Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. Nurses need to be aware of current trends in the health care delivery
s ystem in order to respond in educational preparation and practice. A
major trend that is influencing nursing practice today is:
A). Decreased client acui t y
B).Increased hospital stays
C).Decreased emphasis on health promotion
D). Increased incidence of chronic disease processes
ANS: D
In recent decades, there is a higher incidence of chronic, long -term
illness.
With shortened hospital stays, client acuity has incr eased, not
decreased.
Hospital stays have decreased, not increased. Lengths of stay have
shortened with a trend toward home care, and health promotion and
illness prevention.
With increased public awareness and rising health care costs, greater
emphasis has been placed on health promotion and illness prevention.
, DIF: A REF: 4 OBJ: Comprehension TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safe, Effective
Care Environment/Coordinated Care
2. The nurse assists the client in a health pro motion activit y that also
reduces the cost of health care delivery when:
A). Administering medication
B).Treating a diabetic foot ulcer
C).Obtaining an operative consent
D). Discussing exercise and nutrition
ANS: D
The nurse may educate the client in such areas as exe rcise, nutrition,
and healthy lifest yles to assist the client in health promotion and
illness prevention.
By administering medication, the nurse is assisting to restore a person
to health or maintain ones health.
A nurse who treats a foot ulcer is assistin g a client to restore their
health, rather than promoting healthy behaviors.
Obtaining an operative consent pertains to legal aspects of care and is
not considered a health promotion activit y.
DIF: A REF: 5 OBJ: Comprehension TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Health
Promotion and Maintenance/Programs
3. The nurse is best able to provide qualit y care that benefits both client and
famil y by:
, A). Incorporating caring into the practice
B).Making the client the center of the practice
C).Integrating the science and art of nursing into the practice
D). Being knowledgeable of the institutions standards of practice
ANS: C
Nursing is an art and a science. As a professional nurse you will learn
to deliver care artfully with compassion, caring, and a respect for each
clients dignit y and personhood. As a science, nursing is based on a
body of knowledge that is continuall y changing with new discoveries
and innovations. When you integrate the science and art of nursing into
your practice, the qualit y of care you provide to your clients is at a
level of excellence that benefits clients and their families.
Caring is one part of the art of nursing.
While the client is the focus of nursing practice, this focus is not the
main contributor to qualit y care.
Standards of care provide guidelines for the delivery of client care.
Awareness of the standards does not guarantee qualit y care.
DIF: C REF: 2 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safe, Effective
Care Environment/Coordinated Care
4. Which of the following statements best reflects Nightingales nursing
philosophy on health maintenance and restoration?
A). Did all the clients eat a good breakfast?
B).What is the client rating his pain level after his medication?
C).Have any cli ents developed a nosocomial infection last month?