Download PDF test bank for fundamentals nursing the art and science of nursing care 7th edition by taylor

Test Bank for Fundamentals Nursing The Art and Science
of Nursing Care 7th edition by Taylor
Sample
Chapter 15
1.

2.

What is the unique focus of nursing implementation?

A)

patient response to health and illness

B)

patient response to nursing diagnosis

C)

patient compliance with treatment regimen

D)

patient interview and physical assessment

What is one advantage of having a standard classification
of nursing interventions?

A)

to standardize nomenclature (names or terms)

B)

to legitimize the use of the nursing process


3.

4.

C)

to classify indicators of patient outcomes

D)

to facilitate documentation of expected goals

The researchers developing classifications for
interventions are also committed to developing a
classification of which of the following?

A)

diagnoses

B)

outcomes

C)

goals

D)

data clusters

What activity is carried out during the implementing step
of the nursing process?

A)

Assessments are made to identify
human responses to health problems.


5.

6.

B)

Mutual goals are established and desired
patient outcomes are determined.

C)

Planned nursing actions (interventions)

are carried out.

D)

Desired outcomes are evaluated and,
if necessary, the plan is modified.

What role of the nurse is crucial to the prevention
of fragmentation of care?

A)

advocate

B)

teacher

C)

counselor

D)

coordinator

What phrase best describes nurse-initiated interventions?


7.

A)

nurse-prescribed interventions

B)

physician-prescribed interventions

C)

healthcare team interventions

D)

interventions based on medical orders

Which of the following examples of nursing actions
involve direct care of the patient? Select all that apply.

A)

A nurse counsels a young family who
is interested in natural family planning.

B)

A nurse massages the back of a patient
while performing a skin assessment.

C)

A nurse arranges for a consultation for a
patient who has no health insurance.

D)

A nurse helps a patient in hospice fill out
a living will form.


8.

9.

E)

A nurse arranges for physical therapy for
a patient who had a stroke.

F)

A nurse comforts a distraught patient
whose baby was stillborn.

A nurse documents the following diagnosis for a
hospitalized patient: Risk for Imbalanced Nutrition: More
Than Body Requirements. What is the major goal of
interventions for a risk diagnosis?

A)

reduce or eliminate contributing factors

B)

prevent the problem

C)

collect additional data

D)

promote higher-level wellness

A nurse is changing a sterile pressure ulcer dressing
based on an established protocol. What does this mean?


10.

A)

The nurse is using critical thinking to
implement the dressing change.

B)

The patient has specified how the

dressing should be changed.

C)

Written plans are developed that specify
nursing activities for this skill.

D)

The physician verbally requested specific
steps of the dressing change.

What must occur before physicianinitiated interventions can be carried out?

A)

They must be written on the nursing plan
of care.

B)

The nurse relinquishes all responsibility
for them.

C)

Any healthcare provider may order them.

D)

The physician gives a verbal or written order.


11.

12.

A patient who was previously awake and alert suddenly
becomes unconscious. The nursing plan of care
includes an order to increase oral intake. Why would
the nurse review the plan of care?

A)

to implement evidence-based practice

B)

to ensure the order follows hospital policy

C)

to be sure interventions are individualized

D)

to be sure the intervention is safe

A nurse is preparing to insert an intravenous line and
begin administering intravenous fluids. The patient

has visitors in the room. What should the nurse do?

A)

Ask the visitors to leave the room.

B)

Ask the patient if visitors should remain in
the room.


13.

14.

C)

Tell the patient to ask the visitors to leave the
room.

D)

Wait until the visitors leave to begin
the procedure.

A nurse is catheterizing a patient. What action
illustrates respect for the patient’s privacy?

A)

explaining the procedure to the family

B)

leaving the patient’s pajamas on

C)

closing the door to the room

D)

asking another nurse if he wants to watch

A student is ambulating a patient for the first time
after surgery. What would the student do to anticipate
and plan for an unexpected outcome?


A)

15.

Take the patient’s vital signs after ambulation.

B)

Ask the patient’s wife to assist with
ambulation.

C)

Delay ambulation until the following shift.

D)

Ask another student to help with ambulation.

Each time a nurse administers an insulin injection to
a patient with diabetes, she tells the patient what she
is doing and demonstrates each step of preparing and
giving the injection. What is the nurse promoting?

A)

self-care

B)

dependence

C)

coping with disability

D)

nurse–patient relationship

16.

Which of the following statements accurately describe
a recommended guideline for implementation? Select
all that apply.

A)

When implementing nursing care, remember
to act independently, regardless of the wishes
of the patient/family.

B)

Before implementing any nursing action,
reassess the patient to determine whether
the action is still needed.

C)

Assume that the nursing intervention selected
is the best of all possible alternatives.

D)

Consult colleagues and the nursing and
related literature to see if other approaches
might be more successful.

E)

Reduce your repertoire of skilled nursing
interventions to ensure a greater likelihood of
success.

F)

Check to make sure that the nursing
interventions selected are consistent with
standards of care.


17.

18.

The staff in a long-term care facility often plays loud
rock music on the radio and designs children’s games
as exercise. What is the staff doing in this situation?

A)

considering the hearing level of older adults

B)

failing to consider visual deficits that
occur with aging

C)

ignoring the developmental needs of older
adults

D)

meeting needs for sensory input and exercise

A nurse administers a medication for pain but forgets
to document it in the patient’s medical record. Legally,
what does this mean?

A)

Nothing, the nurse’s honesty will not
be questioned.

B)

The nurse can add the documentation after the
patient goes home.


19.

20.

C)

The physician will verify that the nurse carried
out the order.

D)

In the eyes of the law, if it is not
documented, it was not done.

A nurse delegates a specific intervention to a UAP.
What implications does this have for the nurse?

A)

The UAP is responsible and accountable for
his or her own actions.

B)

Nurses do not have authority to
delegate interventions.

C)

The nurse transfers responsibility but
is accountable for the outcome.

D)

The UAP can function in an independent
role for all interventions.

According to the American Nurses Association, who


determines the scope of nursing practice?

21.

A)

nurses

B)

lawyers

C)

physicians

D)

consumers

What characteristic of a competent nurse practitioner
enables nurses to be role models for patients?

A)

sense of humor

B)

writing ability

C)

organizational skills

D)

good personal health


22.

What core value of nursing care is missing when
a nursing intervention is delegated to a UAP?

A)

communication

B)

patient teaching

C)

nurse/patient dynamic

D)

competent care

Answer Key

1.

A

2.

A

3.

B

4.

C


5.

C

6.

A

7.

A, B, D, E

8.

B

9.

C

10.

D

11.

D

12.

B

13.

C

14.

D

15.

A

16.

B, D, F


17.

C

18.

D

19.

C

20.

A

21.

D

22.

C

Fundamentals of Nursing: 7th Edition Test Bank – Taylor