TEST BANK – FUNDAMENTALS OF NURSING CARE Chapters 1–3 | Patient-Centered Care, Health-Care Systems, Ethics, Law & Delegation

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TEST BANK – FUNDAMENTALS OF NURSING CARE
Chapters 1–3 | Patient-Centered Care, Health-Care Systems,
Ethics, Law & Delegation



CHAPTER 1: Introduction to Nursing & Patient-Centered
Care


Q1. Which nursing action best demonstrates patient-centered care?

 A. Explaining the plan of care without patient input
 B. Asking the patient about personal values and preferences before planning care
 C. Following unit routines regardless of patient wishes
 D. Limiting family involvement to scheduled visiting hours
 Correct Answer: B
 Rationale:
o Patient-centered care emphasizes respect for patient values, preferences, and
autonomy.
o Involving the patient in planning improves outcomes and satisfaction.




Q2. What is the correct sequence of the nursing process?

 A. Planning → Assessment → Diagnosis → Implementation → Evaluation
 B. Assessment → Diagnosis → Planning → Implementation → Evaluation
 C. Diagnosis → Planning → Assessment → Implementation → Evaluation
 D. Implementation → Assessment → Evaluation → Diagnosis → Planning
 Correct Answer: B
 Rationale:
o The nursing process follows a logical, systematic order starting with assessment
and ending with evaluation.



Q3. Which ethical principle supports a patient’s right to make informed decisions?

 A. Beneficence

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 B. Justice
 C. Autonomy
 D. Nonmaleficence
 Correct Answer: C
 Rationale:
o Autonomy respects the patient’s right to choose based on adequate information.




Q4. Which documentation practice is legally and professionally correct?

 A. Charting at the end of the shift from memory
 B. Using judgmental language
 C. Documenting objectively and promptly using approved abbreviations
 D. Omitting medication times
 Correct Answer: C
 Rationale:
o Accurate, timely, objective documentation protects the patient and the nurse
legally.



Q5. What is the nurse’s primary role in health promotion?

 A. Treating illness
 B. Preventing disease only
 C. Educating and empowering patients to maintain wellness
 D. Enforcing compliance
 Correct Answer: C
 Rationale:
o Health promotion focuses on education, prevention, and empowerment across the
lifespan.



Q6. Which nursing role focuses on protecting patient rights?

 A. Caregiver
 B. Educator
 C. Advocate
 D. Manager
 Correct Answer: C
 Rationale:
o Advocacy involves speaking up for patients and ensuring their needs are met.

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Q7. Health literacy primarily affects a patient’s ability to:

 A. Read only
 B. Follow instructions and make informed decisions
 C. Access insurance
 D. Operate medical devices
 Correct Answer: B
 Rationale:
o Health literacy includes understanding, processing, and acting on health
information.



Q8. Which action demonstrates culturally competent nursing care?

 A. Treating all patients identically
 B. Relying on cultural stereotypes
 C. Asking patients about beliefs and preferences
 D. Expecting patients to adapt to hospital norms
 Correct Answer: C
 Rationale:
o Cultural competence begins with individualized assessment, not assumptions.




Q9. Which organization establishes standards for nursing practice?

 A. CDC
 B. ANA
 C. CMS
 D. OSHA
 Correct Answer: B
 Rationale:
o The American Nurses Association defines professional nursing standards.




Q10. Evidence-based practice combines clinical expertise with:

 A. Physician preference
 B. Patient values and best research evidence
 C. Hospital policy only
 D. Tradition
 Correct Answer: B
 Rationale:
o EBP integrates research, clinician experience, and patient preferences.