Practice Questions for Final Fundamentals: Potter and Perry

When formulating a definition of "health," the nurse should consider that health, within its current definition, is:

A 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?

The 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:

A 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?

When assessing the external variables that influence a client's health beliefs and practices, the nurse must consider his:

A paraplegic client is admitted for an electrolyte imbalance. Based on the levels of prevention, the client is receiving care at the level of:

Which of the following nursing activities is an example of tertiary level care-giving?

Which one of the following client assessment findings indicates a lifestyle risk factor to the nurse?

In the Health Belief Model, the nurse recognises that the focus is placed on the:

The 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:

Client 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:

A nurse understands that illness behavior means:

A 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:

Which of the following client statements best relates to the third component of the Health Belief Model?

The goal of Pender's Health Promotion theory is best reflected in which of the following nursing interventions?

The nurse knows that the greatest internal factor to consider when educating an adult client concerning health promotion activities is the client's:

Which of the following nursing interventions is the best example of a primary care prevention strategy regarding the flu?

The nurse can best discuss the impact of a known risk factor on a client's health by stating:

The 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?

The 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:

Which 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"?

To help a comatose client's family make a moral decision regarding the termination of life support, the nurse must first:

Which of the following best describes a nurse thinking at stage 5 of Kohlberg's Moral Developmental Theory?

Which 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?

Which of the following data is the most important for the nurse to assess when caring for a woman in her second trimester of pregnancy?

Standard 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.

Aprons and gloves should not be worn in common use areas such as corridors, staff room, office or linen room.

Masks and goggles must be worn for care activities such as care of residents who have a cough.

The use of gloves is an effective substitute for hand washing.

You must wash your hands after removing your gloves.

In a care home, standard precautions are the responsibility of nurses and carers only.

The objective of standard precautions is to prevent the spread of infection within the care home:

The most important procedure for the prevention of infection from microorganisms is:

Bacteria and viruses can spread by way of:

Which of the following statements are true about effective hand washing?

You should wash your hands:

Alcohol-based hand gel SHOULD NOT be used:

Which of the following are allowed when you are bare below the elbows?

Who is responsible for cleanliness within the care home?

Cohort isolation means:

Standard precautions include:

Air borne precautions includes?

Contact precautions not include: N-95 Mask and Negative pressure room

When are additional transmission based precautions required?

Mrs 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?

Three 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?

Five moments have been identified as critical times when hand hygiene should be performed. These are:

What three elements are needed for a healthcare associated infection to occur?

Standard precautions are work practices required for the basic level of infection control. Which of the following do they apply to?

The term sterile is absolute; an item is either sterile or not sterile.

Only sterile items can be placed on the sterile field.

Even if there is no visible sign of a tear, if a glove is thought to have been punctured, it should be changed.

The edges of a wrapper are considered sterile.

An open-gloving technique would be used when performing urinary catheterization.

Living tissue cannot be sterilized but can be rendered surgically clean.

Hand washing is not necessary if gloves are worn.

The amount of space that should be left between sterile and nonsterile surfaces is 2 to 4 centimeters

Culture may be defined as “common values, beliefs, traits, traditions and/or language that are learned and shared by members of a group.”

It is OK to use gestures since each one has the same meaning universally.

A client’s cultural background will often determine how they would like to be approached and their communication style.

Which of the following statements is correct?

Different cultures have varying ideas about family involvement in client care therefore:

Which of the following is not a reason to assist residents with grooming?

Which of the following encourages independence with activities of daily living?

ADL's an acronym for:

A resident who needs the grooming items set out and partial performance of the task by the caregiver is considered:

How should the water for the shower be checked?

Medications can be left in the room with the resident because they said they will take them.

When a resident refuses a medication, put it in an envelope with name, date, and reason for refusal.

When 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.

A pressure ulcer can be defined as a lesion caused by unrelieved pressure resulting in damage of underlying tissues.

Partial thickness tissue loss is when subcutaneous fat may be visible as well as tendon or muscle but no bone exposure?

A stage 4 pressure ulcer always has undermining and/or tunneling.

Wound edges that are detached means that the oase of the wound is deeper than the edges.

Which pain scale is the most sensitive to gender and ethnic differences?

An entry must be made in the nurse's notes each time you give pain meds with the reason why, time given and effectiveness

Care Plans must reflect what interventions work for the patient and which ones don't.

A patient is hospitalized with severe depression after her divorce is finalized. Which type of loss is the patient experiencing?

The 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?

A family member asks the nurse to explain the purpose of hospice care. Which of the following is the best response? Hospice care:

After 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 nurse is caring for a dying patient who is non-responsive. Which of the following is it important for the nurse to do?

A 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?