FNP 590 Midterm Exam Questions and Answers As for 2024/2025 Graded A+;United States University

FNP 590 Midterm Exam Questions and Answers As for 2024/2025 Graded A+  FNP 590 Midterm Exam Questions and Answers As for 2024/2025 Graded A+ During a home visit, a nurse assists an individual to complete an application for disability services. The nurse is acting as a(n): Question 1 options: advocate. care manager. educator. A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following should be the initial action taken by the nurse to ensure the success of the program? Question 2 options: Assess the motivation level of the individuals Assess the knowledge level of the individuals Establish teacher-learner goals with the individuals Establish multiple teaching sessions with the individuals An example of a Hispanic American nurse promoting cultural competency is: Question 3 options: providing translation services for all Hispanic Americans. focusing on episodic care of illnesses with Hispanic Americans. taking a class about the Hispanic American culture. providing care for all Hispanic American persons in her clinic. The devaluing of beliefs, values, and customs of others is known as: Question 4 options: ethnocentrism. racism. cultural competency. Building a partnership with an obese individual who is trying to lose weight requires the nurse to: Question 5 options: schedule a day to exercise with the individual. go grocery shopping for the individual. learn about the methods of weight loss. Which of the following represents a method of secondary prevention? Question 6 options: Yearly mammograms Chemotherapy for advanced breast cancer Assuming that an individual’s own perspective is correct and shared by others is known as: Question 7 options: ethnocentrism. racism. cultural competency. A nurse who uses findings from a randomized, controlled trial on the care of Foley catheters to change practice at an institution is practicing: Question 8 options: evidence-based medicine. qualitative research. quantitative research. Which of the following demonstrates a nurse taking action to promote health and prevent disease? Question 9 options: Making a home visit to a person who is recovering from a heart attack Administering medications to a cardiac client in the hospital Providing cardiopulmonary resuscitation during a heart attack Which factor may have the most influence in changing the health behavior of a single, adult woman who smokes and is the care provider for her mother, her own children, and granddaughter? Question 10 options: Education regarding effects of smoking on her health The satisfaction that she will not contribute to secondhand smoke The availability of a weekly support group A state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context is known as: Question 11 options: growth and development. health. functioning. A nurse is asked to provide an expert opinion about the development of an education program for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n): Question 12 options: advocate. care manager. consultant. Which US report is considered a landmark document in creating a global approach to health? Question 13 options: The 1990 Health Objectives for the Nation: A Midcourse Review Healthy People 2020 Healthy People 2000 A person with chronic back pain is cared for by her primary care provider as well as receives acupuncture. Which model of health does this person likely favor? Question 14 options: Clinical model Role performance model Adaptive model Which of the following is most influenced by the social and economic environment of a community? Question 15 options: Social health policies Quality of care Evidence-based practice During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the nurse is acting as a(n): Question 16 options: advocate. care manager. A major cause of death in the early twentieth century was: Question 17 options: cancer. heart disease. infections. In reviewing a person’s medical claims, a nurse realizes that the individual with moderate persistent asthma has had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma management guidelines. The nurse discusses this with the person’s primary care provider. In this scenario, the nurse is acting as a(n): Question 18 options: advocate. care manager. consultant. Which of the following represents a method of primary prevention? Question 19 options: Informational session about healthy lifestyles Blood pressure screening Interventional cardiac catheterization A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation? Question options: Hispanic Americans value keeping balance and harmony with the earth. The oldest male is the decision maker in African American families. Native Americans are present oriented, taking one day at a time. Native Americans are generally present oriented, emphasizing events that are occurring now rather than events that will take one day at a time and in times of illness they cope by hoping for improvements the next day. Native Americans val and harmony with the earth. The oldest male is the decision maker and spokesperson in Asian American families. The h disease is part of the Hispanic culture. 0 An Asian American family has recently immigrated to the United States. Which of the following would provide an appropriate rationale when encouraging the family to send their child to school? Question options: According to law, all children must go to school. The child can get health care at school. Exposure to different cultures in school will enhance socialization. Exposure to different cultures in school facilitates the adoption of other cultural beliefs and aids in the socialization of t environment. 0 Which of the following was the fastest-growing minority group in the United States between 2000 and 2010? Question options: Arab American Hispanic American Native American Hide question 13 feedback A 43% increase in the Hispanic population between 2000 and 2010 makes Hispanics the fastest-growing minority group 0 A woman reports that she has strong spiritual practices. Which of the following is she most likely to experience? Question 2 options: Improved coping skills and social support Increased understanding of religious differences Decreased pain and improved healing When providing an educational session about the Arab American population, which of the following information would be included? Question 3 options: The largest group of Arab Americans was refugees in the 1960s. The largest groups of Arab Americans are from Palestine and Iraq. Members of the Arab American population are most likely to live in rural communities. A health care provider is working with an African American woman who has recently suffered a stroke and is homebound. She insists that she must get out of the house and attend Sunday worship services. What is the most likely explanation for her insisting that she participate in this cultural practice? Question 4 options: The church is the only place where prayer can be performed. The church serves as a social support for its members. The church is the place where the family meets on a weekly basis. A health care professional is searching for a funding source to develop a colorectal cancer screening program for ethnic and racial minorities in the community. Which of the following federal agencies would most likely be able to assist with this initiative? Question 20 options: The National Institute on Minority Health and Health Disparities The Centers for Disease Control and Prevention The Office of Minority Health A family has recently become homeless. Which of the following factors most likely contributed to this situation? Question options: Declining rates of poverty Having multiple chronic illnesses Being unable to find affordable housing Hide question 14 feedback The inability to find affordable housing, decline in public assistance, poverty, and eroding work opportunities all contri The increasing prevalence of poverty has caused an increase in the homeless population. Other factors that may affect th of affordable health care, domestic violence, mental illness, and addiction disorders. A person reports that she has been seeking care from an acupuncturist to help relieve the ch she has been experiencing. Which of the following statements would be the most appropriate the nurse? Question 7 options: “You should have told me that the current treatments were helping your pain.” “Tell me more about your treatments from the acupuncturist.” “Tell me why you decided to not to continue with your treatment plan.” 0 A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professional? Question 8 options: Homelessness should be addressed by improving financial assistance programs. Homelessness should be of concern to everyone in the neighborhood. Homelessness should be addressed by encouraging job growth in the area. Which of the following best demonstrates the practice of transcultural nursing? Question 9 options: Using previous knowledge about ethnic minority cultures to plan care Adapting nursing care to meet the need of a person from an ethnic minority Requesting an interpreter when caring for a person from an ethnic minority A nurse would like to improve his cultural competence. Which of the following is the best strategy to use? Question 10 options: Explore complementary and alternative medicine practices used by other cultures. Discuss cultural differences with coworkers. Provide care to diverse populations. A person states, “My grandmother is the decision maker in our family.” Which of the following is being described by the person? Question 11 options: Culture Race Ethnicity Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide? Question options: American Indian/Alaska Native Americans Asian Americans Latino/Hispanic Americans American Indian/Alaska Native Americans have disproportionately high death rates from unintentional injuries and suic situations and stresses of daily life contribute to an array of problems, including feelings of hopelessness, desperation, f substance abuse. 0 Which of the following actions demonstrates a health care professional providing culturally competent care? Question 14 options: Encouraging the person to take medications as prescribed Asking the person to describe his folk healing methods Demonstrating the proper way to administer an insulin injection A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care? Question 16 options: This ethnic culture tends to be future oriented. Religion plays an important role in this culture. Traditional cultural practices are infrequently used during a health crisis. A health care professional is caring for an individual who is homeless. Which of the following considerations should be made? Question 17 options: The prevalence of substance abuse is much lower among the homeless population than the general population. The prevalence of HIV/AIDS is much lower among the homeless population than the general population. The percentage of the population who has health insurance is much lower among the homeless than the general population. The nurse recommended to a 50-year-old woman that she schedule a routine mammogram. Which of the following would be the most important factor in this woman’s decision to schedule this exam? Question options: Race Ethnicity Cultural values Cultural values guide actions and decision-making that facilitates self-worth and self-esteem. They shape human behavi what individuals will do to maintain their health status, how they will care for themselves, and others who become ill, a whom they will seek health care. Race is associated with power and indexes the history or ongoing imposition of one’s above another. Ethnicity focuses on differences in meanings, values, and ways of living. Value orientations reflect the p particular society. 0 The interrelationship of poverty and health care dollars spent by Blacks and other minorities is affected greatly by: Question options: lack of access to preventive health care services low numbers of minority health care providers increased infant mortality rates in African American populations A decrease in resources for preventive care leads to the use of emergency rooms and other more expensive health care s used as resources when severe illness occurs. A nurse is told by a colleague that an Asian American individual on home care is using compl alternative medicine (CAM). Which of the following conclusions can accurately be drawn from Question 18 options: The client will have adverse complications from using this form of medicine. The client may be using meditation, acupuncture, or another therapy. The client will soon be returning to his or her native country for further treatment. Question 2 Adoption of a Canadian-style health care system in the United States has the potential to: Question options: decrease waiting times for tests and procedures. create further health disparities. increase the number of HMOs. Canadians with private health insurance and higher incomes have access to greater health care services and more exped translates to a two-tier system of health care, which can contribute to health disparities in health care access and quality Question 5 A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the pur lower costs by discouraging unnecessary treatments, is known as: Question options: managed care utilization review capitation A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpos costs by discouraging unnecessary treatments, is known as utilization review. Question 6 Which form of managed care restricts providers to caring for individuals who are members of their organization? Question options: Fee-for-service plan Health maintenance organization (HMO) Independent practice association (IPA) The traditional HMO was a group or staff model in which a group of physicians and some specialty services provided c Providers generally spent all their time serving members of the HMO. Fee-for-service, IPAs, and PPOs are not restricte any one organization. Question 9 Which person is at highest risk for being uninsured? Question options: 68-year-old retired mailman 48-year-old on renal dialysis 27-year-old who attends college and works part time in a small pizza parlor Young adults (27 years of age or older) are not eligible to be covered under their parents’ insurance. Medicare is availa age of 65 and for people who require dialysis. Medicaid and SCHIP are available for children whose families meet the f This child would likely meet criteria for either Medicaid or SCHIP because the parents are considered working poor. Be insurance is so expensive, it would be difficult for a 27-year-old to afford his or her own plan. Young adults often go wi because of the high costs. Question 10 The person known as the father of British and American public health is: Question options: Lillian Wald. Edwin Chadwick. Lemuel Shattuck. Edwin Chadwick is known as the father of British and American public health. Question 12 Which addition to a community best demonstrates the concept of the Healthy People 2020 report? Question options: New cardiothoracic intensive care unit at a major hospital New rehabilitation center New recreational health center The Healthy People 2020 report promotes health care, not illness care. A hospital, ICU, and rehabilitation center empha after an illness. The recreation health center serves to preserve health in the community and helps meet the goals of the 2020 report. Question 16 A community planning committee is working on the development of a community nursing center. Which of the follo components should be included in this center? Question options: Interdisciplinary staff Nurse as chief manager Partnership with an academic institution The essential components of a community nursing center include a nurse as chief manager, a nursing staff that is accou for care and professional practice, and nurses as the primary providers of care. Question 18 Which health care provider represents a primary care provider? Question options: Clinical nurse specialist Pediatric nurse practitioner Acute care nurse practitioner A primary care provider serves as a gatekeeper, coordinating care of individuals by determining the need for referrals a primary care provider can be a physician, physician’s assistant, or advanced practice nurse in a primary care setting. Th provider provides basic and routine care usually in an office or a clinic. A pediatric nurse practitioner is an example of a provider. QUIZ Questions WK 2 Question 1 options: Which of the following statements about nonverbal communication is true? Nonverbal behavior is not usually contextual. Nonverbal behavior is culturally and situationally bound. Nonverbal communication is the most important type of communication. Nonverbal communication is easy to interpret. Question 2 Which of the following is the first step in the valuing process? Acting out the choice Selecting from alternatives Being happy with personal beliefs and actions Choosing freely Question 3 A nurse and a man are involved in a conversation. When the person folds his arms across his chest, the nurse almost her arms across her chest. This behavior is recognized as: empathy. reciprocity. flexibility. spacing. Question 4 A nurse is providing education about improving self-awareness to a small group of women who have been victims o Which of the following should the nurse recommend the clients do first to improve their self-awareness? Use self-disclosure to share aspects of self. Listen to and learn from others. Listen to oneself and pay attention to emotions, thoughts, and reactions. Use others to bounce back your own thoughts and recollections. Question 5 A nurse is working with a person to increase his daily exercise and activity. Which of the following statements by th demonstrates the use of reflection? “I have also struggled with finding time to exercise on a regular basis.” “Regular exercise plays an important role in preventing many health problems.” “You said that you have difficulty making time in your day for exercise.” “It may be helpful if we developed a goal related to daily exercise. “ Question 6 A nurse is working on values clarification with a person who has chosen to smoke during her pregnancy. Which of t statements would be the most appropriate for the nurse to assist in this process? (select all that apply) all 4 is wrong, wrong. “Why do you smoke cigarettes? “What do you value most in life?” “Who has influenced your decision to smoke?” “Is your decision to smoke consistent with your values?” Question 7 A person has just been admitted to the hospital. In talking with the person, the nurse is able to elicit from her that the hospitalization is that her husband beat her up. Which characteristic of the therapeutic relationship is being demonst Empathy Trust Rapport Purposeful communication Question 8 A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To f client-centered communication, the nurse should: Question 8 options: ask the person what he is thinking, so they can understand each other. restate what the person said before silence ensued, to get clarification. change the subject to one that is more pleasant for the person to discuss. wait quietly to give the person time to reflect where he wants to lead the conversation. Question 9 A woman tells the nurse that she is very nervous about their meeting today. Which of the following relationship stag woman most likely experiencing? Orientation phase Working phase Therapeutic phase Termination phase Question 10 Which of the following statements about values is true? It is impossible for someone to understand his or her values. Values evolve over time; they are not static. Values assimilated in childhood are those held for a lifetime. Values clarification tells a person how to act. Question 11 A nurse is counseling someone who has recently been diagnosed with diabetes. The nurse says, “Tell me more about has affected your daily activities.” Which of the following best describes the type of communication the nurse is usi Verbal communication Nonverbal communication Metacommunication Functional communication Question 12 Which of the following statements can be identified as a method for clarifying a message? “I get very upset when you talk to me in that tone.” “You make me very angry when you drink alcohol.” “I can make you happy. I know I can.” “What I want from you is to be left alone!” Question 13 An individual reveals to the nurse that he is having an affair with his wife’s best friend. Which of the following state effective therapeutic communication between him and the nurse? “You know that what you are doing is wrong.” “Why would you want do something like that?” “How could you do that to your wife and children?” “This affair seems to be troubling you.” Question 14 Which of the following scenarios best describes a nurse using metacommunication? Using both touch and silence when counseling an individual Practicing reflection when interaction with an individual Discussing with an individual how to solve a problem Understanding that an individual needs a break before proceeding Question 15 A nurse has started admitting a new person on home care and is beginning to establish a relationship. Which of the f the most important thing for the nurse to do? Complete the paperwork in a timely fashion Establish open communication Conduct a complete physical health assessment Provide feedback to the person’s questions Question 16 The nurse makes sure that the distance between himself and the client is at least 6 feet before he begins to ask questi client’s health history. Which of the following statements is true? This is the ideal space for intimate communication. This distance is too far for the nurse to build a therapeutic relationship while obtaining the information. This is the recommended distance between client and nurse for effective therapeutic communication. The nurse should position himself an additional foot away to facilitate the conversation. Question 17 A nurse is in the process of establishing a therapeutic relationship with a person. Which of the following techniques nurse? (select all that apply) All 4 is wrong, 1&3 is wrong, 1,2,3- wrong, 1,3,4-wrong, 2,3,4- Question 17 options: Learn about the person’s interests. Sit close to the person. Show interest in the person’s concerns. Define the parameters of the relationship with the person. Question 18 Which of the following is an essential question that nurses should encourage individuals to ask at every health visit? apply)- All 4 is wrong, 2&3 is wrong, 2,3,4 is wrong, 1,2,4- wrong, 1,3,4- “What is my main problem?” “Why is it important for me to do this?” “What do I need to do?” “What is the plan for the next visit?” Question 19 The nurse shares with her client the news that she, the nurse, is going to be married soon and tells the client about he Which of the following best describes the nurse’s actions? Question 19 options: The nurse is sharing inappropriate personal information with her client. The nurse is exhibiting a communication technique called self-disclosure. The nurse is attempting to show empathy with her client. The nurse is violating client confidentiality rights of the Health Insurance Portability and Accountability Act (HIPAA). Question 20 Which of the following best describes person-centered communication? The nurse says to the person seeking care, “Why do you continue to drink when you know it is not good for you?” The nurse responds to person seeking care’s request for pain medicine by saying, “It is not time for your pain medicine. You had it hours ago.” The client says to the nurse, “I think my husband is cheating on me.” The nurse responds by saying, “You think your husband is cheating on you?” Question 1 A nurse performs therapeutic touch with a person. Which of the following would be the first action that the nurse wo Centering Movement of hands above the body Treatment technique Attunement Question 2 An individual asks the nurse to explain yoga. Which of the following statements would be made by the nurse? Yoga requires the ability to assume and maintain certain poses. There are many different types of yoga. Yoga is the most strenuous of the movement therapies. The major benefit of yoga is an increase in physical exercise and flexibility. Question 3 The nurse has formulated a nursing diagnosis for a person with carpal tunnel syndrome of “Energy Field Disturbanc Blocking of Energy Flow Secondary to Repetitive Motion Injury.” Which of the following actions must the nurse ta planning interventions for this person? Move his or her hands over the person. Obtain permission to use healing touch therapy. Explain healing touch therapy. Focus on the area of disturbed energy flow. Question 4 Which of the following statements best defines the concept of holistic nursing care? Holistic nursing care is a family-centered approach to care. Holistic nursing care relies primarily on alternative medicine. Holistic nursing care takes into consideration all aspects of a person’s life. Holistic nursing care focuses on wellness rather than illness. Question 5 A nurse discussing aromatherapy at a community health fair. Which of the following aspects of this technique shoul Aromatherapy can be used by individuals without special training. Aromatherapy is a recently developed therapy based on the work of contemporary natural healers. Aromatherapy uses herbal scents in candles or incense as the primary method of delivery. Aromatherapy can cause an allergic reaction in some people. Question 6 The nurse is assisting an individual who is interested in music therapy. Which of the following statements made by t an understanding of this type of therapy? “I will select the music I listen to carefully. Energetic or rap music is not a good choice.” “I will need to find someone who has specialized in this type of therapy for best results.” “Chants, electronic sounds, or ‘designer music’ is generally the best choice.” “The music I choose may be different than what my spouse prefers.” Question 7 The nurse is teaching imagery as a method to reduce anxiety in preoperative individuals. Which of the following asp stress when teaching this technique? The benefits of guided imagery are primarily psychological. This technique promotes a sense of well-being. A “prayer circle” is needed for imagery to be most effective. Imagery produces only beneficial, calming results. Question 8 A nurse is discussing holistic health care with an individual. Which of the following explanations should the nurse i discussion? Empirical research has consistently demonstrated the value of alternative/complementary therapy. Self-reports of stress relief related to alternative/complementary therapy are numerous. The majority of research related to alternative/complementary therapy has utilized the scientific method. Research has, to date, been unable to verify the effectiveness of alternative/complementary therapy on health and well-being. Question 9 Which of the following describes a nurse who is “being with” the client? Answers a call bell Completes a dressing change Silently prays with a client when requested to do so Teaches a client about his or her medication regime Question 10 The nurse is conducting a community health education program concerning alternative/complementary therapies. W should be included in the presentation? Alternative/complementary therapy is primarily used when conventional medicine has failed to achieve desired results. Alternative/complementary therapy is used in both hospital and outpatient settings. Alternative/complementary therapy was popular in the late 1980s but is rarely used today. Alternative/complementary therapy primarily focuses on herbal remedies for common health deviations. Question 11 A nurse would like to include holistic nursing care in her nursing practice. Which of the following actions must the Learn the specific therapy method. Engage in self-exploration. Explore the various types of complementary therapies available. Ask the person which type of therapy he or she prefers. Question 12 The nurse is asked to explain acupuncture to a person. Which of the following statements concerning acupuncture w include in the explanation? Acupuncture is accomplished by inserting very fine needles into various areas of subcutaneous tissue. Acupuncture can be used to either diagnose or treat a health deviation. The main focus of acupuncture is to relieve stress. Moxibustion is the term used to describe a disturbed energy flow, which results in disease. Question 13 A person asks the nurse to explain the difference between acupuncture and acupressure. Which statement would be t response by the nurse? Acupressure uses massage and oil aromatherapy to stimulate meridian points. Acupuncture has been shown to relieve nausea and vomiting, but acupressure is not effective in relieving these symptoms. Acupressure stimulates meridian points by using pressing and stretching movements. Acupressure is achieved by applying more pressure to the fine needles inserted as part of acupuncture. Question 14 The nurse has just discussed reflexology with an individual. Which of the following statements would the person ma that learning has taken place? Reflexology is a therapy that uses upper back massage to control tension and stress. Reflexology uses massage of acupressure points to optimize positive energy flow. Reflexology uses pressure applied to specific hand and foot areas to relieve tension. Reflexology uses a squeezing or stretching motion to hands or feet to restore a positive energy flow. Question 15 In contrast to holistic health care, Western or allopathic medicine focuses on the: mind-body connection. impact of family relationships on health-seeking behaviors. physical aspects of health deviations. environmental impact on health. Question 16 Which of the following complementary/alternative therapies involves emphasizing healthy lifestyle, strengthening a body, and noninvasive treatments? Homeopathy Naturopathy Traditional Chinese medicine (TCM) Ayurvedic medicine Question 17 A person wishes to participate in a therapy involving energy utilization and dietary design. Which of the following t nurse recommend to the person? Polarity therapy Reiki Qi gong Pranic healing Question 18 A nurse is providing education about safety precautions for people to take when using complementary/alternative m Which of the following information would be included in this presentation? Question 4 options: The person is not receiving enough sleep. The person is receiving adequate sleep. The nurse must determine where the person sleeps. Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person’s function pattern by utilizing which area of focus? Question 5 options: Age-developmental Functional Individual-environmental A young couple is deciding if they should get married and start a family. Which of Erikson’s life stages are they experiencing? Question 6 options: Identity vs. role confusion Intimacy vs. isolation Generativity vs. stagnation When assessing a person’s nutritional-metabolic pattern, which objective finding would have implications for nursing intervention? Question 7 options: The person’s 24-hour diet diary The person’s dentition The person’s food preferences When assessing a client’s activity-exercise pattern, which subjective finding has implications for nursing practice? Question 8 options: A person’s decreased muscle tone A person’s amount of leisure time A person’s decreased range of motion A nurse administers the T-ACE test to a pregnant woman. The woman’s responses result in a score of 3. This score indicates that the woman: Question 9 options: requires interventions for problem drinking. lacks evidence of problem drinking. requires interventions for sexually transmitted disease risks. Which of the following is the leading cause of death among women? Question 10 options: Accidents Cancer Coronary artery disease A nurse is caring for a person with a potential dysfunction in the health-perception– health-management pattern. Which of the following nursing interventions would most likely be performed? Question 11 options: Arranging for home delivery of medication from the pharmacy Providing education regarding the dangers of smoking Instituting visiting nurse services for blood pressure checks Which scenario indicates a potentially dysfunctional pattern? Question 12 options: Adult with frequent urination Woman who lost her job Elderly person with blurred vision A Hispanic mother tells the nurse that she has been using home remedies for her child’s asthma. Which home remedy might this mother be using? Question 13 options: Acupuncture Cupping Hot tea Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns? Question 14 options: Erikson Gordon Newman A man is telling a nurse that he feels that his health is a gift from God. This statement most closely coincides with beliefs of which cultural group? Question 15 options: African Alaska Native Asian Which classification system fulfills needs that are exclusive to nursing? Question 16 options: The International Classification of Nursing Practice (ICNP) The International Classification of Functioning, Disability, and Health (ICF) The International Nursing Diagnoses Classification (NANDA-I) A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating? Question 17 options: Visual acuity Pupil reactivity Ability to drive A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care? Question 18 options: Decreased sense of hearing Decreased sense of smell Decreased sense of taste A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person? Question 19 options: Read in bed until he falls asleep. Avoid fluids after 7 PM. Exercise immediately before bedtime. A nurse working with a Hispanic family is explaining the plan for managing a child’s asthma to the child’s mother, father, and grandmother. To whom should the nurse direct the education? Question 20 options: Mother Father Grandmother A nurse is providing follow-up care for a family who has recently had a baby. Which of the following topics should the nurse anticipate discussing with the family? Question 1 options: Type 1 diabetes Fetal alcohol syndrome Communicable diseases A nurse has developed a family nursing diagnosis. Which of the following best describes the purpose of this action? Question 2 options: Describes the strengths of the family Allows for creation of goals for the family Promotes behavioral change among family members A nurse is collecting data for a family assessment using Gordon’s functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain? Question 3 options: Roles-relationship Cognitive-perceptual Health-perception–health-management Which of the following theories is an attempt to explain families as a set of interacting individuals with patterns of living that influence health decisions? Question 4 options: Feminist theory Systems theory Developmental theory A home care nurse is planning an intervention with a family focusing on decreasing susceptibility. Which of the following nursing interventions would be most appropriate to implement? Question 5 options: Education about building on current strengths of the family Education about hand hygiene Education about health care resources in the community A nurse is making a final home visit with a family to evaluate the nursing care plan. Which of the following actions would the nurse most likely complete during this visit? Question 6 options: Obtain vital signs from all members of the family. Ask the family members to state the goals that were previously developed. Collect data similar to that which was collected at the initial visit for comparison. The ecomap of a client’s family has slashed lines drawn from the son to the family church. Based on this information, what conclusion can the nurse make? Question 7 options: The son is deceased. The son is actively involved with the family church. The son has a stressful relationship with the church. A nurse is using a genogram to represent a family. Which of the following statements is accurate? Question 8 options: A genogram identifies the genetic disorders of the family. A genogram includes information about the past two generations. A genogram can be used to make connections about family health patterns. Which of the following best describes the nurse’s role in health promotion and disease prevention? Question 9 options: Educating about home safety measures Identifying areas for family improvement Implementing the nursing process using a systems perspective In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple? Question 10 options: Assist them to develop strategies that are congruent with their values. Allow each of them to defend his or her own values. Focus on outcomes that each wants to accomplish. Which of the following would be described as a family structural component? Question 11 options: Income earner of the house Socialization for the family Immunization of infants A nurse is conducting a health promotion assessment for a family with a 9-month-old. Which of the following should be of most concern to the nurse? Question 12 options: The age of the house in which the family lives Genetic diseases in the family Driving practices in the family A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools? Question 13 options: The number of questions asked on the assessment tool The linkages of the assessment to Healthy People 2020 The amount of involvement that the family has in completing the tool A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing? Question 14 options: Risk-factor Structural-functional Open systems The nurse is caring for a family who has 2-year-old twins. Which of the following health promotion advice would be included in the nurse’s plan of care for this couple? Question 15 options: Wear bicycle helmets for safety. Use caution around the family swimming pool. Cross the street at using the crosswalks. A nurse is caring for a family with an adolescent child. Which of the following problems would the nurse anticipate that the family would report? Question 16 options: Concerns about career decisions Concerns about exposure to environmental hazards Difficulty with parents finding fulfillment with raising the child A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take? Question 17 options: Study information regarding the family from agency records and other sources. Make a contract with the family that states specific goals and objectives. Identify how the home visit will be financed. A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation? Question 18 options: This child has most likely been abused. This child is one of multiple children closely spaced in age. This family suffers from low self-esteem. A client reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesn’t want to move. What action should the nurse take next? Question 19 options: Assess the client’s and family’s coping mechanisms in handling stress. Encourage the client to act excited about the move. Talk to the husband to get his perspective on the move. A nurse who is using Gordon’s functional health patterns is planning to assess its roles- relationships pattern. Which of the following questions would be most appropriate for the nurse to ask? Question 20 options: What is the family’s philosophy of health? What does the family do to have fun? How are problems in the family resolved? A nurse is assessing a community from both a developmental and risk perspective. Which of the following characteristics would be of most interest to the nurse? Question 1 options: Gender Age Race Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth. Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns? Question 2 options: Self-perception–self-concept pattern Role-relationships pattern Cognitive-perceptual pattern A nurse is working with a community that is experiencing an alteration in its values- beliefs pattern. Which of the following is most likely to result because of a disturbance in this functional health pattern? Question 3 options: Respiratory disorders Hearing loss Coronary artery disease A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital. Which of the following parts of a community is the nurse assessing? Question 4 options: Structure of a community Subsystem of a community Supra system of a community A community is considering banning smoking in all schools. Based on the community’s current stage of change, which action should the nurse take next? Question 5 options: Provide the community with statistics regarding childhood smoking rates. Point out positive outcomes associated with banning smoking such as maintenance of lung function. Help the community develop a plan to implement the ban. The process of dynamic change with adaptation in the system’s parts, and how community systems and subsystems interact is known as: Question 6 options: structure of a community. community health promotion. community diagnosis. A nurse is assessing a community’s exposure to pollutants by examining contaminated soil, air, water, and food. Which functional health pattern is being assessed by the nurse? Question 7 options: Nutritional-metabolic pattern Elimination pattern Health-perception–health management pattern Which of the following health concerns should the nurse have as a priority when planning care for a community? Question 8 options: The limited recreational areas identified through a windshield survey The high crime rate reported in the town records The absence of health clinics on the local bus route A community nurse develops a plan to address the problem of teenage pregnancies. Which of the following actions should the nurse take next? Question 9 options: Determine the rate of teenage pregnancies. Evaluate the success of her plan. Provide educational programs at local schools regarding pregnancy prevention. After assessing the community, the nurse concludes that the community is having difficulty meeting its nutritional-metabolic pattern. Which of the following findings would the nurse most likely have discovered during the assessment? Question 10 options: Decreased availability of grocery stores Poor nutritional habits Lack of subsidized food programs A nurse is employed by a local health department. Which of the following would be one of her primary responsibilities? Question 11 options: Providing appropriate treatment for the flu to an elderly man Providing education to the community about prevention of the flu Ensuring that the family members of the man with the flu get tested for the flu Which functional health pattern provides information about problem-solving and decision-making within communities? Question 12 options: Cognitive-perceptual pattern Self-perception–self-concept pattern Coping-stress tolerance pattern A nurse has implemented a smoking cessation program for teenagers and is now evaluating the rate of teenage smoking in the community. Which of the following functions is being demonstrated by the nurse? Question 13 options: Codependent function Independent function Interdependent function Which of the following demonstrates the nurse using subjective data to indicate a health concern in the health-perception–health-management pattern? Question 14 options: Examining high sexually transmitted disease rates recorded by the health department Listening to community members discuss the high smoking rate among teenagers Analyzing the high infant mortality rate reported by state hospitals A nurse is collecting data regarding the number of crosswalks within a community. Which perspective is being used to gather this data? Question 15 options: Developmental perspective Functional perspective Risk-factor perspective A nurse is using the technique of mapping while implementing the nursing process in the community setting. The nurse is engaging in which aspect of the nursing process? Question 16 options: Collection Planning Analysis The study of a population is referred to as (a): Question 17 options: community pattern. windshield survey. demography. A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue? Question 18 options: Ban smoking on parish property. Invite local experts to participate in a health fair at the parish. Find literature about smoking cessation. Partnering with school-based clinics and local pediatric dentists so that children can have access to preventive dental care is an example of a(n): Question 19 options: codependent function. independent function. interdependent function. A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse? Question 20 options: Highlight past successes Discuss the benefits of changing Develop strategies to prevent relapse Provide information