NUR 3805 Final Exam QUESTIONS AND
CORRECT ANSWERS
The implementation of the use of clinical pathways in hospitals had what effect on current nursing
practice?
A) decreased the autonomy of nurses in practice
B) increased the variance of care in nursing practice
C) increased the complexity of nursing care
D) decreased the individualization of nursing care plans - CORRECT ANSWER increased the
variance of care in nursing practice
When a client is in pain and extremely uncomfortable, some nurses may read to them stories the client
enjoys, recite calming hymns, or sing/play musical instruments to help distract the clients focus on
their pain. Looking back in history, which ancient civilization began these holistic nursing practices?
A) Egypt
B) India
C) Babylonia
D) Persia - CORRECT ANSWER B) India
A 75-year-old client comes to the clinic to be examined for a decreased sensation in their right foot.
The client is an insulin-dependent diabetic and was diagnosed with the condition 15 years ago. Which
contextual element applies to this client and affects nursing practice?
A) subcultural elements
B) economic elements
C) cultural elements
D) demographic elements - CORRECT ANSWER D) demographic elements
A woman is admitted to the postpartum area in premature labor. The client, who is a practicing
Jehovah's Witness, progresses to active labor and delivers a premature infant. The client begins to
hemorrhage and does not respond to IV Pitocin or fundal massage. Sadly, the client dies having
refused blood products for religious reasons. This is an example of a clash with which major
contextual element of professional nursing practice?
A) demographic elements
B) economic elements
, C) cultural elements
D) environmental elements - CORRECT ANSWER C) cultural elements
In looking through the history of nursing, which geographical area was noted for paving the way for
sanitation and public hygiene?
A) East
B) China
C) Egypt
D) Babylon - CORRECT ANSWER C) Egypt
A nursing unit assigns their RN staff to plan individualized care for each client and actually
implement the plan, along with providing health education for their assigned group of clients/families.
What type of nursing care delivery model is being practiced on this nursing unit?
A) team nursing
B) primary nursing
C) progressive client care
D) skilled nursing - CORRECT ANSWER B) primary nursing
Which scenario would be considered a breach of a common ethical principle for nurses?
A) Keeping clients' gender identity confidential.
B) Deciding to forego renewal of CPR certification when one's card expires since "nothing ever
changes."
C) Attending nursing standards committee meeting and relaying information back to the nursing unit.
D) Pulling drapes around a client and their family to give them privacy to make a - CORRECT
ANSWER B) Deciding to forego renewal of CPR certification when one's card expires since
"nothing ever changes."
A hospice nurse is caring for a terminally ill client who is requesting minimal pain medication be
administered while their family is visiting. Which ethical principle is designed to avoid using fallacies
in ethical decision making?
A) Not allowing the client to share in the health care decision.
B) Serving the client in a manner that promotes harm.
C) Devaluing the client's self-determination.
CORRECT ANSWERS
The implementation of the use of clinical pathways in hospitals had what effect on current nursing
practice?
A) decreased the autonomy of nurses in practice
B) increased the variance of care in nursing practice
C) increased the complexity of nursing care
D) decreased the individualization of nursing care plans - CORRECT ANSWER increased the
variance of care in nursing practice
When a client is in pain and extremely uncomfortable, some nurses may read to them stories the client
enjoys, recite calming hymns, or sing/play musical instruments to help distract the clients focus on
their pain. Looking back in history, which ancient civilization began these holistic nursing practices?
A) Egypt
B) India
C) Babylonia
D) Persia - CORRECT ANSWER B) India
A 75-year-old client comes to the clinic to be examined for a decreased sensation in their right foot.
The client is an insulin-dependent diabetic and was diagnosed with the condition 15 years ago. Which
contextual element applies to this client and affects nursing practice?
A) subcultural elements
B) economic elements
C) cultural elements
D) demographic elements - CORRECT ANSWER D) demographic elements
A woman is admitted to the postpartum area in premature labor. The client, who is a practicing
Jehovah's Witness, progresses to active labor and delivers a premature infant. The client begins to
hemorrhage and does not respond to IV Pitocin or fundal massage. Sadly, the client dies having
refused blood products for religious reasons. This is an example of a clash with which major
contextual element of professional nursing practice?
A) demographic elements
B) economic elements
, C) cultural elements
D) environmental elements - CORRECT ANSWER C) cultural elements
In looking through the history of nursing, which geographical area was noted for paving the way for
sanitation and public hygiene?
A) East
B) China
C) Egypt
D) Babylon - CORRECT ANSWER C) Egypt
A nursing unit assigns their RN staff to plan individualized care for each client and actually
implement the plan, along with providing health education for their assigned group of clients/families.
What type of nursing care delivery model is being practiced on this nursing unit?
A) team nursing
B) primary nursing
C) progressive client care
D) skilled nursing - CORRECT ANSWER B) primary nursing
Which scenario would be considered a breach of a common ethical principle for nurses?
A) Keeping clients' gender identity confidential.
B) Deciding to forego renewal of CPR certification when one's card expires since "nothing ever
changes."
C) Attending nursing standards committee meeting and relaying information back to the nursing unit.
D) Pulling drapes around a client and their family to give them privacy to make a - CORRECT
ANSWER B) Deciding to forego renewal of CPR certification when one's card expires since
"nothing ever changes."
A hospice nurse is caring for a terminally ill client who is requesting minimal pain medication be
administered while their family is visiting. Which ethical principle is designed to avoid using fallacies
in ethical decision making?
A) Not allowing the client to share in the health care decision.
B) Serving the client in a manner that promotes harm.
C) Devaluing the client's self-determination.
