ANSWERSHEET
TEST BANK
Fundamentals of Nursing Thinking Doing and
Caring 4th Edition Volume 2 Wilkinson Treas
TEST BANK
, Fundamentals of Nursing Thinking Doing and Caring 4th Edition Volume 2 Wilkinson Treas Test Bank
Table of Content
Chapter 1 Evolution of Nursing Thought & Action
Chapter 2 Critical Thinking & Nursing Process
Chapter 3 Assessment
Chapter 4 Analysis/Diagnosis
Chapter 5 Planning Outcomes
Chapter 6 Planning Interventions
Chapter 7 Implementation & Evaluation
Chapter 8 Theory, Research, & Evidence-Based Practice
Chapter 9 Life Span: Infancy Through Middle Adulthood
Chapter 10 Life Span: Older Adults
Chapter 11 Experiencing Health & Illness
Chapter 12 Stress & Adaptation
Chapter 13 Psychosocial Health & Illness
Chapter 14 The Family
Chapter 15 Culture & Ethnicity
Chapter 16 Spirituality
Chapter 17 Loss, Grief, & Dying
Chapter 18 Documenting & Reporting
Chapter 19 Teaching & Learning
Chapter 20 Measuring Vital Signs
Chapter 21 Communication & Therapeutic Relationships
Chapter 22 Health Assessment
Chapter 23 Promoting Asepsis & Preventing Infection
Chapter 24 Promoting Safety
Chapter 25 Facilitating Hygiene
Chapter 26 Administering Medications
Chapter 27 Nutrition
Chapter 28 Urinary Elimination
Chapter 29 Bowel Elimination
Chapter 30 Sensation, Perception, & Response
Chapter 31 Pain
Chapter 32 Physical Activity & Immobility
Chapter 33 Sexual Health
Chapter 34 Sleep & Rest
Chapter 35 Skin Integrity & Wound Healing
Chapter 36 Oxygenation
Chapter 37 Circulation & Perfusion
Chapter 38 Fluids, Electrolytes, & Acid-Base Balance
Chapter 39 Perioperative Care
Chapter 40 Leading & Managing
Chapter 41 Nursing Informatics
Chapter 42 Promoting Health
Chapter 43 Community & Home Health Nursing
Chapter 44 Ethics & Values
Chapter 45 Legal Accountability
Chapter 46 Holistic Healing
,Chapter 1. Evolution of Nursing Thought & Action
MULTIPLE CHOICE
1. Which of the following is an example of an illness prevention activity?
a) Encouraging the use of a food diary
b) Joining a cancer support group
c) Administering immunization for HPV
d) Teaching a diabetic patient about his diet
ANS: C
Administering immunization for HPV is an example of illness prevention. Although cancer is
a disease, it is assumed that a person joining a support group would already have the disease;
therefore, it would be treatment and not disease prevention. Illness prevention activities focus
on avoiding a specific disease. A food diary is a health promotion activity. Teaching a diabetic
patient about diet is a treatment for diabetes; the patient already has diabetes, so the teaching
cannot prevent diabetes.
Difficulty: Moderate
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
PTS: 1
2. Which organization can require nurses to take continuing education courses as a condition of
licensure renewal?
a) American Nurses Association
b) National League for Nursing
c) Sigma Theta Tau
d) State Board of Nursing
ANS: D
Continuing education is a professional strategy designed to ensure that nurses remain current
in their clinical knowledge. Many states require nurses to engage in a certain number of
continuing-education requirements to renew their license. The knowledge gained in the
nursing curriculum is sufficient for nursing school graduates to obtain their initial license.
Requirements for renewal of a nurse’s license can be found in the state’s nurse practice act
(state board of nursing).
Difficulty: Difficult
Cognitive Level: Analysis
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
PTS: 1
3. An experienced seasoned nurse uses her knowledge of patient medical conditions and
intuition to identify patient problems. She is often the resource for other nurses on the unit.
What stage of proficiency has this nurse achieved?
a) Novice
, b) Advanced beginner
c) Competent
d) Expert
ANS: D
The nurse who has reached the expert stage of proficiency has a deep understanding of the
clinical situation based on knowledge and experience. The nurse often senses a potential
problem in the absence of classic signs and symptoms. The novice nurse is inexperienced and
relies on rules and processes. The advanced beginner focuses on aspects of a situation and is
unable to see the comprehensive perspective. A nurse functioning at the competent level is
able to prioritize to meet the patient needs but does not fully grasp the total situation.
Difficulty: Moderate
Cognitive Level: Comprehension
PTS: 1
4. Which of the following best explains the importance of standards of practice?
a) Nurses and other healthcare providers have the same standards of practice.
b) Standard of practice only apply to nurses who work in hospital settings.
c) Standards of practice identify the knowledge, skills, and attitudes nurses need to
provide safe care.
d) Standards of practice differ among registered nurses because the roles are different
based on the population they serve.
ANS: C
Standards of practice are authoritative statements of the duties that all registered nurses,
regardless of role, population, or specialty, are expected to perform competently. Standards are
derived from several sources, including professional organizations and healthcare facilities’
policies and procedures.
Difficulty: Moderate
Cognitive Level: Application
PTS: 1
5. What is the primary goal of the National League for Nursing?
a) Advocate for the needs of registered nurses to promote patient safety
b) Establish and maintain standards for nursing education
c) Support global health policies and improve health worldwide
d) Foster nursing scholarship, leadership, and service to improve health worldwide
ANS: B
The National League for Nursing (NLN) was founded to establish and maintain a universal
standard of nursing education. The NLN focuses on faculty development in nursing education
programs and is the voice for nursing education.
Difficulty: Moderate
Cognitive Level: Application
PTS: 1
,6. A patient who requires long-term rehabilitation needs which type of care?
a) Primary care
b) Secondary care
c) Tertiary care
d) Preventive care
ANS: C
Tertiary care is required for individuals who need long-term care or for those who are dying.
Difficulty: Easy
Cognitive Level: Knowledge
PTS: 1
7. An elderly patient is covered under Medicare. She is scheduled for discharge and tells the
nursing student that several therapists will come to her home to help her regain functional
abilities. The patient then asks, “Why can’t I just stay in the hospital and receive this type of
care?” What is the nursing student’s best response?
a) “You should be able to stay in the hospital. I will ask the nurse to call your doctor.”
b) “Once you have reached your reimbursable length of stay and your condition is
stable, it is more cost effective to provide you with home healthcare.”
c) “Medicare is a type of managed care, which mean that you are only allowed to stay
in the hospital for a certain number of days before being discharged, regardless of
your condition.”
d) “You should be glad to be in your own home. You will recover in no time.”
ANS: B
Home healthcare services are provided to patients who still require skilled care but are
discharged from the hospital because the reimbursable length-of-stay has expired. The patient
is stable and can receive provider services at home. It would be incorrect and misleading to
tell the patient she “should be able to stay in the hospital.” It would be incorrect to tell the
patient she is allowed only “a certain number of days before being discharged,” because the
patient’s condition is a factor in determining whether the patient can be discharged from the
hospital. Telling the patient that she should be glad to be going home is a form of closed
communication and does not address her question.
Difficulty: Moderate
Cognitive Level: Application
PTS: 1
8. Which of the following is the most important reason to develop a definition of nursing?
a) Recruit more informed people into the nursing profession
b) Evaluate the degree of role satisfaction
c) Dispel the stereotypical images of nurses and nursing
d) Differentiate nursing activities from those of other health professionals
ANS: D
, Nursing organization leaders think it is important to develop a definition of nursing to bring
value and understanding to the profession, differentiate nursing activities from those of other
health professionals, and help student nurses understand what is expected of them. A
definition of nursing likely would not increase the number of informed people recruited into
nursing. A definition of nursing would do little to improve the nurse’s role satisfaction.
Although a definition of nursing might contribute to fighting stereotypes of nursing, other,
more powerful influences (e.g., media portrayals), exist to counteract it.
Difficulty: Easy
Cognitive Level: Knowledge
PTS: 1
9. Which of the following provides evidence-based support for the contribution that advanced
practice nurses (APNs) make within healthcare?
a) Reduced usage of diagnostics using advanced technology
b) Decreased number of unnecessary visits to the emergency department
c) Improved patient compliance with prescribed treatments
d) Increased usage of complementary and alternative therapies
ANS: C
Studies demonstrate that APNs have improved patient outcomes over those of physicians,
including increased patient understanding and cooperation with treatments and decreased need
for hospitalizations. No well-known, scientific studies support APNs’ effect on the use of
advanced technology. No well-known, scientific studies support APNs’ effect on the
frequency of emergency department visits. No well-known, scientific studies support APNs’
effect on the use of alternative therapies.
Difficulty: Moderate
Cognitive Level: Knowledge
PTS: 1
10. Which of the following is an example of a complementary and alternative form of treatment
or medicine?
a) Herbal medicines
b) Sterile dressing changes
c) Pain medications
d) Influenza (flu) vaccine
ANS: A
Complementary and alternative medicine (CAM) includes those treatments outside of
traditional medicine. Sterile dressings, pain medications, and influenza vaccines are traditional
treatments. The use of herbs and spices are common CAM treatments.
Difficulty: Moderate
Cognitive Level: Comprehension
PTS: 1
,11. A nurse working in a rehabilitation facility has a physician’s prescription to contact other
therapists as required by patient need. A patient has started to have difficulty with bathing and
grooming. Which therapist should the nurse contact to assist the patient to regain these skills?
a) Physical therapist
b) Occupational therapist
c) Speech-language pathologist
d) Respiratory therapist
ANS: B
Occupational therapists help patients to regain and maintain function and independence with
activities of daily living, such as dressing, bathing, and grooming.
Difficulty: Moderate
Cognitive Level: Application
PTS: 1
12. An older adult has type 1 diabetes. He can perform self-care activities but needs help with
shopping and meal preparation as well as with blood glucose monitoring and insulin
administration. Which type of healthcare facility would be most appropriate for him?
a) Acute care facility
b) Ambulatory care facility
c) Extended care facility
d) Assisted living facility
ANS: D
Assisted living facilities are intended for those who are able to perform self-care activities but
who require assistance with meals, housekeeping, or medications. Acute care facilities focus
on preventing illnesses and treating acute problems. These facilities include physicians’
offices, clinics, and diagnostic centers. Ambulatory care facilities provide outpatient care.
Clients live at home or in nonhospital settings and come to the site for care. Ambulatory care
facilities include private health and medical offices, clinics, surgery centers, and outpatient
therapy centers. Extended care facilities typically provide long-term care, rehabilitation,
wound care, and ongoing monitoring of patient conditions.
Difficulty: Easy
Client Need: Safe and Effective Nursing Care
Cognitive Level: Application
PTS: 1
13. The nurse in the intensive care unit is providing care for only one patient, who was admitted
in septic shock. Based on this information, which care delivery model can you infer that this
nurse is following?
a) Functional
b) Primary
c) Case method
d) Team
ANS: C
, The nurse is following the case method model of nursing care. In this model, one nurse cares
for one patient during a single shift. When the functional nursing model is employed, care is
compartmentalized, and each task is assigned to a staff member with the appropriate
knowledge and skills. In primary nursing, one nurse plans the care for a group of patients
around the clock. The primary nurse assesses the patient and develops the plan of care. When
he or she is working, he or she provides care for those patients for whom he or she is
responsible. In his or her absence, the associate nurses deliver care. Although the nurse in this
case could possibly be a primary nurse, there are not enough data to confidently infer that. If
the team nursing approach is employed, a licensed nurse (RN or LVN) is paired with a nursing
assistant. The pair is then assigned to a group of patients.
Difficulty: Moderate
Nursing Process: Implementation
Client Need: Safe and Effective Nursing Care
Cognitive Level: Analysis
PTS: 1
14. Which healthcare worker should the nurse consult to counsel a patient about financial and
family stressors impacting healthcare?
a) Social worker
b) Occupational therapist
c) Physician’s assistant
d) Technologist
ANS: A
The social worker coordinates services and counsels patients about financial, housing, marital,
and family issues impacting healthcare. The occupational therapist helps patients regain
function and independence for activities of daily living. Physician’s assistants work under the
physician’s direction to diagnose certain diseases and injuries. Technologists provide a variety
of specific functions in hospitals, diagnostic centers, and emergency care. For example,
laboratory technologists aid in the diagnosis and treatment of patients by examining blood,
urine, tissue, and body fluids. Radiology technologists perform x-rays and other diagnostic
testing.
Difficulty: Moderate
Nursing Process: Planning
Client Need: Safe and Effective Nursing Care
Cognitive Level: Comprehension
PTS: 1
15. Which type of managed care allows patients the greatest choice of providers, medications, and
medical devices?
a)Health maintenance organization
b)Integrated delivery network
c)Preferred provider organization
d)Employment-based private insurance
ANS: C
, Preferred provider organizations are a form of managed care that allows the patient a greater
choice of providers, medications, and medical devices within the designated list. Health
maintenance organizations allow the patient to choose a primary care provider within the
organization to coordinate his care. This type of program will only reimburse medical care
when the patient has first obtained a referral from the primary provider. Integrated delivery
networks combine providers, healthcare facilities, pharmaceuticals, and services into one
system, and the patient must remain within the system to receive care. Employment-based
private insurance is not a managed care organization.
Difficulty: Easy
Client Need: Safe and Effective Nursing Care
Cognitive Level: Analysis
PTS: 1
16. The registered nurse is discharging a patient to an assisted living facility. Which instruction
below is most appropriate for the patient?
a) “Therapists will be working with you daily to ensure that you regain functional
abilities.”
b) “You will have 24-hour nursing care for the next 6 weeks.”
c) “You will have assistance with meals and housekeeping tasks.”
d) “A nurse will come to your home and provide you with nursing care.”
ANS: C
Assisted living facilities are designed to bridge the gap between independence and
institutionalization for persons who have a decline in health status. The assistance available
will vary based on the facility but commonly involves meals and housekeeping tasks.
Hospitals provide 24-hour nursing care. Rehabilitation centers have a team of therapists who
work with patients to help them achieve their optimal functional status.
Difficulty: Moderate
Nursing Process: Planning
Client Need: Safe and Effective Nursing Care
Cognitive Level: Application
PTS: 1
17. Which member of the healthcare team typically serves as the case manager?
a) Occupational therapist
b) Physician
c) Physician’s assistant
d) Registered nurse
ANS: D
Typically, registered nurses serve as case managers for patients with specific diagnoses. Their
role is coordinator of care across the healthcare system. The occupational therapist, physician,
and physician’s assistant all serve on the healthcare team and take direction from the case
manager.
Difficulty: Easy
Client Need: Safe and Effective Nursing Care
, Cognitive Level: Knowledge
PTS: 1
18. Which of the following is considered a primary care service?
a) Providing wound care
b) Administering childhood immunizations
c) Providing drug rehabilitation
d) Providing outpatient hernia repair
ANS: B
Primary care services focus on health promotion and disease prevention; administering
childhood immunizations is one such service. Providing wound care and drug rehabilitation
are examples of tertiary care services. Outpatient hernia repair surgery is an example of a
secondary care service.
Difficulty: Moderate
Client Need: Safe and Effective Nursing Care
Cognitive Level: Application
PTS: 1
19. An 80-year-old patient fell and fractured her hip and is now in the hospital. Before the fall,
she lived at home with her husband and managed their activities of daily living very well. The
goal is for the patient to recover from the injury and return to her home. The hospital is ready
to discharge her because she has exceeded the recommended length of stay in a hospital.
However, she cannot walk or care for herself yet, and she will require lengthy physical
therapy and further monitoring of her medications and her physical and mental status. To
which type of facility should she be transferred?
a) Nursing home
b) Rehabilitation center
c) An outpatient therapy center
d) None of these; she should receive home healthcare
ANS: B
A skilled nursing facility (e.g., a rehabilitation center) primarily provides skilled nursing care
for patients who can be expected to improve with treatment. For example, a patient who no
longer needs hospitalization may transfer to a skilled nursing facility to receive skilled care
until she is able to return home. A nursing home provides custodial care for people who
cannot live on their own but who are not sick enough to require hospitalization. It provides a
room, custodial care, and opportunity for recreation. This patient cannot ambulate or perform
activities of daily living, so outpatient therapy and home care would not be appropriate.
Difficulty: Moderate
Nursing Process: Implementation
Client Need: Safe and Effective Nursing Care
Cognitive Level: Application
PTS: 1
TEST BANK
Fundamentals of Nursing Thinking Doing and
Caring 4th Edition Volume 2 Wilkinson Treas
TEST BANK
, Fundamentals of Nursing Thinking Doing and Caring 4th Edition Volume 2 Wilkinson Treas Test Bank
Table of Content
Chapter 1 Evolution of Nursing Thought & Action
Chapter 2 Critical Thinking & Nursing Process
Chapter 3 Assessment
Chapter 4 Analysis/Diagnosis
Chapter 5 Planning Outcomes
Chapter 6 Planning Interventions
Chapter 7 Implementation & Evaluation
Chapter 8 Theory, Research, & Evidence-Based Practice
Chapter 9 Life Span: Infancy Through Middle Adulthood
Chapter 10 Life Span: Older Adults
Chapter 11 Experiencing Health & Illness
Chapter 12 Stress & Adaptation
Chapter 13 Psychosocial Health & Illness
Chapter 14 The Family
Chapter 15 Culture & Ethnicity
Chapter 16 Spirituality
Chapter 17 Loss, Grief, & Dying
Chapter 18 Documenting & Reporting
Chapter 19 Teaching & Learning
Chapter 20 Measuring Vital Signs
Chapter 21 Communication & Therapeutic Relationships
Chapter 22 Health Assessment
Chapter 23 Promoting Asepsis & Preventing Infection
Chapter 24 Promoting Safety
Chapter 25 Facilitating Hygiene
Chapter 26 Administering Medications
Chapter 27 Nutrition
Chapter 28 Urinary Elimination
Chapter 29 Bowel Elimination
Chapter 30 Sensation, Perception, & Response
Chapter 31 Pain
Chapter 32 Physical Activity & Immobility
Chapter 33 Sexual Health
Chapter 34 Sleep & Rest
Chapter 35 Skin Integrity & Wound Healing
Chapter 36 Oxygenation
Chapter 37 Circulation & Perfusion
Chapter 38 Fluids, Electrolytes, & Acid-Base Balance
Chapter 39 Perioperative Care
Chapter 40 Leading & Managing
Chapter 41 Nursing Informatics
Chapter 42 Promoting Health
Chapter 43 Community & Home Health Nursing
Chapter 44 Ethics & Values
Chapter 45 Legal Accountability
Chapter 46 Holistic Healing
,Chapter 1. Evolution of Nursing Thought & Action
MULTIPLE CHOICE
1. Which of the following is an example of an illness prevention activity?
a) Encouraging the use of a food diary
b) Joining a cancer support group
c) Administering immunization for HPV
d) Teaching a diabetic patient about his diet
ANS: C
Administering immunization for HPV is an example of illness prevention. Although cancer is
a disease, it is assumed that a person joining a support group would already have the disease;
therefore, it would be treatment and not disease prevention. Illness prevention activities focus
on avoiding a specific disease. A food diary is a health promotion activity. Teaching a diabetic
patient about diet is a treatment for diabetes; the patient already has diabetes, so the teaching
cannot prevent diabetes.
Difficulty: Moderate
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
PTS: 1
2. Which organization can require nurses to take continuing education courses as a condition of
licensure renewal?
a) American Nurses Association
b) National League for Nursing
c) Sigma Theta Tau
d) State Board of Nursing
ANS: D
Continuing education is a professional strategy designed to ensure that nurses remain current
in their clinical knowledge. Many states require nurses to engage in a certain number of
continuing-education requirements to renew their license. The knowledge gained in the
nursing curriculum is sufficient for nursing school graduates to obtain their initial license.
Requirements for renewal of a nurse’s license can be found in the state’s nurse practice act
(state board of nursing).
Difficulty: Difficult
Cognitive Level: Analysis
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
PTS: 1
3. An experienced seasoned nurse uses her knowledge of patient medical conditions and
intuition to identify patient problems. She is often the resource for other nurses on the unit.
What stage of proficiency has this nurse achieved?
a) Novice
, b) Advanced beginner
c) Competent
d) Expert
ANS: D
The nurse who has reached the expert stage of proficiency has a deep understanding of the
clinical situation based on knowledge and experience. The nurse often senses a potential
problem in the absence of classic signs and symptoms. The novice nurse is inexperienced and
relies on rules and processes. The advanced beginner focuses on aspects of a situation and is
unable to see the comprehensive perspective. A nurse functioning at the competent level is
able to prioritize to meet the patient needs but does not fully grasp the total situation.
Difficulty: Moderate
Cognitive Level: Comprehension
PTS: 1
4. Which of the following best explains the importance of standards of practice?
a) Nurses and other healthcare providers have the same standards of practice.
b) Standard of practice only apply to nurses who work in hospital settings.
c) Standards of practice identify the knowledge, skills, and attitudes nurses need to
provide safe care.
d) Standards of practice differ among registered nurses because the roles are different
based on the population they serve.
ANS: C
Standards of practice are authoritative statements of the duties that all registered nurses,
regardless of role, population, or specialty, are expected to perform competently. Standards are
derived from several sources, including professional organizations and healthcare facilities’
policies and procedures.
Difficulty: Moderate
Cognitive Level: Application
PTS: 1
5. What is the primary goal of the National League for Nursing?
a) Advocate for the needs of registered nurses to promote patient safety
b) Establish and maintain standards for nursing education
c) Support global health policies and improve health worldwide
d) Foster nursing scholarship, leadership, and service to improve health worldwide
ANS: B
The National League for Nursing (NLN) was founded to establish and maintain a universal
standard of nursing education. The NLN focuses on faculty development in nursing education
programs and is the voice for nursing education.
Difficulty: Moderate
Cognitive Level: Application
PTS: 1
,6. A patient who requires long-term rehabilitation needs which type of care?
a) Primary care
b) Secondary care
c) Tertiary care
d) Preventive care
ANS: C
Tertiary care is required for individuals who need long-term care or for those who are dying.
Difficulty: Easy
Cognitive Level: Knowledge
PTS: 1
7. An elderly patient is covered under Medicare. She is scheduled for discharge and tells the
nursing student that several therapists will come to her home to help her regain functional
abilities. The patient then asks, “Why can’t I just stay in the hospital and receive this type of
care?” What is the nursing student’s best response?
a) “You should be able to stay in the hospital. I will ask the nurse to call your doctor.”
b) “Once you have reached your reimbursable length of stay and your condition is
stable, it is more cost effective to provide you with home healthcare.”
c) “Medicare is a type of managed care, which mean that you are only allowed to stay
in the hospital for a certain number of days before being discharged, regardless of
your condition.”
d) “You should be glad to be in your own home. You will recover in no time.”
ANS: B
Home healthcare services are provided to patients who still require skilled care but are
discharged from the hospital because the reimbursable length-of-stay has expired. The patient
is stable and can receive provider services at home. It would be incorrect and misleading to
tell the patient she “should be able to stay in the hospital.” It would be incorrect to tell the
patient she is allowed only “a certain number of days before being discharged,” because the
patient’s condition is a factor in determining whether the patient can be discharged from the
hospital. Telling the patient that she should be glad to be going home is a form of closed
communication and does not address her question.
Difficulty: Moderate
Cognitive Level: Application
PTS: 1
8. Which of the following is the most important reason to develop a definition of nursing?
a) Recruit more informed people into the nursing profession
b) Evaluate the degree of role satisfaction
c) Dispel the stereotypical images of nurses and nursing
d) Differentiate nursing activities from those of other health professionals
ANS: D
, Nursing organization leaders think it is important to develop a definition of nursing to bring
value and understanding to the profession, differentiate nursing activities from those of other
health professionals, and help student nurses understand what is expected of them. A
definition of nursing likely would not increase the number of informed people recruited into
nursing. A definition of nursing would do little to improve the nurse’s role satisfaction.
Although a definition of nursing might contribute to fighting stereotypes of nursing, other,
more powerful influences (e.g., media portrayals), exist to counteract it.
Difficulty: Easy
Cognitive Level: Knowledge
PTS: 1
9. Which of the following provides evidence-based support for the contribution that advanced
practice nurses (APNs) make within healthcare?
a) Reduced usage of diagnostics using advanced technology
b) Decreased number of unnecessary visits to the emergency department
c) Improved patient compliance with prescribed treatments
d) Increased usage of complementary and alternative therapies
ANS: C
Studies demonstrate that APNs have improved patient outcomes over those of physicians,
including increased patient understanding and cooperation with treatments and decreased need
for hospitalizations. No well-known, scientific studies support APNs’ effect on the use of
advanced technology. No well-known, scientific studies support APNs’ effect on the
frequency of emergency department visits. No well-known, scientific studies support APNs’
effect on the use of alternative therapies.
Difficulty: Moderate
Cognitive Level: Knowledge
PTS: 1
10. Which of the following is an example of a complementary and alternative form of treatment
or medicine?
a) Herbal medicines
b) Sterile dressing changes
c) Pain medications
d) Influenza (flu) vaccine
ANS: A
Complementary and alternative medicine (CAM) includes those treatments outside of
traditional medicine. Sterile dressings, pain medications, and influenza vaccines are traditional
treatments. The use of herbs and spices are common CAM treatments.
Difficulty: Moderate
Cognitive Level: Comprehension
PTS: 1
,11. A nurse working in a rehabilitation facility has a physician’s prescription to contact other
therapists as required by patient need. A patient has started to have difficulty with bathing and
grooming. Which therapist should the nurse contact to assist the patient to regain these skills?
a) Physical therapist
b) Occupational therapist
c) Speech-language pathologist
d) Respiratory therapist
ANS: B
Occupational therapists help patients to regain and maintain function and independence with
activities of daily living, such as dressing, bathing, and grooming.
Difficulty: Moderate
Cognitive Level: Application
PTS: 1
12. An older adult has type 1 diabetes. He can perform self-care activities but needs help with
shopping and meal preparation as well as with blood glucose monitoring and insulin
administration. Which type of healthcare facility would be most appropriate for him?
a) Acute care facility
b) Ambulatory care facility
c) Extended care facility
d) Assisted living facility
ANS: D
Assisted living facilities are intended for those who are able to perform self-care activities but
who require assistance with meals, housekeeping, or medications. Acute care facilities focus
on preventing illnesses and treating acute problems. These facilities include physicians’
offices, clinics, and diagnostic centers. Ambulatory care facilities provide outpatient care.
Clients live at home or in nonhospital settings and come to the site for care. Ambulatory care
facilities include private health and medical offices, clinics, surgery centers, and outpatient
therapy centers. Extended care facilities typically provide long-term care, rehabilitation,
wound care, and ongoing monitoring of patient conditions.
Difficulty: Easy
Client Need: Safe and Effective Nursing Care
Cognitive Level: Application
PTS: 1
13. The nurse in the intensive care unit is providing care for only one patient, who was admitted
in septic shock. Based on this information, which care delivery model can you infer that this
nurse is following?
a) Functional
b) Primary
c) Case method
d) Team
ANS: C
, The nurse is following the case method model of nursing care. In this model, one nurse cares
for one patient during a single shift. When the functional nursing model is employed, care is
compartmentalized, and each task is assigned to a staff member with the appropriate
knowledge and skills. In primary nursing, one nurse plans the care for a group of patients
around the clock. The primary nurse assesses the patient and develops the plan of care. When
he or she is working, he or she provides care for those patients for whom he or she is
responsible. In his or her absence, the associate nurses deliver care. Although the nurse in this
case could possibly be a primary nurse, there are not enough data to confidently infer that. If
the team nursing approach is employed, a licensed nurse (RN or LVN) is paired with a nursing
assistant. The pair is then assigned to a group of patients.
Difficulty: Moderate
Nursing Process: Implementation
Client Need: Safe and Effective Nursing Care
Cognitive Level: Analysis
PTS: 1
14. Which healthcare worker should the nurse consult to counsel a patient about financial and
family stressors impacting healthcare?
a) Social worker
b) Occupational therapist
c) Physician’s assistant
d) Technologist
ANS: A
The social worker coordinates services and counsels patients about financial, housing, marital,
and family issues impacting healthcare. The occupational therapist helps patients regain
function and independence for activities of daily living. Physician’s assistants work under the
physician’s direction to diagnose certain diseases and injuries. Technologists provide a variety
of specific functions in hospitals, diagnostic centers, and emergency care. For example,
laboratory technologists aid in the diagnosis and treatment of patients by examining blood,
urine, tissue, and body fluids. Radiology technologists perform x-rays and other diagnostic
testing.
Difficulty: Moderate
Nursing Process: Planning
Client Need: Safe and Effective Nursing Care
Cognitive Level: Comprehension
PTS: 1
15. Which type of managed care allows patients the greatest choice of providers, medications, and
medical devices?
a)Health maintenance organization
b)Integrated delivery network
c)Preferred provider organization
d)Employment-based private insurance
ANS: C
, Preferred provider organizations are a form of managed care that allows the patient a greater
choice of providers, medications, and medical devices within the designated list. Health
maintenance organizations allow the patient to choose a primary care provider within the
organization to coordinate his care. This type of program will only reimburse medical care
when the patient has first obtained a referral from the primary provider. Integrated delivery
networks combine providers, healthcare facilities, pharmaceuticals, and services into one
system, and the patient must remain within the system to receive care. Employment-based
private insurance is not a managed care organization.
Difficulty: Easy
Client Need: Safe and Effective Nursing Care
Cognitive Level: Analysis
PTS: 1
16. The registered nurse is discharging a patient to an assisted living facility. Which instruction
below is most appropriate for the patient?
a) “Therapists will be working with you daily to ensure that you regain functional
abilities.”
b) “You will have 24-hour nursing care for the next 6 weeks.”
c) “You will have assistance with meals and housekeeping tasks.”
d) “A nurse will come to your home and provide you with nursing care.”
ANS: C
Assisted living facilities are designed to bridge the gap between independence and
institutionalization for persons who have a decline in health status. The assistance available
will vary based on the facility but commonly involves meals and housekeeping tasks.
Hospitals provide 24-hour nursing care. Rehabilitation centers have a team of therapists who
work with patients to help them achieve their optimal functional status.
Difficulty: Moderate
Nursing Process: Planning
Client Need: Safe and Effective Nursing Care
Cognitive Level: Application
PTS: 1
17. Which member of the healthcare team typically serves as the case manager?
a) Occupational therapist
b) Physician
c) Physician’s assistant
d) Registered nurse
ANS: D
Typically, registered nurses serve as case managers for patients with specific diagnoses. Their
role is coordinator of care across the healthcare system. The occupational therapist, physician,
and physician’s assistant all serve on the healthcare team and take direction from the case
manager.
Difficulty: Easy
Client Need: Safe and Effective Nursing Care
, Cognitive Level: Knowledge
PTS: 1
18. Which of the following is considered a primary care service?
a) Providing wound care
b) Administering childhood immunizations
c) Providing drug rehabilitation
d) Providing outpatient hernia repair
ANS: B
Primary care services focus on health promotion and disease prevention; administering
childhood immunizations is one such service. Providing wound care and drug rehabilitation
are examples of tertiary care services. Outpatient hernia repair surgery is an example of a
secondary care service.
Difficulty: Moderate
Client Need: Safe and Effective Nursing Care
Cognitive Level: Application
PTS: 1
19. An 80-year-old patient fell and fractured her hip and is now in the hospital. Before the fall,
she lived at home with her husband and managed their activities of daily living very well. The
goal is for the patient to recover from the injury and return to her home. The hospital is ready
to discharge her because she has exceeded the recommended length of stay in a hospital.
However, she cannot walk or care for herself yet, and she will require lengthy physical
therapy and further monitoring of her medications and her physical and mental status. To
which type of facility should she be transferred?
a) Nursing home
b) Rehabilitation center
c) An outpatient therapy center
d) None of these; she should receive home healthcare
ANS: B
A skilled nursing facility (e.g., a rehabilitation center) primarily provides skilled nursing care
for patients who can be expected to improve with treatment. For example, a patient who no
longer needs hospitalization may transfer to a skilled nursing facility to receive skilled care
until she is able to return home. A nursing home provides custodial care for people who
cannot live on their own but who are not sick enough to require hospitalization. It provides a
room, custodial care, and opportunity for recreation. This patient cannot ambulate or perform
activities of daily living, so outpatient therapy and home care would not be appropriate.
Difficulty: Moderate
Nursing Process: Implementation
Client Need: Safe and Effective Nursing Care
Cognitive Level: Application
PTS: 1
