Timby's Fundamental Nursing Skills and Concepts 13th Edition by Moreno
N J N J N J N J N J N J N J N J N J NJ
Chapter 1 N J
Nursing Foun NJ
dations Multiple Choice
N J N J
Identify the choice that best completes the statement or answers the question.
NJ N J N J N J N J N J N J N J N J N J N J
1. The medical- N J
surgical nurse identifies a clinical practice issue and wants to determin
N J N J N J N J N J N J NJ N J N J N J
,e if there is sufficient evidence to support a change in practice. Whic
N J N J N J N J N J N J N J N J N J N J NJ N J
h type of study provides the strongest evidence to support a practice c
N J N J N J N J N J N J N J N J N J u NJ N J
hange?
• Randomized control study N J N J
• Quasi-experimental study NJNJ
• Case-control study N J
• Cohort study N J
2. The medical-surgical unit recently implemented a patient-
NJ NJ NJ NJ NJ NJ
NJ centered care model. Which action implemented by the nurse supports this
NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ N
J model?
• Evaluating care N J
• Assessing needs N J
• Diagnosing problems N J
• Providing compassion N J
3. Which action should the nurse implement when providing patient
N J N J N J N J N J N J N J N J N J
care in order to support The Joint
N J NJ N J N J NJ NJ
Commission’s (TJC) National Patient Safety Goals (NPSG)?
N J N J N J N J N J N J
• Silencing a cardiorespiratory monitor N J N J N J
• Identifying each patient using one source N J N J N J N J NJ
• Determining patient safety issues upon admission N J N J N J N J NJ
• Decreasing the amount of pain medication administered
N J N J N J N J N J NJ
4. Which interprofessional role does the nurse N J N J N J N J N J N J
often assume when providing patient care in an acute care s
NJ NJ N J N J N J N J N J N J N J N J
etting?
• Social worker N J
• Client advocate N J
• Care coordinator N J
• Massage therapist N J
5. The medical- NJ
surgical nurse wants to determine if a policy change is needed for an identified
NJ N J N J N J N J NJ N J NJ N J N J NJ N J N J
clinical problem.
N J NJ
Which is the first action the nurse should implement?
N J NJ N J N J NJ N J NJ NJ
• Developing a question N J N J
• Disseminating the findings N J N J
• Conducting a review of the literature N J N J N J N J NJ
• Evaluating outcomes of practice change N J N J N J N J
, 6. The nurse is evaluating the level of evidence found duri
N J N J N J N J N J N J N J N J N J
ng a recent review of the literature. Which evidence carries the lowest leve
N J NJ NJ NJ NJ NJ NJ NJ NJ NJ N J NJ
l of support for a practice change?
N J NJ NJ N J N J N J
• Level IV N J
• Level V NJ
• Level VI N J
• Level VII N J
7. The nurse is reviewing evidence from a quasi- N J N J N J N J N J N J N J
experimental research study. Which level of evidence should the nurse
NJ N J NJ N J N J N J N J N J N J N
Jidentify for this research study?
N J N J NJ N J
• Level I N J
• Level II N J
• Level III N J
• Level IV N J
8. Which level of evidence should the nurse identify N J N J N J N J N J N J N J NJ
when reviewing evidence from a single descriptive research study?
NJ N J N J N J N J N J N J N J
• Level IV N J
• Level V NJ
• Level VI N J
• Level VII N J
9. Which statement should the nurse make when communicating the N J N J N J N J N J N J N J NJ N J
“S” in the SBAR approach for effective
N J NJ N J N J N J NJ
communication?
• “The patient presented to the emergency department at 0200 with lo
N J N J N J NJ N J N J N J N J N J N J
wer left abdominal pain.” N J NJ N J
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
NJ N J NJ NJ NJ NJ NJ NJ N J NJ N J NJ N J NJ
• “The patient has no significant issues in the medical history.”
N J N J NJ N J N J NJ N J N J NJ
• “The patient was given a prescribed opioid analgesic at 0300.”
N J N J N J N J N J N J N J N J NJ
10. The staff nurse is communicating with the change nurse
N J N J N J N J N J N J N J N J N
Jabout the change of status of the patient. The nurse would begin
NJ N J N J N J N J N J N J N J N J N J N J N J
her communication with which statement if correctly using the SBAR
NJ N J N J N J N J N J N J N J N J
format?
NJ
• “The patient’s heartrate is 110.”
N J N J N J NJ
• “I think this patient needs to be transferred to the critical care unit.”
NJ NJ N J NJ NJ N J NJ NJ NJ NJ NJ NJ
• “The patient is a 68-year-old male patient admitted last night.”
NJ N J N J N J N J N J N J N J NJ
• “The patient is complaining of chest pain.”
N J N J N J N J N J NJ
11. Which nursing action exemplifies the Quality and
Safety Education for Nursing (QSEN) competency of safety
NJ N J N J N J N J N J N J
?
• Advocating for a patient who is experiencing pain
N J N J N J N J N J N J NJ
• Considering the patient’s culture when planning care
N J N J N J N J N J NJ
• Evaluating patient learning style prior to implementing discharge instructions
N J N J N J N J N J N J N J NJ
• Assessing the right drug prior to administering a prescribed patient medication
N J N J N J N J N J N J N J N J N J NJ
12. Which type of nursing is the root of all other nursing practice areas?
NJ NJ NJ N J NJ NJ NJ N J NJ NJ NJ N J
• Pediatric nursing N J
, • Geriatric nursing N J
• Medical-surgical nursing N J
• Mental health-psychiatric
N J N J nursing
13. Which did the Nursing Executive Center of The Advisory
N J N J N J NJ N J N J NJ NJ N J
Board identify as an academic-practice gap for new graduate nurses?
NJ N J N J N J N J N J N J N J N J
• Patient advocacy N J
• Patient education N J
• Disease pathophysiology
NJNJ
• Therapeutic communication
14. Which statement regarding the use of the nursing process in
N J N J NJ N J NJ NJ N J NJ N J N J
clinical practice is accurate?
NJ N J N J
• “The nursing process is closely related to clinical decision-making.”
N J N J N J N J N J N J N J NJ
• “The nursing process is used by all members of the interprofessional team
N J N J N J NJ N J NJ N J N J N J N J N J
to plan care.”
N J N J NJ
• “The nursing process has 4 basic steps: assessment, pla
N J N J N J N J N J N J N J N J
nning, implementation, evaluation.” NJ N J
• “The nursing process is being replaced by the implementation of ev
N J N J N J N J N J N J N J N J N J N J
idence- based practice.” NJ NJ
15. Which is the basis of nursing care practices and protocols?
N J N J N J N J NJ N J N J N J N J
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related t
N J N J N J N J N J N J N J N J N J
o care provided in the hospital setting?
N J NJ NJ N J N J NJ
• Space in hospital rooms
N J N J N J
• Medications received to treat pain N J N J N J NJ
• Time spent with the health-care team
NJ N J NJ N J NJ
• Poor quality food received from dietary
N J N J N J N J NJ
17. The nurse manager is preparing a medical-
N J N J N J N J NJ N J
surgical unit for The Joint Commission (TJC) visit With the nurse manage
N J N J NJ N J NJ N J N J N J N J N J N J
r presenting staff education focusing on TJC benchmarks, which of the f
N J N J N J NJ N J N J N J N J N J N J N J
ollowing topics would be most appropriate?
N J N J N J N J NJ
• Implementation of evidence-based practice N J N J N J
• Implementation of patient-centered care N J N J N J
• Implementation of medical asepsis practices N J N J N J N J
• Implementation of interprofessional care N J N J N J
18. Which aspect of patient- N J N J N J
centered care should the nurse manager evaluate prior to The Joint
N J N J N J N J N J NJ N J N J N J N J N J
Commission site visit for accreditation?
N J N J N J N J
• Visitation rights N J
• Education level of staff N J N J NJ
• Fall prevention protocol
N J N J
• Infection control practices N J N J
N J N J N J N J N J N J N J N J N J NJ
Chapter 1 N J
Nursing Foun NJ
dations Multiple Choice
N J N J
Identify the choice that best completes the statement or answers the question.
NJ N J N J N J N J N J N J N J N J N J N J
1. The medical- N J
surgical nurse identifies a clinical practice issue and wants to determin
N J N J N J N J N J N J NJ N J N J N J
,e if there is sufficient evidence to support a change in practice. Whic
N J N J N J N J N J N J N J N J N J N J NJ N J
h type of study provides the strongest evidence to support a practice c
N J N J N J N J N J N J N J N J N J u NJ N J
hange?
• Randomized control study N J N J
• Quasi-experimental study NJNJ
• Case-control study N J
• Cohort study N J
2. The medical-surgical unit recently implemented a patient-
NJ NJ NJ NJ NJ NJ
NJ centered care model. Which action implemented by the nurse supports this
NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ N
J model?
• Evaluating care N J
• Assessing needs N J
• Diagnosing problems N J
• Providing compassion N J
3. Which action should the nurse implement when providing patient
N J N J N J N J N J N J N J N J N J
care in order to support The Joint
N J NJ N J N J NJ NJ
Commission’s (TJC) National Patient Safety Goals (NPSG)?
N J N J N J N J N J N J
• Silencing a cardiorespiratory monitor N J N J N J
• Identifying each patient using one source N J N J N J N J NJ
• Determining patient safety issues upon admission N J N J N J N J NJ
• Decreasing the amount of pain medication administered
N J N J N J N J N J NJ
4. Which interprofessional role does the nurse N J N J N J N J N J N J
often assume when providing patient care in an acute care s
NJ NJ N J N J N J N J N J N J N J N J
etting?
• Social worker N J
• Client advocate N J
• Care coordinator N J
• Massage therapist N J
5. The medical- NJ
surgical nurse wants to determine if a policy change is needed for an identified
NJ N J N J N J N J NJ N J NJ N J N J NJ N J N J
clinical problem.
N J NJ
Which is the first action the nurse should implement?
N J NJ N J N J NJ N J NJ NJ
• Developing a question N J N J
• Disseminating the findings N J N J
• Conducting a review of the literature N J N J N J N J NJ
• Evaluating outcomes of practice change N J N J N J N J
, 6. The nurse is evaluating the level of evidence found duri
N J N J N J N J N J N J N J N J N J
ng a recent review of the literature. Which evidence carries the lowest leve
N J NJ NJ NJ NJ NJ NJ NJ NJ NJ N J NJ
l of support for a practice change?
N J NJ NJ N J N J N J
• Level IV N J
• Level V NJ
• Level VI N J
• Level VII N J
7. The nurse is reviewing evidence from a quasi- N J N J N J N J N J N J N J
experimental research study. Which level of evidence should the nurse
NJ N J NJ N J N J N J N J N J N J N
Jidentify for this research study?
N J N J NJ N J
• Level I N J
• Level II N J
• Level III N J
• Level IV N J
8. Which level of evidence should the nurse identify N J N J N J N J N J N J N J NJ
when reviewing evidence from a single descriptive research study?
NJ N J N J N J N J N J N J N J
• Level IV N J
• Level V NJ
• Level VI N J
• Level VII N J
9. Which statement should the nurse make when communicating the N J N J N J N J N J N J N J NJ N J
“S” in the SBAR approach for effective
N J NJ N J N J N J NJ
communication?
• “The patient presented to the emergency department at 0200 with lo
N J N J N J NJ N J N J N J N J N J N J
wer left abdominal pain.” N J NJ N J
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
NJ N J NJ NJ NJ NJ NJ NJ N J NJ N J NJ N J NJ
• “The patient has no significant issues in the medical history.”
N J N J NJ N J N J NJ N J N J NJ
• “The patient was given a prescribed opioid analgesic at 0300.”
N J N J N J N J N J N J N J N J NJ
10. The staff nurse is communicating with the change nurse
N J N J N J N J N J N J N J N J N
Jabout the change of status of the patient. The nurse would begin
NJ N J N J N J N J N J N J N J N J N J N J N J
her communication with which statement if correctly using the SBAR
NJ N J N J N J N J N J N J N J N J
format?
NJ
• “The patient’s heartrate is 110.”
N J N J N J NJ
• “I think this patient needs to be transferred to the critical care unit.”
NJ NJ N J NJ NJ N J NJ NJ NJ NJ NJ NJ
• “The patient is a 68-year-old male patient admitted last night.”
NJ N J N J N J N J N J N J N J NJ
• “The patient is complaining of chest pain.”
N J N J N J N J N J NJ
11. Which nursing action exemplifies the Quality and
Safety Education for Nursing (QSEN) competency of safety
NJ N J N J N J N J N J N J
?
• Advocating for a patient who is experiencing pain
N J N J N J N J N J N J NJ
• Considering the patient’s culture when planning care
N J N J N J N J N J NJ
• Evaluating patient learning style prior to implementing discharge instructions
N J N J N J N J N J N J N J NJ
• Assessing the right drug prior to administering a prescribed patient medication
N J N J N J N J N J N J N J N J N J NJ
12. Which type of nursing is the root of all other nursing practice areas?
NJ NJ NJ N J NJ NJ NJ N J NJ NJ NJ N J
• Pediatric nursing N J
, • Geriatric nursing N J
• Medical-surgical nursing N J
• Mental health-psychiatric
N J N J nursing
13. Which did the Nursing Executive Center of The Advisory
N J N J N J NJ N J N J NJ NJ N J
Board identify as an academic-practice gap for new graduate nurses?
NJ N J N J N J N J N J N J N J N J
• Patient advocacy N J
• Patient education N J
• Disease pathophysiology
NJNJ
• Therapeutic communication
14. Which statement regarding the use of the nursing process in
N J N J NJ N J NJ NJ N J NJ N J N J
clinical practice is accurate?
NJ N J N J
• “The nursing process is closely related to clinical decision-making.”
N J N J N J N J N J N J N J NJ
• “The nursing process is used by all members of the interprofessional team
N J N J N J NJ N J NJ N J N J N J N J N J
to plan care.”
N J N J NJ
• “The nursing process has 4 basic steps: assessment, pla
N J N J N J N J N J N J N J N J
nning, implementation, evaluation.” NJ N J
• “The nursing process is being replaced by the implementation of ev
N J N J N J N J N J N J N J N J N J N J
idence- based practice.” NJ NJ
15. Which is the basis of nursing care practices and protocols?
N J N J N J N J NJ N J N J N J N J
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related t
N J N J N J N J N J N J N J N J N J
o care provided in the hospital setting?
N J NJ NJ N J N J NJ
• Space in hospital rooms
N J N J N J
• Medications received to treat pain N J N J N J NJ
• Time spent with the health-care team
NJ N J NJ N J NJ
• Poor quality food received from dietary
N J N J N J N J NJ
17. The nurse manager is preparing a medical-
N J N J N J N J NJ N J
surgical unit for The Joint Commission (TJC) visit With the nurse manage
N J N J NJ N J NJ N J N J N J N J N J N J
r presenting staff education focusing on TJC benchmarks, which of the f
N J N J N J NJ N J N J N J N J N J N J N J
ollowing topics would be most appropriate?
N J N J N J N J NJ
• Implementation of evidence-based practice N J N J N J
• Implementation of patient-centered care N J N J N J
• Implementation of medical asepsis practices N J N J N J N J
• Implementation of interprofessional care N J N J N J
18. Which aspect of patient- N J N J N J
centered care should the nurse manager evaluate prior to The Joint
N J N J N J N J N J NJ N J N J N J N J N J
Commission site visit for accreditation?
N J N J N J N J
• Visitation rights N J
• Education level of staff N J N J NJ
• Fall prevention protocol
N J N J
• Infection control practices N J N J