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1. Which factor is used to assess the quality of health care provided to a client?
A.) Fall prevention measures employed for the client
B.) Functional health status of the client after discharge
C.) Hand hygiene practiced by the health care personnel
D.) Teamwork and coordination among health care personnel - Answer>>> B
Rationale: Health care providers determine the quality of care provided to the client by
measuring outcomes that show how a client's health status has changed. One method of
measuring the quality of health care provided to the client is the functional health status of the
client after discharge. The nursing staff should take necessary fall prevention measures for the
client; however, this is not a measurable outcome. All health care personnel should practice
hand hygiene to prevent infection, which is a quality measure, not an outcome of health care.
Teamwork and coordination among health care personnel is important to provide efficient
health care to the client. It is not an outcome of health care.
2. A client with bone cancer is receiving hospice care at home. The hospice program also
provides respite care. What is the purpose of respite care?
A.) Assisting the client with meals and personal care
B.) Providing short-term relief to the family caregiver
C.) Providing skilled nursing interventions for the client
D.) Providing counseling and treatment for behavioral problems - Answer>>> B
Rationale: Hospice programs are focused at providing pain relief to the client. Some hospice
programs also provide short-term relief or "time-off" to the family caregiver. This enables the
caregiver to leave the home to attend to other activities while the client is looked after by a
responsible person. Services in an assisted living facility provide meals and personal care to the
,clients. A skilled nursing facility or an intermediate care facility provides skilled interventions
such as intravenous administration of fluids, wound care, or long-term ventilator management.
Psychiatric facilities provide counseling and treatment to clients for behavioral problems.
3. What is a stressor?
A.) A stressor is any stimuli that can produce tension and cause instability within the system.
B.) A stressor exists within the client system, such as the physiological and behavioral responses
to illnesses.
C.) A stressor exists outside the client system; external stressors include changes in healthcare
policies or increased the crime rates.
D.) A stressor is a term, description, or label given to describe an idea or responses about an
event, a situation, a process, a group of events, or a group of situations. - Answer>>> A
Rationale: A stressor is any stimuli that can produce tension and cause instability within the
system. Internal factors exist within the client system, like the physiological and behavioral
responses to illnesses. External factors exist outside the client system; these stressors include
changes in healthcare policies or increased crime rates. A phenomenon is a term, description, or
label given to describe an idea or responses about an event, a situation, a process, a group of
events, or a group of situations.
4. An African man presents to the emergency department to obtain pain medication. The nurse
behaves judgmentally and labels the client a drug abuser. What is the nurse demonstrating?
A.) Ethnocentrism
B.) Multiculturalism
C.) Cultural encounter
D.) Cultural imposition - Answer>>> A
Rationale: Ethnocentrism is the tendency of a person to hold his or her own beliefs superior to
those of other people. It causes biases and prejudices in regard to people from other groups.
,This practice is transmitted by cultural groups from one generation to another. In
multiculturalism, two cultures coexist and are accepted by the individual. In a cultural encounter,
part of cultural competence, a nurse engages in cross-cultural interactions for effective
communication. Cultural imposition occurs when a nurse or health care provider ignores the
differences between his or her own culture and others and imposes his or her beliefs on people
of other cultures.
5. What is the primary focus of the nurse when providing evidence-based care to the client?
A.) Practice trends
B.) Research studies
C.) Clinical experience
D.) Problem-solving approach - Answer>>> D
Rationale: Evidence-based practice is first and foremost a problem-solving approach to care. This
problem-solving approach incorporates application of current best practice along with
knowledge from research studies and clinical expertise.
6. Which type of theory is the Neuman systems model?
A.) Grand theory
B.) Descriptive theory
C.) Prescriptive theory
D.) Middle-range theory - Answer>>> A
Rationale: Neuman systems model is an example of a grand theory that provides a
comprehensive foundation for scientific nursing practice, education, and research. Theories
related to growth and development are descriptive theories. Prescriptive theories address
nursing interventions for a phenomenon, describe the condition under which the prescription
occurs, and predict the consequences. Mishel's theory of uncertainty is a prescriptive theory.
Middle-range theories tend to focus on a specific field of nursing. Mishel's theory of uncertainty
in illness is a middle-range theory.
, 7. Which opposing conflict would a middle-aged adult face according to Erikson's theory of
psychosocial development?
A.) Integrity versus Despair
B.) Intimacy versus Isolation
C.) Identity versus Role Confusion
D.) Generativity versus Self-Absorption and Stagnation - Answer>>> D
Rationale: According to Erikson's theory of psychosocial development, a middle-aged adult is
likely to face the opposing conflicts Generativity versus Self-Absorption and Stagnation. An older
adult is likely to face the opposing conflicts Integrity versus Despair. A young adult may face the
opposing conflicts Intimacy versus Isolation. An adolescent may face the opposing conflicts
Identity versus Role Confusion.
8. Which characteristic indicates that nursing is a profession?
A.) The nurse is trained to perform specific tasks.
B.) The nurse is required to follow a code of ethics.
C.) The nurse is required to have a collection of specific skills.
D.) The nurse has limited autonomy in decision making and practice. - Answer>>> B
Rationale: Nursing is a profession because it follows a code of ethics, which are the philosophical
ideals of right and wrong that define the principles the nurse uses to care for the clients. Nursing
is not just a collection of specific skills performed by a trained individual. The nurse is expected
to act professionally by administering quality client-centered care in a safe, conscientious, and
knowledgeable manner. Nursing is a profession because nurses have autonomy in decision
making and practice in accordance with the state and federal laws and regulations. Nursing is a
profession because its members must not only possess basic nursing education but extended
education to explore new methods of health care.
9. Which age is considered the phallic stage according to Sigmund Freud's developmental