TEST BANK FOR FUNDAMENTALS OF NURSING 9TH EDITION BY TAYLOR – COMPLETE ALL CHAPTERS 1-46 ()

A nurse assesses the vital signs of a patient who is one day postsurgery in which a colostomy was performed. The nurse then uses the data to update the patient plan of care. What are these actions considered? A) initial planning B) comprehensive planning C) on-going planning D) discharge planning 8. A father runs into the emergency room with his 18-month-old son in his arms. The father screams, Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 128 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ Help, he is not breathing! The nursing diagnosis of Impaired Gas Exchange is what level of priority diagnosis? A) no priority B) low priority C) medium priority D) high priority 9. The nursing diagnosis Impaired Gas Exchange, prioritized by Maslows hierarchy of basic human needs, is appropriate for what level of needs? A) physiologic B) safety C) love and belonging D) self-actualization 10. A resident of a long-term care facility refuses to eat until she has had her hair combed and her make-up applied. In this case, what patient need should have priority? A) the need to have nutrition B) the need to feel good about oneself C) the need to live in a safe environment D) the need for love from others 11. In which of the following patients has the order of priorities for nursing diagnoses changed? Select all that apply. A) a patient in a long-term care facility who had a stroke B) a patient who is recovering from a broken leg C) a patient who insists on using the bathroom instead of a bedpan D) a patient who appears confused after taking pain medication Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 129 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ E) a pregnant patient whose contractions are progressing as anticipated F) a patient who has wounds that require stitches as well as a concussion 12. From what part of the nursing diagnoses are outcomes derived during outcome identification and planning? A) the defining characteristics B) the related factors C) the problem statement D) the database 13. A nurse writes down the following outcome for a depressed patient: By 6/9/12, the patient will state three positive benefits of receiving counseling. This is an example of which of the following types of outcomes? A) psychomotor B) cognitive C) affective D) realistic 14. Which of the following is categorized as a psychomotor outcome? A) Within 2 days of teaching, the patients wife will demonstrate abdominal dressing change. B) Within 1 week of attending class, the patient will have cut smoking from 20 to 10 cigarettes per day. C) The patient will verbalize understanding of need to continue to take medications as prescribed. D) The patients skin will remain smooth, moist, and without breakdown or ulceration. 15. A nurse is developing outcomes for a specific problem statement. What is one of the most important considerations the nurse should have? A) that the written outcomes are designed to meet nursing goals B) to encourage the patient and family to be involved Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 130 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ C) to discourage additions by other healthcare providers D) why the nurse believes the outcome is important 16. Which of the following outcomes is correctly written? A) Abdominal incision will show no signs of infection. B) On discharge, patient will be free of infection. C) On discharge, patient will be able to list five symptoms of infection. D) During home care, nurse will not observe symptoms of infection. 17. Which of the following are verbs that are helpful in writing measurable outcomes? Select all that apply. A) know B) define C) hear D) verbalize E) feel F) list 18. Which of the following illustrates a common error when writing patient outcomes? A) Patient will drink 100 mL of fluid every 2 hours from 6 a.m. to 9 p.m. B) Patient will demonstrate correct sequence of exercises by next office visit. C) Patient will be less anxious and fearful before and after surgery. D) On discharge, patient will list five symptoms of infection to report. 19. Which of the following groups of terms best describes a nurse-initiated intervention? A) dependent, physician-ordered, recovery Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 131 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ B) autonomous, clinical judgment, patient outcomes C) medical diagnosis, medication administration D) other healthcare providers, skill acquisition 20. What part of the nursing diagnosis statement suggests the nursing interventions to be included in the plan of care? A) problem statement B) defining characteristics C) etiology of the problem D) outcomes criteria 21. What is true of nursing responsibilities with regard to a physician-initiated intervention (physicians order)? A) Nurses do not carry out physician-initiated interventions. B) Nurses do carry out interventions in response to a physicians order. C) Nurses are responsible for reminding physicians to implement orders. D) Nurses are not legally responsible for these interventions. 22. A nurse is using a structured care methodology that follows a set of steps based on a clinicians decision process to help standardize nursing care plans. What is the term for this element of a structured care methodology? A) algorithm B) national guidelines C) standard of care D) clinical practice guideline 23. What name is given to tools that are used to communicate a standardized interdisciplinary plan of care for patients within a case management healthcare delivery system? A) Kardex care plans Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 132 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ B) computerized plans of care C) clinical pathways D) student care plans 24. A nurse has developed a plan of care with nursing interventions designed to meet specific patient outcomes. The outcomes are not met by the time specified in the plan. What should the nurse do now in terms of evaluation? A) Continue to follow the written plan of care. B) Make recommendations for revising the plan of care. C) Ask another healthcare professional to design a plan of care. D) State goal will be met at a later date. 25. A nurse records patient data on a folded card and places it in a central file, where it is easily accessible to staff. Which system of care is this nurse using? A) critical pathways B) case management C) Kardex care plan D) concept map care plan 26. Which of the following types of care plans is most likely to enable the nurse to take a holistic view of the patients situation? A) Kardex B) case management C) critical pathways D) concept map care plan 27. Which of the following is an example of a well-stated nursing intervention? A) Patient will drink 100 mL of water every 2 hours while awake. Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 133 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ B) Offer patient 100 mL of water every 2 hours while awake. C) Offer patient water when he complains of thirst. D) Patient will continue to increase oral intake when awake. 28. What common problem is related to outcome identification and planning? A) failing to involve the patient in the planning process B) collecting sufficient data to establish a database C) stating specific and measurable outcomes based on nursing diagnoses D) writing nursing orders that are clear and resolve the problem 29. Which of the following statements accurately describe the impact on nursing of using NIC/NOC standardized languages? Select all that apply. A) They demonstrate the impact that nurses have on the system of healthcare delivery. B) They standardize and define the knowledge base for nursing curricula and practice. C) They limit the number of appropriate nursing intervention to be selected. D) They hinder the teaching of clinical decision making to novice nurses. E) They enable researchers to examine the effectiveness and cost of nursing care. F) They slow the development and use of nursing information systems. Answer Key 1. D 2. B 3. B, C, D 4. B 5. D Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 134 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ 6. B 7. C 8. D 9. A 10. B 11. A, C, D, F 12. C 13. C 14. A 15. B 16. C 17. B, D, F 18. C 19. B 20. C 21. B 22. A 23. C 24. B 25. C 26. D 27. B Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 135 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ 28. A 29. A, B, E Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 136 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ Chapter 17: Implementing 1. What is the unique focus of nursing implementation? A) patient response to health and illness B) patient response to nursing diagnosis C) patient compliance with treatment regimen D) patient interview and physical assessment 2. What is one advantage of having a standard classification of nursing interventions? A) to standardize nomenclature (names or terms) B) to legitimize the use of the nursing process C) to classify indicators of patient outcomes D) to facilitate documentation of expected goals 3. The researchers developing classifications for interventions are also committed to developing a classification of which of the following? A) diagnoses B) outcomes C) goals D) data clusters 4. What activity is carried out during the implementing step of the nursing process? A) Assessments are made to identify human responses to health problems. B) Mutual goals are established and desired patient outcomes are determined. C) Planned nursing actions (interventions) are carried out. D) Desired outcomes are evaluated and, if necessary, the plan is modified. Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 137 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ 5. What role of the nurse is crucial to the prevention of fragmentation of care? A) advocate B) teacher C) counselor D) coordinator 6. What phrase best describes nurse-initiated interventions? A) nurse-prescribed interventions B) physician-prescribed interventions C) healthcare team interventions D) interventions based on medical orders 7. Which of the following examples of nursing actions involve direct care of the patient? Select all that apply. A) A nurse counsels a young family who is interested in natural family planning. B) A nurse massages the back of a patient while performing a skin assessment. C) A nurse arranges for a consultation for a patient who has no health insurance. D) A nurse helps a patient in hospice fill out a living will form. E) A nurse arranges for physical therapy for a patient who had a stroke. F) A nurse comforts a distraught patient whose baby was stillborn. 8. A nurse documents the following diagnosis for a hospitalized patient: Risk for Imbalanced Nutrition: More Than Body Requirements. What is the major goal of interventions for a risk diagnosis? A) reduce or eliminate contributing factors B) prevent the problem Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 138 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ C) collect additional data D) promote higher-level wellness 9. A nurse is changing a sterile pressure ulcer dressing based on an established protocol. What does this mean? A) The nurse is using critical thinking to implement the dressing change. B) The patient has specified how the dressing should be changed. C) Written plans are developed that specify nursing activities for this skill. D) The physician verbally requested specific steps of the dressing change. 10. What must occur before physician-initiated interventions can be carried out? A) They must be written on the nursing plan of care. B) The nurse relinquishes all responsibility for them. C) Any healthcare provider may order them. D) The physician gives a verbal or written order. 11. A patient who was previously awake and alert suddenly becomes unconscious. The nursing plan of care includes an order to increase oral intake. Why would the nurse review the plan of care? A) to implement evidence-based practice B) to ensure the order follows hospital policy C) to be sure interventions are individualized D) to be sure the intervention is safe 12. A nurse is preparing to insert an intravenous line and begin administering intravenous fluids. The patient has visitors in the room. What should the nurse do? A) Ask the visitors to leave the room. B) Ask the patient if visitors should remain in the room. C) Tell the patient to ask the visitors to leave the room. Test Bank - Fundamentals of Nursing (9th Edition by Taylor) 139 Fundamentals of Nursing 9th Edition by Taylor, Lynn, Bartlett Test Bank | Chapter 1-46 |Complete Guide A+ D) Wait until the visitors leave to begin the procedure. 13. A nurse is catheterizing a patient. What action illustrates respect for the patients privacy? A) explaining the procedure to the family B) leaving the patients pajamas on C) closing the door to the room D) asking another nurse if he wants to watch 14. A student is ambulating a patient for the first time after surgery. What would the student do to anticipate and plan for an unexpected outcome? A) Take the patients vital signs after ambulation. B) Ask the patients wife to assist with ambulation. C) Delay ambulation until the following shift. D) Ask another student to help with ambulation. 15. Each time a nurse administers an insulin injection to a patient with diabetes, she tells the patient what she is doing and demonstrates each step of preparing and giving the injection. What is the nurse promoting? A) self-care B) dependence C) coping with disability D) nursepatient relationship 16. Which of the following statements accurately describe a recommended guideline for implementation? Select all that apply. A) When implementing nursing care, remember to act independently, regardless of the wishes of the patient/family. B) Before implementing any nursing action, reassess the patient to determine whether the action is still needed.