TEST BANK
Timby's Fundamental Nursing Skills and Concepts
LORETTA A DONNELLY-MORENO
Thirteenth, North American Edition
,Chapter 1 - Nursing Foundations
1. A client reports to the emergency department with ankle pain due to a minor road accident. By
asking the client to describe the accident, which type of nursing skill is the nurse using?
A. assessment skills
B. comforting skills
C. counseling skills
D. caring skills
Answer: A
Rationale: By asking the client to describe the accident, the nurse is using assessment skills to collect
more information about the client's condition. The nurse is interviewing the client to collect related
data. The nurse is not using comforting skills, as the nurse is not providing any emotional support.
The counseling skills of the nurse are also not used, as no health education is provided. Caring skills
include assistance provided with the activities of daily living, which is not applicable in this scenario.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process:
Nursing Process
Reference: p. 15
2. One of the nursing achievements in the Crimean War was that the death rate of soldiers dropped
from 60% to 1%. What is the most appropriate reason for the fall in the death rate?
A. increased motivation among the soldiers
B. decreased rate of infection and gangrene
C. increased funds courtesy of donations from families
D. college-based education and training of nurses
Answer: B
Rationale: During the Crimean War, the death rate of British soldiers was 60%, which dropped to 1%
due to the nursing care provided. The nurses improved the ventilation, nutritional, and sanitary
conditions of the soldiers, leading to decreased rates of infection and gangrene. As a result, the death
rate dropped. The families and the soldiers donated funds after the war, not during the war, through
which an organized education and training facility for nurses was started.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
Process: Nursing Process
Reference: p. 3
3. A nurse at a health care facility provides information, assistance, and encouragement to clients
during the various phases of nursing care. In which activity does the nurse use counseling skills?
A. educating a group of young girls about AIDS
B. telling a client to localize the pain in his abdomen
C. encouraging a client to walk without support
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,D. assisting a lactating mother in feeding her child
Answer: A
Rationale: The activity of educating a group of young girls about AIDS is based on the nurse using
counseling skills. Telling a client to localize his pain is an assessment skill.
Encouraging a client to walk without support can be both a comforting skill and a caring skill.
Assisting a lactating mother in feeding her baby is an example of a caring skill.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care Client
Needs: Safe, Effective Care Environment: Management of Care Client Needs:
Health Promotion and Maintenance
Client Needs Pn: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 15
4. A nurse is conducting an interview of a 40-year-old client who is admitted with chest pain. Which
action by the nurse indicates active listening?
A. listening to the client silently
B. interrupting after each sentence
C. asking for clarifications and repetitions
D. talking about the nurse's own experience
Answer: C
Rationale: Active listening is an important component of counseling skills. It encourages the client to
open up and express their concerns. The nurse may ask the client to repeat and clarify statements.
Interrupting after every sentence may annoy the client. When the nurse listens to the client silently,
the client may feel that the nurse is not interested. On the other hand, if the nurse talks about the
nurse's own experience, the focus of the session shifts to the nurse rather than to the client.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Caring Reference: p.
15
5. A student wants to attend a nursing program that prepares its graduates for both staff and
managerial positions. Which type of nursing program should the nurse suggest for this student?
A. hospital-based diploma
B. baccalaureate nursing program
C. associate degree program
D. continuing nursing program
Answer: B
2|Page
, Rationale: Baccalaureate-prepared nurses have the greatest potential for qualifying for nursing
positions at both staff and managerial levels. Hospital-based diploma programs are 3- year courses
and provide maximum exposure to clinical nursing. Students becoming nurses through the associate
degree program would not be expected to work in a management position. Continuing nursing
programs are on-the-job educational programs.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care Client
Needs: Safe, Effective Care Environment: Management of Care Integrated
Process: Teaching/Learning
Reference: p. 11
6. A client is brought to the emergency department with a head injury following an all-terrain vehicle
(ATV) accident. The nurse asks the family members to describe how the accident occurred. The nurse
is implementing which type of skill?
A. assessment skills
B. caring skills
C. counseling skills
D. comforting skills
Answer: A
Rationale: The immediate requirement when a client is brought to the emergency department with a
head injury is to assess the injury and the system affected, as well as a description of how the accident
occurred. This requires implementation of assessment skills. Subsequently, the nurse can implement
caring skills, counseling skills, and comforting skills; however, assessment should be the priority.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process:
Nursing Process
Reference: p. 15
7. Training schools for nurses were established in the United States after the Civil War. The standards
of U.S. schools deviated from those of the Nightingale paradigm. Which statement is true about U.S.
training schools?
A. Training schools were affiliated with a few select hospitals.
B. Training of nurses provided no financial advantages to the hospital.
C. Training was formal, based on nursing care.
D. Training schools eliminated the need to pay employees.
Answer: D
Rationale: Training schools in the United States profited by eliminating the need to pay employees
because students worked without pay in return for training, which usually consisted of chores. U.S.
training schools were established by any hospital; there was no formal training. Training was an
outcome of work, which eliminated the need to pay employees. Nightingale training schools were
affiliated with a few select hospitals, training
3|Page
Timby's Fundamental Nursing Skills and Concepts
LORETTA A DONNELLY-MORENO
Thirteenth, North American Edition
,Chapter 1 - Nursing Foundations
1. A client reports to the emergency department with ankle pain due to a minor road accident. By
asking the client to describe the accident, which type of nursing skill is the nurse using?
A. assessment skills
B. comforting skills
C. counseling skills
D. caring skills
Answer: A
Rationale: By asking the client to describe the accident, the nurse is using assessment skills to collect
more information about the client's condition. The nurse is interviewing the client to collect related
data. The nurse is not using comforting skills, as the nurse is not providing any emotional support.
The counseling skills of the nurse are also not used, as no health education is provided. Caring skills
include assistance provided with the activities of daily living, which is not applicable in this scenario.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process:
Nursing Process
Reference: p. 15
2. One of the nursing achievements in the Crimean War was that the death rate of soldiers dropped
from 60% to 1%. What is the most appropriate reason for the fall in the death rate?
A. increased motivation among the soldiers
B. decreased rate of infection and gangrene
C. increased funds courtesy of donations from families
D. college-based education and training of nurses
Answer: B
Rationale: During the Crimean War, the death rate of British soldiers was 60%, which dropped to 1%
due to the nursing care provided. The nurses improved the ventilation, nutritional, and sanitary
conditions of the soldiers, leading to decreased rates of infection and gangrene. As a result, the death
rate dropped. The families and the soldiers donated funds after the war, not during the war, through
which an organized education and training facility for nurses was started.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
Process: Nursing Process
Reference: p. 3
3. A nurse at a health care facility provides information, assistance, and encouragement to clients
during the various phases of nursing care. In which activity does the nurse use counseling skills?
A. educating a group of young girls about AIDS
B. telling a client to localize the pain in his abdomen
C. encouraging a client to walk without support
1|Page
,D. assisting a lactating mother in feeding her child
Answer: A
Rationale: The activity of educating a group of young girls about AIDS is based on the nurse using
counseling skills. Telling a client to localize his pain is an assessment skill.
Encouraging a client to walk without support can be both a comforting skill and a caring skill.
Assisting a lactating mother in feeding her baby is an example of a caring skill.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care Client
Needs: Safe, Effective Care Environment: Management of Care Client Needs:
Health Promotion and Maintenance
Client Needs Pn: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 15
4. A nurse is conducting an interview of a 40-year-old client who is admitted with chest pain. Which
action by the nurse indicates active listening?
A. listening to the client silently
B. interrupting after each sentence
C. asking for clarifications and repetitions
D. talking about the nurse's own experience
Answer: C
Rationale: Active listening is an important component of counseling skills. It encourages the client to
open up and express their concerns. The nurse may ask the client to repeat and clarify statements.
Interrupting after every sentence may annoy the client. When the nurse listens to the client silently,
the client may feel that the nurse is not interested. On the other hand, if the nurse talks about the
nurse's own experience, the focus of the session shifts to the nurse rather than to the client.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Caring Reference: p.
15
5. A student wants to attend a nursing program that prepares its graduates for both staff and
managerial positions. Which type of nursing program should the nurse suggest for this student?
A. hospital-based diploma
B. baccalaureate nursing program
C. associate degree program
D. continuing nursing program
Answer: B
2|Page
, Rationale: Baccalaureate-prepared nurses have the greatest potential for qualifying for nursing
positions at both staff and managerial levels. Hospital-based diploma programs are 3- year courses
and provide maximum exposure to clinical nursing. Students becoming nurses through the associate
degree program would not be expected to work in a management position. Continuing nursing
programs are on-the-job educational programs.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care Client
Needs: Safe, Effective Care Environment: Management of Care Integrated
Process: Teaching/Learning
Reference: p. 11
6. A client is brought to the emergency department with a head injury following an all-terrain vehicle
(ATV) accident. The nurse asks the family members to describe how the accident occurred. The nurse
is implementing which type of skill?
A. assessment skills
B. caring skills
C. counseling skills
D. comforting skills
Answer: A
Rationale: The immediate requirement when a client is brought to the emergency department with a
head injury is to assess the injury and the system affected, as well as a description of how the accident
occurred. This requires implementation of assessment skills. Subsequently, the nurse can implement
caring skills, counseling skills, and comforting skills; however, assessment should be the priority.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process:
Nursing Process
Reference: p. 15
7. Training schools for nurses were established in the United States after the Civil War. The standards
of U.S. schools deviated from those of the Nightingale paradigm. Which statement is true about U.S.
training schools?
A. Training schools were affiliated with a few select hospitals.
B. Training of nurses provided no financial advantages to the hospital.
C. Training was formal, based on nursing care.
D. Training schools eliminated the need to pay employees.
Answer: D
Rationale: Training schools in the United States profited by eliminating the need to pay employees
because students worked without pay in return for training, which usually consisted of chores. U.S.
training schools were established by any hospital; there was no formal training. Training was an
outcome of work, which eliminated the need to pay employees. Nightingale training schools were
affiliated with a few select hospitals, training
3|Page
