Test Bank for Adult Health Nursing 7th Edition by Cooper
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By: Cooper
Edition: 7th Edition
Format: Downloadable ZIP Fille
Resource Type: Test bank
Duration: Unlimited downloads
Delivery: Instant Download
Chapter 1: Introduction to Anatomy and Physiology
MULTIPLE CHOICE
- The anatomic term ____ means toward the midline.
| a. | anterior |
| b. | posterior |
| c. | medial |
| d. | cranial |
ANS: C
The term medial indicates an anatomic direction toward the midline.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 2
TOP: Anatomic terminology KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- What are the smallest living components in our body?
| a. | Cells |
| b. | Organs |
| c. | Electrons |
| d. | Osmosis |
ANS: A
Cells are considered to be the smallest living units of structure and function in our body.
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 6
TOP: Structural levels of organization KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
- What is the largest organelle, responsible for cell reproduction and control of other organelles?
| a. | Nucleus |
| b. | Ribosome |
| c. | Mitochondrion |
| d. | Golgi apparatus |
ANS: A
The nucleus is the largest organelle within the cell.
DIF: Cognitive Level: Knowledge REF: Page 5 OBJ: 8
TOP: Parts of the cell KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- When the patient complains of pain in the bladder, the patient will indicate discomfort in which body cavity?
| a. | Pelvic |
| b. | Mediastinum |
| c. | Dorsal |
| d. | Abdominal |
ANS: A
A subdivision called the pelvic cavity contains the lower portion of the large intestine (lower sigmoid colon, rectum), urinary bladder, and internal structures of the reproductive system.
DIF: Cognitive Level: Comprehension REF: Page 3, Figure 1-4
OBJ: 5 TOP: Body cavity KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- The four phases of cell division all occur in:
| a. | diffusion. |
| b. | mitosis. |
| c. | osmosis. |
| d. | filtration. |
ANS: B
During mitosis, the cell goes through four phases: prophase, metaphase, anaphase, and telophase.
DIF: Cognitive Level: Knowledge REF: Page 7 OBJ: 9
TOP: Cell division KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
- Telophase is which phase of cell reproduction during mitosis?
| a. | First phase |
| b. | Latent phase |
| c. | Final phase |
| d. | Spindle phase |
ANS: C
During mitosis, the cell goes through four phases: prophase, metaphase, anaphase, and telophase.
DIF: Cognitive Level: Knowledge REF: Page 7 OBJ: 9
TOP: Cell division KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
- The nurse is aware that which muscle group is both striated and involuntary?
| a. | Skeletal |
| b. | Glial |
| c. | Cardiac |
| d. | Visceral |
ANS: C
The cardiac muscle is both striated and involuntary.
DIF: Cognitive Level: Knowledge REF: Page 9-10, Figure 1-12
OBJ: 11 TOP: Tissues KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity
- What is a group of several different kinds of tissues arranged so that together they can perform a more complex function than any tissue alone?
| a. | Organ |
| b. | System |
| c. | Cell |
| d. | Endoplasmic reticulum |
ANS: A
When several kinds of tissues are united to perform a more complex function than any tissue alone, they are called organs.
DIF: Cognitive Level: Knowledge REF: Page 11 OBJ: 7
TOP: Organs KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
- What traits describe visceral muscles?
| a. | Smooth and voluntary |
| b. | Smooth and involuntary |
| c. | Striated and voluntary |
| d. | Striated and involuntary |
ANS: B
Visceral (smooth) muscles will not function at will; thus, they act involuntarily.
DIF: Cognitive Level: Knowledge REF: Page 9, Figure 1-12
OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- How are the thoracic and abdominal cavities separated?
| a. | By the pleura |
| b. | By the diaphragm |
| c. | By the sagittal plane |
| d. | By the peritoneum |
ANS: B
The diaphragm (a muscle directly beneath the lungs) separates the ventral cavity into the thoracic (chest) and abdominal cavities.
DIF: Cognitive Level: Knowledge REF: Page 10, Figure 1-3
OBJ: 3 TOP: Ventral cavity
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
- What is the broad section of biology dealing with the description of human structure?
| a. | Hematology |
| b. | Anatomy |
| c. | Kinesiology |
| d. | Physiology |
ANS: B
Anatomy is the study, classification, and description of the structure and organs of the body.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 1
TOP: Terminology KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
- ____ explains the processes and functions of many structures of the body and how they interact with one another.
| a. | Anatomy |
| b. | Mitosis |
| c. | Filtration |
| d. | Physiology |
ANS: D
Physiology explains the processes and functions of the various structures and how they interrelate with one another.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 1
TOP: Terminology KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
- The anatomic structure that is not in the thoracic cavity is/are the _____.
| a. | Heart |
| b. | Lungs |
| c. | Blood vessels |
| d. | Transverse colon |
ANS: D
The transverse colon is located in the abdominal cavity.
DIF: Cognitive Level: Comprehension REF: Page 2, Figure 1-3
OBJ: 5 TOP: Thoracic cavity
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
- When several organs and parts are grouped together for certain functions, they form:
| a. | tissues. |
| b. | systems. |
| c. | cells. |
| d. | membranes. |
ANS: B
A system is an organization of varying numbers and kinds of organs arranged so that together they can perform complex functions for the body.
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 7
TOP: Systems KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- What are the distinct surface proteins of the plasma membrane essential in determining?
| a. | Tissue typing |
| b. | Blood count |
| c. | Effectiveness of a drug |
| d. | Sexual maturity |
ANS: A
The plasma membrane has distinct surface proteins as coming from one individual. This is the basis for the procedure of tissue typing to determine compatibility before an organ transplant.
DIF: Cognitive Level: Comprehension REF: Page 5 OBJ: 12
TOP: Cells KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- In anatomic terminology, posterior means toward the:
| a. | tail. |
| b. | head. |
| c. | back. |
| d. | trunk. |
ANS: C
The posterior is toward the back.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 2
TOP: Anatomic terminology KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- What does the transverse body plane divide?
| a. | The front and back (coronal) of the body |
| b. | The body lengthwise (two equal halves) |
| c. | The superior and inferior portions of the body |
| d. | The body into axial and appendicular |
ANS: C
The transverse plane cuts the body horizontally into the sagittal and the frontal planes, dividing the body into caudal and cranial portions.
DIF: Cognitive Level: Knowledge REF: Page 2, Figure 1-2
OBJ: 3 TOP: Body planes KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- Caudal is defined as toward the ____.
| a. | head |
| b. | feet |
| c. | tail |
| d. | chest |
ANS: C
Caudal is a directional word that indicates toward the “tail,” the distal portion of the spine.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 3
TOP: Anatomic terminology KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- What is the term for the movement of water from an area of lower solute concentration to an area of higher solute concentration?
| a. | Absorption |
| b. | Filtration |
| c. | Diffusion |
| d. | Osmosis |
ANS: D
Osmosis is the passage of water from less concentrated solution to more concentrated solution.
DIF: Cognitive Level: Knowledge REF: Page 8, Table 1-4
OBJ: 10 TOP: Transport processes
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
- What is the type of tissue composed of cells that contract in response to a message from the brain or spinal cord?
| a. | Epithelial |
| b. | Connective |
| c. | Membrane |
| d. | Muscle |
ANS: D
Muscle tissue is composed of cells that contract in response to a message from the brain or spinal cord.
DIF: Cognitive Level: Knowledge REF: Page 9 OBJ: 7
TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- What is the type of tissue associated with the storage of fat?
| a. | Areolar tissue |
| b. | Adipose tissue |
| c. | Osseous tissue |
| d. | Muscle tissue |
ANS: B
Adipose tissue is associated with the important function of storing fat.
DIF: Cognitive Level: Knowledge REF: Page 9-10, Table 1-5
OBJ: 11 TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- What are the thin sheets of tissue that lubricate and line the body surfaces that open to the outside environment?
| a. | Mucous membranes |
| b. | Serous membranes |
| c. | Cytoplasm |
| d. | Involuntary visceral muscles |
ANS: A
Mucous membranes secrete mucus. They line the body surfaces that open to the outside environment.
DIF: Cognitive Level: Knowledge REF: Page 11 OBJ: 7
TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- What is the process by which a cell digests a foreign material by surrounding it?
| a. | Pinocytosis |
| b. | Phagocytosis |
| c. | Absorption |
| d. | Diffusion |
ANS: B
Phagocytosis is the process that permits a cell to engulf or surround any foreign material and digest it.
DIF: Cognitive Level: Knowledge REF: Pages 7-8, Table 1-3
OBJ: 10 TOP: Active transport processes
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
- Active transport in the movement of ions and other water-soluble particles across cell membranes requires that the body uses its::
| a. | rapid filtration. |
| b. | charged diffusion. |
| c. | a chemical pump. |
| d. | osmosis. |
ANS: C
Active transport of ions and other water-soluble particles of the cell membrane require a chemical pump, such as insulin, to move glucose into the cell.
DIF: Cognitive Level: Comprehension REF: Page 8, Table 1-4
OBJ: 10 TOP: Active transport processes
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
- What is the term for the passage of water containing dissolved materials through a membrane as the result of a greater mechanical force on one side?
| a. | Metabolism |
| b. | Mitosis |
| c. | Filtration |
| d. | Osmosis |
ANS: C
Filtration is the movement of water and particles through a membrane by a force from either pressure or gravity.
DIF: Cognitive Level: Knowledge REF: Page 8, Table 1-4
OBJ: 10 TOP: Passive transport processes
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
- The nurse is aware that when a patient complains of pain in the epigastric region, the source of the pain is most likely to be a disorder involving the:
| a. | gallbladder. |
| b. | transverse colon. |
| c. | stomach. |
| d. | appendix. |
ANS: C
The epigastric region of the abdomen is comprised of parts of the right and left lobes of the liver and a large portion of the stomach.
DIF: Cognitive Level: Comprehension REF: Page 3, Figure 1-4
OBJ: 5 TOP: Epigastric region
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
- What are tissues that cover the outside of the body and some internal structures?
| a. | Connective |
| b. | Epithelial |
| c. | Nerve |
| d. | Muscle |
ANS: B
Epithelial tissue covers the outside of the body and some of the internal structures.
DIF: Cognitive Level: Knowledge REF: Page 9 OBJ: 7
TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
- When the nurse assesses an arm in proximal to distal order, the assessment is performed from:
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| Description | By: Cooper Edition: 7th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | By: Burton Edition: 2nd Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | By: Brian k Walsh Edition: 4th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | Edition: 9th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | By: Savage Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | Edition: 7th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Content |
Chapter 1: Introduction to Anatomy and Physiology
MULTIPLE CHOICE
| Test Bank for Fundamentals of Nursing Care 2nd Edition by BurtonChapter 1 Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A nurse is educating a nursing student about nursing history. The nurse explains that throughout ancient history, nursing care was provided by family members and
| Test Bank for Neonatal and Pediatric Respiratory Care , (4th Edition)CONTENTS SECTION 1: FETAL DEVELOPMENT, ASSESSMENT, AND DELIVERY 1. Fetal Lung Development 2. Fetal Gas Exchange and Circulation 3. Antenatal Assessment and High-Risk Delivery SECTION 2: ASSESSMENT AND MONITORING OF THE NEONATAL AND PEDIATRIC PATIENT 4. Exam and Assessment of the Neonatal and Pediatric Patient 5. Pulmonary Function Testing and Bedside Pulmonary Mechanics 6. Radiographic Assessment 7. Bronchoscopy 8. Invasive Blood Gas Analysis and Monitoring 9. Non-Invasive Monitoring in Neonatal and Pediatric Care SECTION 3: THERAPEUTIC PROCEDURES FOR TREATMENT OF NEONATAL AND PEDIATRIC DISORDERS 10. Oxygen Administration 11. Aerosols and Administration of Medication 12. Airway Clearance Techniques and Lung Volume Expansion 13. Airway Management 14. Surfactant Replacement 15. Non-Invasive Mechanical Ventilation and Continuous Positive Pressure of the Neonate 16. Non-Invasive Mechanical Ventilation of the Child 17. Mechanical Ventilation of the Neonatal and Pediatric Patient 18. Administration of Gas Mixtures 19. Extracorporeal Life Support 20. Pharmacology 21. Thoracic Organ Transplantation 22. Neonatal Complications and Pulmonary Disorders SECTION 4: NEONATAL AND PEDIATRIC DISORDERS: PRESENTATION, DIAGNOSIS, AND TREATMENT 23. Congenital and Surgical Disorders that Affect Respiratory Care 24. Congenital Cardiac Defects 25. Sudden Infant Death Syndrome and Sleep Disorders 26. Pediatric Airway Disorders and Pulmonary Infections 27. Asthma 28. Cystic Fibrosis 29. Acute Respiratory Distress Syndrome 30. Shock, Sepsis, and Anaphylaxis 31. Pediatric Trauma 32. Disorders of the Pleura 33. Neurological and Neuromuscular Disorders SECTION 5: NEONATAL AND PEDIATRIC TRANSIENT AND AMBULATORY CARE 34. Transport of Infants and Children 35. Home Care 36. Quality and Safety NEW! | Test Bank for Pharmacology and the Nursing Process 9th EditionContents Chapter 01: The Nursing Process and Drug Therapy................................................................................. 4 Chapter 02: Pharmacologic Principles...................................................................................................... 8 Chapter 03: Lifespan Considerations...................................................................................................... 14 Chapter 04: Cultural, Legal, and Ethical Considerations.......................................................................... 20 Chapter 05: Medication Errors: Preventing and Responding .................................................................. 26 Chapter 06: Patient Education and Drug Therapy................................................................................... 29 Chapter 07: Over-the-Counter Drugs and Herbal and Dietary Supplements ........................................... 34 Chapter 08: Gene Therapy and Pharmacogenomics............................................................................... 38 Chapter 09: Photo Atlas of Drug Administration .................................................................................... 41 Chapter 10: Analgesic Drugs.................................................................................................................. 50 Chapter 11: General and Local Anesthetics............................................................................................ 57 Chapter 12: Central Nervous System Depressants and Muscle Relaxants............................................... 61 Chapter 13: Central Nervous System Stimulants and Related Drugs....................................................... 66 Chapter 14: Antiepileptic Drugs............................................................................................................. 70 Chapter 15: Antiparkinson Drugs.............................................................................................................76 Chapter 16: Psychotherapeutic Drugs.................................................................................................... 81 Chapter 17: Substance Use Disorder...................................................................................................... 88 Chapter 18: Adrenergic Drugs................................................................................................................ 93 Chapter 19: Adrenergic-Blocking Drugs.................................................................................................. 98 Chapter 20: Cholinergic Drugs ............................................................................................................. 103 Chapter 21: Cholinergic-Blocking Drugs............................................................................................... 108 Chapter 22: Antihypertensive Drugs.................................................................................................... 113 Chapter 23: Antianginal Drugs............................................................................................................. 119 Chapter 24: Heart Failure Drugs........................................................................................................... 125 Chapter 25: Antidysrhythmic Drugs..................................................................................................... 131 Chapter 26: Coagulation Modifier Drugs.............................................................................................. 137 Chapter 27: Antilipemic Drugs............................................................................................................. 143 Chapter 28: Diuretic Drugs................................................................................................................... 148 Chapter 29: Fluids and Electrolytes...................................................................................................... 154 Chapter 30: Pituitary Drugs.................................................................................................................. 160 Chapter 31: Thyroid and Antithyroid Drugs.......................................................................................... 163 Chapter 32: Antidiabetic Drugs............................................................................................................ 168 Chapter 33: Adrenal Drugs................................................................................................................... 177 Chapter 34: Women’s Health Drugs..................................................................................................... 181 Chapter 35: Men’s Health Drugs.......................................................................................................... 188 Chapter 36: Antihistamines, Decongestants, Antitussives, and Expectorants ....................................... 193 Chapter 37: Respiratory Drugs............................................................................................................. 198 Chapter 38: Antibiotics Part 1.............................................................................................................. 204 Chapter 39: Antibiotics Part 2.............................................................................................................. 211 Chapter 40: Antiviral Drugs.................................................................................................................. 216 Chapter 41: Antitubercular Drugs ........................................................................................................ 221 Chapter 42: Antifungal Drugs............................................................................................................... 226 Chapter 43: Antimalarial, Antiprotozoal, and Anthelmintic Drugs ........................................................ 231 Chapter 44: Anti-inflammatory and Antigout Drugs............................................................................. 236 Chapter 45: Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs..................... 242 Chapter 46: Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific Drugs and Miscellaneous Drugs......... 248 Chapter 47: Biologic Response–Modifying and Antirheumatic Drugs ................................................... 253 Chapter 48: Immunosuppressant Drugs............................................................................................... 258 Chapter 49: Immunizing Drugs............................................................................................................. 263 Chapter 50: Acid-Controlling Drugs...................................................................................................... 268 Chapter 51: Bowel Disorder Drugs....................................................................................................... 274 Chapter 52: Antiemetic and Antinausea Drugs..................................................................................... 281 Chapter 53: Vitamins and Minerals...................................................................................................... 286 Chapter 54: Anemia Drugs................................................................................................................... 292 Chapter 55: Nutritional Supplements................................................................................................... 299 Chapter 56: Dermatologic Drugs.......................................................................................................... 304 Chapter 57: Ophthalmic Drugs............................................................................................................. 310 Chapter 58: Otic Drugs ............................ | Test Bank for Public Health Science and Nursing Practice Caring For Populations by SavageChapter 10: Mental Health MULTIPLE RESPONSE 1.According to Healthy People 2020, which of the following are characteristics of mental health? Select all that apply.
| Test Bank Foundations of Maternal-Newborn and Women’s Health Nursing 7th EditionChapter 01: Maternity and Women’s Health Care Today Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition MULTIPLE CHOICE 1. A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session? a. The Sheppard-Towner Act of 1921 promoted family-centered care. b. Changes in the pharmacologic management of labor prompted family-centered care. c. Demands by physicians for family involvement in childbirth increased the practice of family-centered care. d. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care. ANS: D As research began to identify the benefits of early, extended parent-infant contact, parents began to insist that the infant remain with them. This gradually developed into the practice of rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided funds for state-managed programs for mothers and children but did not promote family-centered care. The changes in pharmacologic management of labor were not a factor in family-centered maternity care. Family-centered care was a request by parents, not physicians. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promotion and Maintenance 2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the amount of parent-infant interaction?” Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting? a. Birth center b. Homebirth c. Traditional hospital birth d. Labor, birth, and recovery room ANS: C In the traditional hospital setting, the mother may see the infant for only short feeding periods, and the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent-infant contact. Home births allow the greatest amount of parent-infant contact. The labor, birth, recovery, and postpartum room setting allows for increased parent-infant contact. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promotion and Maintenance 3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room? a. The family is in a familiar environment. b. They are less expensive than traditional hospital rooms. c. The infant is removed to the nursery to allow the mother to rest. d. The woman’s support system is encouraged to stay until discharge. ANS: D NURSINGTB.COM Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test BankNU RS IN GT B.CO M Sleeping equipment is provided in a private room. A hospital setting is never a familiar environment to new parents. An LDRP room is not less expensive than a traditional hospital room. The baby remains with the mother at all times and is not removed to the nursery for routine care or testing. The father or other designated members of the mother’s support system are encouraged to stay at all times. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotion and Maintenance 4. Which nursing intervention is an independent function of the professional nurse? a. Administering oral analgesics b. Requesting diagnostic studies c. Teaching the patient perineal care d. Providing wound care to a surgical incision ANS: C Nurses are now responsible for various independent functions, including teaching, counseling, and intervening in nonmedical problems. Interventions initiated by the physician and carried out by the nurse are called dependent functions. Administrating oral analgesics is a dependent function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dependent function. Providing wound care is a dependent function; however, the physician prescribes the type of wound care through direct orders or protocol. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effective Care Environment 5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to have a cesarean birth”? a. “Everything will be OK.” b. “Don’t worry about it. It will be over soon.” c. “What concerns you most about a cesarean birth?” d. “The physician will be in later and you can talk to him.” ANS: C The response, “What concerns you most about a cesarean birth” focuses on what the patient is saying and asks for clarification, which is the most therapeutic response. The response, “Everything will be ok” is belittling the patient’s feelings. The response, “Don’t worry about it. It will be over soon” will indicate that the patient’s feelings are not important. The response, “The physician will be in later and you can talk to him” does not allow the patient to verbalize her feelings when she wishes to do that. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial Integrity 6. In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis? a. Planning b. Evaluation c. Assessment d. Intervention ANS: A NURSINGTB.COM Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test BankNU RS IN GT B.CO M The third step in the nursing process involves planning care for problems that were identified during assessment. The evaluation phase is determining whether the goals have been met. During the assessment phase, data are collected. The intervention phase is when the plan of care is carried out. DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effective Care Environment 7. Which goal is most appropriate for the collaborative problem of wound infection? a. The patient will not exhibit further signs of infection. b. Maintain the patient’s fluid intake at 1000 mL/8 hour. c. The patient will have a temperature of 98.6F within 2 days. d. Monitor the patient to detect therapeutic response to antibiotic therapy. ANS: D In a collaborative problem, the goal should be nurse-oriented and reflect the nursing interventions of monitoring or observing. Monitoring for complications such as further signs of infection is an independent nursing role. Intake and output is an independent nursing role. Monitoring a patient’s temperature is an independent nursing role. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effective Care Environment 8. Which nursing intervention is written correctly? a. Force fluids as necessary. b. Observe interaction with the infant. c. Encourage turning, coughing, and deep breathing. d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM. ANS: D Interventions might not be carried out if they are not detailed and specific. “Force fluids” is not specific; it does not state how much or how often. Encouraging the patient to turn, cough, and breathe deeply is not detailed or specific. Observing interaction with the infant does not state how often this procedure should be done. Assisting the patient to ambulate for 10 minutes within a certain timeframe is specific. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effective Care Environment 9. The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which response by the nurse would be the most therapeutic? a. “You’re afraid to take the baby home?” b. “Don’t you have a mother who can come and help?” c. “You should read the literature I gave you before you leave.” d. “I was scared when I took my first baby home, but everything worked out.” ANS: A NURSINGTB.COM Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test BankNU RS IN GT B.CO M This response uses reflection to show concern and open communication. The other choices are blocks to communication. Asking if the patient has a mother who can come and assist blocks further communication with the patient. Telling the patient to read the literature before leaving does not allow the patient to express her feelings further. Sharing your own birth experience is inappropriate. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial Integrity 10. The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale of 10. Which expected outcome is correctly stated for this problem? a. Patient will state that pain is a 2 on a scale of 10. b. Patient will have a reduction in pain after administration of the prescribed analgesic. c. Patient will state an absence of pain 1 hour after administration of the prescribed analgesic. d. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic. ANS: D The outcome should be patient-centered, measurable, realistic, and attainable and within a specified timeframe. Patient stating that her pain is now 2 on a scale of 10 lacks a timeframe. Patient having a reduction in pain after administration of the prescribed analgesic lacks a measurement. Patient stating an absence of pain 1 hour after the administration of prescribed analgesic is unrealistic. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning MSC: Patient Needs: Physiologic Integrity 11. Which nursing diagnosis should the nurse identify as a priority for a patient in active labor? a. Risk for anxiety related to upcoming birth b. Risk for imbalanced nutrition related to NPO status c. Risk for altered family processes related to new addition to the family d. Risk for injury (maternal) related to altered sensations and positional or physical changes ANS: D The nurse should determine which problem needs immediate attention. Risk for injury is the problem that has the priority at this time because it is a safety problem. Risk for anxiety, imbalanced nutrition, and altered family processes are not the priorities at this time. 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