FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING

CHAPTER 12: ADULTHOOD AND THE FAMILY Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. A 48-year-old woman asks the clinic nurse about symptoms she has experienced, such as trouble sleeping, because she wakes up feeling hot and sweaty. She has also felt tired and depressed about aging. The most helpful nursing response would be: a. “You may have an illness that the doctor should evaluate.” b. “It sounds to me as though you might have ...

CHAPTER 11: GROWTH AND DEVELOPMENT: INFANCY THROUGH ADOLESCENCE Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. The school nurse is alert to the behavior of a child who has extremely permissive parents, because this sort of parenting style produces children who are: a. mistrusting. b. depressed. c. anxious. d. impulsive. ANS: D Permissive parenting produces children who are impulsive, aggressive, and lacking in self-control. DI...

CHAPTER 10: DELEGATION, LEADERSHIP, AND MANAGEMENT Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. Nursing documentation that would best assist with reimbursement to a facility would be: a. Patient was up in chair for 2 hours after breakfast. b. Patient was ambulated in the hall three times this shift. c. Patient was assisted to a recliner chair to use the oxygen concentrator. d. Patient received bath in shower room. ANS: C Nurses...

CHAPTER 09: PATIENT TEACHING FOR HEALTH PROMOTION Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. Because a person may learn best in a particular manner, to improve patient teaching, the nurse should: a. ask the patient whether he learns best visually, aurally, or kinesthetically. b. use a hands-on approach, because it works best for most people. c. test the patient’s reading comprehension before using visual handouts. d. use a combin...

CHAPTER 08: COMMUNICATION AND THE NURSE-PATIENT RELATIONSHIP Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. The nurse is aware that the purpose of therapeutic communication is to: a. gather as much information as possible about the patient’s problem. b. direct the patient to communicate about his deepest concerns. c. focus on the patient and the patient needs to facilitate interaction. d. gain specific medical information and history...

CHAPTER 07: DOCUMENTATION OF NURSING CARE Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. A nurse begins the shift caring for a patient who has just returned from the recovery room after surgery. It is most important to document: a. at the end of the shift so that the nurse can give his full attention and time to the patient’s needs during the shift. b. a nursing care plan in the medical record before assessing the patient so that the n...

CHAPTER 06: IMPLEMENTATION AND EVALUATION Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. An example of an appropriately worded nursing goal or outcome for the nursing diagnosis of “Risk for falls related to weakness” would be: a. nurse will assist the patient to the bathroom every 2 hours. b. patient will be free of injury from falls. c. patient will call for assistance when ambulating for the next week. d. nurse will keep room wel...

CHAPTER 05: ASSESSMENT, NURSING DIAGNOSIS, AND PLANNING Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. A patient with visual impairment is identified as at-risk for falls related to blindness. An appropriate intervention would be: a. assist the patient with feeding herself at the end of the meal. b. arrange furnishings in room to provide clear pathways and orient the patient to these. c. take the patient’s blood pressure before she ge...

CHAPTER 04: THE NURSING PROCESS AND CRITICAL THINKING Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. When a patient states, “I can’t walk very well,” the first problem-solving step would be to: a. consider alternatives such as a wheelchair or walker. b. find out what the problem is, such as weakness or poor balance. c. choose the alternative with the best chance of success. d. consider the outcomes of the choices, such as danger ...

CHAPTER 03: LEGAL AND ETHICAL ASPECTS OF NURSING Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. A postoperative patient in the intensive care unit (ICU) is so confused and agitated that staff have not been able to safely care for him. He has pulled out his central line once, and he slides to the bottom of the bed, where he attempts to climb out, pulling and disrupting the various tubes and monitors. The nurse’s best course of action is t...