Test Bank –
Timby's Fundamental Nursing Skills And Concepts
By Loretta A Donnelly-Moreno
13th edition
,Table of content
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 - Nursing Foundations
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
Timby's Fundamental Nursing Skills And Concepts
By Loretta A Donnelly-Moreno
13th edition
,Table of content
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 - Nursing Foundations
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
