Fundamentals of Nursing Practice
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1. On entering a client's room during D. Ask the client and spouse if they need
change-of-shift rounds, the nurse notices smoe time alone right now.
that the client and spouse have their
backs turned to each other, and both have The situation suggests that the nurse en-
their arms folded across their chests. The tered during a stressful time. Offering privacy
best action for the nurse to take at this would be appropriate. Because the situation
time is to: indicates tension between the couple, this is
A) Introduce himself or herself and begin not the time to initiate teaching.
discharge teaching.
B) Proceed with the tasks the nurse was
intending to perform.
C) Say nothing and leave quickly, closing
the door behind.
D) Ask the client and spouse if they need
some time alone right now.
2. The nurse is assessing the urinary histo- C. "Why do you get up at night?"
ry of a middle-aged married woman. The
nurse asks her if she gets up at night. Perhaps it is the client's husband who is get-
She replies, "Yes." What other question ting up in the middle of the night because
should the nurse ask? of a prostate problem, and this is why she
A) "How many times do you get up at is awakened. The nurse should not assume
night?" nocturia without further assessment ques-
B) "How long have you been getting up at tions.
night?"
C) "Why do you get up at night?"
D) "How easily do you go back to sleep
after you get up?"
3. A client with diabetes mellitus who takes D. Scientifially based clinical judgment
daily insulin injections is scheduled for
surgery the next day. The client is to The nurse is demonstrating awareness of the
, Fundamentals of Nursing Practice
Study online at https://quizlet.com/_8e4y21
take nothing by mouth (NPO status) after effect of insulin, which is to lower blood glu-
midnight. The nurse questions whether cose level. Because the client will be NPO
insulin should be given the morning of status for a long period of time, no calories
surgery. This is an example of: will be consumed. Giving the usual injection
A) Problem solving of insulin could cause the client to experience
B) Previous experience hypoglycemia.
C) Clinical practice guideline
D) Scientifically based clinical judgment
4. The client is a 65-year-old overweight C. Concept map
woman with multiple medical diagnoses,
including diabetes mellitus type 2, hyper- A concept map is a visual representation of
tension, and residual right-sided weak- client problems and interventions that shows
ness resulting from a previous cere- their relationships to each other and allows
brovascular accident. What tool should easy synthesis of data about the client.
be used to plan her care?
A) Care plan
B) Care map
C) Concept map
D) Critical thinking
5. A client newly admitted to the hospital be- A, B, C, D, and E
gins to have chest pain. Before calling the
physician, the nurse should gather what The nurse should gather the data the physi-
additional data? (Select all that apply.) cian will need to determine whether the chest
A) Pain intensity pain represents a myocardial infarction. Fam-
B) Location of pain ily history is important in comprehensive pain
C) Character of pain assessment; however, taking time to obtain
D) Radiation of pain this information is inappropriate in this criti-
E) Meaning of pain to the client cal situation.
F) Family history of myocardial infarctions
, Fundamentals of Nursing Practice
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6. The purpose of assessment is to: D. Establish a database concerning the client
A) Make a diagnostic conclusion.
B) Delegate nursing responsibility. The purpose of assessment is to establish a
C) Teach the client about his or her database about the client's perceived needs,
health. health problems, and responses to these
D) Establish a database concerning the problems. The data also reveal related expe-
client. riences, health practices, goals, values, and
expectations. The other options are not pur-
poses of assessment.
7. Assessment data must be descriptive, D. Include inferences or interpretative state-
concise, and complete. In performing an ments not supported with data
assessment the nurse should not:
A) Include subjective data from the The nurse should not generalize or form
client. judgments not supported by the collected
B) Perform a thorough physical examina- data. Inferences and interpretive statements
tion. must be supported by data. Assessments do
C) Use interpersonal and cognitive skills. include conducting a thorough physical ex-
D) Include inferences or interpretative amination, using interpersonal and cognitive
statements not supported with data. skills, and obtaining subjective data from the
client.
8. A nurse assessing a client who comes D. Health perception/health management
to the pulmonary clinic asks, "Tell me patern
what medications you are taking for your
breathing problem. I see from your last The health perception/health management
visit that Dr. Russell recommended rou- pattern involves the client's self-report of
tine exercise. Can you also tell me how health and well-being, how the client man-
successful you have been in following ages his or her health, and knowledge of pre-
his plan?" The nurse's assessment covers ventative health practices. The cognitive-per-
which of Gordon's functional health pat- ceptual pattern involves sensory-perceptual
terns? patterns, language adequacy, memory, and
decision-making abilities. The coping/stress
, Fundamentals of Nursing Practice
Study online at https://quizlet.com/_8e4y21
A) Value-belief pattern tolerance pattern involves the client's ability
B) Cognitive-perceptual pattern to manage stress, sources of support, and the
C) Coping/stress tolerance pattern effectiveness of the patterns in terms of stress
D) Health perception/health manage- tolerance. The value-belief pattern involves
ment pattern the values, beliefs, and goals that guide the
client's choices or decisions.
9. The nurse asks a client, "Ms. Neil, de- A. Working
scribe for me your typical diet over a
24-hour day. What foods do you prefer? The nurse's questions exemplify the working
Have you noticed a change in your weight phase of the interview.
recently?" This series of questions would
likely occur during which phase of a client
interview?
A) Working
B) Orientation
C) Termination
10. During data clustering, a nurse: D. Organizes cues into paterns that lead to
A) Provides documentation of nursing identification of nursing diagnoses
care
B) Reviews data with other health care During data clustering, the nurse organizes
providers cues into patterns that indicate individualized
C) Makes inferences about patterns of in- nursing diagnoses and identify collaborative
formation problems. The other options are incorrect.
D) Organizes cues into patterns that lead
to identification of nursing diagnoses
11. What type of interview technique is the C. Closed-ended question
nurse using when the nurse asks the
question, "Do you have pain or cramp- The example is a closed-ended question
ing?" which the client can answer with a one-word
reply. Open-ended questions allow the client
Study online at https://quizlet.com/_8e4y21
1. On entering a client's room during D. Ask the client and spouse if they need
change-of-shift rounds, the nurse notices smoe time alone right now.
that the client and spouse have their
backs turned to each other, and both have The situation suggests that the nurse en-
their arms folded across their chests. The tered during a stressful time. Offering privacy
best action for the nurse to take at this would be appropriate. Because the situation
time is to: indicates tension between the couple, this is
A) Introduce himself or herself and begin not the time to initiate teaching.
discharge teaching.
B) Proceed with the tasks the nurse was
intending to perform.
C) Say nothing and leave quickly, closing
the door behind.
D) Ask the client and spouse if they need
some time alone right now.
2. The nurse is assessing the urinary histo- C. "Why do you get up at night?"
ry of a middle-aged married woman. The
nurse asks her if she gets up at night. Perhaps it is the client's husband who is get-
She replies, "Yes." What other question ting up in the middle of the night because
should the nurse ask? of a prostate problem, and this is why she
A) "How many times do you get up at is awakened. The nurse should not assume
night?" nocturia without further assessment ques-
B) "How long have you been getting up at tions.
night?"
C) "Why do you get up at night?"
D) "How easily do you go back to sleep
after you get up?"
3. A client with diabetes mellitus who takes D. Scientifially based clinical judgment
daily insulin injections is scheduled for
surgery the next day. The client is to The nurse is demonstrating awareness of the
, Fundamentals of Nursing Practice
Study online at https://quizlet.com/_8e4y21
take nothing by mouth (NPO status) after effect of insulin, which is to lower blood glu-
midnight. The nurse questions whether cose level. Because the client will be NPO
insulin should be given the morning of status for a long period of time, no calories
surgery. This is an example of: will be consumed. Giving the usual injection
A) Problem solving of insulin could cause the client to experience
B) Previous experience hypoglycemia.
C) Clinical practice guideline
D) Scientifically based clinical judgment
4. The client is a 65-year-old overweight C. Concept map
woman with multiple medical diagnoses,
including diabetes mellitus type 2, hyper- A concept map is a visual representation of
tension, and residual right-sided weak- client problems and interventions that shows
ness resulting from a previous cere- their relationships to each other and allows
brovascular accident. What tool should easy synthesis of data about the client.
be used to plan her care?
A) Care plan
B) Care map
C) Concept map
D) Critical thinking
5. A client newly admitted to the hospital be- A, B, C, D, and E
gins to have chest pain. Before calling the
physician, the nurse should gather what The nurse should gather the data the physi-
additional data? (Select all that apply.) cian will need to determine whether the chest
A) Pain intensity pain represents a myocardial infarction. Fam-
B) Location of pain ily history is important in comprehensive pain
C) Character of pain assessment; however, taking time to obtain
D) Radiation of pain this information is inappropriate in this criti-
E) Meaning of pain to the client cal situation.
F) Family history of myocardial infarctions
, Fundamentals of Nursing Practice
Study online at https://quizlet.com/_8e4y21
6. The purpose of assessment is to: D. Establish a database concerning the client
A) Make a diagnostic conclusion.
B) Delegate nursing responsibility. The purpose of assessment is to establish a
C) Teach the client about his or her database about the client's perceived needs,
health. health problems, and responses to these
D) Establish a database concerning the problems. The data also reveal related expe-
client. riences, health practices, goals, values, and
expectations. The other options are not pur-
poses of assessment.
7. Assessment data must be descriptive, D. Include inferences or interpretative state-
concise, and complete. In performing an ments not supported with data
assessment the nurse should not:
A) Include subjective data from the The nurse should not generalize or form
client. judgments not supported by the collected
B) Perform a thorough physical examina- data. Inferences and interpretive statements
tion. must be supported by data. Assessments do
C) Use interpersonal and cognitive skills. include conducting a thorough physical ex-
D) Include inferences or interpretative amination, using interpersonal and cognitive
statements not supported with data. skills, and obtaining subjective data from the
client.
8. A nurse assessing a client who comes D. Health perception/health management
to the pulmonary clinic asks, "Tell me patern
what medications you are taking for your
breathing problem. I see from your last The health perception/health management
visit that Dr. Russell recommended rou- pattern involves the client's self-report of
tine exercise. Can you also tell me how health and well-being, how the client man-
successful you have been in following ages his or her health, and knowledge of pre-
his plan?" The nurse's assessment covers ventative health practices. The cognitive-per-
which of Gordon's functional health pat- ceptual pattern involves sensory-perceptual
terns? patterns, language adequacy, memory, and
decision-making abilities. The coping/stress
, Fundamentals of Nursing Practice
Study online at https://quizlet.com/_8e4y21
A) Value-belief pattern tolerance pattern involves the client's ability
B) Cognitive-perceptual pattern to manage stress, sources of support, and the
C) Coping/stress tolerance pattern effectiveness of the patterns in terms of stress
D) Health perception/health manage- tolerance. The value-belief pattern involves
ment pattern the values, beliefs, and goals that guide the
client's choices or decisions.
9. The nurse asks a client, "Ms. Neil, de- A. Working
scribe for me your typical diet over a
24-hour day. What foods do you prefer? The nurse's questions exemplify the working
Have you noticed a change in your weight phase of the interview.
recently?" This series of questions would
likely occur during which phase of a client
interview?
A) Working
B) Orientation
C) Termination
10. During data clustering, a nurse: D. Organizes cues into paterns that lead to
A) Provides documentation of nursing identification of nursing diagnoses
care
B) Reviews data with other health care During data clustering, the nurse organizes
providers cues into patterns that indicate individualized
C) Makes inferences about patterns of in- nursing diagnoses and identify collaborative
formation problems. The other options are incorrect.
D) Organizes cues into patterns that lead
to identification of nursing diagnoses
11. What type of interview technique is the C. Closed-ended question
nurse using when the nurse asks the
question, "Do you have pain or cramp- The example is a closed-ended question
ing?" which the client can answer with a one-word
reply. Open-ended questions allow the client
