FOUNDATIONS AND ADULT HEALTH NURSING 8TH EDITION BY COOPER

TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 8TH EDITION BYCOOPER U S N T O NURSINGTB.COM Chapter 01: Introduction to Anatomy and Physiology Cooper: Adult Health Nursing, 8th Edition MULTIPLE CHOICE 1. The anatomic term means toward the midline. a. anterior b. posterior c. medial d. cranial ANS: C The term medial indicates an anatomic direction toward the midline. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 2 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 2. What are the smallest living components in our body? a. Cells b. Organs c. Electrons d. Osmosis ANS: A Cells are considered to be the smallest living units of structure and function in our body. N R I G B.C M DIF: Cognitive Level: Knowledge REF: 4 OBJ: 6 TOP: Structural levels of organization KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 3. What is the largest organelle, responsible for cell reproduction and control of other organelles? a. Nucleus b. Ribosome c. Mitochondrion d. Golgi apparatus ANS: A The nucleus is the largest organelle within the cell. DIF: Cognitive Level: Knowledge REF: 5 OBJ: 8 TOP: Parts of the cell KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 4. When the patient complains of pain in the bladder, the patient will indicate discomfort in which body cavity? a. Pelvic b. Mediastinum c. Dorsal d. Abdominal ANS: A A subdivision called the pelvic cavity contains the lower portion of the large intestine (lower sigmoid colon, rectum), urinary bladder, and internal structures of the reproductive system. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Body cavity KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 5. The four phases of cell division all occur in: a. diffusion. b. mitosis. c. osmosis. d. filtration. ANS: B During mitosis, the cell goes through four phases: prophase, metaphase, anaphase, and telophase. DIF: Cognitive Level: Knowledge REF: 7 OBJ: 9 TOP: Cell division KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 6. Telophase is which phase of cell reproduction during mitosis? a. First phase b. Latent phase c. Final phase d. Spindle phase ANS: C NURSINGTB.COM During this final phase of cell division, the two nuclei appear and the chromosomes disperse. DIF: Cognitive Level: Knowledge REF: 7 OBJ: 9 TOP: Cell division KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 7. The nurse is aware that which muscle group is both striated and involuntary? a. Skeletal b. Glial c. Cardiac d. Visceral ANS: C The cardiac muscle is both striated and involuntary. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 11 TOP: Tissues KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 8. What is a group of several different kinds of tissues arranged so that together they can perform a more complex function than any tissue alone? a. Organ b. System NURSINGTB.COM Foundations and Adult Health Nursing 8th Editi n Cooper Test Bank S - The Marketplace to Buy and Sell your St udy Material c. Cell d. Endoplasmic reticulum ANS: A When several kinds of tissues are united to perform a more complex function than any tissue alone, they are called organs. DIF: Cognitive Level: Knowledge REF: 11 OBJ: 7 TOP: Organs KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 9. What traits describe visceral muscles? a. Smooth and voluntary b. Smooth and involuntary c. Striated and voluntary d. Striated and involuntary ANS: B Visceral (smooth) muscles will not function at will; thus, they act involuntarily. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 10. How are the thoracic and abdominal cavities separated? a. By the pleura b. By the diaphragm c. By the sagittal plane d. By the peritoneum ANS: B NURSINGTB.COM The diaphragm (a muscle directly beneath the lungs) separates the ventral cavity into the thoracic (chest) and abdominal cavities. DIF: Cognitive Level: Knowledge REF: 2 OBJ: 3 TOP: Ventral cavity KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 11. What is the broad section of biology dealing with the description of human structure? a. Hematology b. Anatomy c. Kinesiology d. Physiology ANS: B Anatomy is the study, classification, and description of the structure and organs of the body. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 1 TOP: Terminology KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 12. explains the processes and functions of many structures of the body and how they interact with one another. DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations and Adult Health Nursing 8th Editi n Cooper Test Bank S - The Marketplace to Buy and Sell your St udy Material a. Anatomy b. Mitosis c. Filtration d. Physiology ANS: D Physiology explains the processes and functions of the various structures and how they interrelate with one another. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 1 TOP: Terminology KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 13. The anatomic structure that is not in the thoracic cavity is/are the . a. heart b. lungs c. blood vessels d. transverse colon ANS: D The transverse colon is located in the abdominal cavity. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Thoracic cavity KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 14. When several organs and parts are grouped together for certain functions, they form: a. tissues. b. systems. c. cells. d. membranes. ANS: B NURSINGTB.COM A system is an organization of varying numbers and kinds of organs arranged so that together they can perform complex functions for the body. DIF: Cognitive Level: Knowledge REF: 4 OBJ: 7 TOP: Systems KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 15. What are the distinct surface proteins of the plasma membrane essential in determining? a. Tissue typing b. Blood count c. Effectiveness of a drug d. Sexual maturity ANS: A The plasma membrane has distinct surface proteins as coming from one individual. This is the basis for the procedure of tissue typing to determine compatibility before an organ transplant. DIF: Cognitive Level: Comprehension REF: 5 OBJ: 12 TOP: Cells KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations and Adult Health Nursing 8th Editi n Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material 16. In anatomic terminology, posterior means toward the: a. tail. b. head. c. back. d. trunk. ANS: C The posterior is toward the back. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 2 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 17. What does the transverse body plane divide? a. The front and back (coronal) of the body b. The body lengthwise (two equal halves) c. The superior and inferior portions of the body d. The body into axial and appendicular ANS: C The transverse plane cuts the body horizontally into the sagittal and the frontal planes, dividing the body into caudal and cranial portions. DIF: Cognitive Level: Knowledge REF: 2 OBJ: 3 TOP: Body planes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 18. Caudal is defined as toward t NheU RS I.N GT B.CO M a. head b. feet c. tail d. chest ANS: C Caudal is a directional word that indicates toward the “tail,” the distal portion of the spine. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 3 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 19. What is the term for movement of water from an area of lower solute concentration to an area of higher solute concentration? a. Absorption b. Filtration c. Diffusion d. Osmosis ANS: D Osmosis is the passage of water from less concentrated solution to more concentrated solution. DIF: Cognitive Level: Knowledge REF: 8 OBJ: 10 DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations and Adult Health Nursing 8th Editi n Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material TOP: Transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 20. What is the type of tissue composed of cells that contract in response to a message from the brain or spinal cord? a. Epithelial b. Connective c. Membrane d. Muscle ANS: D Muscle tissue is composed of cells that contract in response to a message from the brain or spinal cord. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 21. What is the type of tissue associated with the storage of fat? a. Areolar tissue b. Adipose tissue c. Osseous tissue d. Muscle tissue ANS: B Adipose tissue is associated with the important function of storing fat. DIF: Cognitive Level: KnowlN edgeR I G REB F:.C 10 M OBJ: 11 TOP: Tissues KEY: NurUsingSProNcessTStep: AOssessment MSC: NCLEX: Physiological Integrity 22. What are the thin sheets of tissue that lubricate and line the body surfaces that open to the outside environment? a. Mucous membranes b. Serous membranes c. Cytoplasm d. Involuntary visceral muscles ANS: A Mucous membranes secrete mucus. They line the body surfaces that open to the outside environment. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 23. What is the process by which a cell digests a foreign material by surrounding it? a. Pinocytosis b. Phagocytosis c. Absorption d. Diffusion ANS: B DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations and Adult Health Nursing 8th Editi n Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material Phagocytosis is the process that permits a cell to engulf or surround any foreign material and digest it. DIF: Cognitive Level: Knowledge REF: 7 OBJ: 10 TOP: Active transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 24. Active transport in the movement of ions and other water-soluble particles across cell membranes requires that the body uses its: a. rapid filtration. b. charged diffusion. c. a chemical pump. d. osmosis. ANS: C Active transport of ions and other water-soluble particles of the cell membrane require a chemical pump, such as insulin, to move glucose into the cell. DIF: Cognitive Level: Comprehension REF: 7 OBJ: 10 TOP: Active transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 25. What is the term for the passage of water containing dissolved materials through a membrane as the result of a greater mechanical force on one side? a. Metabolism b. Mitosis c. Filtration d. Osmosis ANS: C NURSINGTB.COM Filtration is the movement of water and particles through a membrane by a force from either pressure or gravity. DIF: Cognitive Level: Knowledge REF: 8 OBJ: 10 TOP: Passive transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 26. The nurse is aware that when a patient complains of pain in the epigastric region, the source of the pain is most likely to be a disorder involving the: a. gallbladder. b. transverse colon. c. stomach. d. appendix. ANS: C The epigastric region of the abdomen is comprised of parts of the right and left lobes of the liver and a large portion of the stomach. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Epigastric region KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal U S N T O NURSINGTB.COM Foundations and Adult Health Nursing 8th Editi n Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material 27. What are tissues that cover the outside of the body and some internal structures? a. Connective b. Epithelial c. Nerve d. Muscle ANS: B Epithelial tissue covers the outside of the body and some of the internal structures. DIF: Cognitive Level: Knowledge REF: 8 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 28. When the nurse assesses an arm in proximal to distal order, the assessment is performed from: a. the shoulder to the fingers. b. front to back. c. fingers to the center of the body. d. center of the body to the fingers. ANS: A Proximal is nearest the origin of the structure. Distal is farthest from the origin of the structure. DIF: Cognitive Level: Comprehension REF: 2 OBJ: 3 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 29. What is the function of epithN elialR meI mbrG aneB s?.C M a. Secretes mucus, lines ends of bones, and lines bursae. b. Lines ends of bones, secretes synovial fluid, and lines internal surfaces of organs. c. Covers the wall of lower digestive tract, secretes mucus, and lines lungs, peritoneum, and pericardium. d. Lines lungs, peritoneum, and pericardium, and secretes synovial fluid. ANS: C The epithelial membrane secretes mucus, lines the lungs, peritoneum, and pericardium, and covers the wall of the lower digestive tract. The synovial membrane secretes synovial fluid to prevent friction between joints and the ends of bones, and lines the bursae found between moving body parts. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 30. The nurse explains that pinocytosis is a process by which cells: a. divide. b. take in extracellular fluid. c. use a chemical pump. d. convert mitochondria. ANS: B DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations and Adult Health Nursing 8th Editi n Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material Pinocytosis is a process by which the cell wall makes an indentation allowing extracellular fluid to fill in, then encloses it into the cell. DIF: Cognitive Level: Comprehension REF: 7 OBJ: 10 TOP: Pinocytosis KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 31. What is the most complex structural level of organization of the body? a. Body as a whole b. Cellular c. Organs d. Chemical ANS: A The structural levels of organization progress from the least complex (chemical) through cells, tissues, organs, systems to the most complex (the body as a whole). DIF: Cognitive Level: Comprehension REF: 3 OBJ: 6 TOP: Structural levels of organization KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 32. Using a poster, the nurse demonstrates the protection of the nucleus. Which layer is the most superficial? a. Endoplasmic reticulum b. Nuclear membrane c. Plasma membrane d. Cytoplasm ANS: C NURSINGTB.COM The most superficial covering of the nucleus is the plasma membrane, under which is the cytoplasm containing the endoplasmic reticulum, nuclear membrane, and nucleus. DIF: Cognitive Level: Application REF: 5 OBJ: 8 TOP: Protective covering of nucleus KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity MULTIPLE RESPONSE 1. Which are among the 11 body systems? (Select all that apply.) a. Lymphatic b. Cellular c. Digestive d. Reproductive e. Accessory f. Spinal cord ANS: A, C, D There are 11 body systems: integumentary, respiratory, skeletal, digestive, muscular, nervous, endocrine, urinary, reproductive, cardiovascular, and lymphatic. DIF: Cognitive Level: Knowledge REF: 12 OBJ: 7 TOP: Body systems KEY: Nursing Process Step: Assessment DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations and Adult Health Nursing 8th Editi n Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material MSC: NCLEX: Physiological Integrity 2. Which of the following are characteristics of visceral muscles? (Select all that apply.) a. Involuntary b. Smooth c. Striated d. Independent from the spinal cord e. Voluntary f. Present in the blood vessels ANS: A, B, F Smooth muscles are smooth, involuntary, and respond to messages from the spinal cord. DIF: Cognitive Level: Application REF: 9 OBJ: 7 TOP: Voluntary muscle KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 3. Which of the following are passive transport mechanisms that move material across the cell membranes? (Select all that apply.) a. Diffusion b. Evaporation c. Filtration d. Osmosis e. Mitosis f. Anaphase ANS: A, C, D The passive transport systemNs U arRe dS ifIfuN sGioT n,BCraO tioMn, and osmosis. DIF: Cognitive Level: Comprehension REF: 8 OBJ: 10 TOP: Passive transport system KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 4. The nurse clarifies that the dorsal cavity is composed of the: (Select all that apply.) a. Descending colon b. Kidneys c. Gallbladder d. Brain e. Pancreas f. Spinal cavities ANS: D, F The dorsal cavity is composed of the brain and the spinal cavities. The spinal cavities hold the cord and the meninges. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Dorsal cavity KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity COMPLETION DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations and Adult Health Nursing 8th Editi n Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material 1. The nurse clarifies that the three functions of epithelial tissue are protection, , and secretion. ANS: absorption The function of epithelial tissue is protection by covering the body and preventing invasion; absorption by absorbing material; and secretion by secreting mucus to line and moisten the body surfaces. DIF: Cognitive Level: Comprehension REF: 11 OBJ: 7 TOP: Epithelial tissue function KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 2. The nurse explains that are small saclike structures inside the cell that digest compounds that have invaded the cell. ANS: lysosomes Lysosomes are small saclike structures inside the cell that digest compounds that have invaded the cell. DIF: Cognitive Level: Knowledge REF: 6 OBJ: 8 TOP: Lysosomes KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 3. The body plane that divides tNheUbRoSdyIiNntGoTthBCnOtraMl and dorsal section is the plane. ANS: coronal The coronal plane divides the body into ventral and dorsal (front and back) sections. DIF: Cognitive Level: Comprehension REF: 2 OBJ: 3 TOP: Coronal plane KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material Chapter 02: Legal and Ethical Aspects of Nursing Cooper: Foundations of Nursing, 8th Edition MULTIPLE CHOICE 1. When a nurse becomes involved in a legal action, the first step to occur is that a document is filed in an appropriate court. What is this document called? a. Deposition b. Appeal c. Complaint d. Summons ANS: C A document called a complaint is filed in an appropriate court as the first step in litigation. A deposition is when witnesses are required to undergo questioning by the attorneys. An appeal is a request for a review of a decision by a higher court. A summons is a court order that notifies the defendant of the legal action. DIF: Cognitive Level: Knowledge REF: 24 OBJ: 1 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. The nurse caring for a patient in the acute care setting assumes responsibility for a patient’s care. What is this legally binding situation? a. Nurse-patient relationship b. Accountability c. Advocacy d. Standard of care ANS: A NURSINGTB.COM When the nurse assumes responsibility for a patient’s care, the nurse-patient relationship is formed. This is a legally binding “contract” for which the nurse must take responsibility. Accountability is being responsible for one’s own actions. An advocate is one who defends or pleads a cause or issue on behalf of another. Standards of care define acts whose performance is required, permitted, or prohibited. DIF: Cognitive Level: Comprehension REF: 24 OBJ: 3 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. What are the universal guidelines that define appropriate measures for all nursing interventions? a. Scope of practice b. Advocacy c. Standard of care d. Prudent practice ANS: C DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material Standards of care define actions that are permitted or prohibited in most nursing interventions. These standards are accepted as legal guidelines for appropriateness of performance. The laws that formally define and limit the scope of nursing practice are called nurse practice acts. An advocate is one who defends or pleads a cause or issue on behalf of another. Prudent is a term that refers to careful and/or wise practice. DIF: Cognitive Level: Knowledge REF: 22 OBJ: 4 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4. An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention? a. Standards of care b. Regulation of practice c. American Nurses’ Association Code d. Nurse practice act ANS: D It is the nurse’s responsibility to know the nurse practice act in his or her state. Standards of care, regulation of practice, and the American Nurses’ code are not laws that the nurse should refer to before initiating this treatment. DIF: Cognitive Level: Application REF: 26 OBJ: 5 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 5. A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of: a. malpractice. b. harm to the patient. c. negligence. NURSINGTB.COM d. failure to follow the nurse practice act. ANS: A The nurse can be held liable for malpractice for acts of omission. Failure to meet a legal duty, thus causing harm to another, is malpractice. The nurse practice act has general guidelines that can support the charge of malpractice. DIF: Cognitive Level: Application REF: 24 OBJ: 2 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 6. Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law? a. American Hospital Association’s Patient’s Bill of Rights b. Self-Determination Act c. American Hospital Association’s Standards of Care d. The Joint Commission’s rights and responsibilities of patients ANS: A DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material Patients have expectations regarding the health care services they receive. In 1972, the American Hospital Association (AHA) developed the Patient’s Bill of Rights. The Self-Determination Act, American Hospital Association’s Standards of Care, and The Joint Commission’s rights and responsibilities do not address patients’ expectations regarding health care. DIF: Cognitive Level: Comprehension REF: 27 OBJ: 3 | 4 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 7. The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed? a. Physical assessment b. Interview c. Informed consent d. Surgical checklist ANS: C The doctrine of informed consent refers to full disclosure of the facts the patient needs to make an intelligent (informed) decision before any invasive treatment or procedure is performed. A physical assessment, interview, and surgical checklist are not required before this procedure. DIF: Cognitive Level: Application REF: 27 OBJ: 8 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 8. When a nurse protects the information in a patient’s record, what ethical responsibility is the nurse fulfilling? a. Privacy b. Disclosure c. Confidentiality d. Absolute secrecy ANS: C NURSINGTB.COM The nurse has an ethical and legal duty to protect information about a patient and preserve confidentiality. Some disclosures are legal and anticipated, and may not be subject to the rules of confidentiality. None of the information in a chart is considered secret. DIF: Cognitive Level: Comprehension REF: 29-30 OBJ: 9 TOP: Confidentiality KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 9. An older adult is admitted to the hospital with numerous bodily bruises, and the nurse suspects elder abuse. What is the best nursing action? a. Cover the bruises with bandages. b. Take photographs of the bruises. c. Ask the patient if anyone has hit her. d. Report the bruises to the charge nurse. ANS: D DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal U S N T O NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material The law stipulates that the health care professional is required to report certain information to the appropriate authorities. The report should be given to a supervisor or directly to the police, according to agency policy. When acting in good faith to report mandated information (e.g., certain communicable diseases or gunshot wounds), the health care professional is protected from liability. DIF: Cognitive Level: Application REF: 31 OBJ: 9 TOP: Elder abuse KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 10. What is the best way for a nurse to avoid a lawsuit? a. Carry malpractice insurance. b. Spend time with the patient. c. Provide compassionate, competent care. d. Answer all call lights quickly. ANS: C The best defense against a lawsuit is to provide compassionate and competent nursing care. Carrying malpractice insurance is prudent, but it will not avoid a lawsuit. Spending time with patients and answering call lights quickly will not necessarily help avoid a lawsuit. DIF: Cognitive Level: Comprehension REF: 29 OBJ: 8 TOP: Avoiding a lawsuit KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 11. The nurse is caring for a patient with a do-not-resuscitate (DNR) order. Although the nurse may disagree with this order, what is his or her legal obligation? a. To question the health cNareRproIvideGr B.C M b. To seek advice from the family c. To discuss it with the patient d. To follow the order ANS: D When a DNR order is written in the chart, the nurse has a duty to follow the order. Questioning the health care provider, seeking advice from the family, and discussing it with the patient are not legal obligations of the nurse. DIF: Cognitive Level: Application REF: 37 OBJ: 10 | 14 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 12. The nurse has strong moral convictions that abortions are wrong. When assigned to assist with an abortion, what is the most appropriate action for the nurse to take? a. Ask for another assignment. b. Leave work. c. Transfer to another floor. d. Protest to the supervisor. ANS: A The nurse should not abandon the patient, but ask for another assignment. DIF: Cognitive Level: Application REF: 37 OBJ: 9 | 16 DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal N R I G B.C NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material TOP: Ethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 13. The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information? a. Nurse practice act b. Standards of care c. Scope of nursing practice d. Professional organizations ANS: B Standards of care define what should or should not be done for patients. The nurse practice act, scope of nursing practice, and professional organizations do not provide the best information as to what should or should not be done for patients. DIF: Cognitive Level: Comprehension REF: 24 OBJ: 5 TOP: Standards of care KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 14. What role is the nurse who diligently works for the protection of patients’ interests playing? a. Caregiver b. Health care administrator c. Advocate d. Health care evaluator ANS: C A nurse accepts the role of advocate when, in addition to general care, the nurse protects the patient’s interests. Caregiver, health care administrator, and health care evaluator are not terms for the nurse who diligUentlSy wNorksTfor theOprotection of patients. DIF: Cognitive Level: Comprehension REF: 25 OBJ: 9 | 12 TOP: Advocate KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 15. When asked to perform a procedure that the nurse has never done before, what should the nurse do to legally protect himself or herself? a. Go ahead and do it. b. Refuse to perform it, citing lack of knowledge. c. Discuss it with the charge nurse, asking for direction. d. Ask another nurse who has performed the procedure. ANS: C The nurse cannot use ignorance as an excuse for nonperformance. The nurse should ask for direction from the charge nurse, explaining she has never performed the procedure independently. DIF: Cognitive Level: Application REF: 26 OBJ: 8 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 16. The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation. What is the most appropriate action for the nurse? a. Compare values with those of the patient. DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal N R I G B.C NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material b. Make a judgment. c. Withhold an opinion. d. Give advice. ANS: C The nurse can assist the patient in values clarification without giving an opinion. DIF: Cognitive Level: Application REF: 35 OBJ: 3 | 8 TOP: Values clarification KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 17. What fundamental principle must the nurse first observe when confronted with an ethical decision? a. Autonomy b. Beneficence c. Respect for people d. Nonmaleficence ANS: C The first fundamental principle is respect for people. Autonomy, beneficence, and nonmaleficence are not the first fundamental principles to observe when confronted with an ethical decision. DIF: Cognitive Level: Comprehension REF: 36 OBJ: 13 | 15 TOP: Ethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 18. A nurse working on an acute care medical surgical unit is aware that his or her first duty is to the patient’s health, safetyU, andSweNll-bTeing. GOiven this knowledge, which of the following is most necessary for the nurse to report? a. Unethical behavior of other staff members b. A worker who arrives late c. Favoritism shown by nursing administration d. Arguments among the staff ANS: A A member of the nursing profession must report behavior that does not meet established standards. Unethical behavior involves failing to perform the duties of a competent caring nurse. DIF: Cognitive Level: Application REF: 36 OBJ: 13 TOP: Unethical behavior KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 19. A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital? a. Only offers protection while on duty. b. Is limited in the amount of coverage. c. Is difficult to renew. d. Can be terminated at any time. ANS: A DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal U S N T NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material Most institutional insurance only provides liability coverage if the nurse is on duty at that facility. DIF: Cognitive Level: Comprehension REF: 32 OBJ: 2 TOP: Malpractice insurance KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 20. Which is a nursing care error that violates the Health Insurance Portability and Accountability Act (HIPAA)? a. Administering a stronger dose of drug than was ordered b. Refusing to give a patient’s daughter information over the phone c. Informing the patient’s medical power of attorney of a medication change d. Leaving a copy of the patient’s history and physical in the photocopier ANS: D Leaving the document in the photocopier could expose it to the public. Inappropriate drug administration is possible malpractice. Sharing information with the power of attorney is legal. Refusing to give a patient’s daughter information over the phone is appropriate practice. DIF: Cognitive Level: Comprehension REF: 27 OBJ: 7 TOP: Health Insurance Portability and Accountability Act (HIPAA) KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 21. Which of the following could cause a nurse to be cited for malpractice? a. Refusing to give 60 mg of morphine as ordered b. Giving prochlorperazinNe (CRomIpaziGne)Bto.aCpatMient allergic to phenothiazines c. Dragging an injured motorist off the highway and causing further injury d. Informing a visitor about a patient’s condition ANS: B Standards of care dictate that a nurse must be aware of all the properties of drugs administered. Prochlorperazine (Compazine) is a phenothiazine. Providing confidential information or refusing to give an excessively large narcotic dose is not considered malpractice. Good Samaritan laws generally protect a person giving aid to an injured motorist. DIF: Cognitive Level: Application REF: 26 OBJ: 2 TOP: Malpractice KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 22. A lumbar puncture was performed on a patient without a signed informed consent form. This patient might sue for: a. punitive damages. b. civil battery. c. assault. d. nothing; no violation has occurred. ANS: B DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal U S N T O NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material Civil battery charges can be brought against someone performing an invasive procedure without the patient’s informed consent legally documented. This patient could not sue for punitive damages or an assault. DIF: Cognitive Level: Comprehension REF: 27 OBJ: 6 | 8 TOP: Informed consent KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 23. A health care provider instructs the nurse to bladder train a patient. The nurse clamps the patient’s indwelling urinary catheter but forgets to unclamp it. The patient develops a urinary tract infection. What do the nurse’s actions exemplify? a. Malpractice b. Battery c. Assault d. Neglect of duty ANS: A A nurse is liable for acts of commission (doing an act) and omission (not doing an act) performed in the course of their professional duty. A charge of malpractice is likely when a duty exists, there is a breach of that duty, and harm has occurred to the patient. DIF: Cognitive Level: Application REF: 25 OBJ: 2 TOP: Malpractice KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 24. What is true about nurse practice acts? a. They informally define the scope of nursing practice. b. They provide for unlimNitedRscoIpe oGf nBCng pMractice. c. Only some states have adopted a nurse practice act. d. The nurse must know the nurse practice act within his or her state. ANS: D The laws formally defining and limiting the scope of nursing practice are called nurse practice acts. All state, provincial, and territorial legislatures in the United States and Canada have adopted nurse practice acts, although the specifics they contain often vary. It is the nurse’s responsibility to know the nurse practice act that is in effect for her geographic region. DIF: Cognitive Level: Comprehension REF: 26 TOP: Nurse practice acts KEY: Nursing Process Step: N/A MSC: NCLEX: N/A MULTIPLE RESPONSE 1. How can the medical record be used in litigation? (Select all that apply.) a. Public record b. Proof of adherence to standards c. Evidence of omission of care d. Documentation of time lapses e. Evidence by only the plaintiff DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material ANS: A, B, C, D The information when used in court becomes a public record. The information can be used as proof of adherence to standards, omission of care, and documentation of time lapses. Both plaintiff and defendant can use the document. DIF: Cognitive Level: Comprehension REF: 24 OBJ: 1 | 4 TOP: Legal properties of medical record KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. During a lunch break, an emergency department (ED) nurse truthfully tells another nurse about the condition of a patient who came to the ED last night. What is the ED nurse guilty of? (Select all that apply.) a. HIPAA violation b. Slander c. Libel d. Invasion of privacy e. Defamation ANS: A, D The disclosure is an invasion of privacy and a violation of HIPAA. Because the information is true and verbal, it cannot be considered slander or libel. DIF: Cognitive Level: Application REF: 30 OBJ: 7 TOP: Disclosure of information KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. A nurse failed to monitor aNpU atRienS tI’sN reGspT irBat.oCry sMtatus after medicating the patient with a narcotic analgesic. The patient’s respiratory status worsened, requiring intubation. The patient’s family claimed the nurse committed malpractice. What must be present for the nurse to be held liable? (Select all that apply.) a. A nurse-patient relationship exists. b. The nurse failed to perform in a reasonable manner. c. There was harm to the patient. d. The nurse was prudent in her performance. e. The nurse did not cause the patient harm. f. Duty does not exist. ANS: A, B, C For the court to uphold the charge of malpractice, and to find the nurse liable, the following elements must be present: duty exists, there is a breach of duty, and harm must have occurred. DIF: Cognitive Level: Application REF: 24 OBJ: 2 TOP: Malpractice KEY: Nursing Process Step: N/A MSC: NCLEX: N/A COMPLETION 1. Personal beliefs about the worth of an object, idea, custom, or attitude that influence a person’s behavior in a given situation are referred to as . DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material ANS: values Values are personal beliefs about the worth of an object, an idea, a custom, or an attitude. Values vary among people and cultures; they develop over time and undergo change in response to changing circumstances and necessity. Each of us adopts a value system that will govern what we feel is right or wrong (or good and bad) and will influence our behavior in a given situation. DIF: Cognitive Level: Knowledge REF: 34 OBJ: 11 | 12 TOP: Values KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. Acts whose performance is required, permitted, or prohibited are defined by of care. ANS: standards Standards of care define acts whose performance is required, permitted, or prohibited. DIF: Cognitive Level: Knowledge REF: 26 OBJ: 4 TOP: Standards of care KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NURSINGTB.COM DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material Chapter 03: Documentation Cooper: Foundations of Nursing, 8th Edition MULTIPLE CHOICE 1. What does documentation of type of care, time of care, and signature of the person prove? a. The person who signed the documentation did all the work noted. b. No litigation can be brought against the person who signed. c. Interventions were implemented to meet the patient’s needs. d. The patient’s response to the intervention was positive. ANS: C Documenting type of care, time of care, and signature of the person results in recording the interventions that are implemented to meet the patient’s needs. Many charting entries include health care provider’s visits, presence of family, or interventions by other departments. Patient response to some interventions is not always positive. DIF: Cognitive Level: Comprehension REF: 40 OBJ: 1 TOP: Documentation KEY: Nursing Process Step: Implementation MSC: NCLEX: N/A 2. Why is documentation especially significant in managed care? a. The hospital needs to show that employees care for patients. b. Institutions are reimbursed only for patient care that is documented. c. Patients might bring lawsuits if care was not given. d. Documents may becomNeU paRrtS oIfN a lGawT sB.COM ANS: B Cost reimbursement rates by government plans (Medicare, Medicaid) are based on the prospective payment system of diagnosis-related groups (DRGs): a system that classifies patients by age, diagnosis, surgical procedure, and other information with hundreds of different categories to predict the use of hospital resources, including length of stay, resulting in a fixed payment amount. DIF: Cognitive Level: Comprehension REF: 41 OBJ: 1 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. The nurse charts only additional treatments done, changes in patient condition, and new concerns. What is this system of documentation? a. SOAP b. Block c. CBE d. Focus ANS: C Charting additional treatments done, changes in a patient’s condition, and new concerns during the shift is charting by exception (CBE). DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material DIF: Cognitive Level: Comprehension REF: 47-48 OBJ: 1 | 5 | 7 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4. What form explains the lapse when events are not consistent with facility or national standards of expected care? a. Subjective data b. Focus chart c. Incident report d. Nursing assessment ANS: C An incident report is completed when patient care was not consistent with facility or national standards. The form explains the event, time, extent of injury, and who was notified. DIF: Cognitive Level: Knowledge REF: 49 OBJ: 1 | 7 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 5. The staff from all disciplines is developing integrated care plans for a projected length of stay for patients of a specific case type. This is known as a: a. nursing order. b. Kardex. c. nursing care plan. d. critical pathway. ANS: D NURSINGTB.COM Critical pathways allow staff from all disciplines to develop integrated care plans for a projected length of stay for patients of a specific case type. DIF: Cognitive Level: Knowledge REF: 41 OBJ: 8 TOP: Documentation KEY: Nursing Process Step: Implementation MSC: NCLEX: N/A 6. What makes home health care documentation unique? a. Some charting is retained at the hospital. b. The health care provider’s office needs separate charting. c. Different health care providers need access. d. The health care provider is the pivotal person in the charting. ANS: C Home health care documentation has unique problems because of the need for different health care workers to access the medical record. DIF: Cognitive Level: Comprehension REF: 55 OBJ: 9 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 7. What regulates standards for long-term care documentation? DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material a. OBRA b. Title XXII c. Patient problems d. The care plan ANS: A OBRA (Omnibus Budget Reconciliation Act) was a significant Medicare and Medicaid legislation for long-term health care documentation. DIF: Cognitive Level: Knowledge REF: 55 OBJ: 10 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 8. What is the nurse required to do to adhere to the concept of confidentiality for the patient’s medical record? a. Provide information only to another nurse. b. Provide information only to an attorney. c. Share information only with the family. d. Have a clinical reason for reading the record. ANS: D The nurse should not read the patient’s medical record unless there is a clinical reason for doing so. DIF: Cognitive Level: Comprehension REF: 56 OBJ: 4 TOP: Confidentiality KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NU RS IN GT B.CO M 9. Documentation is necessary for the evaluation of patient care. Of which phase of the nursing process is this an integral part? a. Assessment b. Planning c. Implementation d. Evaluation ANS: C Documentation is part of the implementation phase of the nursing process. DIF: Cognitive Level: Comprehension REF: 40 OBJ: 1 | 4 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 10. What does the nurse use as a basis for documentation in focus charting? a. Problem list b. Nursing orders c. Patient problems d. Evaluation ANS: C In focus charting, instead of using the problem list, modified patient problems are used as an index for nursing documentation. DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material DIF: Cognitive Level: Knowledge REF: 47 OBJ: 7 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 11. What is the purpose of QA (quality assurance)? a. To screen employment applications b. To evaluate care results against accepted standards c. To conduct in-services for “quality documentation” d. To report deviation from standards to the state health department ANS: B QA is an in-house department that evaluates care services and results against accepted standards. DIF: Cognitive Level: Comprehension REF: 41 OBJ: 1 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 12. What is the process used to appraise the practice of an individual nurse known as? a. Quality assurance b. Incident reporting c. OBRA d. Peer review ANS: D Peer review is an in-houseN depR artmI entG stuB dy. tC hat M may appraise the nursing practice of individual nurses. U S N T O DIF: Cognitive Level: Knowledge REF: 41 OBJ: 4 TOP: Peer review KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 13. What is the documentation format that uses the acronym SOAPE? a. Problem-oriented b. Focused c. Traditional d. Crisis ANS: A The problem-oriented medical record uses the acronym SOAPE to format and for focus charting on a list of patient problems. DIF: Cognitive Level: Comprehension REF: 46 OBJ: 7 TOP: Problem-oriented medical record (POMR) KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 14. Who is the legal owner of the patient’s medical record? a. Patient b. Health care provider c. Institution DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material d. State ANS: C Ownership of a medical record belongs to the institution in the case of a hospitalized patient, or the health care provider in the case of private office visits. DIF: Cognitive Level: Knowledge REF: 56 OBJ: 4 TOP: Legal ownership KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 15. When using electronic (or computerized) documentation, which process should the nurse use to ensure that no one alters the information the nurse has entered? a. Charting in code b. Logging off c. Charting in privacy d. Signing on with a password ANS: B Logging off closes the computer file that was opened with the nurse’s password. Any other data entry will require that person to sign on with their password. DIF: Cognitive Level: Comprehension REF: 57 OBJ: 2 TOP: Computer documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 16. What is the system that classifies patients by age, diagnosis, and surgical procedure, and produces 300 different cateN gorR ies uI sedG forB p. reC dictM ing the use of hospital resources? a. Quality assurance b. Resource assessment c. Quality improvement U S N T O d. Diagnosis-related groups ANS: D Cost reimbursement rates under government plans are based on diagnosis-related groups (DRGs), which is a system that classifies patients by age, diagnosis, and surgical procedure, producing 300 different categories used in predicting the use of hospital resources, including length of stay. DIF: Cognitive Level: Knowledge REF: 41-42 OBJ: 5 TOP: Diagnostic-related groups KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 17. A nurse is using the data, action, response, education (DARE) system of charting, and is completing the data portion. What data are the nurse’s focus? a. Planning b. Assessment c. Implementation d. Patient teaching ANS: B DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal U S N T O NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material DARE is the acronym for four different aspects of charting using the focus format. Data (D) is both subjective and objective and is equivalent to the assessment step of the nursing process. Action (A) is a combination of planning and implementation. Response (R) of the patient is the same as evaluation of effectiveness. Some facilities include education/patient teaching (E). DIF: Cognitive Level: Comprehension REF: 47 OBJ: 7 TOP: Charting KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A 18. A new patient is being admitted to a long-term care facility. Who has primary responsibility for each patient’s initial admission nursing history, physical assessment, and development of the care plan based on the patient problem identified? a. Health care provider b. Registered nurse c. Unlicensed assistive personnel d. Licensed practical nurse/licensed vocational nurse ANS: B The registered nurse (RN) has primary responsibility for each patient’s initial admission nursing history, physical assessment, and development of the care plan based on the patient problem identified. DIF: Cognitive Level: Comprehension REF: 43 OBJ: 4 | 10 TOP: Scope of practice KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 19. What will the nurse implemNentRwhIen aGn erBro.rCis mMade when documenting in a patient’s chart? a. Scratch out the error. b. Apply correction fluid. c. Erase the error completely. d. Draw a single line through the error. ANS: D A nurse should not erase, apply correction fluid, or scratch out errors made while recording in a patient’s chart. Instead, the nurse should draw a single line through the error, write the word “error” above it, and sign her name or initials. DIF: Cognitive Level: Application REF: 45 OBJ: 6 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 20. What should the nurse be sure to do when documenting in a patient’s chart? a. Include speculation. b. Chart consecutively. c. Leave blank spaces. d. Include retaliatory comments. ANS: B DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal U S N T O NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material A nurse should not write retaliatory or critical comments about a patient or care by other health care professionals. The nurse should not leave blank spaces in the nurse’s notes. The nurse should be certain the entry is factual and not speculate or guess. The nurse should chart consecutively, line by line. DIF: Cognitive Level: Application REF: 45 OBJ: 6 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 21. A nurse is receiving a telephone order from a health care provider. The nurse uses a safety measure of preventing errors that is recognized by The Joint Commission as one method of meeting National Patient Safety Goals. What is the second step of this method? a. Read back b. Background c. Recommendation d. Situation e. Assessment ANS: B SBAR (Situation, Background, Assessment, and Recommendation) is a method of communication among health care workers and a part of documentation (Kaiser Permanente, 2007). SBAR is considered a safety measure in preventing errors from poor communication during “hand-off” or “handover” interactions, the communication that occurs from one shift to the next or when a nurse phones a health care provider with information about a patient. An additional “R” is added. The additional “R” (SBARR) represents “read back” when the nurse reads back the order for clarification. N R I G B.C M DIF: Cognitive Level: Application REF: 43 OBJ: 3 TOP: SBARR KEY: Nursing Process Step: N/A MSC: NCLEX: N/A MULTIPLE RESPONSE 1. What are categories of inadequate documentation that may lead to a malpractice claim? (Select all that apply.) a. Incorrectly recording the time of an event b. Failing to record verbal orders c. Charting events in advance d. Documenting an incorrect date e. Marking out and initialing charting errors ANS: A, B, C, D Marking out with a single line and initialing is an acceptable method to indicate a charting error. DIF: Cognitive Level: Application REF: 45 OBJ: 4 TOP: Inadequate documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal N R I G B.C NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material 2. When documenting an incident in the nurse’s notes, what should the nurse include? (Select all that apply.) a. Description of injury, including diagrams of injury placement b. Date, time, and location of incident c. Name of health care provider and family members notified d. Chronologic order of events of the incident e. Confirmation that an incident report was initiated ANS: A, B, C, D The documentation of the initiation of an incident report should not be included in the nurse’s notes. Nurse’s notes are part of the legal medical record; the incident report is not. To note that an incident report was initiated is a red flag that a problem has occurred. DIF: Cognitive Level: Application REF: 49 TOP: Documenting incident reports KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. What are some problems associated with electronic (or computerized) charting? (Select all that apply.) a. Security b. Expense of training staff c. Legibility d. Easy retrieval e. New terminology ANS: A, B, E Security, expensive staff training, and learning new terminology are all problems of electronic charting. LegibilityUanSd eaNsy rTetrievalOare advantages. DIF: Cognitive Level: Comprehension REF: 42-43 OBJ: 1 TOP: Computer charting KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4. What are the basic purposes of written patient records? (Select all that apply.) a. Teaching b. Legal record of care c. Written communication d. Research and data collection e. Permanent record for accountability f. Temporary record of hospitalization ANS: A, B, C, D, E There are five basic purposes for written patient records: (1) written communication, (2) permanent record for accountability, (3) legal record of care, (4) teaching, and (5) research and data collection. DIF: Cognitive Level: Comprehension REF: 41 OBJ: 1 TOP: Medical record KEY: Nursing Process Step: N/A MSC: NCLEX: N/A DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal U S N T O NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material 5. What should a medical record provide for all health care providers? (Select all that apply.) a. Care given to the patient b. Care planned for the patient c. A patient’s nursing problems d. A patient’s medical problems e. Details about any incident reports f. The patient’s response to treatment ANS: A, B, C, D, F A medical record should furnish all health care providers with a concise, accurate, written picture of a patient’s medical and nursing problems, care planned and given, and the patient’s response to treatments. DIF: Cognitive Level: Comprehension REF: 43 OBJ: 1 TOP: Medical record KEY: Nursing Process Step: N/A MSC: NCLEX: N/A COMPLETION 1. The best defense against malpractice claims associated with nursing care is accurate . ANS: documentation Accurate documentation caN n guR ardI agaG insB t m. aC lpraM ctice claims because it should describe when, what, and how events occurred. DIF: Cognitive Level: Comprehension REF: 41 | 42 OBJ: 4 TOP: Documentation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. Twenty-four-hour charting is designed to establish levels to help determine staffing needs. ANS: acuity Patient acuity, which is reflected in 24-hour charting compilation, can dictate staffing needs. DIF: Cognitive Level: Comprehension REF: 49 OBJ: 7 TOP: 24-hour charting KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. Documentation using the DARE format (Data, Action, Response, Education) includes elements of the charting system. ANS: focused DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Co per Test Bank S - The Marketplace to Buy and Sell your Study Material Focused charting uses the acronym DARE to direct and formalize charting. DIF: Cognitive Level: Comprehension REF: 47 OBJ: 7 TOP: Focused charting KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4. A health care audit that evaluates services provided and the results achieved compared with accepted standards is known as . ANS: quality assurance quality assessment quality improvement Quality assurance/assessment/improvement is an audit in health care that evaluates services provided and the results achieved compared with accepted standards. DIF: Cognitive Level: Knowledge REF: 41 OBJ: 1 TOP: Quality assurance | Assessment | Improvement KEY: Nursing Process Step: N/A MSC: NCLEX: N/A NURSINGTB.COM DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material Chapter 04: Communication Cooper: Foundations of Nursing, 8th Edition MULTIPLE CHOICE 1. Although the patient denies pain, the nurse observes the patient breathing rapidly with clenched fists and facial grimacing. What is the nurse’s best response to these observations? a. “I am glad you are feeling better and have no discomfort.” b. “Where do you hurt?” c. “What you are saying and what I am observing don’t seem to match.” d. “It makes me uncomfortable when you are not honest with me.” ANS: C The nonverbal communication should be clarified to prevent miscommunication. DIF: Cognitive Level: Application REF: 69 OBJ: 2 | 3 TOP: Communication KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 2. The nurse considers the feelings and needs of a patient by stating, “I know you are concerned about your surgery tomorrow. How can I help you?” What type of communication is this? a. Intrusive b. Aggressive c. Closed d. Assertive ANS: D NURSINGTB.COM Assertive communication takes a patient’s feelings and needs into account, yet honors the patient’s rights as an individual. DIF: Cognitive Level: Comprehension REF: 63 OBJ: 4 TOP: Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 3. If the nurse aggressively says to a patient, “Why couldn’t you have asked me to give you your pain medication when I was in here earlier?” What feeling is the patient most likely to demonstrate? a. Anger b. Satisfaction that his needs are met c. Humiliation and worthlessness d. Confidence that his request will be granted ANS: C Aggressive communication is highly destructive. Although anger may eventually come, the patient most likely feels humiliated first. DIF: Cognitive Level: Application REF: 63 OBJ: 7 TOP: Communication KEY: Nursing Process Step: Assessment DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material MSC: NCLEX: Psychosocial Integrity 4. What does therapeutic communication accomplish? a. Facilitates the formation of a positive nurse-patient relationship. b. Manipulates the patient. c. Assigns the patient a passive role. d. Requires the patient to accept what the nurse says. ANS: A A positive nurse-patient relationship is facilitated by therapeutic communication. DIF: Cognitive Level: Comprehension REF: 64 OBJ: 10 TOP: Communication KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 5. The nurse is sitting in a chair near the patient’s bed, leaning forward to hear what the patient is saying, and does not interrupt. What is the nurse demonstrating? a. Support b. Caring c. Active listening d. Interest ANS: C When demonstrating active listening, the nurse must give his or her full attention and make an effort to understand both the verbal and nonverbal message. DIF: Cognitive Level: CoN mpR rehI ensiG on B. RC EF:M 65 OBJ: 5 TOP: Communication U S N T KEOY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 6. What therapeutic communication technique requires a great deal of skill and is not used as frequently as other communication techniques? a. Touch b. Silence c. Listening d. Summarizing ANS: B Silence is an extremely effective therapeutic communication skill that is frequently underused because the nurse feels uncomfortable applying it. DIF: Cognitive Level: Comprehension REF: 65 OBJ: 5 TOP: Communication KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 7. A patient does not speak English; therefore, the nurse cannot use words to provide comfort during a painful procedure. What is another intervention that may provide comfort to this patient? a. Silence b. Listening DownloDaodwendlobayd: eGdrabdye: Apa|tcolcinut toienw| paamtoaclwutaiew@ Distribution of this document is illegal N R I G B.C NURSINGTB.COM Foundations of Nursing 8th Edition Cooper Test Bank S - The Marketplace to Buy and Sell your Study Material c. Touch d. Restating ANS: C Holding the hand of a non–English-speaking patient is effective and