Fundamentals Of Nursing 11TH Edition
Questions And Answers Newest Update
_____________________________________________________________________________________
A nursing assistive personnel (NAP) reports seeing a reddened area on the patient's hip while bathing
the patient. Which action should the nurse take?
a. Request a wound nurse consult.
b. Go to the patient's room to assess the patient's skin.
c. Document the finding per the NAP's report.
d. Ask the NAP to apply a dressing over the reddened area.
ANS: B
A nurse is assigned to care for the following patients who all need vital signs scheduled to be taken
now. Which patient is most appropriate for the nurse to delegate vital sign measurement to the
nursing assistive personnel (NAP)?
a. Patient scheduled for a procedure in the nuclear medicine department
b. Patient transferring from the intensive care unit (ICU)
c. Patient returning from a cardiac catheterization
d. Patient returning from hip replacement surgery
ANS: A
Which staff member does the nurse assign to provide morning care for an older-adult patient who
requires assistance with activities of daily living?
a. Licensed practical nurse
b. Cardiac monitor technician
c. Nursing assistive personnel (NAP)
d. Another registered nurse on the floor
ANS: C
A nurse uses the accepted rights of delegation when providing care. Which ―rights‖ did the nurse
use? (Select all that apply.)
a. Task
b. Person
c. Direction
d. Supervision
e. Circumstances
f. Cost-effectiveness
ANS: A, B, C, D, E
Which characteristic tends to make a nurse the best communicators with patients?
a. Effective psychomotor skills
b. Developed critical thinking skills
,c. An interest in different kinds of people
d. Ability to maintain perceptual biases
ANS: B
A nurse believes that the nurse-patient relationship is a partnership and that both are equal
participants. Which term should the nurse use to describe this belief?
a. Critical thinking
b. Authentic
c. Mutuality
d. Attend
ANS: C
A nurse wants to present information about flu immunizations to the older adults in the community.
Which type of communication should the nurse use?
a. Public
b. Small group
c. Interpersonal
d. Intrapersonal
ANS: A
A nurse is engaged in therapeutic communication with a patient. Which technique will the nurse use
to ensure effective communication?
a. Interpersonal communication to change negative self-talk to positive self-talk
b. Small group communication to present information to an audience of children
c. Electronic communication to communicate with the health care provider
d. Intrapersonal communication to build strong teams
ANS: C
A nurse is standing beside the patient's bed and the following exchange occurs. Nurse: How are you
doing?
Patient: I don't feel good.
Which element will be identified as feedback?
a. Nurse
b. Patient
c. How are you doing?
d. I don't feel good.
ANS: D
A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space is the
nurse using?
a. Socio-consultative
b. Personal
,c. Intimate
d. Public
ANS: B
A smiling patient angrily states, ―I will not cough and deep breathe.‖ How will the nurse interpret
this finding?
a. The patient's denotative meaning is wrong.
b. The patient's personal space was violated.
c. The patient's affect is inappropriate.
d. The patient's vocabulary is poor.
ANS: C
The nurse asks a patient where their pain is located, and the patient responds by pointing to the area
of pain. Which form of communication did the patient use?
a. Verbal
b. Nonverbal
c. Intonation
d. Vocabulary
ANS: B
A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a
personal story about the care they received. Which interaction is the nurse using?
a. Nonjudgmental
b. Socializing
c. Narrative
d. SBAR
ANS: C
Before meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the
helping relationship is the nurse in with this patient?
a. Preinteraction
b. Orientation
c. Working
d. Termination
ANS: A
During the initial home visit, a home health nurse lets the patient know that the visits are expected to
end in about a month. Which phase of the helping relationship is the nurse in with this patient?
a. Preinteraction
b. Orientation
c. Working
d. Termination
ANS: B
, A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is
the nurse in with this patient?
a. Preinteraction
b. Orientation
c. Working
d. Termination
ANS: C
A nurse uses Situation, Background, Assessment, and Recommendation (SBAR) when providing a
hands-off report to the oncoming shift. What is the rationale for the nurse's action?
a. To promote autonomy
b. To use common courtesy
c. To establish trustworthiness
d. To standardize communication
ANS: D
A patient was admitted 2 days ago with a diagnosis of pneumonia and a history of angina. The patient
is now having chest pain with a pulse rate of 108. Which piece of data will the nurse use for ―B‖
when using SBAR?
a. Having chest pain
b. Pulse rate of 108
c. History of angina
d. Oxygen is needed
ANS: C
A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?
a. ―Tomorrow will be better.‖
b. ―This must be hard news to hear.‖
c. ―What's your biggest fear about this diagnosis?‖
d. ―I believe you can overcome this because I've seen how strong you are.‖
ANS: B
A nurse is taking a history on a patient who cannot speak English. Which action will the nurse take to
provide effective care?
a. Obtain an interpreter.
b. Refer to a speech therapist.
c. Let a close family member talk.
d. Find a mental health nurse specialist.
ANS: A
A nurse is using SURETY to facilitate active listening. What is the focus of the letter R?
a. Projection of a sense of relaxation
b. Demonstrating respect for the patient
Questions And Answers Newest Update
_____________________________________________________________________________________
A nursing assistive personnel (NAP) reports seeing a reddened area on the patient's hip while bathing
the patient. Which action should the nurse take?
a. Request a wound nurse consult.
b. Go to the patient's room to assess the patient's skin.
c. Document the finding per the NAP's report.
d. Ask the NAP to apply a dressing over the reddened area.
ANS: B
A nurse is assigned to care for the following patients who all need vital signs scheduled to be taken
now. Which patient is most appropriate for the nurse to delegate vital sign measurement to the
nursing assistive personnel (NAP)?
a. Patient scheduled for a procedure in the nuclear medicine department
b. Patient transferring from the intensive care unit (ICU)
c. Patient returning from a cardiac catheterization
d. Patient returning from hip replacement surgery
ANS: A
Which staff member does the nurse assign to provide morning care for an older-adult patient who
requires assistance with activities of daily living?
a. Licensed practical nurse
b. Cardiac monitor technician
c. Nursing assistive personnel (NAP)
d. Another registered nurse on the floor
ANS: C
A nurse uses the accepted rights of delegation when providing care. Which ―rights‖ did the nurse
use? (Select all that apply.)
a. Task
b. Person
c. Direction
d. Supervision
e. Circumstances
f. Cost-effectiveness
ANS: A, B, C, D, E
Which characteristic tends to make a nurse the best communicators with patients?
a. Effective psychomotor skills
b. Developed critical thinking skills
,c. An interest in different kinds of people
d. Ability to maintain perceptual biases
ANS: B
A nurse believes that the nurse-patient relationship is a partnership and that both are equal
participants. Which term should the nurse use to describe this belief?
a. Critical thinking
b. Authentic
c. Mutuality
d. Attend
ANS: C
A nurse wants to present information about flu immunizations to the older adults in the community.
Which type of communication should the nurse use?
a. Public
b. Small group
c. Interpersonal
d. Intrapersonal
ANS: A
A nurse is engaged in therapeutic communication with a patient. Which technique will the nurse use
to ensure effective communication?
a. Interpersonal communication to change negative self-talk to positive self-talk
b. Small group communication to present information to an audience of children
c. Electronic communication to communicate with the health care provider
d. Intrapersonal communication to build strong teams
ANS: C
A nurse is standing beside the patient's bed and the following exchange occurs. Nurse: How are you
doing?
Patient: I don't feel good.
Which element will be identified as feedback?
a. Nurse
b. Patient
c. How are you doing?
d. I don't feel good.
ANS: D
A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space is the
nurse using?
a. Socio-consultative
b. Personal
,c. Intimate
d. Public
ANS: B
A smiling patient angrily states, ―I will not cough and deep breathe.‖ How will the nurse interpret
this finding?
a. The patient's denotative meaning is wrong.
b. The patient's personal space was violated.
c. The patient's affect is inappropriate.
d. The patient's vocabulary is poor.
ANS: C
The nurse asks a patient where their pain is located, and the patient responds by pointing to the area
of pain. Which form of communication did the patient use?
a. Verbal
b. Nonverbal
c. Intonation
d. Vocabulary
ANS: B
A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a
personal story about the care they received. Which interaction is the nurse using?
a. Nonjudgmental
b. Socializing
c. Narrative
d. SBAR
ANS: C
Before meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the
helping relationship is the nurse in with this patient?
a. Preinteraction
b. Orientation
c. Working
d. Termination
ANS: A
During the initial home visit, a home health nurse lets the patient know that the visits are expected to
end in about a month. Which phase of the helping relationship is the nurse in with this patient?
a. Preinteraction
b. Orientation
c. Working
d. Termination
ANS: B
, A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is
the nurse in with this patient?
a. Preinteraction
b. Orientation
c. Working
d. Termination
ANS: C
A nurse uses Situation, Background, Assessment, and Recommendation (SBAR) when providing a
hands-off report to the oncoming shift. What is the rationale for the nurse's action?
a. To promote autonomy
b. To use common courtesy
c. To establish trustworthiness
d. To standardize communication
ANS: D
A patient was admitted 2 days ago with a diagnosis of pneumonia and a history of angina. The patient
is now having chest pain with a pulse rate of 108. Which piece of data will the nurse use for ―B‖
when using SBAR?
a. Having chest pain
b. Pulse rate of 108
c. History of angina
d. Oxygen is needed
ANS: C
A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?
a. ―Tomorrow will be better.‖
b. ―This must be hard news to hear.‖
c. ―What's your biggest fear about this diagnosis?‖
d. ―I believe you can overcome this because I've seen how strong you are.‖
ANS: B
A nurse is taking a history on a patient who cannot speak English. Which action will the nurse take to
provide effective care?
a. Obtain an interpreter.
b. Refer to a speech therapist.
c. Let a close family member talk.
d. Find a mental health nurse specialist.
ANS: A
A nurse is using SURETY to facilitate active listening. What is the focus of the letter R?
a. Projection of a sense of relaxation
b. Demonstrating respect for the patient