arranged
to provide wound care and apply new dressings as close to discharge time as
possible. The nurse is acting in which nursing role?
A. manager and coordinator
B. communicator
C. client advocate
D. clinical nurse specialist (CNS)
Answer: A
Rationale: The nurse is managing and coordinating care for the client by being
strategic about when care is implemented. Although advocacy and
communication may be involved in this scenario's action, the essence of the
action is managing and coordinating time and tasks to benefit the client. A
clinical nurse specialist is an advanced-practice role focused on specialty care,
not one of the core roles of nurses.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 11-12
6. A client experienced a stroke several weeks ago and is currently participating
in rehabilitation. The nurse can enact Henderson's theory of nursing by
performing which action?
A. promoting the client's independence in as many aspects of care as possible
B. engaging the family and client support network in decisions related to care
C. acknowledging that the client's physiologic needs are a priority over
psychosocial needs at this time
D. providing education even when the client does not explicitly request
information
Answer: A
Rationale: The main purpose of Henderson's theory is to assist the client in
gaining independence as rapidly as possible. None of the other listed actions—
engaging the family, prioritizing physiologic over psychosocial needs, providing
education—are contrary to Henderson's theory, but they do not exemplify the
core purpose of the theory.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Nursing Process
Reference: p. 13
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Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
7. The nurse is caring for a client who has been quarantined at home for 2
weeks. The nurse has identified interventions with the goal of promoting the
client's self-care. What nursing theory is the nurse utilizing?
A. Orem's nursing theory
B. Benner's novice-to-expert model
C. Peplau's nursing theory
D. The Neuman systems model
Answer: A
Rationale: The major purpose of Orem's theory is to provide care and to assist
the client to attain self-care. Benner's model addresses the nurse's own
development. Peplau emphasized interpersonal relationships. Neuman focused
on the concept of stress.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Nursing Process
Reference: p. 13
8. A student nurse has begun the first semester of studies and expects to
graduate in 4 years. Once graduated, the student would expect to witness what
trend in nursing care?
A. increased use of community-based and outpatient care
B. convergence of the nursing role and the physician role
C. reduced expectations for a baccalaureate degree for entry to practice
D. use of the American Association of Colleges of Nursing core competencies to
inform care
Answer: A
Rationale: Outpatient care and community-based care are increasingly common,
and this trend is expected to continue. Although interprofessional dynamics
always change, a convergence of the physician role and the nurse role is neither
expected nor predicted. Questions around bachelor's degrees for entry into
practice have existed for decades, and it is not predicted that the value of a
baccalaureate degree will decrease. American Association of Colleges of Nursing
core competencies are already prioritized, and this is expected to continue.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 15-16
9. A nursing student is learning about future trends in health, nursing, and
medicine and is focusing on the role of technology in health care. This student
should anticipate what phenomenon in the coming years for the nursing
profession?
A. improved health outcomes but increased costs
B. decreased role for nurses and increased role for technicians
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4|Page
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Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
C. increased isolation of each health care profession from others
D. introduction of a single-payer, universal health care system
Answer: A
Rationale: Technological advances improve health outcomes. However, many
technologies are associated with high costs that supersede any cost savings.
Technology is not predicted to make the nursing role obsolete, nor is it predicted
to isolate professions from each other. Although health care costs are expected
to be a challenge well into the future, the development of a single-payer,
universal health care system in the United States is not commonly predicted.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 16
10. The director of nursing (DON) of a hospital is seeking to hire a nurse with a
strong technical background to care for clients on a subacute medicine unit. The
DON is most likely going to hire a nurse prepared at which level?
A. associate degree
B. doctoral degree
C. master's degree
D. bachelor's degree
Answer: A
Rationale: Associate degree education prepares nurses to give care to clients in
various settings, including hospitals, long-term care facilities, and home health
care and other community settings. Graduates are technically skilled and well
prepared to carry out nursing roles and functions. While many nurses enter the
workforce with a bachelor's degree, associate degrees are still common,
particularly in lower-acuity settings. Master's and doctoral prepared nurses
possess higher degrees and expertise and are less likely to provide direct client
care in a subacute setting.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 6-7
11. A student is choosing an educational path and desires a nursing degree with
a track for community nursing and leadership and that allows for classes in
liberal arts. The student would best be suited in which type of program?
A. baccalaureate program
B. licensed practical nursing program
C. certification in a nursing specialty
D. associate degree nursing
Answer: A
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Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
Rationale: In baccalaureate programs, the major in nursing is built on a general
education base, with concentration on nursing at the upper level. Students
acquire knowledge of theory and practice related to nursing and other
disciplines, provide nursing care to individuals and groups, work with members
of the health care team, use research to improve practice, and have a foundation
for graduate study. It includes a focus on nursing leadership skills with additional
requirements for clinical practice labs and clinical internships throughout its
duration. Licensed practical nursing programs, certification in a nursing specialty,
and associate degrees are shorter length programs whose curriculum is focused
more on clinical nursing skills.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 6-7
12. A long-term care facility is seeking an advanced practice nurse to educate
the staff about palliative care for the residents. The facility would benefit most
by hiring which advanced practice nurse?
A. clinical nurse specialist
B. nurse researcher
C. nurse practitioner
D. nurse administrator
Answer: A
Rationale: The clinical nurse specialist and nurse practitioner are advance
practice registered nurses. The clinical nurse specialist has advanced experience
and expertise in a specialized area of practice such as gerontology and would be
best suited to provide education on palliative care. Nurse practitioners typically
provide direct care more often than leading and educating staff. The nurse
researcher is responsible for the continued development and refinement of
nursing knowledge and practice through the investigation of nursing problems.
The nurse administrator is responsible for managing client care.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 8-9
13. A nurse in the community has been asked to join a nursing organization on
the basis of exceptional leadership that the nurse provided during the COVID-19
pandemic. Which organization is has likely invited the nurse to join?
A. Sigma
B. American Nurses Association (ANA)
C. American Association of Colleges of Nursing (AACN)
D. National Council of State Boards of Nursing (NCSBN)
Answer: A
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Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
Rationale: Sigma, the nursing honor society, extends membership invitations to
students who demonstrate excellence in scholarship and nurses in the
community who demonstrate excellence in leadership. The American Nurses
Association (ANA) is open to all licensed registered professional nurses. The
American Association of Colleges of Nursing (AACN) sets standards and
publishes essential components of baccalaureate, master's and doctoral
education in nursing. The National Council of State Boards of Nursing (NCSBN) is
responsible for NCLEX testing standards.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 10-11
14. The nurse is caring for a postoperative client, and administers a pain
medication prescribed on a PRN basis by the health care provider. What
describes the type of intervention the nurse is demonstrating?
A. collaborative intervention
B. dependent intervention
C. client advocacy intervention
D. nurse-prescribed intervention
Answer: A
Rationale: The administration of a PRN medication requires a health care
provider-prescribed intervention (the medication prescription) as well as a
nurse-prescribed intervention (determining when the prescription should be
carried out and proper administration of the medication); therefore, this action
would be considered a collaborative intervention. Nurse-initiated interventions,
such as turning and repositioning a client, are described as nurse-prescribed
interventions. Health care provider-directed actions are described as health care
provider-prescribed interventions. Client advocacy refers to communicating the
needs and protecting the needs of the client. Interventions are not normally
categorized as independent or dependent.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 11-12
15. The nurse in a rehabilitative facility makes certain that the client is
participating in group activities of interest. The nurse is ensuring which client
need is met?
A. love and belonging
B. self-actualization
C. safety and security
D. self-esteem
Answer: A
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Craven & Hirnle's Fundamentals of Nursing: Concepts and
Competencies for Practice
Christine M. Henshaw, and Renee Rassilyer-Bomers
10th Edition
,Table of Contents
Chapter 01 The Profession of Nursing 1
Chapter 02 The Nurse’s Role in Healthcare Quality and Patient Safety 13
Chapter 03 Values, Ethics, and Legal Issues 26
Chapter 04 Nursing Research and Evidence-Based Care 38
Chapter 05 Introduction to the Nursing Process, Critical Thinking, and Clinical Judgment 50
Chapter 06 Assessment-Recognizing Cues 62
Chapter 07 Diagnosis-Analysis-Analyzing Cues and Prioritizing Hypotheses 74
Chapter 08 Planning Generating Solutions 85
Chapter 09 Implementation and Evaluation-Taking Action and Evaluating Outcomes 96
Chapter 10 Healthcare Team Communication-Documenting and Reporting 109
Chapter 11 Health, Wellness, and Integrative Healthcare 121
Chapter 12 Healthcare in the Community and Home 132
Chapter 13 Culture and Diversity 144
Chapter 14 Communication in the Nurse–Patient Relationship 157
Chapter 15 Patient Education and Health Promotion 169
Chapter 16 Caring for the Older Adult 181
Chapter 17 Safety 193
Chapter 18 Health Assessment 204
Chapter 19 Vital Signs 215
Chapter 20 Asepsis and Infection Control 226
Chapter 21 Medication Administration 238
Chapter 22 Intravenous Therapy 249
Chapter 23 Perioperative Nursing 260
Chapter 24 Hygiene and Self-Care 272
Chapter 25 Mobility 284
Chapter 26 Skin Integrity and Wound Healing 295
Chapter 27 Infection Prevention and Management 306
Chapter 28 Pain Management 317
Chapter 29 Sensory Perception 329
Chapter 30 Respiratory Function 341
Chapter 31 Cardiac Function 352
Chapter 32 Fluids, Electrolytes, and Acid–Base Balance 363
Chapter 33 Nutrition 374
Chapter 34 Urinary Elimination 385
Chapter 35 Bowel Elimination 396
Chapter 36 Sleep 407
Chapter 37 Self-Concept 418
Chapter 38 Families and Their Relationships 429
Chapter 39 Cognitive Processes 440
Chapter 40 Sexuality 452
Chapter 41 Stress, Coping, and Adaptation 464
,Chapter 42 Loss and Grieving 476
Chapter 43 Spiritual Health 488
,______________________________________________________________________________________________
Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
Test Generator Questions, Chapter 01: The
Profession of Nursing
1. A nurse in a high-acuity medical unit is caring for a client with complex health
needs and multiple comorbidities. To create an appropriate care plan for this
client, the nurse should consult which resource?
A. clinical nurse specialist
B. nurse informaticist
C. nurse researcher
D. nurse administrator
Answer: A
Rationale: A clinical nurse specialist has advanced experience and expertise in a
specialized area of practice such as gerontology, pediatrics, critical care, or
pulmonary disease. As such, a clinical nurse specialist can help organize
appropriate care for a client with complex health needs. Nurse informaticists
specialize in the application of information technology in care settings. A nurse
researcher contributes to the knowledge base of nursing but may lack the clinical
expertise to meet this client's complex needs. A nurse administrator is skilled in
organizing and managing departmental operations.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 8-9
2. A nurse has received a referral to provide care for a client who lives 2 hours
away from the nearest health care facility. This client will require extensive
health education from the nurse. To meet this client's needs, what action should
the nurse take?
A. Explore and organize telehealth options for the client.
B. Liaise with a clinical nurse specialist to organize care.
C. Arrange for subsidized transportation so the client can attend appointments.
D. Cluster the client's education into a small number of lengthy teaching
sessions.
Answer: A
Rationale: Telehealth provides a convenient and effective solution for clients who
may be unable or unwilling to attend in-person care, specifically for nursing
actions that do not require physical proximity. A clinical nurse specialist can help
inform complex care but is less likely to be able to present solutions posed by
logistics. Subsidized transportation is not available for most clients, and
geographic distance alone is unlikely to qualify a client. Clustering education may
appear efficient, but retention is likely to suffer.
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
Reference: p. 16-18
3. A client has been diagnosed with lung cancer after experiencing several
episodes of hemoptysis. To adopt a functional approach to the client's care, the
nurse will perform what action?
A. Identify and address the ways that the client is being affected by the
diagnosis.
B. Delegate creation of the nursing care plan to a clinical nurse specialist.
C. Explore options for the client to receive care in the home setting.
D. Prioritize psychosocial interventions over physiologic interventions.
Answer: A
Rationale: In addition to using specific nursing theories, another way to organize
nursing information in a holistic way is to use a functional approach. Rather than
focusing on a client's medical diagnosis, the nurse may focus on how the client
responds to that diagnosis. This cannot necessarily be achieved by delegating to
a clinical nurse specialist or providing care in the home. Psychosocial
interventions are important, but may not be appropriate to prioritize over
physiologic interventions in all cases.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Nursing Process
Reference: p. 15-16
4. The postpartum nurse is caring for a client who is experiencing challenges
initiating breastfeeding. The client will soon be discharged and has not yet been
seen by the lactation consultant. The nurse reaches out directly to the lactation
consultant to facilitate a prompt referral. The nurse is acting in which role?
A. client advocate
B. caregiver
C. decision-maker
D. educator
Answer: A
Rationale: Nurses act as client advocates in many situations, including
communicating the needs and concerns of clients and ensuring that clients
receive the care they need. Reaching out directly to a lactation consultant does
not involve making a decision on the client's behalf or providing direct care.
Education focuses on the provision of information, not intervention.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
Integrated Process: Caring
Reference: p. 11-12
5. The nurse is caring for a client who has been receiving treatment for burns.
The client is scheduled for discharge later this afternoon. The nurse has arranged
to provide wound care and apply new dressings as close to discharge time as
possible. The nurse is acting in which nursing role?
A. manager and coordinator
B. communicator
C. client advocate
D. clinical nurse specialist (CNS)
Answer: A
Rationale: The nurse is managing and coordinating care for the client by being
strategic about when care is implemented. Although advocacy and
communication may be involved in this scenario's action, the essence of the
action is managing and coordinating time and tasks to benefit the client. A
clinical nurse specialist is an advanced-practice role focused on specialty care,
not one of the core roles of nurses.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 11-12
6. A client experienced a stroke several weeks ago and is currently participating
in rehabilitation. The nurse can enact Henderson's theory of nursing by
performing which action?
A. promoting the client's independence in as many aspects of care as possible
B. engaging the family and client support network in decisions related to care
C. acknowledging that the client's physiologic needs are a priority over
psychosocial needs at this time
D. providing education even when the client does not explicitly request
information
Answer: A
Rationale: The main purpose of Henderson's theory is to assist the client in
gaining independence as rapidly as possible. None of the other listed actions—
engaging the family, prioritizing physiologic over psychosocial needs, providing
education—are contrary to Henderson's theory, but they do not exemplify the
core purpose of the theory.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Nursing Process
Reference: p. 13
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3|Page
,______________________________________________________________________________________________
Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
7. The nurse is caring for a client who has been quarantined at home for 2
weeks. The nurse has identified interventions with the goal of promoting the
client's self-care. What nursing theory is the nurse utilizing?
A. Orem's nursing theory
B. Benner's novice-to-expert model
C. Peplau's nursing theory
D. The Neuman systems model
Answer: A
Rationale: The major purpose of Orem's theory is to provide care and to assist
the client to attain self-care. Benner's model addresses the nurse's own
development. Peplau emphasized interpersonal relationships. Neuman focused
on the concept of stress.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Nursing Process
Reference: p. 13
8. A student nurse has begun the first semester of studies and expects to
graduate in 4 years. Once graduated, the student would expect to witness what
trend in nursing care?
A. increased use of community-based and outpatient care
B. convergence of the nursing role and the physician role
C. reduced expectations for a baccalaureate degree for entry to practice
D. use of the American Association of Colleges of Nursing core competencies to
inform care
Answer: A
Rationale: Outpatient care and community-based care are increasingly common,
and this trend is expected to continue. Although interprofessional dynamics
always change, a convergence of the physician role and the nurse role is neither
expected nor predicted. Questions around bachelor's degrees for entry into
practice have existed for decades, and it is not predicted that the value of a
baccalaureate degree will decrease. American Association of Colleges of Nursing
core competencies are already prioritized, and this is expected to continue.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 15-16
9. A nursing student is learning about future trends in health, nursing, and
medicine and is focusing on the role of technology in health care. This student
should anticipate what phenomenon in the coming years for the nursing
profession?
A. improved health outcomes but increased costs
B. decreased role for nurses and increased role for technicians
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
C. increased isolation of each health care profession from others
D. introduction of a single-payer, universal health care system
Answer: A
Rationale: Technological advances improve health outcomes. However, many
technologies are associated with high costs that supersede any cost savings.
Technology is not predicted to make the nursing role obsolete, nor is it predicted
to isolate professions from each other. Although health care costs are expected
to be a challenge well into the future, the development of a single-payer,
universal health care system in the United States is not commonly predicted.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 16
10. The director of nursing (DON) of a hospital is seeking to hire a nurse with a
strong technical background to care for clients on a subacute medicine unit. The
DON is most likely going to hire a nurse prepared at which level?
A. associate degree
B. doctoral degree
C. master's degree
D. bachelor's degree
Answer: A
Rationale: Associate degree education prepares nurses to give care to clients in
various settings, including hospitals, long-term care facilities, and home health
care and other community settings. Graduates are technically skilled and well
prepared to carry out nursing roles and functions. While many nurses enter the
workforce with a bachelor's degree, associate degrees are still common,
particularly in lower-acuity settings. Master's and doctoral prepared nurses
possess higher degrees and expertise and are less likely to provide direct client
care in a subacute setting.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 6-7
11. A student is choosing an educational path and desires a nursing degree with
a track for community nursing and leadership and that allows for classes in
liberal arts. The student would best be suited in which type of program?
A. baccalaureate program
B. licensed practical nursing program
C. certification in a nursing specialty
D. associate degree nursing
Answer: A
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Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
Rationale: In baccalaureate programs, the major in nursing is built on a general
education base, with concentration on nursing at the upper level. Students
acquire knowledge of theory and practice related to nursing and other
disciplines, provide nursing care to individuals and groups, work with members
of the health care team, use research to improve practice, and have a foundation
for graduate study. It includes a focus on nursing leadership skills with additional
requirements for clinical practice labs and clinical internships throughout its
duration. Licensed practical nursing programs, certification in a nursing specialty,
and associate degrees are shorter length programs whose curriculum is focused
more on clinical nursing skills.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 6-7
12. A long-term care facility is seeking an advanced practice nurse to educate
the staff about palliative care for the residents. The facility would benefit most
by hiring which advanced practice nurse?
A. clinical nurse specialist
B. nurse researcher
C. nurse practitioner
D. nurse administrator
Answer: A
Rationale: The clinical nurse specialist and nurse practitioner are advance
practice registered nurses. The clinical nurse specialist has advanced experience
and expertise in a specialized area of practice such as gerontology and would be
best suited to provide education on palliative care. Nurse practitioners typically
provide direct care more often than leading and educating staff. The nurse
researcher is responsible for the continued development and refinement of
nursing knowledge and practice through the investigation of nursing problems.
The nurse administrator is responsible for managing client care.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 8-9
13. A nurse in the community has been asked to join a nursing organization on
the basis of exceptional leadership that the nurse provided during the COVID-19
pandemic. Which organization is has likely invited the nurse to join?
A. Sigma
B. American Nurses Association (ANA)
C. American Association of Colleges of Nursing (AACN)
D. National Council of State Boards of Nursing (NCSBN)
Answer: A
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Test Bank - Craven & Hirnle's Fundamentals of Nursing: Concepts & Competencies for Practice, 10e (Henshaw, 2024)
Rationale: Sigma, the nursing honor society, extends membership invitations to
students who demonstrate excellence in scholarship and nurses in the
community who demonstrate excellence in leadership. The American Nurses
Association (ANA) is open to all licensed registered professional nurses. The
American Association of Colleges of Nursing (AACN) sets standards and
publishes essential components of baccalaureate, master's and doctoral
education in nursing. The National Council of State Boards of Nursing (NCSBN) is
responsible for NCLEX testing standards.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 10-11
14. The nurse is caring for a postoperative client, and administers a pain
medication prescribed on a PRN basis by the health care provider. What
describes the type of intervention the nurse is demonstrating?
A. collaborative intervention
B. dependent intervention
C. client advocacy intervention
D. nurse-prescribed intervention
Answer: A
Rationale: The administration of a PRN medication requires a health care
provider-prescribed intervention (the medication prescription) as well as a
nurse-prescribed intervention (determining when the prescription should be
carried out and proper administration of the medication); therefore, this action
would be considered a collaborative intervention. Nurse-initiated interventions,
such as turning and repositioning a client, are described as nurse-prescribed
interventions. Health care provider-directed actions are described as health care
provider-prescribed interventions. Client advocacy refers to communicating the
needs and protecting the needs of the client. Interventions are not normally
categorized as independent or dependent.
Question format: Multiple Choice
Chapter 1: The Profession of Nursing
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 11-12
15. The nurse in a rehabilitative facility makes certain that the client is
participating in group activities of interest. The nurse is ensuring which client
need is met?
A. love and belonging
B. self-actualization
C. safety and security
D. self-esteem
Answer: A
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