Title: Test Bank for Timbys Fundamental Nursing skills and Concepts 12th Edition by Loretta Donnelly-Moreno

Title: Test Bank for Timbys Fundamental Nursing skills and Concepts 12th Edition by Loretta Donnelly-Moreno Timbys Fundamental Nursing skills and Concepts 12Ed. by Loretta A Donnelly-Moreno . COMPLETE, Elaborated and Latest Test Bank . ALL Chapters Included 1-38. 516 Pages of Content-A+ Graded for 2023COMPLETE - Elaborated Test Bank for Timbys Fundamental Nursing skills and Concepts 12Ed. by Loretta A Donnelly-Moreno . ALL Chapters Included 1-38. 516 Pages of Content-A+ Graded for 2023 Introducing Public Administration 10Ed by Jay M. Shafritz, E. W. Russell , Christopher P. Borick & Albert C. Hyde TABLE OF CONTENTS UNIT 1 Exploring Contemporary Nursing  Chapter 1 Nursing Foundations  Chapter 2 Nursing Process  UNIT 2 Integrating Basic Concepts   Chapter 3 Laws and Ethics  Chapter 4 Health and Illness   Chapter 5 Homeostasis, Adaptation, and Stress   Chapter 6 Culture and Ethnicity  UNIT 3 Fostering Communication  Chapter 7 The Nurse–Client Relationship   Chapter 8 Client Teaching  Chapter 9 Recording and Reporting  UNIT 4 Performing Basic Client Care  Chapter 10 Asepsis  Chapter 11 Admission, Discharge, Transfer, and Referrals  Chapter 12 Vital Signs  Chapter 13 Physical Assessment  Chapter 14 Special Examinations and Tests  UNIT 5 Assisting With Basic Needs  Chapter 15 Nutrition  Chapter 16 Fluid and Chemical Balance  Chapter 17 Hygiene  Chapter 18 Comfort, Rest, and Sleep  Chapter 19 Safety  Chapter 20 Pain Management  Chapter 21 Oxygenation  Chapter 22 Infection Control  UNIT 6 Assisting the Inactive Client  Chapter 23 Body Mechanics, Positioning, and Moving  Chapter 24 Fitness and Therapeutic Exercise  Chapter 25 Mechanical Immobilization  Chapter 26 Ambulatory Aids  UNIT 7 The Surgical Client  Chapter 27 Perioperative Care  Chapter 28 Wound Care  Chapter 29 Gastrointestinal Intubation  UNIT 8 Promoting Elimination  Chapter 30 Urinary Elimination  Chapter 31 Bowel Elimination  UNIT 9 Medication Administration  Chapter 32 Oral Medications  Chapter 33 Topical and Inhalant Medications  Chapter 34 Parenteral Medications  Chapter 35 Intravenous Medications  UNIT 10 Intervening in Emergency Situations  Chapter 36 Airway Management  Chapter 37 Resuscitation  UNIT 11 Caring for the Terminally Ill Chapter 38 End-of-Life Care Chapter 1 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 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 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 of nurses provided no financial advantages to the hospital, and the training was formal, based on nursing care. 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. 5 8. In a nursing unit, the RN delegates nursing tasks to the LPN. Keeping in mind the delegation guidelines, which statement denotes the right task for the LPN? A. Make beds with the help of unlicensed assistive personnel. B. Assist clients with nasogastric tube feeds. C. Take orders from an in-house physician. D. Assess the client's needs and start an intravenous line. Answer: B Rationale: Assisting clients with nasogastric tube feeding is an appropriate task for an LPN, as it does not require independent decisions and sophisticated techniques. According to the delegation guidelines, "right task" means that the task should be assigned according to the competency of the caregiver. LPNs may not be authorized to make independent decisions, like starting an IV line, for the client. Bed making is a very basic task and may not be appropriate for an LPN if the UAP is already present. When the RN and LPN are present, the RN takes the physician's orders. Question format: Multiple Choice Chapter 1: Nursing Foundations Cognitive Level: Apply Client Needs: Physiological Integrity: Basic Care and Comfort Integrated Process: Nursing Process Reference: p. 8 9. A 50-year-old client reports to a primary care unit with an open wound due to a fall in the bathroom. Which nursing actions represent caring skills? A. The nurse cleans the wound and applies a dressing to it. B. The nurse inspects and examines the wound for swelling. C. The nurse tells the client to take care while on slippery surfaces. D. The nurse informs the client that the wound is small and will heal easily. Answer: A Rationale: The nursing action of cleaning the wound and applying a dressing indicates caring skills. Caring skills involve nursing interventions that restore or maintain a person's health. The nurse implements assessment skills while inspecting and examining the wound. The nurse counsels the client to take care when walking on slippery surfaces. By informing the client about the wound's condition, the nurse uses comforting skills. Question format: Multiple Choice Chapter 1: Nursing Foundations Cognitive Level: Understand Client Needs: Physiological Integrity: Basic Care and Comfort Integrated Process: Caring Reference: p. 15 10. The scope and character of nursing practice underwent significant changes in the years following the Civil War. Which activity exemplifies nursing practice in the early years of the 20th century? A. providing basic health care to recent immigrants to the United States B. contributing to the scientific knowledge base of nursing by conducting research C. participating in collaborative practice with physicians D. establishing school nursing as a recognized specialty in urban settings Answer: A Rationale: In the early 20th century, some nurses moved into communities and established "settlement houses" where they lived and worked among poor immigrants. This period of history was not characterized by collaboration between physicians and nurses due to the subservient view of nursing that prevailed. Research and school nursing were not major focuses at this time. Question format: Multiple Choice Chapter 1: Nursing Foundations Cognitive Level: Understand Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Teaching/Learning Reference: p. 4 11. A nursing student has begun a clinical placement at a large hospital that serves a diverse population. The student has consequently acquired a new appreciation for the fact that nursing combines art with science. What is the clearest manifestation of the scientific basis for nursing? A. mentoring students and junior nurses B. providing evidence-based nursing care C. maintaining an attitude of curiosity D. participating in continuing educational activities Answer: B Rationale: By developing an accumulating body of unique scientific knowledge, it is now possible to predict which nursing interventions are most likely to produce desired outcomes, a process referred to as evidence-based practice (EBP). EBP is possible because of the scientific basis that underlies nursing. Mentoring, maintaining curiosity, and participating in continuing education are beneficial, but these are not direct manifestations of the scientific basis for nursing. Question format: Multiple Choice Chapter 1: Nursing Foundations Cognitive Level: Understand Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Teaching/Learning Reference: p. 6 12. Beginning with Florence Nightingale, many definitions of nursing have been put forth by individual nurses and by nursing organizations. Which statement best describes an aspect of the changes in these definitions over time? A. drawing a clear distinction between the art of nursing and science of nursing B. definitions of nursing that have become narrower in scope over time C. characterization of nursing as a discipline that is a distinct alternative to medical treatment D. definition of an independent health care practice that is not solely dependent on physicians Answer: D Rationale: The most recent definitions of nursing specify that nursing has an independent area of practice in addition to traditional dependent and interdependent functions involving physicians. This does not mean, however, that nursing is an alternative to medical treatment. Definitions have become broader over time and address the fact that nursing combines art with science. Question format: Multiple Choice Chapter 1: Nursing Foundations Cognitive Level: Remember Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Teaching/Learning Reference: p. 6 13. A team of nurses who provide care in a community hospital have been encouraged to participate in continuing educational activities. Why is continuing education needed in nursing? A. Continuing education helps to delineate the distinctions between nurses and physicians. B. Continuing education increases the public visibility of individual nurses and the nursing profession. C. Continuing education has the potential to partially alleviate the nursing shortage. D. Continuing education allows for safer division of labor on hospital units and more effective delegation of tasks. Answer: C Rationale: Health care officials hope that enrollment in all nursing programs and continuing education will reduce the current and projected critical shortage of nurses. Continuing education is not driven by a desire to increase the visibility of nursing, to draw distinctions between nursing and medicine, or to facilitate the division of labor. Question format: Multiple Choice Chapter 1: Nursing Foundations Cognitive Level: Remember Client Needs: Safe, Effective Care Environment: Management of Care Integrated Process: Teaching/Learning Reference: