NUR 3805 Exam 1 Questions and Answers with Complete Solutions

A nurse is talking to a legislator about the Continuum of Professional Development Model. Which factor makes this model a poor approach for determining the status of a profession? a. The model only uses two criteria to determine the status of a profession. b. Professions such as nursing always rank high with the public as a profession. c. The model does not have any clear criteria for determining a profession. d. Political power and money are usually more common in professions such a law. c Which of the following is an example of collective power? a. Informing legislators about issues that affect health and nursing. b. Organizing a large group of individuals who have similar beliefs and concerns. c. Working through professional organizations to increase individual accountability. d. Demonstrating that they are professionals dedicated to a career. b 3. Identify the information that would be most important to include in the content of an educational program on the topic of advance directives. a. A patient may change a treatment decision in an advance directive only if the patient's durable power of attorney approves the change. b. When admitted to the hospital, a patient must appoint a Durable Power of Attorney for health care decisions. c. Health care facilities are required to provide a patient information about their rights to execute an advanced directive. d. A health care facility is required to provide a patient an attorney when the patient is signing a living will. c 4. Which of the following statements by the patient indicates that the patient understands the teaching plan that a nurse presented concerning the long term complications of Chronic Fatigue Syndrome? a. I'm glad that when I'm free of this disease I'll be able to do whatever I want. b. Going out on a cold night should be avoided. c. Frequent blood test are required for the rest of my life. d. I need to monitor myself for the signs of irritable bowel syndrome. d . Which of the following would be an expected finding in an age assessment of a 3 year old? Select all that apply. a. Speech is clear enough for strangers to understand. b. Can easily distinguish between what is real and what is make believe. c. Can draw a circle d. Follows multi-step instructions e. Can walk up and down stairs acde 6. A patient, whose spouse died four months ago, says to the nurse: "I would like my friend Joe to have my collection of guns because I'm not going to go hunting anymore". Which of the following responses by the nurse is most appropriate? a. I'm sure Joe will appreciate your generosity. b. Are you thinking about hurting yourself? c. That is a good idea - guns are very dangerous. d. You sound sad. Tell me about the last time you went hunting. b 7. Which of the following would be included in the instructions to a patient about using a walker? Answer all that are correct. a. Keep your back straight while stepping into the walker b. Push the walker forward before taking a step. c. Don't lean over the walker. d. Hold the lower handgrips. e. When rising from a chair, lean forward a little and push off the chair. f. Take large steps when you need to. abce 8. Which instruction is appropriate for the nurse to give a patient who is scheduled for an MRI of the abdomen? a. Take off all jewelry and metal objects. b. Make sure not to eat anything for at least 12 hours before the MRI. c. Avoid urinating prior to the MRI. d. They will provide you with a pain medicine before the test begins. a 9. Select all the appropriate symptoms a patient with Crohn's disease would have? a. Rectal cramping and bleeding b. Fever and vomiting d. Weight gain e. Fatigue and headache f. Stomach swelling and flatus g. Frequent constipation abef 10. The primary use for Evidenced Based Practice is to: a. Help nursing gain its rightful position as a profession. b. Make safe and effective decisions about patient care. c. Decrease the cost of providing care for acutely ill patients. d. Make nurses more competitive with physicians. b 1. Identify all the elements that are found in the Mosaic Code of Laws. a. Caring for widows and orphans b. Elements of the Egyptian codes of sanitation c. Instructions for the construction and running of hospitals d. Health practices of neighboring Mediterranean countries e. Rituals for food preparation f. Defined roles for nurses abde 2. What is the most important aspect of the pinning ceremony for nurses? a. A family member or instructor must put the pin on the graduates' uniform. b. Only graduates with a high GPA are eligible to wear the pin. c. It is a sign of their legal authority as a licensed professional. d. The pin is a sign of caring. c 3. Which of the following statements should be included in a presentation on patient confidentiality? a. Consent to disclosure is implied when a patient is transferred from one health care provider or facility to another one. b. Verbal consent is sufficient to allow family members to see a patient's medical records. c. If a family member is at the hospital, he or she would be entitled to an update on the patient's status. a 4. A patient has a prescription for Tylenol at 650mg every 6 hours. A nurse only has 325mg pills of Tylenol available. How many pills would be administered every 6 hours? a. 6 b. 4 c. 3 d. 2 d 5. A patient is diagnosed with congestive heart failure. Which of the following would be recommended by a nurse as part of the patient's health care plan? a. Encourage vigorous exercise. b. Avoid eating fruits and vegetables c. Monitoring the lower limbs for signs of edema d. Severely limiting the daily intake of fluids. c 6. Which of the following symptoms would make a nurse suspect that a patient was in a state of hypovolemia? Select all that are appropriate. a. Weight gain of 6 pounds in 24 hours b. Increased urine output c. Urine is dark and concentrated d. Increased pulse rate e. Dizzy when rising to a standing position f. Moist mucous membranes g. Decreased blood pressure cdeg 7. What is the best response by the nurse to the spouse of a patient in a long term treatment facility who asks a nurse for information about the patient's laboratory results? a. You can ask your spouse for that information. b. I'm prohibited from giving any information about any patient including your spouse. c. If you can provide me with the patient's chart number, I can give you that information. d. It's best if you ask the physician about laboratory values. b Which of the following infectious control methods should be used when caring for a patient with mycoplasma pneumonia? a. Wear a surgical mask when within three feet of the patient. b. Gloves and gown a necessary when changing bed linens. c. No visitors are allowed in the isolation room. d. Group activities to minimize entering or leaving the room. a 9. A patient is brought to the emergency room with injuries that are indicative of physical abuse. She states fell off the couch while sleeping. Which of the following actions is most appropriate for the nurse to take? a. Ask the couple about the status of their relationship and identify any issues they may have. b. Ask the spouse if he has had issues with physical abuse before today. c. Call the police and have the spouse arrested. d. Ask the spouse to go to the cafeteria and get some coffee then question the patient about the possibility she was abused. d 10. Which of the following should the nurse include in a teaching plan for a patient diagnose with gastroesophogeal reflux disease (GERD)? Select all that apply. a. Lose weight at a slow but consistent rate. b. Eat a low-protein, high carbohydrate diet c. Do not wear tight fitting clothes d. Drink extra fluid with meals to increase digestion e. Remain in an upright position after eating f. stop smoking acef Select all of the following which interfere with the encoding of a message from a sender to a receiver. . Convoluted message b. Clear speech c. Monotone voice d. Use of jargon e. Understanding the information f. Preoccupation a c d f . True or False: Anyone can learn to use an assertive communication style and develop assertiveness. true 3. Identify the most important factor in the initial negotiation of a contract. a. Discussion of the important issues b. Posturing and showmanship c. Resolution of key conflicts d. Lack of willingness to negotiate a 4. A nurse is sitting by the bedside close to a patient to better hear him and letting him know that she has his full attention. What factor does the nurse need to keep in mind that may interfere with effective communication with this patient? a. The patient may not be hard of hearing b. The volume on the TV may be at a high setting c. The patient may have person space issues d. The nurse may need to sit closer to be most effective c