NAME: DATE: FUNDAMENTALS OF NURSING PRACTICE QUIZ 2 I.Shade the letter o the !orre!t a"#$er. %. The o&r !o"!

!e't# !o((o" to "&r#)"* that a''ear )" ea!h o the !&rre"t !o"!e't&al (odel# are: a.person, nursing, environment, medicine b.person, health, nursing, support system !.'er#o"+ e",)ro"(e"t+ health+ "&r#)"* d.person, environment, psychology, nursing 2.-h)!h o the ollo$)"* (oral theor)e# )# .a#ed o" re#'e!t h&(a"# a"d .el)e that relat)o"#h)'# are .a#ed o" (&t&al tr&#t/ a.Eriksons theory ..0ohl.er*1# theor2 c.Freuds theory d. Schulman and Meklers theory 3.The !are*),er role o the "&r#e e('ha#)4e#: a.implementing nursing care measures b.providing direct nursing care !.re!o*")t)o" o "eed# o !l)e"t# d.observation of the clients responses to illness 5.The "&r#e ta6e# the 'at)e"t1# ad,o!ate role $he" #he: a.de e"d# the r)*ht# o the 'at)e"t b.intercedes on behalf of the patient c.refers the patient to other services d.works with the significant others 7.The (a"a*er role o the "&r#e )# .e#t de(o"#trated $he" #he: a.plans nursing care with the patient ..$or6# to*ether $)th the "&r#)"* tea( c.intiates nursing action with co-workers d.speaks in behalf of her patient 8.All o the ollo$)"* are 'r)(ar2 re#'o"#).)l)t)e# o e9!e't: a.'er or()"* .ed#)de "&r#)"* coordinating and delegating patient care c.setting standards of performance d.designating staff schedules the "&r#e (a"a*er or other

:.The (o#t )('orta"t !o((&")!at)o" #6)ll to .e de,elo'ed .2 the "&r#e (a"a*er )#: a.firmness b.assertiveness c. uestioning d.atte"t),e l)#te")"* ;.The theor2 o" (a" a# .)o'#2!ho#o!)al a"d #')r)t&al .e)"* .2 S)#ter Call)#ta Ro2 !o"!e't&al)4e# the ollo$)"* e9!e't: a.man, as a biologic being is like all other men b.man, as a psychologic being is like no other men c.man, as a social being is like some other men d.(a"+ )# a #')r)t&al .e)"* o"l2 $he" he 'ro e##e# that he .el)e,e# )" God

<.-h)!h )# "ot a !hara!ter)#t)! o a" o'e" #2#te( o h&(a" .e)"*/ a.)t )# #el #& )!)e"t a"d )# totall2 )#olated ro( other #2#te(# b.it e!changes matter, energy or information with the environment c.it allows sustaining elements to enter the system to nourish it d.it is easily affected by changes in other systems %=.-h)!h a#'e!t o (a"1# "at&re )# de(o"#trated .2 (a6)"* a !ho)!e o thera'e&t)! re*)(e" rel&!ta"tl2/ a.limited and unlimited nature b.mature nature with a core of immaturity !.a !reat&re o )"de!)#),e"e## d.rational and logical, yet irrational at times %%.>od2 )(a*e )#: a.the way a person appears and his style of grooming b.the way a person looks at a certain age !.the $a2 a 'er#o" ')!t&re#? 'er!e),e# h)# a''eara"!e a"d &"!t)o"+ a"d ho$ he !o('are# h)(#el $)th other# d.a body with complete parts and functions %2.The "&r#)"* d)a*"o#)# >od2 I(a*e D)#t&r.a"!e )# (o#t l)6el2 to .e $r)tte" or $h)!h o the ollo$)"* 'er#o"#/ a. a patient with above knee amputation b.a patient with second degree burns c.a uadriplegic patient d.a 'er#o" e"ter)"* the health !are #2#te( a ter (o,)"* ro( $ell"e## to )ll"e## %3.The "&r#e #ho&ld a##e## the a!t),)t2 tolera"!e o $h)!h o the ollo$)"* !o"d)t)o"#/ a.diabetes mellitus b.diarrhea !.a"e()a d.kidney stones the 'at)e"t $)th

%5.A!!ord)"* to Ma#lo$1# h)erar!h2 o "eed#+ $h)!h o the ollo$)"* )# a .a#)! 'h2#)olo*)! "eed a ter o92*e"/ a.$ater b.freedom from infection c.love and belongingness d.self-esteem %7.The ollo$)"* are !hara!ter)#t)!# o .a#)! h&(a" "eed# e9!e't: a.'r)or)t)e# are &") or( to all )"d),)d&al# b.needs may be met in different ways c.needs are interrelated d.needs may be deferred %8.-h)!h o the ollo$)"* "eed# )# !o"#)dered .2 the "&r#e $he" #he )('le(e"t# re,er#e )#olat)o" or the !l)e"t $)th le&6e()a/ a.physiologic need ..#a et2 a"d #e!&r)t2 c.love and belongingness d.self-esteem %:.The ollo$)"* are !o"!e't# o health: ".#ealth is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity $.health is the ability to maintain balance %.health is the ability to maintain the internal environment &.health is the integration of all parts and subparts of an individual

a.",$,% b.",%,& c.$,%,& d.%+2+3 a"d 5 %;.The theor)#t $ho ad,o!ate# that health )# the a.)l)t2 to (a)"ta)" d2"a()! e@&)l).r)&( )#: a.'laude (ernard ..-alter Ca""o" c.#ans Selye d.Martha )ogers %<.The ABealthCIll"e## Co"t)"&&( Theor2D de#!r).e# $h)!h o ollo$)"*: ".*he effect environment to well-being and illness $.#igh level wellness is achieved if a person is able to function independently %.+recursor of illness may be hereditary, environmental and behavioral factors &.*he relationship between agent, host and environment a.",$,%,& b.",%,& !.%+2+3 d.$,%,& 2=.-h)!h o the ollo$)"* #tate(e"t# )# "ot tr&e )# h)*h le,el $ell"e##/ a.)t )# a''l)!a.le o"l2 to health2 )"d),)d&al# b.it is the ability to perform activities of daily living c.it connotes ma!imi,ing ones potentialities d.it is the ability to perform self care 2%.Mr#. De G&4(a" had .ee" d)a*"o#ed to ha,e h2'erte"#)o" #)"!e %7 2ear# a*o. S)"!e the"+ #he had (a)"ta)"ed lo$ #od)&( d)et+ to !o"trol her .lood 're##&re. Th)# 'ra!t)!e )# ,)e$ed a#: a.her superstitious belief b.her cultural belief c.her personal belief d.her health .el)e 22.The ARole Per or(a"!e ModelD o health ,)e$# that: a.#ealth is the absence of signs and symptoms of disease b.health is successful adaptation !.health )# the a.)l)t2 to 'er or( o"e1# $or6 or Eo. d.health is reali,ation of ones potential 23.Bealth 'ro(ot)o" a!t),)t)e# are d)re!ted to a!h)e,e the ollo$)"*: ".increasing level of wellness $.improving uality of life %.relying on health care personnel to maintain health &.promoting healthful lifestyle a.%+2+5 b.$,%,& c.",$,% d.",%,& 25.-h)!h o the ollo$)"* .eha,)or# )# "ot e9'e!ted $he" a !l)e"t a##&(e# the #)!6 role/ a.the client seeks for sick leave b.the client consults a physician because of headache and perceived fever c.the client takes medications as prescribed by her physician the

d.the !l)e"t )*"ore# h)# d)44)"e##+ $)th the ho'e that )t $)ll .e rel)e,ed #'o"ta"eo&#l2 27.-h)!h o the ollo$)"* #)t&at)o"# (a2 !a&#e dro'let tra"#()##)o" o ()!roor*a")#(#/ a. a!)"* a !l)e"t $ho )# !o&*h)"* a"d #"ee4)"* $)th)" a d)#ta"!e o 3 eet b.eating contaminated shell fish c.puncture from intravenous needle removed from a client with hepatitis ( d.e!posure to flood water 28.-h)!h o the ollo$)"* )# (o#t e e!t),e 'ra!t)!e .2 !are*),er# a"d a()l2+ $he" !ar)"* or a !l)e"t $)th lo$ re#)#ta"!e to )" e!t)o" d&e to !a"!er. a.allowe two visitors only, at a time ..$a#h ha"d# re@&e"tl2 c.wear masks in the clients room at all times d.meticulous cleaning of the clients room 2:.The 'r)(ar2 rea#o" $h2 the a&!et )# !o"#)dered a# !o"ta()"ated )#: a.it is located in unsterile area b.many people are using it c.it is fre uently used d.)t )# o'e"ed .2 d)rt2 ha"d# 2;.The "&r#e e"ter# the roo( o the !l)e"t o" a)r.or"e 're!a&t)o"# d&e to t&.er!&lo#)#. -h)!h o the ollo$)"* are a''ro'r)ate a!t)o"# .2 the "&r#e/ ".she wears the mask, covering the nose and mouth $.she washes her hands before and after removing gloves, after suctioning the clients secretions %.she removes gloves and mask before leaving the patients room &.she discards contaminated suction catheter tip in a trash can found in the clients room a." and $ b." and % c.",$,% d.%+2+3 a"d 5 2<.A ter !ar)"* or a !l)e"t $)th e9te"#),e .od2 .&r"#+ the "&r#e 'er or(# $h)!h o the ollo$)"* "&r#)"* a!t)o"# $he" re(o,)"* 'rote!t),e $ear: a.remove mask, gown, gloves, cap and shoe cover ..re(o,e *lo,e#+ (a#6+ *o$"+ !a' a"d #hoe !o,er c.remove gown, mask, gloves, cap and shoe cover d.remove cap and shoe cover, mask, gloves, gown 3=.-he" d)#!ard)"* &#ed "eedle a"d #2r)"*e#+ $h)!h o the ollo$)"* )# a''ro'r)ate "&r#)"* a!t)o"/ a.remove needle from the syringe and discard them in separate containers b.recap needle, the discard needle still attached to the syringe into a container !.d)#!ard the &"!a''ed "eedle a"d #2r)"*e )"to a !o"ta)"er d.break the needle, then discard syringe into a container 3%.-he" 'er or()"* #&r*)!al ha"d #!r&.+ $h)!h o the ollo$)"* "&r#)"* a!t)o"# e"#&re 're,e"t)o" o !o"ta()"at)o"/ ".-eep fingernails short, clean and without nail polish $.open faucet with knee or foot control %.keep hands above elbows when washing and rinsing &.wear cap, mask, shoe cover after hand scrub a.",%,& ..%+2+3 c.",$,&

d.$,%,& 32.-he" re(o,)"* *lo,e#+ $h)!h o the ollo$)"* )# )"a''ro'r)ate "&r#)"* a!t)o"/ a.washed gloved hands first b.peel off gloves inside out c.use glove-to-glove, skin to skin techni ue d.re(o,e (a#6 a"d *o$" .e ore re(o,)"* *lo,e# 33.-he" 'o&r)"* #ter)le #ol&t)o"+ the "&r#e 'er or(# $h)!h o ollo$)"* a!t)o"# !orre!tl2: a.hold .ottle 8 )"!he# a.o,e re!e'ta!le o" the #ter)le )eld b.remove cap of bottle and place it with undesirable lid down on a flat surface c.return e!cess solution from sterile receptacle to the bottle d.place the bottle of sterile solution within the sterile field 35.-h)!h o the ollo$)"* doe# "ot !hara!ter)4e #tre##/ a.#tre## )" a "er,o&# e"er*2 b.. single stress does not cause a disease c.stress in inherent to life d.stress may be protective but at times problematic 37.Ada't),e re#'o"#e# o (a" to #tre##or# are !hara!ter)4ed .2 the ollo$)"*: ".*hey are attempts to maintain e uilibrium $.they are fairly uniform in all individuals %.they are limitless &.they are always ade uate to overcome stressors a." and $ ..% a"d 3 c." and & d.$ and & 38.The )r#t (a") e#tat)o" o )" la((at)o" )#: a.heat ..red"e## c.swelling d.pain 3:.The 'r)(ar2 !a&#e o 'a)" at the #)te o )" la((at)o" )#: a.release of bradykinin b.in/ury to nerve endings !.!o('re##)o" o lo!al "er,e e"d)"*# .2 ede(a l&)d# d.impaired circulation 3;.The !l)e"t )# #tre## .e!a&#e he $a# told .2 the 'h2#)!)a" that he "eed# to &"der*o #&r*er2 or re(o,al o t&(or )" h)# #to(a!h. -h)!h o the ollo$)"* are e e!t# o a!t),at)o" o the #2('athoCadre"o (ed&llar2 re#'o"#e )" the !l)e"t/ ".constipation $.urinary fre uency %.hypoglycemia &.increased blood pressure a." and $ b." and % c.$ and % d.% a"d 5 the

3<.The !l)e"t )# o" NPO #)"!e ()d")*ht+ a# 're'arat)o" or .lood te#t. Adre"oC!ort)!al re#'o"#e )# a!t),ated. -h)!h o the ollo$)"* )# a" e9'e!ted re#'o"#e/ a.low (+ ..de!rea#ed &r)"e o&t'&t c.warm, flushed, dry skin d.low serum sodium levels 5=.The !l)e"t ell ro( the #ta)r#+ a"d had t$)#ted her a"6le. The )"E&r2 !a&#ed )" la((at)o" o the a"6le. The "&r#)"* )"ter,e"t)o"# or the )" la(ed a"6le $o&ld lea#t l)6el2 )"!l&de $h)!h o the ollo$)"*: a.elevate the ankle with pillow support ..a''l2 $ar( !o('re## o,er the a"6le or the )r#t :2 ho&r# c.apply compression bandage over the ankle d.administer anti inflammatory drug as ordered by the physician 5%.-h)!h o the ollo$)"* e,e"t# !hara!ter)4e the GAS #ta*e o alar(/ a. )*ht or l)*ht re#'o"#e )# a!t),ated b.the person regains homeostasis c.adaptive mechanisms fail d.levels of resistance are increased 52.The !l)e"t )# a 7: 2ear old (ale $ho $or6# a# a tra )! o )!er. Be )# e9'o#ed to #&"l)*ht ro( (or")"* a"d &"t)l a ter"oo". -h)!h o the ollo$)"* )# !o"#)dered a# a 'h2#)olo*)! ada't),e (ode o !l)e"t/ a.he learns to interpret different traffic signs b.he sees to it that he wears his uniform as dignified as a policeman does !.he de,elo'# dar6 #6)" d.he learns the skill of giving traffic directions to drivers and pedestrian 53.The )r#t 'rote!t),e !ell# la&"!hed at the #)te o t)##&e )"E&r2 are the: a.basophils b.eosinophils c.monocytes d."e&tro'h)l# 55.Thera'e&t)! "&r#eC'at)e"t relat)o"#h)' )# de#!r).ed a# ollo$#: ".it is based on friendship and mutual interest $.it is a professional relationship %.it is focused on helping the patient solve problems and achieve health-related goals &.it is maintained only as long as the patient re uires professional help a.",$,% b.",$,& !.2+3+5 d.",%,& 57.D&r)"* the $or6)"* 'ha#e o thera'e&t)! relat)o"#h)'+ the "&r#e 'er or(# the ollo$)"* a!t),)t)e# e9!e't: a.re,)e$# the !l)e"t1# (ed)!al re!ord b.establishes a contract with the client regarding e!pectations and responsibilities c.decides with the client on mutually agreed upon goals d.discusses with the client on the time frame of relationship 58.-h)!h o the ollo$)"* "&r#)"* )"ter,e"t)o"# $o&ld lea#t l)6el2 .e e e!t),e $he" deal)"* $)th a !l)e"t $)th a**re##),e .eha,)or/ a.approach in clam, direct manner b.provide opportuinities to e!press feelings c.maintain eye contact with the client d.)#olate the !l)e"t ro( other !l)e"t#

5:.The !l)e"t e9're##e# ear that God $)ll "ot .e #&''ort),e a"d ()*ht .e '&")t),e. Be )# e9'er)e"!)"* $h)!h o the ollo$)"* re#'o"#e#/ a.spiritual pain b.spiritual anger !.#')r)t&al a"9)et2 d.spiritual loss 5;.The !l)e"t ,er.al)4e#+ AI1( "oth)"*.D -h)!h o the ollo$)"* )# the (o#t a''ro'r)ate re#'o"#e .2 the "&r#e/ a.DAre 2o& #&**e#t)"* that 2o& eel $orthle##/D b.01f course, youre everything.0 c.0*hats not true.0 d.02ou should not feel that way.0 5<.-h)!h o the ollo$)"* #tate(e"t# !learl2 de )"e# thera'e&t)! !o((&")!at)o"/ a.*herapeutic communication is an interactional process which is primarily directed by the nurse b.*herapeutic communication conveys feelings of warmth, acceptance and empathy from the nurse to a patient in a rela!ed atmosphere !.thera'e&t)! !o((&")!at)o" )# a re!)'ro!al )"tera!t)o" .a#ed o" tr&#t a"d a)(ed at )de"t) 2)"* 'at)e"t "eed# a"d de,elo')"* (&t&al *oal# d.therapeutic communication is the assessment component of the nursing process 7=.-h)!h o the ollo$)"* !o"!e't# )# (o#t )('orta"t )" e#ta.l)#h)"* thera'e&t)! "&r#eC'at)e"t relat)o"#h)'/ a.the nurse must fully understand the patients feelings, perceptions and reactions before goals can be established b.the nurse must be a role model for health-fostering behaviors c.the nurse must recogni,e that the patient may manifest maladaptive behavior during illness d.the "&r#e "eed# to &"der#ta"d that the 'at)e"t (a2 te#t her .e ore he !a" a!!e't a"d tr&#t her