NUR 255 TEST PREP Concepts 1 Exam 2

NUR 255 TEST PREP Concepts 1 Exam 2 • Question 1 One of the aspects of person is: Answer s: uniqueness guilt multiple personalities genuine • Question 2 Maslow's Hierarchy of Needs tells us: Answer s: all persons have commonalities self actualization is on the bottom of the pyramid every person needs a pet Self-esteem needs come before safety needs • Question 3 2 out of 2 points 2 out of 2 points 2 out of 2 points A client is admitted for a CAT scan (diagnostic test) of the cranium. As the nurse leans over to explain this diagnostic test, the client moves away from the nurse. This is an example of what influencing factor in communication? Answer s: a. Gender b. Environment c. Space and territoriality d. language • Question 4 2 out of 2 points The nurse will often display empathy in communication with clients. Of the following responses by the nurse, which one best conveys empathy? Answer s: a. “Good morning. How did you sleep last night?” b. “I can understand your concern about learning to inject yourself.” c. “Do you mean you would like to talk to the new family nurse practitioner?” d. “Can you describe to me what the pain in your abdomen feels like right now?” • Question 5 When reaching over the side rails to take a client’s blood pressure, he 2 out of 2 points draws back. To promote effective communication, the nurse should first: Answer s: a. Tell the client that the blood pressure can be taken at a later time b. Rotate the nurses who are assigned to take the client’s blood pressure c. Continue to perform the blood pressure assessment quickly and quietly d. Apologize for startling the client and explain the need for touching the client • Question 6 2 out of 2 points Communication involves both active listening and body language working together. The nurse actively listens to the client and: Answer s: a. Sits facing the client b. Keeps the arms and legs crossed c. Leans back in the chair away from the client d. Avoids eye contact as much as is physically possible • Question 7 0 out of 2 points The nurse is in the process of conducting an admission interview with the client. At one point in the discussion, the client has provided information that the nurse would like to clarify. The nurse employs the technique of clarification as indicated by the response: Answer s: a. “I’m not sure that I understand what you mean by that statement.” b. “The ECG records information about your heart’s electrical activity.” c. “Let’s look at the problem you have had with your medication when you were home.” d. “What’s your biggest concern related to your hospitalization at the moment?” • Question 8 2 out of 2 points In working with a client who is newly diagnosed with diabetes mellitus, the nurse provides feedback to the client on her progress in learning the treatment regimen. Of the following, the nurse demonstrates the use of therapeutic communication by stating: Answer s: a. “I believe that you have come a long way in learning how to manage your care.” b. “It didn’t look like you were ever going to be able to get the injection technique.” c. “Check your blood sugar unless you really want to come back to the hospital again.” d. “You don’t appear to have any real interest in managing your daily dietary intake.” • Question 9 2 out of 2 points A patient with a serious infection has been palced in isolation. What effect will this have on the patient? Answer s: disruption of social relationships medications will be given all at one time plastic disposable bedding will be used pateint will be able to freely walk the halls • Question 10 2 out of 2 points Overeating, tobacco use, drug abuse, and not wearing a seat belt are all examples of: Answer s: a. Lifestyle practices that are risk factors for illness. b. Environment conditions that are risk factors for illness. c. Personal choices that do not impact health or illness. d. Barriers to change and goal achievement. • Question 11 The definition of health that one subscribes to is 2 out of 2 points Answer s: a. a subjective experience b. impossible to determine. c. determined exclusively by one's social group. d. the same as others in their community. • Question 12 Choose the correct word to fill in the blank in this statement: Health is a desire to avoid illness, detect it early, or maintain function. 2 out of 2 points Answer s: a. Adaptati on b. Continu um c. Promotio n d. Protectio n • Question 13 A nurse who is engaging in health promotion might do which activities? 2 out of 2 points Answer s: a. Check the vital signs of nursing home clients with high blood pressure. b. Perform sexually-transmitted disease screening tests on pregnant teenagers. c. Teach a class about the latest treatments for hepatitis. d. Teach a class on child safety and good hygiene to a group of new mothers. • Question 14 2 out of 2 points “Health is a dynamic state that fluctuates as a person adapts to changes in the internal and external environments to maintain a state of well- being. Illness is a process in which the functioning of a person is diminished or impaired when compared with the person’s previous condition.” This statement from Potter and Perry matches which of the following models: Answer s: a. Health belief model. b. Health promotion model. c. Health-illness continuum model. d. Holistic health model. • Question 15 Which nurse is performing the role of health protection and illness prevention? 2 out of 2 points Answer s: a. A nurse checks a client's vital signs every fifteen minutes after surgery. b. A nurse explains different forms of pain management to a client with cancer. c. A nurse explains the importance of immunization to the parents of an infant. d. A nurse inserts a foley catheter into a client with kidney stones. • Question 16 When a person dies, it is important for the nurse to realize that they deserve: Answer s: respect nothing for all their family to be around them to be appropriately dressed • Question 17 The first step in the learning-teaching interaction is: 2 out of 2 points 0 out of 2 points Answer s: a. Assess the learner's needs and strengths. b. Analyze the learning-teaching situation. c. State the client's learning needs. d. Write the behavioral objectives. • Question 18 The steps of the learning-teaching interaction are similar to the 0 out of 2 points Answer s: a. Phases of communication. b. Nursing process. c. Processes of adaptation. d. Maslow's hierarchy of needs • Question 19 A client needs to take daily injections of a blood thinner for 7 days following hospital discharge. The nurse observes the client's self- administration technique. Administration of a blood thinner constitutes: 2 out of 2 points Answer s: a. affective learning. b. cognitive learning. c. motivational learning. d. psychomotor learning. • Question 20 Who is the focal point of the learning/teaching process? 2 out of 2 points Answer s: a. The teacher or nurse/educator. b. The learner or patient/client. c. The nursing supervisor. d. The physician. • Question 21 2 out of 2 points The "nurse as educator" role is essential to the practice of nursing. What professional responsibility is included in this role for every nurse, regardless of practice area? Answer s: a. Teaching nursing to nursing students. b. Motivating people to want to change to more healthful practices. c. Teaching schoolchildren how to control infection by washing their hands. d. Educating older people on how to take their medications. • Question 22 2 out of 2 points A client needs to learn how to take his own blood pressure. What learning domain does this kind of learning belong to? Answer s: a. Affective b. Cognitive c. Motivation al d. Psychomo tor • Question 23 There are many factors are assessed before teaching the client to learn insulin injection sites, but the most important factor for the nurse to assess first is the: Answer a. 2 out of 2 points s: Previous knowledge level of the client b. Willingness of the client to want to learn the injection sites c. Financial resources available to the client for the equipment d. Intelligence and developmental level of the individual client • Question 24 0 out of 2 points There are a variety of teaching methodologies fro a nurse to choose from to use with clients. For a toddler, the nurse should use: Answer s: a. Role-playing b. Problem-solving c. Independent learning d. Simple explanations and pictures • Question 25 The nurse is preparing the discharge teaching materials on newly prescribed drugs to a client diagnosed to be in the early stage of Alzheimer’s disease. The nurse best deals with the client’s cognitive deficits by: 2 out of 2 points Answer s: a. Providing written material to supplement the discussion b. Arranging for family to be present during the discussion c. Presenting the material in two short but focused sessions d. Requiring the client to restate the information in her own words • Question 26 A nurse is going to teach a client about the heart-healthy diet he must 2 out of 2 points follow after a heart attack. This kind of learning is in the cognitive domain. How could the client demonstrate his competence in learning this information? Answer s: a. He could list the kinds of foods that are included in the new diet. b. He could tell the nurse how he feels about the new diet. c. He could show the nurse how to cook a meal using the new diet. d. He could promise to follow the new diet faithfully. • Question 27 Where do microorganisms survive, multiply, and transfer to a susceptible host? Answer s: reservoir mode of transmission portal of entry portal of exit • Question 28 What are the two tiers of infection control precautions? 2 out of 2 points 2 out of 2 points Answer s: a. Ordinary precautions and extraordinary precautions. b. Partial isolation and total isolation. c. Routine precautions and additional precautions. d. Standard precautions and transmission-based precautions. • Question 29 When rinsing one's hands during routine medical handwashing, in what position should the hands be held in relation to the elbows? 0 out of 2 points Answer s: a. It doesn't matter. b. Hands are kept up and elbows down. c. Hands are kept down and elbows up. d. Hands and elbows are held even. • Question 30 When doing a medical handwash, why should we dry from fingertips to forearms? 2 out of 2 points Answer s: a. Drying from cleanest (fingertips) to dirtiest (forearms) avoids contamination of the clean area. b. It prevents the spread of microorganisms from the hand to the arm. c. Drying from dirtiest (fingertips) to cleanest (forearms) avoids contamination of the clean area. d. This is not the correct procedure. We should dry from the forearms down to the fingertips. • Question 31 For what length of time does the CDC recommend washing your hands to remove transient microorganisms (at a minimum)? 2 out of 2 points Answer s: a. 5 to 10 seconds. b. 10 to 15 seconds. c. 15 to 20 seconds. d. A full minute. • Question 32 Why should you avoid splashing water on your uniform? 2 out of 2 points Answer s: a. Microorganisms travel and grow in moisture. b. Splashing water on your uniform doesn't matter. c. Splashing water on your uniform makes you look messy and unprofessional. • Question 33 Match the term to its definition. Question Correct Match 1 out of 2 points Infection resulting from a diagnostic or therapeutic procedure. A. Iatrogenic infection Infection developed in a health care facility. B. Nosocomial infection Methods to reduce or eliminate disease-producing microorganisms. C. Aseptic technique Process that eliminates all forms of microbial life. D. Sterilization All Answer Choices A. Iatrogenic infection B. Nosocomial infection C. Aseptic technique D. Sterilization • Question 34 The nurse is working on a unit with a number of clients who have 2 out of 2 points infectious diseases. One of the most important methods for reducing the spread of microorganisms is: Answer s: a. sterilization of equipment. b. the use of gloves and gowns. c. maintenance of isolation precautions. d. hand washing before and after client care. • Question 35 Person is one concept in: Answer s: nursing theories nursing process ANA Code of Ethics legal issues • Question 36 A familywith income below poverty level is best assisted with which program? 2 out of 2 points 2 out of 2 points Answer s: a. Medicaid b. Medicare c. Managed care d. Assisted living • Question 37 Regulatory interventions were initiated to reduce the rise in health care costs. These interventions include: 0 out of 2 points Answer s: a. Diagnosis related groupings b. State limits on health care fees c. Federal guidelines for treatment d. Court review of insurance coverage • Question 38 A disabled client requiring restorative care should be referred to a(n): 2 out of 2 points Answer s: a. Nursing home b. Subacute care unit c. Home health care agency d. Ambulatory health center • Question 39 A nurse is consulting with a homeless family who has a 12-year-old 2 out of 2 points disabled child. The nurse suggests which of the following services to best assist with the child’s health care needs? Answer s: a. Medicare b. Medicaid c. Long-term care insurance d. An extended care faculty • Question 40 Changes in the health care delivery system are being driven by: 2 out of 2 points Answer s: a. the consumers' needs. b. A non-capitation system. c. Increasing costs and decreasing reimbursement. d. A payment system determined by age, sex, and location. • Question 41 Which agency can provide a tertiary level of care? 2 out of 2 points Answer s: a. Cook Children's Health Care System Hospital in Fort Worth b. Harris Methodist Erath County Hospital c. Stephenville Medical-Surgical Clinic d. Stephenville Nursing Home • Question 42 2 out of 2 points There are many types of health care delivery agencies. An example of a secondary level care agency is a: Answer s: a. School b. Nursing home c. Drug rehabilitation center d. Rural hospital • Question 43 Levels of prevention are used by the nurse to provide a framework or 0 out of 2 points guide for nursing interventions. Focus is based on the client’s needs and the care or service that is provided. An example of a true health promotion service (as opposed to illness prevention) is a(an): Answer s: a. Aerobic dance class b. Immunization clinic c. Diabetic support group d. Smoking cessation clinic • Question 44 DRGs (Diagnostic Related Groups) set a limit on the 2 out of 2 points Answer s: a. amount of health care a person can receive in a lifetime. b. number of diagnostic tests that may be performed. c. reimbursement that the hospital will receive for care. d. the type of insurance that may be used by the patient. • Question 45 A patient comes into the emergency room and is having difficulty breathing. Which category of Maslow's Hierarchy of Needs is evident in this situation? Answer s: phyiological needs self-actuallization needs love and belonging needs safety needs • Question 46 Your client comes to the office with symptoms of redness, swelling, pain and drainage from a leg wound. This is: 2 out of 2 points 2 out of 2 points Answer s: a. a localized infection b. a systemic infection c. the convealescent period d. a nosocomial infection • Question 47 An infection caused by health care personnel during a treatment or procedure is called: 2 out of 2 points Answer s: a. nosocom ial b. iatrogeni c c. prodrom al d. invasive • Question 48 2 out of 2 points Procedures to decrease the number of microorganisms and prevent their spread are called: Answer s: a. handwashing b. surgical asepsis c. iatrogenic procedures d. medical asepsis • Question 49 Substances that adhere to and transmit infectious material are called: 2 out of 2 points Answer s: a. infections b. pathogens c. fomites d. microbe inhibitors • Question 50 2 out of 2 points