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1.
A client reports to the emergency department with ankle pain due to a minor road accident. By
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asking the client to describe the accident, which type of nursing skill is the nurse using?
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A. assessment skills v6
B. comforting skills v6
C. counseling skills v6
D. caringskills v6
v6Answer: A v6
,Rationale: By asking the client to describe the accident, the nurse is using assessment skills to
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collect more information about the client's condition. The nurse is interviewing the client to
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collect related data. The nurse is not using comforting skills, as the nurse is not providing any
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emotional support. The counseling skills of the nurse are also not used, as no health education is
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provided. Caring skills include assistance provided with the activities of daily living, which is
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not applicable in this scenario.
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Question format: Multiple Choice v6 v6 v6
Chapter 1: Nursing Foundations
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Cognitive Level: Understand
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Client Needs: Safe, Effective Care Environment: Management of Care Integrated
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Process: Nursing Process
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Reference: p. 15 v6 v6
2. One of the nursing achievements in the Crimean War was that the death rate of soldiers
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dropped from 60% to 1%. What is the most appropriate reason for the fall in the death rate?
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A. increased motivation among the soldiers v6 v6 v6 v6
B. decreased rate of infection and gangrene v6 v6 v6 v6 v6
C. increased funds courtesy of donations from families v6 v6 v6 v6 v6 v6
D. college-based education and training of nurses v6 v6 v6 v6 v6
v6 Answer: B v6
Rationale: During the Crimean War, the death rate of British soldiers was 60%, which
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dropped to 1% due to the nursing care provided. The nurses improved the ventilation,
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nutritional, and sanitary conditions of the soldiers, leading to decreased rates of infection and
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gangrene. As a result, the death rate dropped. The families and the soldiers donated funds
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after the war, not during the war, through which an organized education and training facility
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for nurses was started.
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Question format: Multiple Choice v6 v6 v6
Chapter 1: Nursing Foundations
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Cognitive Level: Remember
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Client Needs: Safe, Effective Care Environment: Safety and Infection Control
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Integrated Process: Nursing Process
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Reference: p. 3 v6 v6
3. A nurse at a health care facility provides information, assistance, and encouragement to
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clients during the various phases of nursing care. In which activity does the nurse use
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counseling skills?
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A. educating a group of young girls about AIDS v6 v6 v6 v6 v6 v6 v6
B. telling a client to localize the pain in his abdomen
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C. encouraging a client to walk without support v6 v6 v6 v6 v6 v6
,D. assisting a lactating mother in feeding her child v6 v6 v6 v6 v6 v6 v6
v6 Answer: A v6
Rationale: The activity of educating a group of young girls about AIDS is based on the nurse
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using counseling skills. Telling a client to localize his pain is an assessment skill.
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Encouraging a client to walk without support can be both a comforting skill and a caring skill.
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Assisting a lactating mother in feeding her baby is an example of a caring skill.
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Question format: Multiple Choice v6 v6 v6
Chapter 1: Nursing Foundations
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Cognitive Level: Understand
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Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
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Client Needs: Safe, Effective Care Environment: Management of Care
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Client Needs: Health Promotion and Maintenance
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Client Needs Pn: Health Promotion and Maintenance
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Integrated Process: Teaching/Learning
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Reference: p. 15 v6 v6
4. A nurse is conducting an interview of a 40-year-old client who is admitted with chest pain.
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Which action by the nurse indicates active listening?
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A. listening to the client silently v6 v6 v6 v6
B. interrupting after each sentence v6 v6 v6
C. asking for clarifications and repetitions v6 v6 v6 v6
D. talking about the nurse's own experience v6 v6 v6 v6 v6
v6 Answer: C v6
Rationale: Active listening is an important component of counseling skills. It encourages the
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client to open up and express their concerns. The nurse may ask the client to repeat and clarify
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statements. Interrupting after every sentence may annoy the client. When the nurse listens to
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the client silently, the client may feel that the nurse is not interested. On the other hand, if the
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nurse talks about the nurse's own experience, the focus of the session shifts to the nurse rather
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than to the client.
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Question format: Multiple Choice v6 v6 v6
Chapter 1: Nursing Foundations
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Cognitive Level: Apply
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Client Needs: Psychosocial Integrity
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Integrated Process: Caring
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Reference: p. 15
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5. A student wants to attend a nursing program that prepares its graduates for both staff and
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managerial positions. Which type of nursing program should the nurse suggest for this
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student?
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A. hospital-based diploma v6
B. baccalaureate nursing program v6 v6
C. associate degree program v6 v6
D. continuingnursing program v6 v6
v6 Answer: B v6
, Rationale: Baccalaureate-prepared nurses have the greatest potential for qualifying for nursing
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positions at both staff and managerial levels. Hospital-based diploma programs are 3- year
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courses and provide maximum exposure to clinical nursing. Students becoming nurses
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through the associate degree program would not be expected to work in a management
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position. Continuing nursing programs are on-the-job educational programs.
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Question format: Multiple Choice v6 v6 v6
Chapter 1: Nursing Foundations
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Cognitive Level: Remember
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Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
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Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Teaching/Learning
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Reference: p. 11 v6 v6
6. A client is brought to the emergency department with a head injury following an all-terrain
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vehicle (ATV) accident. The nurse asks the family members to describe how the accident
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occurred. The nurse is implementing which type of skill?
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A. assessment skills v6
B. caring skills v6
C. counseling skills v6
D. comfortingskills v6
v6 Answer: A v6
Rationale: The immediate requirement when a client is brought to the emergency department
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with a head injury is to assess the injury and the system affected, as well as a description of
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how the accident occurred. This requires implementation of assessment skills. Subsequently,
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the nurse can implement caring skills, counseling skills, and comforting skills; however,
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assessment should be the priority.
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Question format: Multiple Choice v6 v6 v6
Chapter 1: Nursing Foundations
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Cognitive Level: Understand
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Client Needs: Safe, Effective Care Environment: Management of Care Integrated
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Process: Nursing Process
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Reference: p. 15 v6 v6
7. Training schools for nurses were established in the United States after the Civil War. The
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standards of U.S. schools deviated from those of the Nightingale paradigm. Which statement
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is true about U.S. training schools?
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A. Training schools were affiliated with a few select hospitals. v6 v6 v6 v6 v6 v6 v6 v6
B. Training of nurses provided no financial advantages to the hospital. v6 v6 v6 v6 v6 v6 v6 v6 v6
C. Training was formal, based on nursing care. v6 v6 v6 v6 v6 v6
D. Training schools eliminated the need to pay employees. v6 v6 v6 v6 v6 v6 v6
Answer: D v6
Rationale: Training schools in the United States profited by eliminating the need to pay
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employees because students worked without pay in return for training, which usually
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consisted of chores. U.S. training schools were established by any hospital; there was no
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formal training. Training was an outcome of work, which eliminated the need to pay
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employees. Nightingale training schools were affiliated with a few select hospitals, training
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