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Fundamentals of Nursing 8th Edition Potter Perry – 
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Chapter 1: Nursing Today

 

MULTIPLE CHOICE

 

  1. The first practicing nurse epidemiologist was
a. Florence Nightingale.
b. Mildred Montag.
c. Clara Barton.
d. Mary Agnes Snively.

 

 

 

 

  1. The American Red Cross was founded by
a. Florence Nightingale.
b. Harriet Tubman.
c. Clara Barton.
d. Mary Mahoney.

 

 

 

  1. Nurses working in the Henry Street Settlement in 1893 were among the first nurses to demonstrate autonomy in practice. This was because those nurses
a. Had no ability to work in the hospital setting.
b. Were required to use critical thinking skills.
c. Focused solely on healing the very ill.
d. Planned their care around research findings.

 

 

 

  1. In 1923, the Goldmark Report was an important study that
a. Formed formal nurse midwifery programs.
b. Established the Center for Ethics and Human Rights.
c. Revised the ANA code of ethics.
d. Led to the development of the Yale School of Nursing.

 

 

 

 

  1. The major difference between a baccalaureate degree nursing program and an associate’s degree nursing program is that the baccalaureate program includes studies in
a. Basic sciences and theoretical courses.
b. Social sciences and humanities.
c. Theoretical and clinical courses.
d. Basic sciences and clinical courses.

 

 

 

 

  1. The nurse has been working in the clinical setting for several years as an advanced practice nurse and has earned her master’s degree as a family nurse practitioner. However, she seems unfulfilled and has a strong desire to do research. To fulfill her desire, the nurse most likely would apply to attend a program that would lead to a
a. Doctor of Nursing Science degree (DNSc).
b. Doctor of Philosophy degree (PhD).
c. Doctor of Nursing Practice degree (DNP).
d. Doctor in the Science of Nursing degree (DSN).

 

 

 

  1. The nurse is caring for her patients and is focused on managing their care as opposed to managing and performing skills. This nurse demonstrates which level of proficiency according to Benner?
a. Novice
b. Competent
c. Proficient
d. Expert

 

 

 

  1. Which of the following resources guides faculty on structure and evaluation of the nursing curriculum?
a. ANA’s Standards of Nursing Practice
b. Essentials of Baccalaureate Education
c. NLNAC Interpretive Guidelines
d. Standards of Professional Performance

 

 

 

  1. The nurse is caring for the patient who has had major abdominal surgery and also has a large sacral pressure sore. The nurse implements coughing and deep breathing exercises and consults the wound care specialist to evaluate and prescribe care for the pressure sore, even though no physician order has provided instructions to do so. In doing this, the nurse is implementing the element of
a. Autonomy.
b. Accountability.
c. Advanced practice.
d. Nurse practitioner.

 

 

 

 

  1. The physician is planning to take the patient to surgery in the morning and leaves an order for the nurse to get the patient to sign the surgical permit. The physician’s note indicates that the patient has been educated on the procedure. However, the patient tells the nurse, “I have no idea what he’s going to do. He rushed in and rushed out so fast, I couldn’t ask any questions.” The nurse does not allow the patient to sign the permit and calls the physician to inform him of the patient’s statement. This is an example of the nurse acting as
a. Patient advocate.
b. Patient educator.
c. Manager.
d. Clinical nurse specialist.

 

 

 

  1. The patient requires routine gynecological services after giving birth to her son, and while seeing the nurse midwife, she asks for a referral to a pediatrician for the newborn. The nurse midwife should
a. Provide the referral as requested.
b. Offer to provide the newborn care.
c. Refer the patient to the supervising physician.
d. Tell the patient that she cannot make referrals.

 

 

 

 

  1. The student nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). It is important for the student to understand that the CRNA
a. Works under the guidance of an anesthesiologist.
b. Manages acute medical conditions.
c. Manages gynecological services such as PAP smears.
d. Must have a PhD degree in anesthesiology.

 

 

  1. The nurse is speaking in front of a group of ninth grade students about nursing as a profession. One student states that she does not want to be a nurse because all nurses do is take care of sick people and play politics. The most appropriate response that the nurse could give and expand on is that
a. Nursing is ideal for the person who hates politics.
b. Nursing focuses on curing the person’s disease.
c. Nursing is not political because it has its own knowledge base.
d. An area of nursing exists for every interest.

 

 

 

 

  1. A bill has been submitted to the State House of Representatives that is designed to reduce the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1. The nurse realizes that
a. Legislation is politics beyond the nurse’s control.
b. National programs have no bearing on state politics.
c. The individual nurse can influence legislative decisions.
d. Focusing on nursing care provides the best patient benefit.

 

 

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  1. During the American Civil War, which of the following women was active in the Underground Railroad movement and assisted in leading more than 300 slaves to freedom?
a. Harriet Tubman
b. Clara Barton
c. Dorothea Dix
d. Mary Ann Ball (Mother Bickerdyke)

 

 

 

  1. Graduates of baccalaureate degree or associate’s degree nursing programs are eligible to take which of the following to become registered nurses in the state in which they will practice?
a. Continuing education credits
b. In-service education programs
c. National Council Licensure Examination
d. Graduate education

 

 

 

 

  1. Which concept means that the nurse is responsible, professionally and legally, for the type and quality of nursing care provided?
a. Autonomy
b. Accountability
c. Patient advocacy
d. Patient education

 

 

 

MULTIPLE RESPONSE

 

  1. The nurse in the twenty-first century is facing an extremely complex profession with multiple external forces affecting the nursing profession. Factors influencing the nursing profession include which of the following? (Select all that apply.)
a. Demography
b. Women’s health care
c. Human rights
d. The threat of bioterrorism
e. The medically underserved

 

 

 

 

  1. After licensure, the practicing nurse is required to update his or her knowledge about the latest research and practice developments. The most common way nurses do this is through _____ programs. (Select all that apply.)
a. Continuing education
b. Master’s degree
c. In-service education
d. DNP

 

 

 

  1. Which of the following is (are) an example of an advanced practice nurse? (Select all that apply.)
a. Nurse practitioner
b. Clinical nurse specialist
c. Patient advocate
d. Certified registered nurse anesthetist
e. Nurse midwife

 

 

 

  1. The nurse manager from the oncology unit has had two callouts; the orthopedic unit has had multiple discharges and probably will have to cancel one or two of its nurses. The orthopedic unit has agreed to “float” two of its nurses to the oncology unit if oncology can “float” a nursing assistant to the orthopedic unit to help with obtaining vital signs. This is an example of (Select all that apply.)
a. Autonomy.
b. Accountability.
c. Political activism.
d. Politics.

 

 

 

 

Chapter 2: The Health Care Delivery System

Test Bank

 

MULTIPLE CHOICE

 

  1. The nurse is caring for a patient who is on Medicare. Because the patient is on Medicare, the nurse is aware that
a. The hospital will be paid for the full cost of the patient’s hospitalization.
b. Capitation provides the hospital with a means of recovering variable charges.
c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
d. Medicare will pay the national average for the patient’s condition.

 

 

 

 

  1. The advent of diagnosis-related groups (DRGs) and capitation has brought about many changes in how health care is provided and paid for. Because of these changes, the nurse is aware that today’s managed care system has
a. Insured full coverage of health care costs.
b. Assumed all of the financial risk involved.
c. Allowed providers to focus on illness care.
d. Caused providers to focus on illness prevention.

 

 

 

 

  1. A major outcome of managed care is that managed care organizations such as hospitals
a. Assume financial risk, as well as provide care.
b. Focus more on individual illness.
c. Decrease discharge planning activities.
d. Have increased lengths of stay.

 

 

 

 

  1. Care designed to prevent further progression of a disease is termed
a. Primary prevention.
b. Secondary prevention.
c. Tertiary prevention.
d. Health promotion.

 

 

 

  1. The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In doing so, the nurse is applying for a position in _____care.
a. Secondary acute
b. Tertiary
c. Continuing
d. Restorative

 

 

 

  1. The patient is to be discharged home from a tertiary care center later in the week; therefore, the nurse
a. Coordinates referral of patients to services provided by other disciplines.
b. Monitors the patient’s progress through discharge.
c. Cares for patients after discharge.
d. Anticipates and identifies patient needs.

 

 

 

  1. The nurse is serving on the hospital’s Quality Improvement Committee. As the nursing representative, the nurse focuses quality improvement measures on
a. Outcomes unrelated to patient satisfaction.
b. Desired health outcomes.
c. Factors solely affecting inpatients.
d. Increasing patient-to-nurse ratios.

 

 

 

  1. The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of information, the nurse utilizes the
a. Healthcare Effectiveness Data and Information Set (HEDIS).
b. Centers for Medicaid and Medicare Services (CMS) standards.
c. Pew Health Professions Commission Report.
d. American Nurses Credentialing Center (ANCC) Magnet Recognition Program.

 

 

 

  1. The student nurse is reporting to her group in post-conference about her observational rotation in the intensive care unit. The student states that “it seems so much easier than floor nursing because everything is automated. There are machines that take vital signs and regulate IVs.” The instructor’s best response is to
a. Agree with the student’s evaluation of ICU nursing.
b. Agree that IV pumps have made IV therapy totally safe.
c. Disagree, stressing the importance of taking vital signs themselves.
d. Disagree, stressing the importance of the nurse’s judgment.

 

 

 

  1. When the nurse first meets the patient, it is important to establish a dialogue if possible; patient-centered care stresses that it is important for the nurse to recognize that
a. Patients usually want to rely on the nurse for patient care.
b. Patients usually want to keep their fears and concerns to themselves.
c. It is important to identify patient expectations.
d. Patients usually have insurance and do not worry about finances.

 

 

 

  1. In today’s society, the nurse is facing more and different challenges. Central to some of these challenges is the concept of globalization, because it has led to
a. A more homogeneous mix of nursing staff.
b. Decreased poverty and increased diseases of affluence.
c. Decreased urbanization as populations shift to the suburbs.
d. Increased spread of communicable diseases.

 

 

 

  1. The nurse is feeling overwhelmed by the constant changes that are part of nursing and the health care system in general. Understanding that changes are necessary, the nurse needs to be aware that
a. The nurse has no control over the changes, but needs to accept them.
b. Quality improvement depends on active participation of nurses.
c. Belonging to nursing organizations will help bring the right changes.
d. Active participation in nursing organizations will have no effect on change.

 

 

 

  1. Which of the following, established by Congress in 1983, eliminated cost-based reimbursement for patients who received Medicare benefits?
a. Prospective payment system (PPS)
b. Professional standards review organizations (PSROs)
c. Utilization review (UR) committees
d. Capitation

 

 

 

  1. The setting of health care services that includes blood pressure and cancer screening is _____ care.
a. Secondary acute
b. Preventive
c. Tertiary
d. Restorative

 

 

 

 

  1. Health promotion programs focus on
a. Reducing the cost of health care.
b. Controlling risk factors for disease.
c. Immunizations.
d. Occupational health programs.

 

 

 

  1. The nurse is caring for a patient who has a diagnosis that she is not familiar with. The nurse uses reference materials and does a literature search to better understand the diagnosis. The nurse then utilizes this knowledge, along with the nurse’s experience and patient preferences, to develop a plan of care. This is an example of the nurse using _____ to provide care for her patient.
a. Evidence-based practice
b. Research-based practice
c. Applied quality improvement
d. Nursing informatics

 

 

 

MULTIPLE RESPONSE

 

  1. Government-instituted programs designed to control health care costs include (Select all that apply.)
a. Professional standards review organizations (PSROs).
b. Prospective payment systems (PPSs).
c. Diagnosis-related groups (DRGs).
d. “Never events.”
e. Third-party payers.

 

 

 

  1. Primary health care focus includes (Select all that apply.)
a. Individual health screenings.
b. Community health promotion programs.
c. Development of health policies.
d. Disease prevention in communities.
e. Discharge planning for individual patients.

 

 

 

  1. The nurse is evaluating the Falls Program instituted on the medical unit to decrease the number of falls. The number of falls has decreased in the last month. The nurse realizes that (Select all that apply.)
a. The program has been successful and can be terminated.
b. Policies for the program need to be developed or evaluated further.
c. The program evaluation is a nursing-sensitive outcome that can enhance safety.
d. The program results need to be reported to the QI Committee only.

 

 

 

  1. Nurses who work in a skilled nursing facility need nursing expertise in which of the following areas? (Select all that apply.)
a. Gerontological nursing
b. IV fluid management
c. Ventilator management
d. Depression/violent behavior management
e. Wound care management

 

 

 

Chapter 3: Community-Based Nursing Practice

Test Bank

 

MULTIPLE CHOICE

 

  1. Public health nursing differs from community health nursing in that public health nursing
a. Focuses on individuals and families.
b. Understands the needs of a population.
c. Ignores political processes.
d. Considers the individual as one member of a group.

 

 

 

  1. A specialist in public health nursing requires
a. The same level of education as the community health nurse.
b. Preparation at the basic entry level.
c. An advanced degree regardless of public health experience.
d. A graduate level education with a focus in public health science.

 

 

 

  1. The community health nurse differs from the community-based nurse in that the community health nurse
a. Understands the needs of the population.
b. Focuses on the needs of the individual.
c. Is the first level of contact in the health care system.
d. Involves the family in decision making.

 

 

 

 

  1. The type of nursing that focuses on acute and chronic care of individuals and families while enhancing patient autonomy is known as _____ nursing.
a. Public health
b. Community health
c. Community-based
d. Community-focused

 

 

 

 

  1. The community health nurse is administering flu shots to children at a local playground. In doing so, the nurse’s focus is on
a. Preventing individual illness.
b. Preventing community outbreak of illness.
c. Preventing outbreak of illness in the family.
d. The needs of the individual or family.

 

 

 

  1. The community health nurse is providing counseling to a group of teenage girls related to birth control and disease prevention. The nurse does this because
a. Focusing on subpopulations leads to community health.
b. Community health nursing focuses on individuals only.
c. Community health nursing excludes direct care to subpopulations.
d. The focus is on preventing illness and unwanted pregnancy.

 

 

 

  1. Community-based nursing care takes place in community settings such as the home or a clinic. Ideally, this is done to
a. Exert greater control over individual or family decisions.
b. Provide services close to where patients live.
c. Isolate patients and prevent the spread of disease.
d. Reduce the need for self-care.

 

 

 

  1. The community-based nurse is caring for a patient who is home bound by arthritis and chronic lung problems. The patient, however, receives many visitors from the neighborhood and from former coworkers, as well as frequent phone calls from extended family. When concerned about how the large number of visitors may be fatiguing the patient, the nurse should
a. Restrict the number of visitors for the patient’s welfare.
b. Voice concerns to the patient and proceed according to the patient’s wishes.
c. Allow visitors to come and go freely as they have been.
d. Create visiting hours when the patient may see non–family members.

 

 

 

  1. The student nurse is trying to determine what type of nurse she wants to be after graduation. In class, she states that community health nursing is probably not for her because community nursing focuses only on community issues such as preventing epidemics. The instructor’s most appropriate response would be that community health nursing
a. Focuses on the health care of individuals, families, and groups in a community.
b. Focuses only on the health of a specific subgroup in a community.
c. Requires an advanced nursing degree, so the student need not worry.
d. Focuses only on maintaining the health of the community.

 

 

 

  1. Vulnerable populations include those patients who are more likely to develop health problems as a result of
a. Pregnancy.
b. Nontraditional healing practices.
c. Excessive risk.
d. Unlimited access to health care.

 

 

 

  1. The instructor is teaching student nurses about identifying members of vulnerable populations when the nursing student asks, “Why is it that not all poor people are considered members of vulnerable populations?” The instructor’s best answer would be
a. “All poor people are members of a vulnerable population.”
b. “Poor people are members of a vulnerable population only if they take drugs.”
c. “Poor people are members of a vulnerable population only if they are homeless.”
d. “Members of vulnerable groups frequently have a combination of risk factors.”

 

 

 

  1. The nurse is making a home visit to a Korean family whose daughter gave birth 6 weeks earlier. She finds the daughter in bed with a severe headache. The daughter’s father is holding her hand and is pressing different parts of the hand and lower arm. The mother explains that the father is trying to cure the headache by using pressure points. The nurse’s best response would be to
a. Tell the father to stop and give the daughter Tylenol.
b. Ask the mother and/or father to explain the procedure.
c. Explain to the father that what he is doing will not work.
d. Let the father finish and then give the daughter Tylenol.

 

 

 

  1. The nurse is working in a community clinic when a man and woman bring a 12 year-old boy in, stating that the child fell down a flight of stairs and hurt his arm. The nurse notices several other bruises on the child’s body at varying stages of healing. The boy is placed on the stretcher. When asked how he hurt himself, he states that he does not remember. However, the nurse notices that the boy continuously avoids looking at the man, while the man stares at him constantly. The nurse should
a. Ask the boy if the man hurt him.
b. Confront the man directly.
c. Ask the man and woman to step out.
d. Ask the woman if the man hurt the boy.

 

 

 

  1. The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an abortion. The nurse provides the patient with information on alternatives to abortion, but after several sessions, the patient still insists on having the abortion. The competency of the counselor requires the nurse to
a. Insist that the patient speak with a “Right-to-Life” advocate.
b. Provide a referral to an abortion service.
c. Refuse to provide referral to an abortion service.
d. Delay referral to an abortion service.

 

 

 

 

  1. The patient is in the hospital with the diagnosis of early-onset Alzheimer’s disease. Before the patient is discharged, the community-based nurse is making a visit to the patient’s home, where he lives with his daughter and her family. A major focus of this visit will be to
a. Demonstrate caregiver techniques for providing care.
b. Stress to the family how difficult it will be to provide care at home.
c. Encourage the family to send the patient to an extended care facility.
d. Teach the family how to have the patient declared incompetent.

 

 

 

 

  1. The community has three components: structure or locale, the people, and the social systems. While doing a community assessment, the nurse seeks data on the average household income and the number of residents on public assistance. In doing so, the nurse is evaluating which of the following?
a. Structure
b. Population
c. Welfare system
d. Social system

 

 

 

 

  1. The patient is being readmitted to an inner city hospital for chest pain after being discharged 3 months earlier after having a heart attack. The patient was referred to the hospital’s cardiac rehabilitation program after her previous admission. The patient states that she began going to cardiac rehabilitation and liked it but stopped. When asked why, she states that, at the beginning, the classes were at 9 AM, but then got switched to 7 PM, when it’s dark. The cardiac rehabilitation program was within walking distance of the patient’s home. What is the most likely cause of the patient’s unwillingness to go to cardiac rehabilitation?
a. Lack of transportation
b. Fear of walking at night
c. Reimbursement issues
d. Noncompliance

 

 

 

 

MULTIPLE RESPONSE

 

  1. Community-based nursing requires a strong knowledge base in which of the following? (Select all that apply.)
a. Family theory
b. Communication
c. Group dynamics
d. Focus on the individual
e. Cultural diversity

 

 

 

  1. Community-based nursing centers function as the first level of contact between members of a community and the health care delivery system. Ideally, health care services (Select all that apply.)
a. Are provided where patients live.
b. Reduce the cost of health care for the patient.
c. Provide direct access to nurses.
d. Exclude interference from family or friends.

 

 

 

  1. Of the following list of patients, which would be considered at high risk to be members of a vulnerable population? (Select all that apply.)
a. An immigrant who speaks only Chinese
b. An Hispanic truck driver who speaks limited English
c. A 22-year-old pregnant woman
d. A 15-year-old rape victim
e. A 40-year-old schizophrenic

 

 

 

Chapter 4: Theoretical Foundations of Nursing Practice

Test Bank

 

MULTIPLE CHOICE

 

  1. The nursing instructor is teaching a class on nursing theory. One of the students asks, “Why do we need to know this stuff? It doesn’t really affect patients.” The instructor’s best response would be
a. “You are correct, but we have to learn it anyway.”
b. “Exposure to theories will help you later in graduate school.”
c. “Theories help keep the focus of nursing narrow.”
d. “Theories help explain why nurses do what they do.”

 

 

 

  1. The nurse is caring for a patient who is known as a “frequent flyer,” and who has been labeled as “noncompliant” by most of the staff because she does not follow her prescribed regimen for diabetes management. As a prescriber to Orem’s theory, the nurse interviews the patient in an attempt to identify the cause of the patient’s “noncompliance.” This is because Orem’s theory
a. Is useful in designing interventions to promote self-care.
b. Does not allow for environmental influences on care.
c. Allows for development of a plan of care that the patient must follow.
d. Is not useful in promoting self-care regimens.

 

 

 

  1. The type of theory that is used to develop and test specific nursing interventions is known as _____ theory.
a. Grand
b. Prescriptive
c. Descriptive
d. Middle-range