Test bank for
Fundamentals of nursing theory concepts and applications 4th edition
by wilkinson,barnett(complete chapters with answer key)
,table of contents
chapter 1 evolution of nursing thought & action ......................................................................................... 4
chapter 2 critical thinking & nursing process.............................................................................................. 11
chapter 3 assessment ................................................................................................................................. 18
chapter 4 analysis/diagnosis ....................................................................................................................... 25
chapter 5 planning outcomes ..................................................................................................................... 31
chapter 6 planning interventions................................................................................................................ 36
chapter 7 implementation & evaluation .................................................................................................... 39
chapter 8 theory, research, & evidence-based practice ............................................................................. 44
chapter 9 life span: infancy through middle adulthood ............................................................................. 51
chapter 10 life span: older adults ............................................................................................................... 58
chapter 11 experiencing health & illness .................................................................................................... 64
chapter 12 stress & adaptation................................................................................................................... 70
chapter 13 psychosocial health & illness .................................................................................................... 77
chapter 14 the family .................................................................................................................................. 84
chapter 15 culture & ethnicity .................................................................................................................... 90
chapter 16 spirituality ................................................................................................................................. 96
chapter 17 loss, grief, & dying .................................................................................................................. 104
chapter 18 documenting & reporting ....................................................................................................... 111
chapter 19 teaching & learning ................................................................................................................ 117
chapter 20 measuring vital signs .............................................................................................................. 124
chapter 21 communication & therapeutic relationships .......................................................................... 132
chapter 22 health assessment .................................................................................................................. 138
chapter 23 promoting asepsis & preventing infection ............................................................................. 145
chapter 24 promoting safety .................................................................................................................... 153
chapter 25 facilitating hygiene ................................................................................................................. 160
chapter 26 administering medications ..................................................................................................... 167
chapter 27 nutrition .................................................................................................................................. 175
chapter 28 urinary elimination ................................................................................................................. 183
chapter 29 bowel elimination ................................................................................................................... 190
chapter 30 sensation, perception, & response ......................................................................................... 198
chapter 31 pain ......................................................................................................................................... 205
chapter 32 physical activity & immobility ................................................................................................. 221
,chapter 33 sexual health ........................................................................................................................... 229
chapter 34 sleep & rest ............................................................................................................................. 237
chapter 35 skin integrity & wound healing ............................................................................................... 243
chapter 36 oxygenation ............................................................................................................................ 251
chapter 37 circulation & perfusion ........................................................................................................... 259
chapter 38 fluids, electrolytes, & acid-base balance ................................................................................ 263
chapter 39 perioperative care .................................................................................................................. 270
chapter 40 leading & managing ................................................................................................................ 278
chapter 41 nursing informatics ................................................................................................................. 289
chapter 42 promoting health .................................................................................................................... 298
chapter 43 community & home health nursing ........................................................................................ 310
chapter 44 ethics & values ........................................................................................................................ 321
chapter 45 legal accountability ................................................................................................................. 328
chapter 46 holistic healing ........................................................................................................................ 334
,Chapter 1 evolution of nursing thought & action
1. Which of the following statements accurately describe an element of nursing? Select all that apply.
A) the skills involved in nursing are primarily technical in nature.
B) the primary focus of nursing is to assist individuals to recover from illness.
C) the science of nursing is the knowledge base for the care that is given.
D) the art of nursing is the collection of knowledge through research.
E) nursing is considered to be both an art and a science.
F) nursing is a profession that used specialized knowledge and skills.
2. Which of the following set of terms best describes nursing at the end of the middle ages?
A) continuity, caring, critical thinking
B) purpose, direction, leadership
C) assessment, interventions, outcomes
D) advocacy, research, education
3. Which of the following is a characteristic of nursing practiced from early civilization to the 16th
century?
A) most early civilizations believed that illness had supernatural causes.
B) the physician was the priest who treated disease with prayer.
C) the nurse was a nun committed to caring for the needy and homeless.
D) nursing changed from a spiritual focus to an emphasis on knowledge expansion.
4. In what time period did nursing care as we now know it begin?
A) pre-civilization
B) early civilization to 16th century
C) 16th to 17th century
D) 18th to 19th century
,5. Who is considered to be the founder of professional nursing?
A) dorothea dix
B) lillian wald
C) florence nightingale
D) clara barton
6. Which of the following nursing pioneers established the red cross in the united states in 1882?
A) florence nightingale
B) clara barton
C) dorothea dix
D) jane addams
7. What was one barrier to the development of the nursing profession in the united states after the
civil war?
A) lack of educational standards
B) hospital-based schools of nursing
C) lack of influence from nursing leaders
D) independence of nursing orders
8. Which of the following individuals provided community- based care and founded publichealth
nursing?
A) adelaide nutting
B) lillian wald
C) sojourner truth
D) clara barton
9. Which of the following nursing groups provides a definition and scope of practice for nursing?
A) icn
B) aan
,C) ana
D) the joint commission
10. Teaching a woman about breast self-examination is an example of what broad aim ofnursing?
A) promoting health
B) preventing illness
C) restoring health
D) facilitating coping with disability and death
11. What nursing activity would meet the broad nursing aim of facilitating coping with disability and
death? Select all that apply.
A) conducting a blood pressure screening program
B) teaching testicular self-examination
C) referring to a community diabetic support group
D) administering intravenous fluids
E) admitting a patient to a hospice program
F) performing a physical assessment on a patient
12. A nurse caring for a patient with diabetes chooses an appropriate plan of care and devises
interventions to accomplish the desired outcomes. This is an example of using which of t he following
type of nursing skills?
A) technical
B) cognitive
C) interpersonal
D) ethical/legal
13. Which one of the following examples of nursing actions would be considered an ethical/legal skill?
A) a nurse helps a patient prepare a living will.
B) a nurse obtains a urine sample for a urinalysis.
C) a nurse explains the rationale for a patients plan of care.
,D) a nurse holds the hand of a woman whose baby died in childbirth.
14. A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with downs
syndrome. The nurse makes referrals for a parent support group for the family. T his is an example of
which nursing role?
A) teacher/educator
B) leader
C) counselor
D) collaborator
15. A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Which of the
following actions is the best example of using the collaborator role as a nurse?
A) discussing the legal aspects of adoption for teens wishing to place their infants with a family
B) searching the internet for information on child care for the teens who wish to return to school
C) conducting a patient interview and documenting the information on the patients chart
D) referring a teen who admits having suicidal thoughts to a mental healthcare specialist
16. A nurse instructor explains the concept of health to her students. Which of the following
statements accurately describes this state of being?
A) health is a state of optimal functioning.
B) health is an absence of illness.
C) health is always an objective state.
D) health is not determined by the patient.
17. A nurse incorporates the health promotion guidelines established by the u.s. department of health
document: healthy people 2010. Which of the following is a health indicator d iscussed in this
document?
A) cancer
B) obesity
C) diabetes
D) hypertension
,18. A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. Thisis an
example of which of the following aims of nursing?
A) promoting health
B) preventing illness
C) restoring health
D) facilitating coping with disability or death
19. Which of the following is a criteria that defines nursing as profession?
A) an undefined body of knowledge
B) a dependence on the medical profession
C) an ability to diagnose medical problems
D) a strong service orientation
20. Although all of the following are nursing responsibilities, which one would be expected of a nurse
with a baccalaureate degree?
A) providing direct physical care
B) using research findings to improve practice
C) administering medications as prescribed
D) collaborating with other healthcare providers
21. Amy jones, a high school senior, wants to become a geriatric nurse practitioner. What nursing
degree will she need to attain this goal?
A) licensed practical nurse
B) associate degree
C) baccalaureate degree
D) masters degree
22. Why are nursing organizations important for the continued development and improvement of
nursing as a whole?
A) to provide socialization and networking for members
,B) to regulate work activities for members
C) to set standards for nursing education and practice
D) to provide information to nurses about legal requirements
23. Which of the following organizations has established standards for clinical nursing practice?
A) american nurses association
B) national league for nursing
C) international council of nurses
D) state board of nursing
24. What is the primary purpose of standards of nursing practice?
A) to provide a method by which nurses perform skills safely
B) to ensure knowledgeable, safe, comprehensive nursing care
C). To establish nursing as a profession and a discipline
D). To enable nurses to have a voice in healthcare policy
25. After graduation from an accredited program in nursing and successfully passing the
nclex, what gives the nurse a legal right to practice?
A) enrolling in an advanced degree program
B) filing nclex results in the county of residence
C) being licensed by the state board of nursing
D) having a signed letter confirming graduation
26. A nurse has been tried and found guilty of the felony crime of forgery. How might thisaff
ect the nurses license to practice nursing?
A) it will have no effect on the ability to practice nursing.
B) the nurse can practice nursing at a less-skilled level.
C) the license may be revoked or suspended.
D) the license will permanently carry the felony conviction.
, 27. Nurses use the nursing process to focus care on human responses to what?
A) interactions with the environment
B) physical effects of disease
C) outcomes of medical or surgical treatment
D) actual or potential health problems
28. Which age group in the population is expanding most rapidly, resulting in changes in the delivery
of healthcare?
A) older adults
B) young adults
C) school-aged children
D) newborns
29. Which of the following is a current trend affecting nursing education and practice?
A) over abundance of graduating nurses
B) office-based care delivery systems
C) increase in length of hospital stay
D) increase in chronic health conditions
Answer key
1. C, e, f
2. B
3. A
4. D
5. C
Fundamentals of nursing theory concepts and applications 4th edition
by wilkinson,barnett(complete chapters with answer key)
,table of contents
chapter 1 evolution of nursing thought & action ......................................................................................... 4
chapter 2 critical thinking & nursing process.............................................................................................. 11
chapter 3 assessment ................................................................................................................................. 18
chapter 4 analysis/diagnosis ....................................................................................................................... 25
chapter 5 planning outcomes ..................................................................................................................... 31
chapter 6 planning interventions................................................................................................................ 36
chapter 7 implementation & evaluation .................................................................................................... 39
chapter 8 theory, research, & evidence-based practice ............................................................................. 44
chapter 9 life span: infancy through middle adulthood ............................................................................. 51
chapter 10 life span: older adults ............................................................................................................... 58
chapter 11 experiencing health & illness .................................................................................................... 64
chapter 12 stress & adaptation................................................................................................................... 70
chapter 13 psychosocial health & illness .................................................................................................... 77
chapter 14 the family .................................................................................................................................. 84
chapter 15 culture & ethnicity .................................................................................................................... 90
chapter 16 spirituality ................................................................................................................................. 96
chapter 17 loss, grief, & dying .................................................................................................................. 104
chapter 18 documenting & reporting ....................................................................................................... 111
chapter 19 teaching & learning ................................................................................................................ 117
chapter 20 measuring vital signs .............................................................................................................. 124
chapter 21 communication & therapeutic relationships .......................................................................... 132
chapter 22 health assessment .................................................................................................................. 138
chapter 23 promoting asepsis & preventing infection ............................................................................. 145
chapter 24 promoting safety .................................................................................................................... 153
chapter 25 facilitating hygiene ................................................................................................................. 160
chapter 26 administering medications ..................................................................................................... 167
chapter 27 nutrition .................................................................................................................................. 175
chapter 28 urinary elimination ................................................................................................................. 183
chapter 29 bowel elimination ................................................................................................................... 190
chapter 30 sensation, perception, & response ......................................................................................... 198
chapter 31 pain ......................................................................................................................................... 205
chapter 32 physical activity & immobility ................................................................................................. 221
,chapter 33 sexual health ........................................................................................................................... 229
chapter 34 sleep & rest ............................................................................................................................. 237
chapter 35 skin integrity & wound healing ............................................................................................... 243
chapter 36 oxygenation ............................................................................................................................ 251
chapter 37 circulation & perfusion ........................................................................................................... 259
chapter 38 fluids, electrolytes, & acid-base balance ................................................................................ 263
chapter 39 perioperative care .................................................................................................................. 270
chapter 40 leading & managing ................................................................................................................ 278
chapter 41 nursing informatics ................................................................................................................. 289
chapter 42 promoting health .................................................................................................................... 298
chapter 43 community & home health nursing ........................................................................................ 310
chapter 44 ethics & values ........................................................................................................................ 321
chapter 45 legal accountability ................................................................................................................. 328
chapter 46 holistic healing ........................................................................................................................ 334
,Chapter 1 evolution of nursing thought & action
1. Which of the following statements accurately describe an element of nursing? Select all that apply.
A) the skills involved in nursing are primarily technical in nature.
B) the primary focus of nursing is to assist individuals to recover from illness.
C) the science of nursing is the knowledge base for the care that is given.
D) the art of nursing is the collection of knowledge through research.
E) nursing is considered to be both an art and a science.
F) nursing is a profession that used specialized knowledge and skills.
2. Which of the following set of terms best describes nursing at the end of the middle ages?
A) continuity, caring, critical thinking
B) purpose, direction, leadership
C) assessment, interventions, outcomes
D) advocacy, research, education
3. Which of the following is a characteristic of nursing practiced from early civilization to the 16th
century?
A) most early civilizations believed that illness had supernatural causes.
B) the physician was the priest who treated disease with prayer.
C) the nurse was a nun committed to caring for the needy and homeless.
D) nursing changed from a spiritual focus to an emphasis on knowledge expansion.
4. In what time period did nursing care as we now know it begin?
A) pre-civilization
B) early civilization to 16th century
C) 16th to 17th century
D) 18th to 19th century
,5. Who is considered to be the founder of professional nursing?
A) dorothea dix
B) lillian wald
C) florence nightingale
D) clara barton
6. Which of the following nursing pioneers established the red cross in the united states in 1882?
A) florence nightingale
B) clara barton
C) dorothea dix
D) jane addams
7. What was one barrier to the development of the nursing profession in the united states after the
civil war?
A) lack of educational standards
B) hospital-based schools of nursing
C) lack of influence from nursing leaders
D) independence of nursing orders
8. Which of the following individuals provided community- based care and founded publichealth
nursing?
A) adelaide nutting
B) lillian wald
C) sojourner truth
D) clara barton
9. Which of the following nursing groups provides a definition and scope of practice for nursing?
A) icn
B) aan
,C) ana
D) the joint commission
10. Teaching a woman about breast self-examination is an example of what broad aim ofnursing?
A) promoting health
B) preventing illness
C) restoring health
D) facilitating coping with disability and death
11. What nursing activity would meet the broad nursing aim of facilitating coping with disability and
death? Select all that apply.
A) conducting a blood pressure screening program
B) teaching testicular self-examination
C) referring to a community diabetic support group
D) administering intravenous fluids
E) admitting a patient to a hospice program
F) performing a physical assessment on a patient
12. A nurse caring for a patient with diabetes chooses an appropriate plan of care and devises
interventions to accomplish the desired outcomes. This is an example of using which of t he following
type of nursing skills?
A) technical
B) cognitive
C) interpersonal
D) ethical/legal
13. Which one of the following examples of nursing actions would be considered an ethical/legal skill?
A) a nurse helps a patient prepare a living will.
B) a nurse obtains a urine sample for a urinalysis.
C) a nurse explains the rationale for a patients plan of care.
,D) a nurse holds the hand of a woman whose baby died in childbirth.
14. A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with downs
syndrome. The nurse makes referrals for a parent support group for the family. T his is an example of
which nursing role?
A) teacher/educator
B) leader
C) counselor
D) collaborator
15. A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Which of the
following actions is the best example of using the collaborator role as a nurse?
A) discussing the legal aspects of adoption for teens wishing to place their infants with a family
B) searching the internet for information on child care for the teens who wish to return to school
C) conducting a patient interview and documenting the information on the patients chart
D) referring a teen who admits having suicidal thoughts to a mental healthcare specialist
16. A nurse instructor explains the concept of health to her students. Which of the following
statements accurately describes this state of being?
A) health is a state of optimal functioning.
B) health is an absence of illness.
C) health is always an objective state.
D) health is not determined by the patient.
17. A nurse incorporates the health promotion guidelines established by the u.s. department of health
document: healthy people 2010. Which of the following is a health indicator d iscussed in this
document?
A) cancer
B) obesity
C) diabetes
D) hypertension
,18. A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. Thisis an
example of which of the following aims of nursing?
A) promoting health
B) preventing illness
C) restoring health
D) facilitating coping with disability or death
19. Which of the following is a criteria that defines nursing as profession?
A) an undefined body of knowledge
B) a dependence on the medical profession
C) an ability to diagnose medical problems
D) a strong service orientation
20. Although all of the following are nursing responsibilities, which one would be expected of a nurse
with a baccalaureate degree?
A) providing direct physical care
B) using research findings to improve practice
C) administering medications as prescribed
D) collaborating with other healthcare providers
21. Amy jones, a high school senior, wants to become a geriatric nurse practitioner. What nursing
degree will she need to attain this goal?
A) licensed practical nurse
B) associate degree
C) baccalaureate degree
D) masters degree
22. Why are nursing organizations important for the continued development and improvement of
nursing as a whole?
A) to provide socialization and networking for members
,B) to regulate work activities for members
C) to set standards for nursing education and practice
D) to provide information to nurses about legal requirements
23. Which of the following organizations has established standards for clinical nursing practice?
A) american nurses association
B) national league for nursing
C) international council of nurses
D) state board of nursing
24. What is the primary purpose of standards of nursing practice?
A) to provide a method by which nurses perform skills safely
B) to ensure knowledgeable, safe, comprehensive nursing care
C). To establish nursing as a profession and a discipline
D). To enable nurses to have a voice in healthcare policy
25. After graduation from an accredited program in nursing and successfully passing the
nclex, what gives the nurse a legal right to practice?
A) enrolling in an advanced degree program
B) filing nclex results in the county of residence
C) being licensed by the state board of nursing
D) having a signed letter confirming graduation
26. A nurse has been tried and found guilty of the felony crime of forgery. How might thisaff
ect the nurses license to practice nursing?
A) it will have no effect on the ability to practice nursing.
B) the nurse can practice nursing at a less-skilled level.
C) the license may be revoked or suspended.
D) the license will permanently carry the felony conviction.
, 27. Nurses use the nursing process to focus care on human responses to what?
A) interactions with the environment
B) physical effects of disease
C) outcomes of medical or surgical treatment
D) actual or potential health problems
28. Which age group in the population is expanding most rapidly, resulting in changes in the delivery
of healthcare?
A) older adults
B) young adults
C) school-aged children
D) newborns
29. Which of the following is a current trend affecting nursing education and practice?
A) over abundance of graduating nurses
B) office-based care delivery systems
C) increase in length of hospital stay
D) increase in chronic health conditions
Answer key
1. C, e, f
2. B
3. A
4. D
5. C
