Chapter 1: The Role of the Nurse in Comprehensive Care
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Chapter 1: The Role of the Nurse in Comprehensive Care
OpenStax Clinical Nursing Skills Nursing
Test Bank
Chapter 1: The Role of the Nurse in Comprehensive Care
Review Questions
Multiple Choice
1. In what role do nurses provide education, guidance, and support to help individuals and
communities develop healthy lifestyles, prevent illness, and enhance overall wellness?
A. restoring health
B. health promotion*
C. coping implementation
D. illness prevention
LO: 01.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
2. A nurse is helping an overweight patient with a broken leg understand the rehabilitation
exercises and lifestyle changes the patient needs to heal and become healthy again. What
role is the nurse fulfilling to help this patient?
A. coping implementation
B. illness prevention
C. restoring health*
D. health promotion
LO: 01.1.1
Difficulty: Moderate
Blooms: Understand
AACN: 1.1a
3. To cope with a recent diagnosis of multiple sclerosis, a patient joined a support group,
began attending religious services every weekend, and enrolled in a yoga class. What coping
strategy is the patient using?
A. maladaptive coping
B. cognitive-focused coping
C. problem-focused coping
D. emotion-focused coping*
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Chapter 1: The Role of the Nurse in Comprehensive Care
LO: 01.1.1
Difficulty: Moderate
Blooms: Evaluate
AACN: 1.1b
4. Which step of the Clinical Judgment Measurement Model (NCJMM) focuses on forming a
meaningful understanding of the patient’s situation?
A. pattern recognition*
B. problem representation
C. cue recognition
D. final judgment
LO: 01.1.3
Difficulty: Moderate
Blooms: Understand
AACN: 1.1a
5. As Josephine evaluates her patient’s cues, she considers alternatives that may explain the
problems her patient is experiencing. Which step of the Clinical Judgment Measurement
Model is Josphine using?
A. cue recognition
B. problem representation
C. hypothesis generation*
D. hypothesis evaluation
LO: 01.1.3
Difficulty: Difficult
Blooms: Understand
AACN: 1.1a
6. Which component of Tanner’s clinical judgment model involves the nurse’s ability to
develop and implement appropriate actions or interventions?
A. noticing
B. responding*
C. reflecting
D. interpreting
LO: 01.1.3
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
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Chapter 1: The Role of the Nurse in Comprehensive Care
7. What type of theory provides guidance and direction for nursing practice by offering
recommendations, interventions, or guidelines to achieve desired outcomes?
A. descriptive theory
B. developmental theory
C. adaptation theory
D. prescriptive theory*
LO: 01.2.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
8. Which concept of the nursing metaparadigm encompasses a person’s physical, mental, and
social well-being to emphasize optimal functioning and quality of life?
A. nursing
B. environment
C. health*
D. person
LO: 01.2.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
9. Which guideline to safeguard human rights during nursing research projects ensures that
research participants can withdraw from a research project at any time?
A. beneficence and nonmaleficence
B. research ethics
C. confidentiality and privacy
D. informed consent*
LO: 01.2.2
Difficulty: Difficult
Blooms: Remember
AACN: 1.1a
10. What type of research focuses on understanding and interpreting human experiences,
meanings, and social phenomena in the context of health care?
A. qualitative*
B. correlational
C. quantitative
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Chapter 1: The Role of the Nurse in Comprehensive Care
D. experimental
LO: 01.2.2
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
11. When reviewing a research article, which part of the article should you thoroughly analyze
to understand the main findings of the research?
A. discussion
B. results*
C. conclusion
D. abstract
LO: 01.2.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
12. In the assessment process, which step provides a legal communication tool that makes a
patient’s information accessible to the healthcare team and gives an overall picture of a
patient’s health status?
A. diagnose/analyze data
B. organize data
C. validate data
D. document data*
LO: 01.3.1
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
13. Which step of the nursing process involves critically evaluating data, considering specifics of
a patient’s case, and prioritizing identified concerns based on urgency and significance?
A. identify potential patient concerns
B. identify actual patient concerns*
C. apply data to clinical decision-making
D. planning
LO: 01.3.1
Difficulty: Difficult
Blooms: Remember
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Chapter 1: The Role of the Nurse in Comprehensive Care
AACN: 1.1b
14. What type of nursing intervention requires nurses to administer treatments as ordered by
an authorized primary healthcare provider?
A. collaborative nursing intervention
B. diagnostic nursing intervention
C. dependent nursing intervention*
D. independent nursing intervention
LO: 01.3.1
Difficulty: Moderate
Blooms: Apply
AACN: 1.1b
15. Who creates nursing care plans?
A. registered nurses*
B. primary care physicians
C. administrative coordinators
D. chief residents
LO: 01.3.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1b
True/False
16. True or false? Nursing goals have essentially remained the same since Florence Nightingale
established the principles for holistic medicine.
Answer: False. Even after Florence Nightingale established the principles for holistic medicine,
nursing goals have continued to evolve.
LO: 01.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
17. True or false? Maintaining confidentiality is an important part of the veracity ethical
principle.
Answer: False. Maintaining confidentiality is an important part of the fidelity ethical principle,
not veracity.
LO: 01.1.2
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Chapter 1: The Role of the Nurse in Comprehensive Care
Difficulty: Difficult
Blooms: Understand
AACN: 1.1a
18. True or false? A developmental theory aims to explain how individuals grow and change
across various stages of life.
Answer: True
LO: 01.2.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
19. True or false? To ensure beneficence and privacy during nursing research, research
protocols must be carefully designed, risks must be minimized, and participants’ welfare
must be monitored throughout the study.
Answer: False. This is the process to ensure beneficence and nonmaleficence, not beneficence
and privacy. Privacy is ensured by protecting participants’ identities and handling data securely.
LO: 01.2.2
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
20. True or false? ADPIE—which stands for assessment, diagnosis, preparing, implementation,
and examination—is an easy way to remember the ANA Standards and the nursing process.
Answer: False. ADPIE is the correct mnemonic, but it stands for assessment, diagnosis, planning
(not preparing), implementation, and evaluation (not examination).
LO: 01.3.1
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
Identification
A. autonomy
B. beneficence
C. fidelity
D. nonmaleficence
E. veracity
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Chapter 1: The Role of the Nurse in Comprehensive Care
21. With this ethical principle, nurses demonstrate faithfulness, loyalty, and commitment to
patients.
Answer: C, fidelity
LO: 01.1.2
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
22. With this ethical principle, nurses act in the best interest of patients and promote their well-
being.
Answer: B, beneficence
LO: 01.1.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
23. With this ethical principle, nurses respect the right of patients to make their own decisions
and participate in their care.
Answer: A, autonomy
LO: 01.1.2
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
24. With this ethical principle, nurses are honest and truthful in communication.
Answer: E, veracity
LO: 01.1.2
Difficulty: Difficult
Blooms: Remember
AACN: 1.1a
25. With this ethical principle, nurses avoid harm and prevent or minimize potential risks to
patients.
Answer: D, nonmaleficence
LO: 01.1.2
Difficulty: Moderate
Blooms: Remember
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Chapter 1: The Role of the Nurse in Comprehensive Care
AACN: 1.1a
A. ask a clinical question
B. acquire the evidence
C. appraise the evidence
D. apply the evidence
E. assess outcomes
26. With this step in evidence-based practice, nurses assess the methodology, study design,
sample size, data analysis, and overall strength of the research.
Answer: C, appraise the evidence
LO: 01.2.3
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
27. With this step in evidence-based practice, nurses collect data and determine if interventions
were effective.
Answer: E, assess outcomes
LO: 01.2.3
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
28. With this step in evidence-based practice, nurses integrate the findings into their practices,
considering patient preferences, available resources, and feasibility.
Answer: D, apply the evidence
LO: 01.2.3
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
29. With this step in evidence-based practice, nurses identify the specific information they need
to guide their practices.
Answer: A, ask a clinical question
LO: 01.2.3
Difficulty: Easy
Blooms: Remember
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Chapter 1: The Role of the Nurse in Comprehensive Care
AACN: 1.1a
30. With this step in evidence-based practice, nurses search databases, journals, and other
reliable sources for information.
Answer: B, acquire the evidence
LO: 01.2.3
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
Fill in the Blank
31. A(n) ________ is a general guide, basic truth, or assumption that can be used with clinical
judgment to determine a course of action.
Answer: ethical principle
LO: 01.1.2
Difficulty: Moderate
Blooms: Remember
AACN: 1.1a
32. The ________ component of Tanner’s clinical judgment model is an ________ process that
allows nurses to develop a deeper understanding of their own clinical reasoning abilities
and to refine their practice.
Answer: reflecting; introspective
LO: 01.1.3
Difficulty: Difficult
Blooms: Remember
AACN: 1.1a
33. In the adaptation model, ________ stimuli include physiological, psychological, and
cognitive factors, while ________ stimuli encompass the physical, social, and cultural
aspects of the environment.
Answer: internal; external
LO: 01.2.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
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