Test Bank For Davis Advantage For Fundamentals of Nursing 2 Volume Set 4th Edition Judith M Wilkinson Leslie S Treas Karen L Barnett Mable H Smith
Test Bank For Davis Advantage For Fundamentals of Nursing 2 Volume Set 4th Edition Judith M Wilkinson Leslie S Treas Karen L Barnett Mable H Smith
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is working in a community health promotion clinic. Which is an example of an illness
prevention activity?
1. Encouraging the use of a food diary
2. Joining a cancer support group
3. Administering immunization for human papillomavirus (HPV)
4. Teaching a diabetic patient about his diet
____ 2. A practicing nurse is aware that continuing education courses may be required for license renewal.
Which organization can require nurses to obtain a specified amount of continuing education
courses?
1. American Nurses Association
2. National League for Nursing
3. Sigma Theta Tau
4. State Board of Nursing
____ 3. An experienced nurse uses knowledge of patient medical conditions and intuition to identify
patient problems. The nurse often fulfills the role of a resource for other nurses on the unit. At this
point, which stage of proficiency has this nurse achieved?
1. Novice
2. Advanced beginner
3. Competent
4. Expert
____ 4. Which statement best explains the importance of standards of practice in the nursing profession?
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1. Nurses have the same standards of practice as other healthcare professionals.
2. Standards of practice are applied exclusively to nurses working in hospital settings.
3. Standards of practice identify the components nurses need to provide safe care.
4. Standards of practice differ among registered nurses, based on the population they
serve.
____ 5. The nursing instructor is considering becoming a member of the National League for Nursing
(NLN). Which primary goal of the NLN will most strongly impact the nurse’s decision to become
a member?
1. Emphasizing the necessity for registered nurses to promote patient safety
2. Establishing and maintaining identified standards for nursing education
3. Supporting global health policies and improving health worldwide
4. Fostering nursing scholarship, leadership, and service to improve health
____ 6. The nurse is providing care for a patient following a debilitating stroke. Which type of care will
the nurse recognize as the best choice for this patient?
1. Primary care
2. Secondary care
3. Tertiary care
4. Preventive care
____ 7. The nurse is providing care for an older adult patient in an acute care setting for various age-
related health issues. When planning for discharge, the patient states concern about being able to
adequately provide for health maintenance and self-care needs. Which type of facility does the
nurse recognize for this patient?
1. Skilled nursing facility
2. Assisted living facility
3. Nursing home facility
4. Independent living facility
____ 8. The nurse understands that the most important reason for the development of a definition for the
profession of nursing is that it:
1. Will result in more informed people being recruited as nurses.
2. Is a means for evaluating the degree of role satisfaction in nurses.
3. Helps dispel the stereotypical images about nurses and nursing.
4. Differentiates the nursing role from those of other health professionals.
____ 9. Which activity provides evidence-based support for the contribution made by advanced practice
nurses (APNs) within healthcare?
1. Reduced use of diagnostics using advanced technology
2. Decreased number of unnecessary visits to the emergency department
3. Improved patient compliance with prescribed treatments
4. Increased use of complementary and alternative therapies
____ 10. The nurse is providing care for a pediatric patient in an acute care facility. The patient’s parents
express concern about the cost of the medical care. The parents state, “We have jobs, but we don’t
make a lot of money and have no insurance.” Which medical assistance program does the nurse
recognize as being most appropriate for this family?
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1. Children’s Health Insurance Program (CHIP)
2. Medicare
3. Medicaid
4. Local charity
____ 11. A nurse working in a rehabilitation facility has a physician’s prescription to contact therapists as
required by patient need. A patient has started to have difficulty with bathing and grooming.
Which therapist does the nurse contact to assist the patient to regain these skills?
1. Physical therapist
2. Occupational therapist
3. Speech-language pathologist
4. Respiratory therapist
____ 12. An older adult patient is diagnosed with type 1 diabetes mellitus. The patient can perform self-care
activities but needs assistance with shopping and meal preparation. As well, assistance is necessary
for blood glucose monitoring and insulin administration. Which type of healthcare facility is most
appropriate for the patient?
1. Acute care facility
2. Ambulatory care facility
3. Extended care facility
4. Assisted living facility
____ 13. The nurse in the intensive care unit is providing care for only one patient, who was admitted with a
diagnosis of septic shock. Based on this information, which care delivery model is this nurse
following?
1. Functional
2. Primary
3. Case method
4. Team
____ 14. The nurse is providing care for a patient who needs extensive acute care, which is being rejected
by the patient because of financial and family stressors. Which healthcare worker does the nurse
consult to counsel this patient?
1. Social worker
2. Occupational therapist
3. Physician’s assistant
4. Technologist
____ 15. Which type of managed care provides patients with the greatest choice of providers, medications,
and medical devices?
1. Health maintenance organization
2. Integrated delivery network
3. Preferred provider organization
4. Employment-based private insurance
____ 16. The registered nurse is discharging a patient to an assisted living facility. Which statement by the
nurse is most appropriate for the patient?
1. “Therapists will work with you daily to help you regain your functional abilities.”
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2. “You will be provided with 24-hour nursing care for the next 6 weeks.”
3. “Assistance with meals and housekeeping tasks is available to you.”
4. “A nurse will come to your home and provide you with nursing care.”
____ 17. Which member of the healthcare team typically serves as the case manager?
1. Social worker
2. Physician
3. Physician’s assistant
4. Registered nurse
____ 18. The nurse works in a public health department. Which nursing function is considered a primary
care service?
1. Providing wound care
2. Administering childhood immunizations
3. Providing drug rehabilitation
4. Providing outpatient hernia repair
____ 19. A patient who is 80 years of age is in an acute care facility because of a fractured hip resulting
from a fall. Previously, the patient lived at home and managed activities of daily living
independently. The patient goal is to return to the previous living style. The patient is to be
discharged because of insurance regulations. If the patient cannot walk or provide self-care, to
which type of facility will the patient be transferred?
1. Nursing home
2. Rehabilitation center
3. An outpatient therapy center
4. None of these; she should receive home healthcare
____ 20. A health care facility hires new nursing graduates to work on patient care units. The hired nurses
come from a variety of accredited nursing programs. Additionally, applicants need to be aware of
facility hiring practices based on which specific definition of a nurse?
1. Graduate of a nursing education program, and passed the National Council
Licensure Exam (NCLEX)
2. Obtained certification permitting the administration of medications in certain
healthcare settings
3. Specifically licensed to practice in either an acute care setting or in a home
environment
4. Received advanced education and is licensed to practice under the direct
supervision of a physician
____ 21. A nurse who has been practicing for 3 years in an acute care facility is caring for a postsurgical
patient. The nurse observes an abnormal change in vital signs and associates these changes with a
postoperative bleeding problem. Which level of proficiency is the nurse demonstrating?
1. Advanced beginner
2. Competent
3. Proficient
4. Expert
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 29. Which activities indicate the implementation of direct nursing care? Select all that apply.
1. Bathing a patient
2. Administering a medication
3. Teaching a patient to change a wound dressing
4. Making work assignments for the shift
5. Evaluating patient progression toward goals
____ 30. Which actions by the nurse are considered “skilled nursing care”? Select all that apply.
1. Changing a wound dressing
2. Assisting with bathing and grooming
3. Monitoring intravenous (IV) antibiotic administration
4. Teaching a patient how to use a blood glucose monitor
5. Helping a patient to get dressed
____ 31. To reflect the changes in healthcare and nurses’ expanded roles, the International Council of
Nurses revised the definition of nursing. Which statements are consistent with the revised
definition of nursing? Select all that apply.
1. Nursing encompasses the autonomous and collaborative care of others.
2. Nursing includes the care of ill, disabled, and dying people.
3. Nursing is involved in shaping health policy and system management.
4. Nursing involves the use of the nursing process to plan care.
5. Nursing requires knowledge regarding the process of nursing education.
____ 32. According to the American Nurses Association (ANA), which statements best describe the
characteristics of registered nursing? Select all that apply.
1. Nursing practice is individualized.
2. Nursing practice is similar to medical practice.
3. Caring is central to the practice of the registered nurse.
4. Nurses coordinate care by establishing partnerships.
5. Nurses promote health through political involvement.
____ 33. The field of nursing has struggled to prove that nursing is a profession. Which strategies to
improve the status of nursing will promote professionalism? Select all that apply.
1. Standardizing the educational requirements for entry into practice
2. Mandating uniform continuing education requirements for licensure
3. Guaranteeing that all nurses will obtain employment upon graduation
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4. Encouraging participation of nurses in professional organizations
5. Educating the public about the true nature of nursing practice
____ 34. Each U.S. state has its own state board of nursing responsible for protecting the health, safety, and
welfare of the general public. The state boards of nursing meets these responsibilities by
performing which functions? Select all that apply.
1. Advocating for nursing student issues
2. Determining the nurse’s scope of practice
3. Enforcing the rules that govern nursing
4. Writing the laws that regulate nursing
5. Regulating the number of licensed nurses
____ 35. The nurse is preparing a presentation for nursing students about the processes of thinking and
implementation that apply to nursing. Which topics will the nurse include? Select all that apply.
1. Critical thinking
2. Pain evaluation
3. Clinical judgment
4. Problem solving
5. Sterile technique
Completion
Complete each statement.
36. ____________________ is a health program, administered by the state and funded by federal and
state governments, to provide care for low-income people.
37. ____________________ is a federal insurance program designed to fund healthcare for people age
65 years and older, persons with disabilities, and those with end-stage renal disease.
MULTIPLE CHOICE
1. ANS: 3
Chapter: Chapter 1 Evolution of Nursing Thought & Action
Objective: Name and recognize the four purposes of nursing care.
Page: 19 (V1)
Heading: Nursing and Illness Prevention
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 This is incorrect. Illness prevention activities focus on avoiding a specific
disease. Keeping a food diary is a health promotion activity.
2 This is incorrect. Although cancer is a disease, it is assumed that a person
joining a support group would already have the disease; therefore, it would be
treatment and not disease prevention.
3 This is correct. Administering immunization for HPV is an example of illness
prevention.
4 This is incorrect. Teaching a diabetic patient about diet is a treatment for
diabetes; the patient already has diabetes, so the teaching cannot prevent
diabetes.
Page: 23 (V1)
Heading: Continuing Education
Integrated Processes: Teaching and Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Professionalism
Difficulty: Moderate
Cognitive Level: Application [Applying]
Feedback
Feedback
1 This is incorrect. Physical therapists focus on the rehabilitation of muscles and
bones and helping clients gain optimal functioning in self-care skills for
activities of daily living and learn how to use assistive devices.
2 This is correct. Occupational therapists help patients to regain and maintain
function and independence with activities of daily living, such as dressing,
bathing, and grooming.
3 This is incorrect. Speech-language pathologists provide assistance to clients
experiencing swallowing and speech disturbances (e.g., developing speech and
language skills after neurological impairment).
Feedback
1 This is incorrect. In the case method model, one nurse cares for one patient
during a single shift.
2 This is incorrect. In the team model, a nurse is paired with an LPN or a CNA.
The team is then assigned to a specific group of patients.
3 This is incorrect. Primary nursing is a method where one nurse manages care for
a group of patients. The primary nurse assesses the patient and develops a plan
of care. In the absence of the primary nurse, associate nurses deliver care and
implement the plan developed by the primary nurse.
4 This is correct. The nurse recognizes this practice as the functional model of
care in which care is compartmentalized and each employee is assigned specific
tasks and roles with the associating knowledge and skill.
Feedback
1 This is correct. With aging, people experience more acute and chronic illnesses
and a greater need for medical and nursing care. In 2017, 49.2 million
individuals were 65 years and older. This number is expected to increase to 98.2
million by 2060, with 19.7 million of these individuals age 85 years or older. As
the population of older adults grows, little growth is expected in individuals
under 20 years of age. The result is fewer younger people who can provide care.
This has significant implications for the healthcare system and the profession of
nursing.
2 This is incorrect. It is true that current technology enables vast numbers of
people to access medical information. And while the teaching opportunities for
nurses expand, this factor alone is not a primary cause for changes in the
profession of nursing.
3 This is incorrect. Increase in the demands for medical care from all members of
society is not specifically a primary cause for changes in the profession of
nursing; all aspects of medical care will be affected. This factor alone is not a
primary cause for changes in the profession of nursing.
4 This is incorrect. Government-implemented medical care expectations will
impact all aspects of medical care delivery. This factor alone is not a primary
cause for changes in the profession of nursing.
Feedback
1 This is incorrect. Teaching the family how to assist with toileting is not typically
the role of the case manager. Additionally, this does not assist the patient
regarding the immediate concern of toileting.
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2 This is incorrect. Reassurance is important and positive, but the patient first
needs assistance with toileting.
3 This is incorrect. Recreational therapists promote patient physical, social, and
emotional well-being through the use of leisure activities. There is no indication
that this patient is in need of a recreational therapist.
4 This is correct. The patient is expressing a concern for managing toileting at
home. Upon discharge, the therapy that focuses most closely on activities of
daily living is occupational therapy.
Feedback
1 This is correct. Social workers counsel patients on financial, housing, marital,
and family issues affecting healthcare. Owing to rising healthcare costs and
diminished access to healthcare, particularly for aging populations, social
workers are increasingly being used to help move clients through the healthcare
system.
2 This is incorrect. Acknowledging the rising costs of medications does not assist
the patient in solving the problem of his ability to pay for medications.
3 This is incorrect. The case manager cannot make any assumption that to
alleviate the patient’s concerns about affording medications, it might be
appropriate to have some medications discontinued.
4 This is incorrect. The home health nurse typically coordinates the care and
services but is not typically the healthcare provider addressing financial
concerns.
Feedback
1 This is incorrect. Most facilities have access to the patient’s coverage plan and
can answer immediate questions until the patient is able to follow up with his or
her insurance company.
2 This is correct. Those who have insurance or government-financed insurance
bear some of the expenses of healthcare through cost sharing. Typical cost
sharing can be in the form of co-pays, deductibles, paying a portion of one’s
insurance premium, or paying costs above a fixed payment amount. Patients do
not always understand cost-sharing methods and may need an explanation at the
time of the visit. The best response is for the nurse to explain what a co-payment
is.
3 This is incorrect. Stating that healthcare is expensive is merely stating the
obvious; it may also be perceived as defensive rather than supportive.
4 This is incorrect. Co-payments are typically not part of an insurance premium
and are only collected at the time of a service.
Feedback
1 This is incorrect. There may be a need to look at nurse–patient ratios, and there
may be a need to provide an in-service session on time management. However,
these are not known until some assessment is completed and data are obtained.
This is not the manager’s initial action.
2 This is incorrect. Total Quality Management (TQM) or Continuous Quality
Improvement (CQI) projects assist in looking at all aspects of quality and safe
care practices. Offering a session on time management may be useful; however,
it is not the initial action taken by the manager.
MULTIPLE RESPONSE
29. ANS: 1, 2, 3
Chapter: Chapter 1 Evolution of Nursing Thought & Action
Objective: Describe the healthcare delivery system in the United States, including sites for care,
types of workers, regulation, and financing of healthcare.
Page: 19 (V1)
Heading: Who Are the Members of the Interprofessional Healthcare Team?
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Professionalism
Difficulty: Difficult
Feedback
1. This is correct. Direct care involves personal interaction between nurses and clients
(e.g., bathing a patient, giving medications, dressing a wound, or teaching a client
about medicines or care).
2. This is correct. Direct care involves personal interaction between nurses and clients
(e.g., bathing a patient, giving medications, dressing a wound, or teaching a client
about medicines or care).
3. This is correct. Direct care involves personal interaction between nurses and clients
(e.g., bathing a patient, giving medications, dressing a wound, or teaching a client
about medicines or care).
4. This is incorrect. Nurses deliver indirect care when they work on behalf of an
individual, group, family, or community to improve their health status (e.g.,
restocking the code blue cart [an emergency cart], ordering unit supplies, or
arranging unit staffing).
5. This is incorrect. Nurses deliver indirect care when they work on behalf of an
individual, group, family, or community to improve their health status (e.g.,
restocking the code blue cart [an emergency cart], ordering unit supplies, evaluating
the patient, or arranging unit staffing).
Feedback
1. This is correct. Skilled care includes services offered by healthcare professionals
who have received the education and are licensed to provide the services. A skilled
activity in nursing includes changing a wound dressing.
2. This is incorrect. Assisting with bathing and dressing is characteristic of custodial
care that can be done by unlicensed healthcare personnel or the patients themselves.
3. This is correct. Skilled care includes services offered by healthcare professionals
who have received the education and are licensed to provide the services. A skilled
activity in nursing includes monitoring IV antibiotic administration.
4. This is correct. Skilled care includes services offered by healthcare professionals
who have received the education and are licensed to provide the services. A skilled
activity in nursing includes patient teaching.
5. This is incorrect. Assisting with bathing and dressing is characteristic of custodial
care that can be done by unlicensed healthcare personnel or the patients themselves.
Feedback
1. This is correct. The International Council of Nursing (ICN) definition of nursing
includes the autonomous and collaborative care of individuals of all ages, families,
groups and communities, sick or well and in all settings.
2. This is correct. In addition to caring for ill, disabled, and dying persons, nurses are
expected to promote health and prevent illness.
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3. This is correct. Key nursing roles include advocacy, education, research, promotion
of a safe environment, and participation in shaping health policy and in healthcare
systems management.
4. This is incorrect. The ICN definition does not mention that registered nurses use the
nursing process to plan and individualize care.
5. This is incorrect. The ICN definition does not mention that registered nurses use the
nursing process to plan and individualize care. The acquisition of knowledge
regarding the process of nursing education is also not included.
Feedback
1. This is correct. In 2010, the ANA acknowledged five characteristics of the registered
nurse. Nursing practice is individualized.
2. This is incorrect. The ANA does not acknowledge that nursing practice is similar to
medical practice.
3. This is correct. In 2010, the ANA acknowledged five characteristics of the registered
nurse. Nurses coordinate care by establishing partnerships with others.
4. This is correct. In 2010, the ANA acknowledged five characteristics of the registered
nurse. Caring is central to the practice of the registered nurse.
5. This is incorrect. The ANA does not acknowledge that nurses promote health
through political involvement.
Feedback
1. This is incorrect. State boards of nursing do not advocate for nursing student issues.
This is usually addressed through the National Student Nurses Association.
2. This is correct. State boards of nursing are responsible for determining scope of
practice and enforcing the rules that govern nursing.
3. This is correct. State boards of nursing are responsible for determining scope of
practice and enforcing the rules that govern nursing.
4. This is incorrect. State boards of nursing do not write the laws that regulate nursing;
rather, they enforce them.
5. This is incorrect. State boards of nursing do not regulate the number of licensed
nurses.
Feedback
1. This is correct. Critical thinking is a reflective thinking process that involves
collecting information, analyzing the adequacy and accuracy of the information, and
carefully considering options for action. Nurses use critical thinking in every aspect
of nursing care.
2. This is incorrect. Pain evaluation is a process of assessment involving critical
thinking, clinical judgment, and problem solving.
3. This is correct. Clinical judgment is a process in nursing involves observing,
comparing, contrasting, and evaluating the client’s condition to determine whether
change has occurred. It also involves careful consideration of the client’s health
status in light of what is expected based on the client’s condition, medications, and
treatment. These actions are collectively known as the nursing process.
4. This is correct. Problem solving is a process by which nurses consider an issue and
attempt to find a satisfactory solution to achieve the best outcomes. Nurses often use
problem solving in professional life. The nursing process is one type of problem
solving process.
5. This is incorrect. Sterile technique is a nursing skill based on critical thinking,
clinical judgment, and problem solving abilities.
COMPLETION
36. ANS:
Medicaid
Feedback: Medicaid is a health program run by the state and funded by the federal and state
governments. It is intended to provide preventive and acute healthcare for individuals, in particular
pregnant women and children, who are unable to pay for services.
Feedback: Medicare is a federal insurance program created by Title XVIII of the Social Security
Act of 1965. This act was designed to protect people age 65 years and older from the high cost of
healthcare. In 1972, the program was expanded to cover workers with disabilities as well as people
with end-stage renal disease.