NUR 205 Final Exam
Which of the following clients is the most appropriate candidate for receiving outpatient care?
A) A client whose complaints of irregular bowel movements have necessitated a colonoscopy
B) A woman who has previously borne two children and is entering the second stage of labor
C) A man who is receiving treatment for sepsis after his blood cultures came back positive
D) A client with a history of depression who is currently expressing suicidal ideation - correct
answer-A
Outpatient services are appropriate for clients who are medically stable but who require
diagnostic testing, such as a colonoscopy. Clients in active labor and clients who are actively
septic or suicidal require close monitoring and frequent interventions, which can only be safely
provided on an inpatient basis.
After many years of advanced practice nursing, a nurse has recently enrolled in a nurse
practitioner program. This nurse has been attracted to the program by the potential to provide
primary care for clients after graduation, an opportunity that is most likely to exist in which of
the following settings?
A) A rural health center
B) A long-term care facility
C) A university hospital
D) A community hospital - correct answer-A
Many rural health centers employ few health care providers, and primary care is often provided
by a nurse practitioner (NP). A nurse practitioner may provide care in a long-term care facility
or hospital, but in these settings, the NP is less likely to be the provider of primary care to
clients.
Which of the following phrases best describes hospitals today?
A) Focus on chronic illnesses
B) Focus on acute care needs
,NUR 205 Final Exam
C) Primary care centers
D) Voluntary agencies - correct answer-B
Hospitals have become acute care providers for people who are too ill to care for themselves at
home, who are severely injured, who require surgery or complicated treatment, or who are
having babies. Hospitals rarely focus on chronic illnesses, and they are not primary care centers.
Hospitals are not classified as voluntary agencies.
A man is scheduled for hospital outpatient surgery. He tells the nurse, "I don't know what that
word,outpatient, means." How would the nurse respond?
A) "It means you will have surgery in the hospital and stay for 2 days."
B) "It means the surgeon will come to your home to do the surgery."
C) "Why would you ask such a question? Don't worry about it."
D) "You will have surgery and go home that same day." - correct answer-D
In addition to providing acute care, hospitals have many services for outpatients (those who
require health care but do not need to stay in the facility). Clients who have outpatient surgery
have the procedure, return to their hospital room for recovery, and then are discharged home
on the same day.
A nurse in a walk-in health care setting provides technical services (e.g., administering
medications), determines the priority of care needs, and provides client teaching on all aspects
of care. Which of the following terms best describes this type of health care setting?
A) Hospital
B) Physician's office
C) Ambulatory center
D) Long-term care - correct answer-C
Nurses in ambulatory care centers (walk-in clinics) provide technical services (e.g.,
administering medications), determine the priority of care needs, and provide teaching about
all aspects of care. Nurses employed in hospitals have many roles, including manager of other
,NUR 205 Final Exam
members of the health care team providing client care, administrator, nurse practitioner,
clinical nurse specialist, patient educator, in-service educator, and researcher. In physician's
offices, advanced practice registered nurses (APRNs), nurse practitioners, midwives, or clinical
nurse specialists work independently or collaboratively with physicians to make assessments
and care for clients who require health maintenance or health promotion activities. Long-term
care provides medical and nonmedical care for people with chronic illnesses or disabilities.
Nurses who are employed in home care have a variety of responsibilities. Which of the
following is one of those responsibilities?
A) Provide all care and services
B) Maintain a clean home environment
C) Advise clients on financial matters
D) Collaborate with other care providers - correct answer-D
Nurses who provide care in the home make assessments, provide physical care, administer
medications, teach, and support family members. They also collaborate with other health care
providers in providing care and services. Home care nurses do not provide all care and services,
maintain a clean home environment, or advise clients on financial matters.
Which of the following is true of long-term care facilities?
A) They provide care only to older adults.
B) They provide care for homeless adults.
C) They provide care to people of any age.
D) They provide care only for people with dementia. - correct answer-C
Long-term care facilities provide health care, and help with the activities of daily living, for
people of any age who are physically or mentally unable to care for themselves independently.
They do not provide care only to older adults or those with dementia, although they do care for
those populations as well as others. They do not provide care to homeless persons.
A grade school is preparing a series of classes on the dangers of smoking. Who would be most
likely to teach the classes?
, NUR 205 Final Exam
A) A community health nurse
B) An outside consultant
C) A teacher
D) The school nurse - correct answer-D
School nurses provide many different services, including maintaining immunization records,
providing emergency care, administering prescribed medications, conducting routine
screenings, conducting health assessments, and teaching for health promotion (e.g., the
dangers of smoking). Although any of the other choices may provide teaching, it is the nurse
who primarily provides health-related teaching.
An elderly woman has total care of her husband, who suffers from debilitative rheumatoid
arthritis. The couple voices concern over the pain and stress associated with the condition.
What type of care might the nurse suggest to help the couple?
A) Primary care
B) Respite care
C) Bereavement care
D) Palliative care - correct answer-D
The goal of palliative care is relief from the symptoms, pain, and stress of a serious illness, and
to improve the quality of life for both the client and the family. The main purpose of respite
care is to give the primary caregiver some time away from the responsibilities of day-to-day
care. Primary care is found in acute care settings and physicians' offices. Bereavement care is
provided to families following the death of a family member.
What population do hospice nurses provide with care?
A) Those requiring care to improve health
B) Children with chronic illnesses
C) Dying persons and their loved ones
