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Practice Questions for Final Fundamentals: Potter and Perry
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Preguntas del test (83)
1When formulating a definition of "health," the nurse should consider that health, within its current definition, is:
- AThe absence of disease
- BA function of the physiological state
- CThe ability to pursue activities of daily living
- DA state of well-being involving the whole person
2A nurse is using a holistic approach when caring for a client. To incorporate all of the factors that may influence the client, which of the following nursing responses is most therapeutic?
- A"I would like you to perform this exercise once a day."
- B"Your physician has left orders that you are to follow."
- C"The laboratory tests reveal the need to reduce your daily percentage of fat intake."
- D"Adapting to a low-fat diet and increasing your activity will help lower your blood glucose levels."
3The client states, "Heart disease runs in our family. My blood pressure has always been high." The nurse determines that this is an example of the client's:
- ARisk factors
- BActive strategy
- CHealth beliefs
- DNegative health behaviour
4A client is discharged following a heart attack. In using the Stages of Health Behaviour Change as a guide, the nurse recognises that the client is most likely to begin to accept information on diet changes and an exercise program during which stage?
- AAction
- BPreparation
- CMaintenance
- DContemplation
5When assessing the external variables that influence a client's health beliefs and practices, the nurse must consider his:
- AIncome status
- BReligious practices
- CEducational background
- DReaction to the heart disease
6A paraplegic client is admitted for an electrolyte imbalance. Based on the levels of prevention, the client is receiving care at the level of:
- AHealth promotion
- BPrimary prevention
- CTertiary prevention
- DSecondary prevention
7Which of the following nursing activities is an example of tertiary level care-giving?
- ATeaching a client how to irrigate a new colostomy
- BProviding a class on hygiene for an elementary school class
- CInforming a client that her infant can be immunised at the health department
- DArranging for a hospice nurse to visit with the family of a client with lung cancer
8Which one of the following client assessment findings indicates a lifestyle risk factor to the nurse?
- AObesity
- BSunbathing
- COvercrowded housing
- DIndustrial-based occupation
9In the Health Belief Model, the nurse recognises that the focus is placed on the:
- ABasic human needs for survival
- BFunctioning of the individual in all dimensions
- CRelationship of perceptions and compliance with therapy
- DMultidimensional nature of clients and their interaction with the environment
10The client who recently received a kidney transplant is worried about her husband since he has taken over the physical tasks of running their home. The client is in the process of adapting to a change in:
- ABody image
- BSelf-concept
- CIllness behavior
- DFamily dynamics
11Client assessment provides the nurse with necessary information for the development of an effective plan of care. When determining the influence of an internal variable on the client's health status, the nurse will specifically look for:
- AAnxiety level present
- BFamily remedies used
- CLocation and type of occupation
- DAvailable health insurance coverage
12A nurse understands that illness behavior means:
- AEach distinct illness will cause the client to behave in a specific manner
- BNursing care provides interventions that are behavior oriented
- CThe client's behaviors will have a direct impact on his illness
- DWhen ill, a client's perception of illness will result in unique behaviors
13A client tells the nurse that his illness is a result of his failure to "live a good life." The nurse recognizes this statement as an example of the client's:
- ARisk factor
- BHealth belief
- CIllness behavior
- DNegative health behavior
14Which of the following client statements best relates to the third component of the Health Belief Model?
- A"My blood cholesterol is only a little high."
- B"No one in my family is susceptible to the flu."
- C"I'll just avoid the food that causes the problem."
- D"By losing weight my blood pressure may come down."
15The goal of Pender's Health Promotion theory is best reflected in which of the following nursing interventions?
- ASuggesting the client experience a variety of exercise routines before settling on the one to adapt
- BArranging for a client to attend a support group for individuals who also have severe burn scars
- CPlaying soft, classical music when a client diagnosed with Alzheimer's becomes physically agitated
- DProviding a client with a history of stress-induced respiratory problems with detailed explanations regarding her care
16The nurse knows that the greatest internal factor to consider when educating an adult client concerning health promotion activities is the client's:
- AEmotional wellness
- BDevelopmental stage
- CProfessed spirituality
- DIntellectual background
17Which of the following nursing interventions is the best example of a primary care prevention strategy regarding the flu?
- AStaffing a flu immunization clinic at a senior citizen's center
- BProviding flu prevention literature for distribution to visitors
- CReminding client care personnel of the importance of the flu shot
- DGetting a drug manufacturer to donate flu vaccine for the homeless
18The nurse can best discuss the impact of a known risk factor on a client's health by stating:
- A"It doesn't mean you'll get the disease just that the odds are greater for you."
- B"Now you know that the possibility is there, you can take steps to prevent it."
- C"The risk factor can be managed by making a change in your lifestyle."
- D"You're lucky because you have the benefit of being able to do something about it."
19The nurse is caring for an older adult client who has reported symptoms suggestive of depression. Which of the following questions asked by the nurse is most therapeutic in assessing the client's perception of the impact depression has had on her life?
- A"What does it mean to be depressed?"
- B"How does being depressed make you feel?"
- C"Were you happy before becoming depressed?"
- D"What makes you think that you are depressed?"
20The nurse is caring for a 6-year-old child who is scheduled for outpatient surgery. Piaget's theory of cognitive development suggests that the nurse can help the child cope with the stress of this hospital experience best by:
- AArranging for the parents to be with the child until the anesthetic takes affect
- BExplaining the entire process with the child using age-appropriate language
- CUsing play as a means of familiarizing the child with the events he will experience
- DProviding the child with a coloring book that shows the events he will be experiencing
21Which of the following nursing responses is most therapeutic when made in response to a parent's concern about her 3-year-old child's tendency to "break the rules"?
- A"Just keep reminding her of the rules."
- B"Daycare will help her learn to play fair."
- C"She will begin to understand that concept in a year or so."
- D"Add an age appropriate punishment for breaking the rules."
22To help a comatose client's family make a moral decision regarding the termination of life support, the nurse must first:
- ARefrain from expressing his/her personal beliefs concerning the life support issue
- BProvide the family with information regarding the process of terminating life support
- CDetermine whether the client had expressed any written or oral wishes regarding the issue
- DFacilitate the family's decision-making process by providing them with a quiet, private space for discussion
23Which of the following best describes a nurse thinking at stage 5 of Kohlberg's Moral Developmental Theory?
- A"The client has a right to decide whether or not to proceed with the treatment plan."
- B"The hospital's policies and procedures are excellent tools for making client oriented decisions."
- C"It won't be fair to expect to get every weekend and holiday off, so I'll certainly work my share."
- D"If you don't keep client information confidential you could be terminated immediately."
24Which of the following client statements made by an older adult best reflects an understanding of the decrease in physical strength and stamina in this developmental stage?
- A"I know I'm not as young as I use to be."
- B"I just hire help with jobs I can't do myself."
- C"You get older you can't do as much, that's life."
- D"I have to ask my son for help with the yard work."
25Which of the following data is the most important for the nurse to assess when caring for a woman in her second trimester of pregnancy?
- ADetection of fetal movement
- BObservation that the uterus is below the pubis
- CConfirmation of the desire to breast- or bottle-feed
- DDetermination of the presence of morning sickness
26Standard precautions are precautions taken each time an episode of care or task is undertaken (e.g. hand washing, use of personal protective equipment, cleaning of equipment) that will reduce the transmission of infections.
- AVerdadero
- BFalso
27Aprons and gloves should not be worn in common use areas such as corridors, staff room, office or linen room.
- AVerdadero
- BFalso
28Masks and goggles must be worn for care activities such as care of residents who have a cough.
- AVerdadero
- BFalso
29The use of gloves is an effective substitute for hand washing.
- AVerdadero
- BFalso
30You must wash your hands after removing your gloves.
- AVerdadero
- BFalso
31In a care home, standard precautions are the responsibility of nurses and carers only.
- AVerdadero
- BFalso
32The objective of standard precautions is to prevent the spread of infection within the care home:
- AFrom resident to resident.
- BFrom resident to staff.
- CFrom staff to resident.
- DFrom staff to staff.
- EAll answers are correct.
33The most important procedure for the prevention of infection from microorganisms is:
- AWearing gloves
- Bproperly bagging used linen.
- CEffective hand washing.
- DWearing protective eyewear.
34Bacteria and viruses can spread by way of:
- AWater, food, drinks, and eating utensils.
- BDirect contact with people and/or body substances.
- CCoughing, sneezing, or vomiting.
- DAll answers are correct
35Which of the following statements are true about effective hand washing?
- AKeep elbows lower than hand when washing and rinsing.
- BUse friction to clean between fingers, palms, nail beds, back of hands and wrists
- CWash for 30 seconds or longer using an alcohol-based hand rinse.
- DUse a paper towel to turn off the light switch.
36You should wash your hands:
- AAfter taking off a gloves and/or apron
- BBefore going into a resident’s room and after coming out.
- CAt the beginning and end of my shift.
- DAll answers are correct
37Alcohol-based hand gel SHOULD NOT be used:
- APrior to contact with resident.
- BIf fingernails are chipped.
- CIf the resident has a respiratory infection.
- DIf hands are visibly dirty.
38Which of the following are allowed when you are bare below the elbows?
- AWedding rings with stones
- BWrist watches
- CLong finger nails / nail extensions / false nails
- DNo answer is correct
39Who is responsible for cleanliness within the care home?
- AThe manager, The housekeeper/domestic staff
- BThe nurses
- CThe carers
- DAll answers are correct
40Cohort isolation means:
- ADifferent patients with same infection
- BDifferent infections in same age group
- COnly old age people
- DOnly young age people
41Standard precautions include:
- AHand hygiene
- BPPE
- CMaking the bed
- DAll answers are correct
42Air borne precautions includes?
- AN-95 Mask positive pressure room
- BN-95 Mask.Negative pressure room
- CHand Hygiene
- DGloves
43Contact precautions not include: N-95 Mask and Negative pressure room
- AVerdadero
- BFalso
44When are additional transmission based precautions required?
- AWhen standard precautions are not useful
- BWhen standard precautions alone are not sufficient to prevent the transmission of disease or infectious
- CWhen patients have hepatitis C
- DAll answers are correct
45Mrs fatima is admitted to Hospital A with a leg wound which is infected with methicillin resistant Staphylococcus aureus (MRSA). The wound has moderate purulent ooze. Mr Jones is admitted to hospital A and because he was in the hospital with an MRSA infected surgical wound one month ago. He has his nose and groin swabbed for MRSA and is found to be colonised with MRSA. Mrs Smith is placed in contact precautions. Should Mr Jones also be placed in contact precautions?
- ABoth conditions will be OK
- BNo,there is no need
- CYes, because colonization may be a form of carriage and is a potential source of transmission
- DMaybe
46Three patients present to a small rural hospital on Monday morning. Six year old Will is covered in a florid rash with a high temperature and a cough. His mother does not believe in vaccinating her children. They recently returned from a trip to India. Two month old Jade has been admitted with bronchiolitis probably caused by respiratory syncitial virus (RSV). Ten year old Blake has a nasty infected cut on his hand. His brother was recently discharged from the hospital following treatment for community acquired MRSA infection of his leg.
The hospital only has one single room available. Which of the three patients should be placed in the single room?- ANo one need to be isolated.
- BWill because he probably has measles and since this is spread by the airborne route he needs a single room with negative pressure air conditioning. If that is not available he must be put in a single room.
- CBlake's brother should be isolated
- DEveryone needs to be isolated.
47Five moments have been identified as critical times when hand hygiene should be performed. These are:
- ABefore and after patient contact; before a procedure; after a procedure or contact with blood or body fluids; after contact with the patient's environment
- BAfter a procedure or contact with blood or body fluids; after contact with the patient's environment ,before using toilet
- CHand should be washed only when you received the patients
- DOnly when you remember
48What three elements are needed for a healthcare associated infection to occur?
- AAn infectious agent, a source and a susceptible host
- BAn infectious agent; carrier; pathogen
- CSource,carrier and contact
- DAll answers are correct
49Standard precautions are work practices required for the basic level of infection control. Which of the following do they apply to?
- AAll Hep B patients
- BAll patients regardless of suspected or confirmed infection status.
- COnly TB patients.
- DNo answer is correct
50The term sterile is absolute; an item is either sterile or not sterile.
- AVerdadero
- BFalso
51Only sterile items can be placed on the sterile field.
- AVerdadero
- BFalso
52Even if there is no visible sign of a tear, if a glove is thought to have been punctured, it should be changed.
- AVerdadero
- BFalso
53The edges of a wrapper are considered sterile.
- AVerdadero
- BFalso
54An open-gloving technique would be used when performing urinary catheterization.
- AVerdadero
- BFalso
55Living tissue cannot be sterilized but can be rendered surgically clean.
- AVerdadero
- BFalso
56Hand washing is not necessary if gloves are worn.
- AVerdadero
- BFalso
57The amount of space that should be left between sterile and nonsterile surfaces is 2 to 4 centimeters
- AVerdadero
- BFalso
58Culture may be defined as “common values, beliefs, traits, traditions and/or language
that are learned and shared by members of a group.”- AVerdadero
- BFalso
59It is OK to use gestures since each one has the same meaning universally.
- AVerdadero
- BFalso
60A client’s cultural background will often determine how they would like to be
approached and their communication style.- AVerdadero
- BFalso
61Which of the following statements is correct?
- APeople all have the same basic needs when they are sick.
- BAlthough pain is experienced by all, culture is an important consideration in how you observe clients and provide care
- CRegardless of their culture, clients will follow the service plan or plan of care as long as they understand it
- DTwo clients from Spain can be treated alike because of their common culture.
62Different cultures have varying ideas about family involvement in client care therefore:
- AConsult the head of the family regarding who should be included in decision making.
- BResearch the patient’s culture so that appropriate care decisions may be made.
- CConsult the agency’s policy and procedures regarding client involvement in care.
- DAsk the client to whom information should be given and who to consult for decision making.
63Which of the following is not a reason to assist residents with grooming?
- ABeing well groomed can enhance the resident's medication use
- BBeing well groomed can enhance the resident's self esteem
- CBeing well groomed can enhance the resident's feelings of self worth
- DBeing well groomed can enhance the resident's desire to participate in activities
64Which of the following encourages independence with activities of daily living?
- AAdequate lighting
- BPutting items within easy reach
- CPraising the resident
- DAll answers are correct
65ADL's an acronym for:
- AAdvancing Daily Living
- BActivities of Daily Living
- CActivity of Declining Life
- DActivities Don't Last
66A resident who needs the grooming items set out and partial performance of the task by the caregiver is considered:
- AIndependent
- BStand by assist
- CTotal assist
- DNo answers are correct
67How should the water for the shower be checked?
- AFirst by the caregiver, then pointed at the resident so he can feel it on his legs
- BBy the resident, since he is the one taking the shower
- CBy the caregiver, then pointed away from the resident allowing him to feel it with his hand
- DBy the caregiver only
68Medications can be left in the room with the resident because they said they will take them.
- AVerdadero
- BFalso
69When a resident refuses a medication, put it in an envelope with name, date, and reason for refusal.
- AVerdadero
- BFalso
70When documenting a wound near the ankle, it would be correct for the nurse to write that the wound is distal to a wound located on the thigh.
- AVerdadero
- BFalso
71A pressure ulcer can be defined as a lesion caused by unrelieved pressure resulting in damage of underlying tissues.
- AVerdadero
- BFalso
72Partial thickness tissue loss is when subcutaneous fat may be visible as well as tendon or muscle but no bone exposure?
- AVerdadero
- BFalso
73A stage 4 pressure ulcer always has undermining and/or tunneling.
- AVerdadero
- BFalso
74Wound edges that are detached means that the oase of the wound is deeper than the edges.
- AVerdadero
- BFalso
75Which pain scale is the most sensitive to gender and ethnic differences?
- AVisual
- BVerbal
- CNumerical
- DFlacc
76An entry must be made in the nurse's notes each time you give pain meds with the reason why, time given and effectiveness
- AVerdadero
- BFalso
77Care Plans must reflect what interventions work for the patient and which ones don't.
- AVerdadero
- BFalso
78A patient is hospitalized with severe depression after her divorce is finalized. Which type of loss is the patient experiencing?
- AActual
- BPerceived
- CPhysical
- DExternal
79The nurse is caring for a patient who is terminally ill with lung cancer. Recently, the patient's blood pressure has been decreasing and heart rate increasing. He is experiencing temperature fluctuations and perspires profusely with limited movement. Based on these findings, the patient will most likely die within which time period?
- A1 to 3 months
- B1 to 2 weeks
- CDays to hours
- DMoments
80A family member asks the nurse to explain the purpose of hospice care. Which of the following is the best response? Hospice care:
- AIs appropriate when the patient desires to intentionally end his life
- BFocuses on minimizing the disease process as rapidly as possible
- CFocuses on symptom management for patients not responding to treatment
- DIs holistic care for patients dying or debilitated and not expected to improve
81After a patient dies of ovarian cancer, her daughter says to the nurse, "You'll probably think I'm terrible, but I'm glad she can finally rest peacefully." Which response by the nurse is best?
- A"Your feelings are a normal response to watching your loved one suffer."
- B"It's unusual for family members to be grateful that a loved one has died."
- C"Your mother's death has been very hard on you; you should seek counseling."
- D"I don't understand what you mean by this comment."
82A nurse is caring for a dying patient who is non-responsive. Which of the following is it important for the nurse to do?
- ABe alert to the patient's nonverbal cues.
- BDirect explanations about care to family members.
- CTell the patient when the nurse is about to leave the room.
- DSit by the head of the bed when speaking to the patient.
83A patient has been in the dying process for about 10 days. His wife has left his side only for very short periods during that time, and she looks pale and exhausted. The nurse, realizing the wife has not eaten much, suggests that she take a break to eat and rest. The woman refuses, saying, "I don't want to leave him. I won't have him much longer, and I don't want him to go when I'm gone." What should the nurse do?
- AExplain that she will be of more help to her husband if she is rested and well.
- BTell the wife that it is safe to leave her husband for an hour or two because he won't die that soon.
- CCall the primary care provider to come and try to persuade her to take physical care of herself.
- DArrange for a cot for her at the bedside and arrange to have food brought to her.
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- Nursing Test sobre Practice Questions for Final Fundamentals: Potter and Perry, creado por Kathleen Jackson el 05/10/2017.
- Autor
- Kathleen Jackson
- Idioma
- English
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