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Test Bank for Timby's Fundamental Nursing Skills and Concepts 12th Edition by Donnelly-Moreno.
est Bank for Timby's Fundamental Nursing Skills and Concepts 12th Edition by Donnelly-Moreno GRADE A++
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TESTBANK FORTimby's Fundamental Nursing Skills Concepts 12
edition by Loretta A Donnelly Moreno.
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BA
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,1. A client reports to the emergency department with ankle pain due to a minor road
accident. By asking the client to describe the accident, which type of nursing skill is the
nurse using?
A. assessment skills
B. comforting skills
C. counseling skills
D. caring
skills Answer:
A
Rationale: By asking the client to describe the accident, the nurse is using assessment skills to
collect more information about the client's condition. The nurse is interviewing the client to
collect related data. The nurse is not using comforting skills, as the nurse is not providing any
K
emotional support. The counseling skills of the nurse are also not used, as no health education
is provided. Caring skills include assistance provided with the activities of daily living, which
is not applicable in this scenario.
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Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
BA
Integrated Process: Nursing Process
Reference: p. 15
2. One of the nursing achievements in the Crimean War was that the death rate of
soldiers dropped from 60% to 1%. What is the most appropriate reason for the fall in the
death rate?
A. increased motivation among the soldiers
B. decreased rate of infection and gangrene
ST
C. increased funds courtesy of donations from families
D. college-based education and training of
nurses Answer: B
Rationale: During the Crimean War, the death rate of British soldiers was 60%, which
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dropped to 1% due to the nursing care provided. The nurses improved the ventilation,
nutritional, and sanitary conditions of the soldiers, leading to decreased rates of infection and
gangrene. As a result, the death rate dropped. The families and the soldiers donated funds
after the war, not during the war, through which an organized education and training facility
for nurses was started.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs: Safe, Effective Care Environment: Safety and Infection Control
Integrated Process: Nursing Process
Reference: p. 3
3. A nurse at a health care facility provides information, assistance, and
encouragement to clients during the various phases of nursing care. In which activity
does the nurse use counseling skills?
A. educating a group of young girls about AIDS
B. telling a client to localize the pain in his abdomen
C. encouraging a client to walk without support
,D. assisting a lactating mother in feeding her
child Answer: A
Rationale: The activity of educating a group of young girls about AIDS is based on the nurse
using counseling skills. Telling a client to localize his pain is an assessment skill.
Encouraging a client to walk without support can be both a comforting skill and a caring
skill. Assisting a lactating mother in feeding her baby is an example of a caring skill.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management of
Care Client Needs: Health Promotion and Maintenance
Client Needs Pn: Health Promotion and
Maintenance Integrated Process: Teaching/Learning
K
Reference: p. 15
4. A nurse is conducting an interview of a 40-year-old client who is admitted with chest
N
pain. Which action by the nurse indicates active listening?
A. listening to the client silently
B. interrupting after each sentence
C. asking for clarifications and repetitions
BA
D. talking about the nurse's own
experience Answer: C
Rationale: Active listening is an important component of counseling skills. It encourages the
client to open up and express their concerns. The nurse may ask the client to repeat and
clarify statements. Interrupting after every sentence may annoy the client. When the nurse
listens to the client silently, the client may feel that the nurse is not interested. On the other
ST
hand, if the nurse talks about the nurse's own experience, the focus of the session shifts to the
nurse rather than to the client.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
TE
Integrated Process: Caring
Reference: p. 15
5. A student wants to attend a nursing program that prepares its graduates for both
staff and managerial positions. Which type of nursing program should the nurse suggest
for this student?
A. hospital-based diploma
B. baccalaureate nursing program
C. associate degree program
D. continuing nursing
program Answer: B
,Rationale: Baccalaureate-prepared nurses have the greatest potential for qualifying for
nursing positions at both staff and managerial levels. Hospital-based diploma programs are 3-
year courses and provide maximum exposure to clinical nursing. Students becoming nurses
through the associate degree program would not be expected to work in a management
position. Continuing nursing programs are on-the-job educational programs.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management of
Care Integrated Process: Teaching/Learning
Reference: p. 11
6. A client is brought to the emergency department with a head injury following an
all-terrain vehicle (ATV) accident. The nurse asks the family members to describe how the
accident occurred. The nurse is implementing which type of skill?
K
A. assessment skills
B. caring skills
C. counseling skills
N
D. comforting
skills Answer: A
BA
Rationale: The immediate requirement when a client is brought to the emergency department
with a head injury is to assess the injury and the system affected, as well as a description of
how the accident occurred. This requires implementation of assessment skills. Subsequently,
the nurse can implement caring skills, counseling skills, and comforting skills; however,
assessment should be the priority.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
ST
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 15
7. Training schools for nurses were established in the United States after the Civil War.
The standards of U.S. schools deviated from those of the Nightingale paradigm. Which
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statement is true about U.S. training schools?
A. Training schools were affiliated with a few select hospitals.
B. Training of nurses provided no financial advantages to the hospital.
C. Training was formal, based on nursing care.
D. Training schools eliminated the need to pay employees.
Answer: D
Rationale: Training schools in the United States profited by eliminating the need to pay
employees because students worked without pay in return for training, which usually
consisted of chores. U.S. training schools were established by any hospital; there was no
formal training. Training was an outcome of work, which eliminated the need to pay
employees. Nightingale training schools were affiliated with a few select hospitals, training
,of nurses provided no financial advantages to the hospital, and the training was formal, based
on nursing care.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Remember
Client Needs Pn: Safe, Effective Care Environment: Coordinated Care
Client Needs: Safe, Effective Care Environment: Management of
Care Integrated Process: Teaching/Learning
Reference: p. 5
8. In a nursing unit, the RN delegates nursing tasks to the LPN. Keeping in
mind the delegation guidelines, which statement denotes the right task for the LPN?
A. Make beds with the help of unlicensed assistive personnel.
B. Assist clients with nasogastric tube feeds.
C. Take orders from an in-house physician.
D. Assess the client's needs and start an intravenous line.
K
Answer: B
N
Rationale: Assisting clients with nasogastric tube feeding is an appropriate task for an LPN,
as it does not require independent decisions and sophisticated techniques. According to the
delegation guidelines, "right task" means that the task should be assigned according to the
competency of the caregiver. LPNs may not be authorized to make independent decisions,
BA
like starting an IV line, for the client. Bed making is a very basic task and may not be
appropriate for an LPN if the UAP is already present. When the RN and LPN are present, the
RN takes the physician's orders.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Apply
Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Nursing Process
ST
Reference: p. 8
9. A 50-year-old client reports to a primary care unit with an open wound due to a fall
in the bathroom. Which nursing actions represent caring skills?
A. The nurse cleans the wound and applies a dressing to it.
B. The nurse inspects and examines the wound for swelling.
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C. The nurse tells the client to take care while on slippery surfaces.
D. The nurse informs the client that the wound is small and will heal easily.
Answer: A
Rationale: The nursing action of cleaning the wound and applying a dressing indicates caring
skills. Caring skills involve nursing interventions that restore or maintain a person's health.
The nurse implements assessment skills while inspecting and examining the wound. The
nurse counsels the client to take care when walking on slippery surfaces. By informing the
client about the wound's condition, the nurse uses comforting skills.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
, Client Needs: Physiological Integrity: Basic Care and Comfort
Integrated Process: Caring
Reference: p. 15
10. The scope and character of nursing practice underwent significant changes in the
years following the Civil War. Which activity exemplifies nursing practice in the early years
of the 20th century?
A. providing basic health care to recent immigrants to the United States
B. contributing to the scientific knowledge base of nursing by conducting research
C. participating in collaborative practice with physicians
D. establishing school nursing as a recognized specialty in urban
settings Answer: A
Rationale: In the early 20th century, some nurses moved into communities and established
"settlement houses" where they lived and worked among poor immigrants. This period of
K
history was not characterized by collaboration between physicians and nurses due to the
subservient view of nursing that prevailed. Research and school nursing were not major
focuses at this time.
N
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
BA
Integrated Process: Teaching/Learning
Reference: p. 4
11. A nursing student has begun a clinical placement at a large hospital that serves a
diverse population. The student has consequently acquired a new appreciation for the fact
that nursing combines art with science. What is the clearest manifestation of the scientific
basis for nursing?
A. mentoring students and junior nurses
ST
B. providing evidence-based nursing care
C. maintaining an attitude of curiosity
D. participating in continuing educational
activities Answer: B
TE
Rationale: By developing an accumulating body of unique scientific knowledge, it is now
possible to predict which nursing interventions are most likely to produce desired outcomes,
a process referred to as evidence-based practice (EBP). EBP is possible because of the
scientific basis that underlies nursing. Mentoring, maintaining curiosity, and participating in
continuing education are beneficial, but these are not direct manifestations of the scientific
basis for nursing.
Question format: Multiple Choice
Chapter 1: Nursing Foundations
Cognitive Level: Understand
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Teaching/Learning
Reference: p. 6
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