Which of the following questions asked by the nurse assesses the patient's fellowship
and community? 1. "How happy are you with your life?" 2. "Who was your greatest
support while you were recovering from your previous surgery?" 3. "How has your
illness impacted your life?" 4. "What spiritual practices can - CORRECT ANSWES -- 2
The nurse provides care to an infant, born to Orthodox Jewish parents, who had a
circumcision 8 days after his birth. The nurse recognizes that this best describes what
component of spirituality? 1. Fellowship and community 2. Connectedness 3. Ritual and
practice 4. Life satisfaction - CORRECT ANSWES -- 3
What assessment questions does a nurse ask to determine a family's structure? (Select
all that apply.) 1. "When your family has to make an important decision, which family
member makes the decision?" 2. "What challenges is your family experiencing right
now?" 3. "Who are the people you consider to be a part of your family?" 4. "Which
illnesses seem to run in your family?" 5. "Who helps with jobs your family needs to
complete?" - CORRECT ANSWES -- 1, 3, 5
A nurse is providing emotional support to a family caregiver who is having problems
coping with additional caregiving responsibilities. The nurse's goal is to ensure the
needs of the patient and all family members are met. Which approach for nursing
practice is this nurse taking? 1. Family as structure 2. Family as context 3. Family as
patient 4. Family as system - CORRECT ANSWES -- 3
A married couple has three children. The youngest child just graduated from college
and is moving to a different city to take a job. The other two children left the home
several years ago. What developmental tasks does the nurse expect this family to
experience at this point in time? (Select all that apply.) 1. Taking on parenting roles 2.
Making room for the wisdom of older adults 3. Refocusing on marital issues 4.
Determining new focus on recreational activities 5. Developing intimate relations with
others - CORRECT ANSWES -- 3, 4
A 7-year-old child was recently diagnosed with asthma. A nurse is providing education
to the child and her parents about the treatment and management of asthma and
changes they need to make in their home environment to promote her health. Which
statement made by the parents requires follow-up by the nurse? 1. "We have made an
appointment to talk with the school nurse about the change in our child's health." 2. "We
forgot to give our daughter her medications before bedtime so we made a list of her
medications to help us remember." 3. "We have not been spending time with our
parents because we are so busy taking care of our daughter." 4. "We have worked out a
schedule to check on her before and after school." - CORRECT ANSWES -- 3
A nursing student is caring for an elderly woman who is caring for her husband who has
dementia. The woman states, "I just cannot stand watching him suffer any more. It
makes me so angry that he has dementia. Why did it have to happen to us? He makes
me so upset sometimes I cannot remember any of the good times we used to have
together." Which statement is the most appropriate response by the nursing student? 1.
,"Why don't you love your husband anymore?" 2. "It sounds like you need a break. Can't
your children help you?" 3. "I understand your frustration. Is there something you would
like to talk about now?" 4. "I will ask the social worker to come see you to arrange for
someone to come help you at home." - CORRECT ANSWES -- 3
A family consists of two parents and their three children. The parents decide to become
foster parents and now have two foster children living with them. What term best
describes this family? 1. Nuclear 2. Extended 3. Single-parent 4. Blended - CORRECT
ANSWES -- 4
A mother and her two children are homeless and enter a free health care clinic. Which
statements most likely describe the effects of homelessness on this family? (Select all
that apply.) 1. The children have stability in their education. 2. The family members may
have symptoms of malnutrition such as anemia. 3. The family is at a low risk for
experiencing violence. 4. The children are at higher risk for developing ear infections. 5.
All family members may have mental health issues - CORRECT ANSWES -- 2, 4, 5
A patient who is newly diagnosed with breast cancer states, "Although I am really
scared about what is going to happen to me, I know my family will learn from this
experience and we will be stronger in the end." What term does the nurse use in the
patient's medical record to describe the characteristic displayed in this statement? 1.
Resiliency 2. End-of-life care 3. Family functioning 4. Family's response to trauma -
CORRECT ANSWES -- 1
A nurse is caring for a patient who is hospitalized following a stroke. The nurse is
developing a discharge plan for the patient. While the patient's spouse is visiting, the
nurse asks if there are any family members who can help the patient at home. Which
approach is this nurse taking? 1. Family as context 2. Family as patient 3. Family as
system 4. Family as structure - CORRECT ANSWES -- 1
A school nurse talks with high school students and their parents about the need for
immunizations for the upcoming year. The nurse talks about the immunization for
human papillomavirus (HPV) and the vaccination for bacterial meningitis. The nurse
also discusses stress-relief measures and the need for regular exercise. Which type of
patient education needs is this nurse providing? 1. Growth and development 2. Health
promotion 3. Acute care 4. Restorative care - CORRECT ANSWES -- 2
Which of the following indicates that additional assistance is needed to transfer a patient
from the bed to the stretcher? 1. The patient is 5 feet 6 inches and weighs 120 lb (54.4
kg). 2. The patient speaks and understands English. 3. The patient received an injection
of morphine 30 minutes ago for pain. 4. You feel comfortable handling a patient of this
size and level of cooperation. - CORRECT ANSWES -- 3
Which assessment data does the nurse gather before transferring a patient from the
bed to a stretcher? (Select all that apply.) 1. Patient's weight 2. Patient's level of
, cooperation 3. Patient's ability to assist 4. Presence of medical equipment 5. 24-hour
calorie intake - CORRECT ANSWES -- 1, 2, 3, 4
Which of the following are necessary safety precautions when ambulating a patient?
(Select all that apply.) 1. Placing a gait belt around patient's waist 2. Clear the
immediate environment of safety hazards 3. Having patient wear well-fitting rubber-
soled shoes or slippers 4. Having at least three people present to assist patient 5. Being
sure that no pain medication was given for at least 3 hours before ambulation -
CORRECT ANSWES -- 1, 2, 3
Place the first five steps of Assessment for the performance of the Skill of Safe and
Effective Transfer Techniques in the correct order. 1. Perform hand hygiene. 2. Directly
assess physical capacity of a patient to transfer. 3. Assess for weakness, dizziness, or
risk for orthostatic (postural) hypotension. 4. Identify the patient using at least two
identifiers. 5. Refer to medical record for most recent recorded weight and height for
patient. - CORRECT ANSWES -- 4, 1, 2, 3, 5
The nurse recognizes that a decline in physical activity and joint changes that decrease
flexibility experienced by the older adult will most likely: 1. Increase the patient's risk for
falls and injuries 2. Result in less stress on the patient's joints 3. Decrease the amount
of work of the patient to move 4. Allow for mobility despite the aging effects on the
patient's joints - CORRECT ANSWES -- 1
Which of the following crutch gaits is most appropriate for a patient with a right knee
replacement who is prescribed no weight bearing on the right leg? 1. Two-point gait 2.
Three-point gait 3. Four-point gait 4. Swing-through gait - CORRECT ANSWES -- 2
A nursing assistive personnel asks for help to transfer a patient who weighs 125 lb (56.8
kg) from the bed to a wheelchair. The patient is unable to assist. What is the nurse's
best response? 1. "As long as we use proper body mechanics, no one will get hurt." 2.
"The patient weighs only 125 lb. You don't need my assistance." 3. "Let's call the lift
team for additional assistance." 4. "The two of us can easily lift the patient." -
CORRECT ANSWES -- 3
Which of the following statements made by an older adult reflects the best
understanding of the need to exercise regardless of age? 1. "You are never too old to
begin an exercise program." 2. "My granddaughter and I walk together around the high
school track 3 times a week." 3. "I purchased a subscription to a runner's magazine for
my grandson for Christmas." 4. "When I was a child, I exercised more than what I see
kids doing today." - CORRECT ANSWES -- 2
A patient is experiencing some problems with joint stability. The physician has
prescribed crutches for the patient to use while still being allowed to bear weight on both
legs. Which of the following gaits should the patient be taught to use? 1. Four-point or
four-point alternating 2. Three-point or three-point alternating 3. Two-point 4. Swing-
through - CORRECT ANSWES -- 1
and community? 1. "How happy are you with your life?" 2. "Who was your greatest
support while you were recovering from your previous surgery?" 3. "How has your
illness impacted your life?" 4. "What spiritual practices can - CORRECT ANSWES -- 2
The nurse provides care to an infant, born to Orthodox Jewish parents, who had a
circumcision 8 days after his birth. The nurse recognizes that this best describes what
component of spirituality? 1. Fellowship and community 2. Connectedness 3. Ritual and
practice 4. Life satisfaction - CORRECT ANSWES -- 3
What assessment questions does a nurse ask to determine a family's structure? (Select
all that apply.) 1. "When your family has to make an important decision, which family
member makes the decision?" 2. "What challenges is your family experiencing right
now?" 3. "Who are the people you consider to be a part of your family?" 4. "Which
illnesses seem to run in your family?" 5. "Who helps with jobs your family needs to
complete?" - CORRECT ANSWES -- 1, 3, 5
A nurse is providing emotional support to a family caregiver who is having problems
coping with additional caregiving responsibilities. The nurse's goal is to ensure the
needs of the patient and all family members are met. Which approach for nursing
practice is this nurse taking? 1. Family as structure 2. Family as context 3. Family as
patient 4. Family as system - CORRECT ANSWES -- 3
A married couple has three children. The youngest child just graduated from college
and is moving to a different city to take a job. The other two children left the home
several years ago. What developmental tasks does the nurse expect this family to
experience at this point in time? (Select all that apply.) 1. Taking on parenting roles 2.
Making room for the wisdom of older adults 3. Refocusing on marital issues 4.
Determining new focus on recreational activities 5. Developing intimate relations with
others - CORRECT ANSWES -- 3, 4
A 7-year-old child was recently diagnosed with asthma. A nurse is providing education
to the child and her parents about the treatment and management of asthma and
changes they need to make in their home environment to promote her health. Which
statement made by the parents requires follow-up by the nurse? 1. "We have made an
appointment to talk with the school nurse about the change in our child's health." 2. "We
forgot to give our daughter her medications before bedtime so we made a list of her
medications to help us remember." 3. "We have not been spending time with our
parents because we are so busy taking care of our daughter." 4. "We have worked out a
schedule to check on her before and after school." - CORRECT ANSWES -- 3
A nursing student is caring for an elderly woman who is caring for her husband who has
dementia. The woman states, "I just cannot stand watching him suffer any more. It
makes me so angry that he has dementia. Why did it have to happen to us? He makes
me so upset sometimes I cannot remember any of the good times we used to have
together." Which statement is the most appropriate response by the nursing student? 1.
,"Why don't you love your husband anymore?" 2. "It sounds like you need a break. Can't
your children help you?" 3. "I understand your frustration. Is there something you would
like to talk about now?" 4. "I will ask the social worker to come see you to arrange for
someone to come help you at home." - CORRECT ANSWES -- 3
A family consists of two parents and their three children. The parents decide to become
foster parents and now have two foster children living with them. What term best
describes this family? 1. Nuclear 2. Extended 3. Single-parent 4. Blended - CORRECT
ANSWES -- 4
A mother and her two children are homeless and enter a free health care clinic. Which
statements most likely describe the effects of homelessness on this family? (Select all
that apply.) 1. The children have stability in their education. 2. The family members may
have symptoms of malnutrition such as anemia. 3. The family is at a low risk for
experiencing violence. 4. The children are at higher risk for developing ear infections. 5.
All family members may have mental health issues - CORRECT ANSWES -- 2, 4, 5
A patient who is newly diagnosed with breast cancer states, "Although I am really
scared about what is going to happen to me, I know my family will learn from this
experience and we will be stronger in the end." What term does the nurse use in the
patient's medical record to describe the characteristic displayed in this statement? 1.
Resiliency 2. End-of-life care 3. Family functioning 4. Family's response to trauma -
CORRECT ANSWES -- 1
A nurse is caring for a patient who is hospitalized following a stroke. The nurse is
developing a discharge plan for the patient. While the patient's spouse is visiting, the
nurse asks if there are any family members who can help the patient at home. Which
approach is this nurse taking? 1. Family as context 2. Family as patient 3. Family as
system 4. Family as structure - CORRECT ANSWES -- 1
A school nurse talks with high school students and their parents about the need for
immunizations for the upcoming year. The nurse talks about the immunization for
human papillomavirus (HPV) and the vaccination for bacterial meningitis. The nurse
also discusses stress-relief measures and the need for regular exercise. Which type of
patient education needs is this nurse providing? 1. Growth and development 2. Health
promotion 3. Acute care 4. Restorative care - CORRECT ANSWES -- 2
Which of the following indicates that additional assistance is needed to transfer a patient
from the bed to the stretcher? 1. The patient is 5 feet 6 inches and weighs 120 lb (54.4
kg). 2. The patient speaks and understands English. 3. The patient received an injection
of morphine 30 minutes ago for pain. 4. You feel comfortable handling a patient of this
size and level of cooperation. - CORRECT ANSWES -- 3
Which assessment data does the nurse gather before transferring a patient from the
bed to a stretcher? (Select all that apply.) 1. Patient's weight 2. Patient's level of
, cooperation 3. Patient's ability to assist 4. Presence of medical equipment 5. 24-hour
calorie intake - CORRECT ANSWES -- 1, 2, 3, 4
Which of the following are necessary safety precautions when ambulating a patient?
(Select all that apply.) 1. Placing a gait belt around patient's waist 2. Clear the
immediate environment of safety hazards 3. Having patient wear well-fitting rubber-
soled shoes or slippers 4. Having at least three people present to assist patient 5. Being
sure that no pain medication was given for at least 3 hours before ambulation -
CORRECT ANSWES -- 1, 2, 3
Place the first five steps of Assessment for the performance of the Skill of Safe and
Effective Transfer Techniques in the correct order. 1. Perform hand hygiene. 2. Directly
assess physical capacity of a patient to transfer. 3. Assess for weakness, dizziness, or
risk for orthostatic (postural) hypotension. 4. Identify the patient using at least two
identifiers. 5. Refer to medical record for most recent recorded weight and height for
patient. - CORRECT ANSWES -- 4, 1, 2, 3, 5
The nurse recognizes that a decline in physical activity and joint changes that decrease
flexibility experienced by the older adult will most likely: 1. Increase the patient's risk for
falls and injuries 2. Result in less stress on the patient's joints 3. Decrease the amount
of work of the patient to move 4. Allow for mobility despite the aging effects on the
patient's joints - CORRECT ANSWES -- 1
Which of the following crutch gaits is most appropriate for a patient with a right knee
replacement who is prescribed no weight bearing on the right leg? 1. Two-point gait 2.
Three-point gait 3. Four-point gait 4. Swing-through gait - CORRECT ANSWES -- 2
A nursing assistive personnel asks for help to transfer a patient who weighs 125 lb (56.8
kg) from the bed to a wheelchair. The patient is unable to assist. What is the nurse's
best response? 1. "As long as we use proper body mechanics, no one will get hurt." 2.
"The patient weighs only 125 lb. You don't need my assistance." 3. "Let's call the lift
team for additional assistance." 4. "The two of us can easily lift the patient." -
CORRECT ANSWES -- 3
Which of the following statements made by an older adult reflects the best
understanding of the need to exercise regardless of age? 1. "You are never too old to
begin an exercise program." 2. "My granddaughter and I walk together around the high
school track 3 times a week." 3. "I purchased a subscription to a runner's magazine for
my grandson for Christmas." 4. "When I was a child, I exercised more than what I see
kids doing today." - CORRECT ANSWES -- 2
A patient is experiencing some problems with joint stability. The physician has
prescribed crutches for the patient to use while still being allowed to bear weight on both
legs. Which of the following gaits should the patient be taught to use? 1. Four-point or
four-point alternating 2. Three-point or three-point alternating 3. Two-point 4. Swing-
through - CORRECT ANSWES -- 1
