NSG 301 Exam 3 Chapter 13, 20, 22 Questions With
Complete Solutions
Question 1
What should the nurse include when assessing a patient's
spirituality? (Select all that apply.)
1. Relationship with self
2. Relationship with other cultural groups
3. Relationship with deity
4. Relationship with others
5. Relationship with nature - Correct Answer: 1, 3, 4, 5
Rationale: The characteristics of spirituality include personal
connectedness, connectedness to others, the environment, and to
a supreme being. A relationship with other cultural groups is not
a characteristic of spirituality.
Question 1
Which group established a standard of professional performance
focused on the nurse's collaboration with clients, families, and
other healthcare professionals?
1. The National Council of State Boards of Nursing
2. The National League for Nursing
3. The American Association of Colleges of Nursing
4. The American Nurses Association - Correct Answer: 4
Rationale: The ANA Nursing: Scope and Standards of Practice
includes collaboration by the registered nurse with clients and
families as well as other healthcare providers. The National
League for Nursing and the American Association of Colleges
of Nursing accredit schools of nursing. The National Council of
State Boards of Nursing manages the administration of licensure
examinations.
,Question 1
Which two components encouraged the change in view of health
care from one of biological focus on disease management to
comprehensive health care?
1. Medicare and Healthy People 2020
2. Healthy People 2020 and nursing theorists
3. Integrative health and Healthy People 2020
4. Integrative health and foreign exchange of ideas - Correct
Answer: 3
Rationale: A blend of both Eastern and Western medicine,
known as integrative health and initiatives in Healthy People
2020 have moved the health care system away from a
illness/disease-based framework to a more comprehensive
approach to health care. Changes in Medicare have not
encouraged the change in view of health care. Nursing theorists
develop a body of knowledge that is used to support nursing
practice. A foreign exchange of ideas assists in transcultural and
world health issues.
Question 10
School nurses often teach about sun protection and give
instruction on healthy eating. What do these actions exemplify?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Preventive care - Correct Answer: 1
Rationale: Primary prevention focuses on health promotion and
education as well as the prevention of illness and disease
through health-promoting behaviors. Educating clients about
promoting healthy behaviors is considered optimal because the
,costs for primary prevention are minimal and its impact can be
significant. Secondary prevention focuses on screening and early
detection of disease with the goal of early intervention. This
helps to identify clients who are at risk for certain diseases.
Tertiary prevention is the care and restoration of a patient after
an insult or injury/disease has occurred. Preventive care is not a
level of health promotion but a component of all three categories
of care delivery.
Question 10
What must nurses do to fulfill a collaborative role?
1. Graduate with at least a baccalaureate degree.
2. Assume increased authority in practice areas.
3. Redesign unit policies to allow collaboration.
4. Lobby state boards of nursing to approve this collaborative
role. - Correct Answer: 2
Rationale: Collaboration without action is incomplete. In order
for the nurse to benefit from collaboration, there is a need to
assume accountability and increased authority in the area where
the nurse practices. A baccalaureate degree is not required. It is
not necessary to write specific unit policies to allow for
collaboration. The state boards of nursing support the American
Nurses Association standard on collaboration, so lobbying is not
needed.
Question 10
While taking care of a devout Muslim, the nurse might expect
which daily ritual?
1. A Muslim prayer that is said at bedtime
2. Muslim prayers said five times a day; at dawn, noon, mid-
afternoon, sunset, and evening
, 3. A Muslim prayer that is said in the morning on awakening
4. A Muslim prayer that is said at meals - Correct Answer: 2
Rationale: The Salat is a daily ritual of saying five prayers a day;
at dawn, noon, mid-afternoon, sunset, and evening while facing
Mecca. A devout Muslim would pray at each interval during the
day, he or she would not say the prayer only one time each day.
Question 11
The laboratory supervisor states, "I would like to collaborate
with nursing services to improve the way they order laboratory
tests." What is the error in this statement?
1. Laboratory supervisors should have no influence on nursing
service.
2. An integrated delivery system centers on the client's health
needs, not on the particular care given by one group.
3. The issues between laboratory services and nursing services
are generally related to the way orders are written by physicians.
4. Collaboration cannot occur between disciplines in a hospital. -
Correct Answer: 2
Rationale: This statement focuses on what one service (nursing)
is doing wrong. This goes against the idea that an integrated
system focuses on the client's health needs, not on the particular
care given by one group. This laboratory supervisor can have
influence on nursing services by collaborating with that service,
not by criticizing and directing what nursing will do. This is true
no matter what the issue is and what causes the problem.
Collaboration often occurs between and among disciplines in a
hospital.
Question 11
Complete Solutions
Question 1
What should the nurse include when assessing a patient's
spirituality? (Select all that apply.)
1. Relationship with self
2. Relationship with other cultural groups
3. Relationship with deity
4. Relationship with others
5. Relationship with nature - Correct Answer: 1, 3, 4, 5
Rationale: The characteristics of spirituality include personal
connectedness, connectedness to others, the environment, and to
a supreme being. A relationship with other cultural groups is not
a characteristic of spirituality.
Question 1
Which group established a standard of professional performance
focused on the nurse's collaboration with clients, families, and
other healthcare professionals?
1. The National Council of State Boards of Nursing
2. The National League for Nursing
3. The American Association of Colleges of Nursing
4. The American Nurses Association - Correct Answer: 4
Rationale: The ANA Nursing: Scope and Standards of Practice
includes collaboration by the registered nurse with clients and
families as well as other healthcare providers. The National
League for Nursing and the American Association of Colleges
of Nursing accredit schools of nursing. The National Council of
State Boards of Nursing manages the administration of licensure
examinations.
,Question 1
Which two components encouraged the change in view of health
care from one of biological focus on disease management to
comprehensive health care?
1. Medicare and Healthy People 2020
2. Healthy People 2020 and nursing theorists
3. Integrative health and Healthy People 2020
4. Integrative health and foreign exchange of ideas - Correct
Answer: 3
Rationale: A blend of both Eastern and Western medicine,
known as integrative health and initiatives in Healthy People
2020 have moved the health care system away from a
illness/disease-based framework to a more comprehensive
approach to health care. Changes in Medicare have not
encouraged the change in view of health care. Nursing theorists
develop a body of knowledge that is used to support nursing
practice. A foreign exchange of ideas assists in transcultural and
world health issues.
Question 10
School nurses often teach about sun protection and give
instruction on healthy eating. What do these actions exemplify?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Preventive care - Correct Answer: 1
Rationale: Primary prevention focuses on health promotion and
education as well as the prevention of illness and disease
through health-promoting behaviors. Educating clients about
promoting healthy behaviors is considered optimal because the
,costs for primary prevention are minimal and its impact can be
significant. Secondary prevention focuses on screening and early
detection of disease with the goal of early intervention. This
helps to identify clients who are at risk for certain diseases.
Tertiary prevention is the care and restoration of a patient after
an insult or injury/disease has occurred. Preventive care is not a
level of health promotion but a component of all three categories
of care delivery.
Question 10
What must nurses do to fulfill a collaborative role?
1. Graduate with at least a baccalaureate degree.
2. Assume increased authority in practice areas.
3. Redesign unit policies to allow collaboration.
4. Lobby state boards of nursing to approve this collaborative
role. - Correct Answer: 2
Rationale: Collaboration without action is incomplete. In order
for the nurse to benefit from collaboration, there is a need to
assume accountability and increased authority in the area where
the nurse practices. A baccalaureate degree is not required. It is
not necessary to write specific unit policies to allow for
collaboration. The state boards of nursing support the American
Nurses Association standard on collaboration, so lobbying is not
needed.
Question 10
While taking care of a devout Muslim, the nurse might expect
which daily ritual?
1. A Muslim prayer that is said at bedtime
2. Muslim prayers said five times a day; at dawn, noon, mid-
afternoon, sunset, and evening
, 3. A Muslim prayer that is said in the morning on awakening
4. A Muslim prayer that is said at meals - Correct Answer: 2
Rationale: The Salat is a daily ritual of saying five prayers a day;
at dawn, noon, mid-afternoon, sunset, and evening while facing
Mecca. A devout Muslim would pray at each interval during the
day, he or she would not say the prayer only one time each day.
Question 11
The laboratory supervisor states, "I would like to collaborate
with nursing services to improve the way they order laboratory
tests." What is the error in this statement?
1. Laboratory supervisors should have no influence on nursing
service.
2. An integrated delivery system centers on the client's health
needs, not on the particular care given by one group.
3. The issues between laboratory services and nursing services
are generally related to the way orders are written by physicians.
4. Collaboration cannot occur between disciplines in a hospital. -
Correct Answer: 2
Rationale: This statement focuses on what one service (nursing)
is doing wrong. This goes against the idea that an integrated
system focuses on the client's health needs, not on the particular
care given by one group. This laboratory supervisor can have
influence on nursing services by collaborating with that service,
not by criticizing and directing what nursing will do. This is true
no matter what the issue is and what causes the problem.
Collaboration often occurs between and among disciplines in a
hospital.
Question 11
