,CHAPTER TOPIC
CHAPTER 1 Introduction to the Nursing Profession: Evolution, Theories, and
Practice
CHAPTER 2 Communication
CHAPTER 3 Healthcare Delivery Systems
CHAPTER 4 Health, Wellness, and Community-Based Health Care
CHAPTER 5 Cultural Competence
CHAPTER 6 Promoting Individualized Care
CHAPTER 7 Vital Signs
CHAPTER 8 Admission, Transfer, and Discharge
CHAPTER 9 Safety and Security
CHAPTER 10 Infection Control and Prevention
CHAPTER 11 Medication Administration
CHAPTER 12 Assessment: Recognizing Cues
CHAPTER 13 Diagnosis and Planning: Analyzing, Prioritizing, and
Generating Solutions
CHAPTER 14 Implementation and Evaluation: Taking Action, Evaluating
Outcomes & documentation
CHAPTER 15 Evidence-Based Research, Quality Improvement, and
Collaborative Practice
CHAPTER 16 Legal and Ethical Considerations
CHAPTER 17 Patient and Family Education
CHAPTER 18 Leadership and Management in Nursing
CHAPTER 19 Oxygenation and Perfusion
CHAPTER 20 Fluid, Electrolyte, and Acid-Base Balance
CHAPTER 21 Nutrition
CHAPTER 22 Activity
CHAPTER 23 Neuromuscular Function
CHAPTER 24 Skin Integrity
CHAPTER 25 Hygiene
CHAPTER 26 Urinary Elimination
CHAPTER 27 Bowel Elimination
CHAPTER 28 Sleep and Rest
CHAPTER 29 Sensory Alterations
CHAPTER 30 Pain Assessment
CHAPTER 31 Perioperative Nursing Care
CHAPTER 32 Self-Concept
CHAPTER 33 Sexuality
CHAPTER 34 Stress, Adaptation, and Homeostasis
CHAPTER 35 Spirituality
,CHAPTER 36 Grief, Loss, Death, and Dying
CHAPTER 37 Family Dynamics
CHAPTER 38 Growth and Development
CHAPTER 39 Conception Through Adolescence
CHAPTER 40 Young and Middle-Aged Adults
CHAPTER 41 Older Adults
CHAPTER 42 Caring for Patients with Disability and Chronic Illness
CHAPTER 43 Clinical Judgment and Critical Thinking
, CHAPTER 1: INTRODUCTION TO THE NURSING
PROFESSION – EVOLUTION, THEORIES, AND PRACTICE
Question 1
A nurse in a rural community clinic encounters a client who believes illness is caused by spiritual
imbalance. Which nursing approach best reflects culturally competent care?
A. Explaining that illness results from germs and bacteria
B. Ignoring the client’s beliefs and focusing on treatment
C. Integrating the client’s beliefs into the care plan when possible
D. Asking the client to stop traditional practices immediately
Answer: C. Integrating the client’s beliefs into the care plan when possible
Rationale: Cultural competence involves respecting and incorporating patients’ beliefs into care
to enhance trust and outcomes. Ignoring or dismissing cultural beliefs can harm the therapeutic
relationship.
Reference: Ch. 1.1 Evolution of Nursing and Nursing Practice — Cultural Competence in Care
(OpenStax, 2024)
Question 2
During the COVID-19 pandemic, a nurse uses telehealth to educate a patient with chronic lung
disease on inhaler use. Which competency is demonstrated?
A. Evidence-based practice
B. Informatics and technology use
C. Teamwork and collaboration
D. Safety and infection control
Answer: B. Informatics and technology use
Rationale: Using telehealth to provide education demonstrates informatics competency, one of
the QSEN core skills required in modern nursing practice.
Reference: Ch. 1.1 Rise of Technology in Health Care (OpenStax, 2024)
Question 3
A nurse manager notices new graduate nurses are struggling with delegation. To correct this, the
manager arranges a workshop on the “Five Rights of Delegation.” This action best demonstrates:
A. Quality improvement
B. Leadership and education
C. Nursing autonomy
D. Evidence-based research
CHAPTER 1 Introduction to the Nursing Profession: Evolution, Theories, and
Practice
CHAPTER 2 Communication
CHAPTER 3 Healthcare Delivery Systems
CHAPTER 4 Health, Wellness, and Community-Based Health Care
CHAPTER 5 Cultural Competence
CHAPTER 6 Promoting Individualized Care
CHAPTER 7 Vital Signs
CHAPTER 8 Admission, Transfer, and Discharge
CHAPTER 9 Safety and Security
CHAPTER 10 Infection Control and Prevention
CHAPTER 11 Medication Administration
CHAPTER 12 Assessment: Recognizing Cues
CHAPTER 13 Diagnosis and Planning: Analyzing, Prioritizing, and
Generating Solutions
CHAPTER 14 Implementation and Evaluation: Taking Action, Evaluating
Outcomes & documentation
CHAPTER 15 Evidence-Based Research, Quality Improvement, and
Collaborative Practice
CHAPTER 16 Legal and Ethical Considerations
CHAPTER 17 Patient and Family Education
CHAPTER 18 Leadership and Management in Nursing
CHAPTER 19 Oxygenation and Perfusion
CHAPTER 20 Fluid, Electrolyte, and Acid-Base Balance
CHAPTER 21 Nutrition
CHAPTER 22 Activity
CHAPTER 23 Neuromuscular Function
CHAPTER 24 Skin Integrity
CHAPTER 25 Hygiene
CHAPTER 26 Urinary Elimination
CHAPTER 27 Bowel Elimination
CHAPTER 28 Sleep and Rest
CHAPTER 29 Sensory Alterations
CHAPTER 30 Pain Assessment
CHAPTER 31 Perioperative Nursing Care
CHAPTER 32 Self-Concept
CHAPTER 33 Sexuality
CHAPTER 34 Stress, Adaptation, and Homeostasis
CHAPTER 35 Spirituality
,CHAPTER 36 Grief, Loss, Death, and Dying
CHAPTER 37 Family Dynamics
CHAPTER 38 Growth and Development
CHAPTER 39 Conception Through Adolescence
CHAPTER 40 Young and Middle-Aged Adults
CHAPTER 41 Older Adults
CHAPTER 42 Caring for Patients with Disability and Chronic Illness
CHAPTER 43 Clinical Judgment and Critical Thinking
, CHAPTER 1: INTRODUCTION TO THE NURSING
PROFESSION – EVOLUTION, THEORIES, AND PRACTICE
Question 1
A nurse in a rural community clinic encounters a client who believes illness is caused by spiritual
imbalance. Which nursing approach best reflects culturally competent care?
A. Explaining that illness results from germs and bacteria
B. Ignoring the client’s beliefs and focusing on treatment
C. Integrating the client’s beliefs into the care plan when possible
D. Asking the client to stop traditional practices immediately
Answer: C. Integrating the client’s beliefs into the care plan when possible
Rationale: Cultural competence involves respecting and incorporating patients’ beliefs into care
to enhance trust and outcomes. Ignoring or dismissing cultural beliefs can harm the therapeutic
relationship.
Reference: Ch. 1.1 Evolution of Nursing and Nursing Practice — Cultural Competence in Care
(OpenStax, 2024)
Question 2
During the COVID-19 pandemic, a nurse uses telehealth to educate a patient with chronic lung
disease on inhaler use. Which competency is demonstrated?
A. Evidence-based practice
B. Informatics and technology use
C. Teamwork and collaboration
D. Safety and infection control
Answer: B. Informatics and technology use
Rationale: Using telehealth to provide education demonstrates informatics competency, one of
the QSEN core skills required in modern nursing practice.
Reference: Ch. 1.1 Rise of Technology in Health Care (OpenStax, 2024)
Question 3
A nurse manager notices new graduate nurses are struggling with delegation. To correct this, the
manager arranges a workshop on the “Five Rights of Delegation.” This action best demonstrates:
A. Quality improvement
B. Leadership and education
C. Nursing autonomy
D. Evidence-based research
