TESTBA~3

TEST BANK for Timby's Fundamental Nursing Skills
and Concepts 12th Edition

by Loretta A Donnelly-Moreno, Chapters 1 - 38 Complete
WWW.THENURSINGMASTERY.COM
Table of contents
o Chapter 1 Nursing Foundations
o Chapter 2 Nursing Process
o Chapter 3 Laws and Ethics o
Chapter 4 Health and Illness
o Chapter 5 Homeostasis, Adaptation, and Stress
o Chapter 6 Culture and Ethnicity
o Chapter 7 The Nurse–Client Relationship
o Chapter 8 Client Teaching
o Chapter 9 Recording and Reporting
o Chapter 10 Asepsis
o Chapter 11 Admission, Discharge, Transfer, and Referrals o
Chapter 12 Vital Signs
o Chapter 13 Physical Assessment
o Chapter 14 Special Examinations and Tests
o Chapter 15 Nutrition
o Chapter 16 Fluid and Chemical Balance
o Chapter 17 Hygiene
o Chapter 18 Comfort, Rest, and Sleep
o Chapter 19 Safety
o Chapter 20 Pain Management
o Chapter 21 Oxygenation
o Chapter 22 Infection Control
o Chapter 23 Body Mechanics, Positioning, and Moving
o Chapter 24 Fitness and Therapeutic Exercise
o Chapter 25 Mechanical Immobilization
o Chapter 26 Ambulatory Aids
o Chapter 27 Perioperative Care
o Chapter 28 Wound Care
o Chapter 29 Gastrointestinal Intubation
o Chapter 30 Urinary Elimination
o Chapter 31 Bowel Elimination
o Chapter 32 Oral Medications
o Chapter 33 Topical and Inhalant Medications
o Chapter 34 Parenteral Medications
o Chapter 35 Intravenous Medications
o Chapter 36 Airway Management
o Chapter 37 Resuscitation
o Chapter 38 End-of-Life Care
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Chapter 1 Nursing Foundations
MULTIPLE CHOICE
1. Florence Nightingales contributions to nursing practice and education:
a. are historically important but have no validity for nursing today.
b. were neither recognized nor appreciated in her own time.
c. were a major factor in reducing the death rate in the Crimean War.
d. were limited only to the care of severe traumatic

wounds. ANSWER: C
By improving sanitation, nutrition ventilation, and handwashing techniques, Florence
Nightingales nurses dramatically reduced the death rate from injuries in the Crimean
War. DIF: Cognitive Level: Knowledge REF: dm 2 OBJ: Theory #1
TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. Early nursing education and care in the United States:
a. were directed at community health.
b. provided independence for women through education and employment.
c. were an educational model based in institutions of higher learning.
d. have continued to be entirely focused on hospital

nursing. ANSWER: B
Because of the influence of early nursing leaders, nursing education became more
formalized through apprenticeships in Nightingale schools that offered independence to
women through education and employment.
DIF: Cognitive Level: Knowledge REF: dm 2 OBJ: Theory
#4 TOP: Nursing History KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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3. In order to fulfill the common goals defined by nursing theorists (promote wellness, prevent
illness, facilitate coping, and restore health), the LPN must take on the roles of:
a. caregiver, educator, and collaborator.
b. nursing assistant, delegator, and environmental specialist.
c. medication dispenser, collaborator, and transporter.
d. dietitian, manager, and

housekeeper. ANSWER: A
In order for the LPN to apply the common goals of nursing, he or she must assume the roles
of caregiver, educator, collaborator, manager, and advocate.
DIF: Cognitive Level: Comprehension REF: dm 4 OBJ: Theory
#2 TOP: Art and Science of Nursing KEY: Nursing Process Step:
N/A MSC: NCLEX: N/A
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4. Although nursing theories differ in their attempts to define nursing, all of them base their
beliefs on common concepts concerning:
a. self-actualization, fundamental needs, and belonging.
b. stress reduction, self-care, and a systems model.
c. curative care, restorative care, and terminal care.
d. human relationships, the environment, and

health. ANSWER: D
Although nursing theories differ, they all base their beliefs on human relationships, the
environment, and health.
DIF: Cognitive Level: Comprehension REF: dm 4 OBJ: Theory #2
TOP: Nursing Theories KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. Standards of care for the nursing practice of the LPN are established by the:
a. Boards of Nursing Examiners in each state.
b. National Council of States Boards of Nursing (NCSBN).
c. American Nurses Association (ANA).
d. National Federation of Licensed Practical

Nurses. ANSWER: D
The National Federation of Licensed Practical Nurses modified the standards published by
the ANA in 2004 to better fit the role of the LPN.
TOP: Standards of Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

6.The LPN demonstrates an evidence-based practice by:
a. using a drug manual to check compatibility of drugs.
b. using scientific information to guide decision making.
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c. using medical history of a patient to direct nursing interventions.
d. basing nursing care on advice from an experienced

nurse. ANSWER: B
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The use of scientific information from high-quality research to guide nursing decisions is
reflective of the application of evidence-based practice.
DIF: Cognitive Level: Knowledge REF: dm 5 OBJ: Theory #3
TOP: Evidence Based Practice KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
7. Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York
in 1893 in order to:
a. offer a shelter to injured war veterans.
b. found a nursing apprenticeship.
c. provide health care to poor persons living in tenements.
d. offer better housing to low-income families.
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ANSWER: C
Henry Street Settlement Service brought the provision of community health care to the
poor people living in tenements.
TOP: Growth of Nursing KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
8. An educational pathway for an LPN refers to an LPN:
a. learning on the job and being promoted to a higher level of responsibility.
b. moving from a maternity unit to a more complicated surgical unit.
c. obtaining additional education to move from one level of nursing to another.
d. learning that advancement requires consistent work and

commitment. ANSWER: C
By broadening the educational base, an LPN may advance and build a nursing career.
TOP: Nursing Education Pathways KEY: Nursing Process Step:
N/A MSC: NCLEX: N/A
9. When diagnosis-related groups (DRGs) were established by Medicare in 1983, the purpose
was to:
a. put patients with the same diagnosis on the same unit.
b. attempt to contain the costs of health care.
c. increase availability of medical care to the elderly.
d. identify a patients condition more

quickly. ANSWER: B
The purpose of instituting DRGs was to contain skyrocketing costs of health
care. DIF: Cognitive Level: Knowledge REF: dm 8 OBJ: Theory #10
TOP: Health Care Delivery KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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10. The advent of diagnosis-related groups (DRGs) required that nurses working in health care
agencies:
a. record supportive documentation to confirm a patients need for care in order to qualify for
reimburs
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b. use the DRG rather than their own observations for patient assessment.
c. be aware of the specific drugs related to the diagnosis.
d. acquire cross-training to make staffing more

flexible. ANSWER: A
DRGs required that nurses provide more supportive documentation of their assessments and
identified patient needs to qualify the facility for Medicare reimbursement. Observant
assessment might also indicate another DRG classification and consequently more
reimbursement for the facility.
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
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11. If a member of a health maintenance organization (HMO) is having respiratory
problems such as fever, cough, and fatigue for several days and wants to see a specialist,
the person is required to go:
a. directly to an emergency room for treatment.
b. to any general practitioner of choice.
c. directly to a respiratory specialist.
d. to a primary care physician for a

referral. ANSWER: D
Participants in an HMO must see their primary physician to receive a referral for a specialist
in order for the HMO to pay for the care.
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
12. An advantage of preferred provider organizations (PPOs) is that:
a. they make insurance coverage of employees less expensive to employers.
b. there are fewer physicians to choose from than in an HMO.
c. long-term relationships with physicians are more likely.
d. patients may go directly to a specialist for

care. ANSWER: A
The use of PPOs allows insurance companies to keep their premiums low and in turn makes
insurance coverage less expensive for the employers. There are usually more physicians from
which to choose than from a HMO, but long-term relationships between physician and
patient cannot be established easily. Patients still must see their primary physician before
being referred to other specialties.

TOP: Preferred Provider Organizations KEY: Nursing Process Step: N/A
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MSC: NCLEX: N/A
13. After passing the National Council Licensure Examination for Practical Nurses (NCLEX-
PN), the nurse is qualified to take an additional certification in the field of:
a. pharmacology.
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b. care of infants and children.
c. operating room technology.
d. community
health. ANSWER: A
After becoming an LPN, the nurse may apply for additional certification in
pharmacology or long-term care.
TOP: Educational Opportunities KEY: Nursing Process Step:
N/A MSC: NCLEX: N/A
14. Nursing interventions are best defined as activities that:
a. are taken to improve the patients health.
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b. involve researching methods to maintain asepsis.
c. include the family in nursing care.
d. review guidelines for handling infectious

wastes. ANSWER: A
Interventions are actions taken to improve, maintain, or restore
health. DIF: Cognitive Level: Comprehension REF: dm 4 OBJ:
Theory #2 TOP: Art and Science of Nursing KEY: Nursing Process
Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
15. Nurse Practice Acts define the legal scope of an LPNs practice, which are written and
enforced by:
a. the American Nurses Association.
b. the National Council Licensure Examiners.
c. each state.
d. each health care

agency. ANSWER: C
Each state writes and enforces the Nurse Practice Act, which defines the legal scope of
nursing practice.
TOP: Nurse Practice Act KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
16. Women volunteers were organized to give nursing care to the wounded soldiers during the
Civil War by:
a. Florence Nightingale.
b. Dorothea Dix.
c. Clara Barton.
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d. Lillian
Wald. ANSWER: B
The Union government appointed Dorothea Dix, a social worker, to organize women
volunteers to provide nursing care for the soldiers during the Civil War.
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MSC: NCLEX: N/A
17. The nursing theory presented by Sister Calista Roy is based on:
a. reduction of stress.
b. achievement of maximum level of wellness.
c. relief of self-care deficit.
d. adaptation
modes. ANSWER: D
Adaptation modes (physiologic, psychological, sociologic, and independence) are the basis of
the nursing theory of Sister Calista Roy.
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DIF: Cognitive Level: Knowledge REF: dm 4, Table 1-1
OBJ: Theory #2 TOP: Nursing Theories KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
18. The founding of the Red Cross is attributed to:
a. Lillian Wald.
b. Dorothea Dix.
c. Florence Nightingale.
d. Clara
Barton. ANSWER: D
Clara Barton founded the Red Cross.

MSC: NCLEX: N/A
19. The nursing theorist whose practice framework is based on 14 fundamental needs is:
a. Dorothy Johnson.
b. Jean Watson.
c. Virginia Henderson.
d. Martha
Rogers. ANSWER: C
Virginia Hendersons nursing theory framework is based on 14 fundamental
needs. DIF: Cognitive Level: Knowledge REF: dm 4, Table 1-1
OBJ: Theory #2 TOP: Nursing Theorists KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
20.The nursing theory that uses seven behavioral subsystems in an adaptation model is:
a. Betty Neumann.
b. Sister Calista Roy.
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c. Dorothy Johnson.
d. Patricia
Benner. ANSWER: C
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Dorothy Johnsons practice framework is based on seven behavioral subsystems in an
adaptation model.
OBJ: Theory #2 TOP: Nursing Theorists KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
21. The Standards of Clinical Nursing Practice are designed to direct LPNs to:
a. advance their nursing career.
b. seek a scientific basis for their interventions.
c. deliver safe, knowledgeable care.
d. a leadership
role. ANSWER: C
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The Standards of Clinical Nursing Practice are designed to guide the LPN to deliver safe,
knowledgeable care.
TOP: Nursing Standards KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe Effective Care Environment
22. A states Nurse Practice Act is designed to protect the:
a. physician.
b. nurse.
c. public.
d. hospital
. ANSWER: C
Nurse Practice Acts are designed to protect the public.

TOP: Nurse Practice Act KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
23. It is appropriate for practical nurses to provide direct patient care to persons in a hospital
under the supervision of a:
a. physicians assistant.
b. registered nurse on the unit.
c. supervising nurse who is responsible for care on several units.
d. more experienced LPN on the

unit. ANSWER: B
Practical nurses provide direct patient care under the direct supervision of a registered nurse,
physician, or dentist.

TOP: Scope of Practice KEY: Nursing Process Step: N/A
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MSC: NCLEX: N/A
24. An example of tertiary health care is care.
a. hospice
b. restorative
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c. emergency
d. home
health ANSWER: A
Tertiary health care includes extended care, chronic disease management, medical homes,
in- home personal care, and hospice care.
Chapter 2 Nursing Process
MULTIPLE CHOICE
1. The nurse is aware that any description of health would include the concept that:
a. health is the absence of illness, and illness is the presence of chronic disease.
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b. culture, education, and socioeconomic status influence ones definition of health or illness.
c. illness is a biologic malfunction, and health is biologic soundness.
d. lifestyle factors are the major determinant of health or

illness. ANSWER: B
The concept of health is influenced by culture, education, and socioeconomic factors.
TOP: Views of Health and Illness KEY: Nursing Process Step: Planning
2. The nurse takes into consideration that the patient with an admitting diagnosis of type 2
diabetes mellitus and influenza is described as having:
a. two chronic illnesses.
b. two acute illnesses.
c. one chronic and one acute illness.
d. one acute and one infectious

illness. ANSWER: C
Chronic illnesses are those that develop slowly over a long period and last throughout a
lifetime. Acute illnesses develop suddenly and resolve in a short time. Type 2 diabetes
mellitus would be considered chronic, whereas influenza would be considered acute.
DIF: Cognitive Level: Application REF: dm 15 OBJ: Theory #1
TOP: Classification of Illnesses KEY: Nursing Process Step: Planning
3. The nurse explains that an idiopathic disease is one that:
a. is caused by inherited characteristics.
b. develops suddenly, related to new viruses.
c. results from injury during labor or delivery.
d. has an unknown
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cause. ANSWER: D
Idiopathic disease is defined as disease whose cause is
unknown. DIF: Cognitive Level: Knowledge REF: dm 13 OBJ:
Theory #1
TOP: Classification of Illnesses KEY: Nursing Process Step: Implementation
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4. The nurse assesses a terminal illness in a:
a. 76 year old admitted to a nursing home with Alzheimers disease who is pacing and asking to go
ho
b. 43 year old with Lou Gehrigs disease who is refusing food and fluid.
c. 2 year old child who burned her esophagus by drinking drain cleaner and who is being fed by a
tub 52 year old diagnosed with lung cancer who had part of one lung removed and has a
closed chest dr
d. place.
ANSW ER: B
A terminal illness is defined as one in which a person will live only a few months, weeks,
or days. A person who refuses food and hydration will generally not live more than a few
days.
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TOP: Stages of Illness KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: physiological adaptation
5. The nurse clarifies to a patient who now has an abscess following a ruptured appendix that the
abscess is considered to be:
a. a secondary illness.
b. a life threatening complication.
c. an expected event following any surgery.
d. a disorder easily treated with

antibiotics. ANSWER: A
A secondary illness is an illness that arises from a primary disorder.
TOP: Views of Health and Illness KEY: Nursing Process Step:

Intervention MSC: NCLEX: Physiological Integrity: physiological
adaptation
6. The nurse uses a diagram to demonstrate how Dunns theory of health and illness can be
compared with a:
a. plant that grows from a seed, blossoms, wilts, and dies.
continuum, with peak wellness and death at opposite ends; the person moves back and forth in
a dy
b. change.
c. ladder; from birth to death the individual moves progressively downward a ladder to eventual
death
d. state of mind dependent on the individual perception of their own health or

illness. ANSWER: B
Dunns theory of a health continuum shows how an individual moves between peak wellness
and death in a constant process.
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TOP: Views of Health and Illness KEY: Nursing Process Step:
Intervention MSC: NCLEX: Physiological Integrity: physiological
adaptation
7. A patient has been advised by the physician to take medication for high cholesterol
and to change eating habits after discharge home. The home health nurse discovered that
the patient
refused to follow the medical and nutritional directions. The nurses best initial response to this
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situation is to:
a. emphasize to the patient how important it is to follow the doctors advice.
determine whether any cultural, socioeconomic, or religious values conflict, thus interfering
with th
b. compliance.
c. explain that without diet and medication the condition will worsen and serious problems will
devel
d. inform the physician that the patient is unable to understand the

instructions. ANSWER: B
The patient may have cultural, socioeconomic, or religious values that cause conflicts that
prevent her from following the doctors instructions.
DIF: Cognitive Level: Application REF: dm 15 OBJ: Theory

#5 TOP: Concepts of Health and Illness | Cultural
Influences KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Psychological Integrity: coping and adaptation
8. A nurse practicing a holistic approach to nursing care must:
a. recognize that a change in one aspect of the persons life can alter the whole of that persons life.
b. take responsibility for health care decisions.
c. promote state of the art technology.
d. discourage the use of more natural remedies and alternative methods of health
care. ANSWER: A
Holistic nursing requires that the nurse recognize that a change in one aspect of the
patients life (biological, sociological, psychological, and spiritual) will bring about changes
in that patients whole life.
TOP: Holistic Approach to Caring KEY: Nursing Process Step:
Assessment MSC: NCLEX: N/A
9.According to Maslows hierarchy, physiological needs are those that:
a. nurture intimacy.
b. foster independence.
c. encourage social interaction.
d. are essential to human

life. ANSWER: D
Physiological needs are those that are essential to human life, such as oxygenation, nutrition,
and elimination.
TOP: Maslows Hierarchy of Needs KEY: Nursing Process Step:
N/A MSC: NCLEX: N/A
10. The factors involved in assessing the importance the patient attaches to the relief of a
particular deficit include:
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a. needs that the nurse must assess to prioritize care, because they may be different from person
to per
b. ordering needs according to Maslows hierarchy, with lower level needs being least compelling.
needs based on a hierarchy in which higher level needs are more prominent and demand
attention b
c. needs.
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d. needs that are usually not known to the patient and that must be determined by the
nurse. ANSWER: A
A persons concern relative to a needs deficit must be assessed by the nurse to meet the needs
of each patient. Needs are viewed differently from one person to the next.
Assessment MSC: NCLEX: Physiological Integrity: physiological
adaptation
11. The nurse believes that teaching a patient how to give insulin and monitor blood glucose
levels will improve the level of the patients:
a. physiological well being.
b. security, by providing psychological comfort.
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c. self esteem, by promoting independence and learning.
d. self actualization, by seeking knowledge and

truth. ANSWER: C
Teaching activities to a patient that are to be used after discharge enhances independence
and promotes self esteem.
Implementation MSC: NCLEX: Psychosocial Integrity: psychosocial
adaptation
12. Homeostasis can be described as:
a. the unchanging steady condition of humans in a changing external environment.

b. a tendency of biological systems toward stability of the internal environment by continuously
adjus biological wellness that comes from the ability of the body to change and respond to
physical chang
c. environment.
d. a response to stress that results from a persons choice of coping mechanisms to deal with the
stress. ANSWER: B
Homeostasis results from the constant adjustment of the internal environment in response
to change; it is mental, emotional, and biological, as well as conscious and unconscious.
TOP: Homeostasis KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A
13. A patient admitted for diagnostic tests is frightened of hospital procedures and is
nervous about the possible outcome of the tests. She states that her mouth is dry and her
heart is pounding. Her blood pressure is 168/78 mm Hg (her usual blood pressure is
140/80 mm Hg),
pulse is 112 beats/min, and respirations are 22 breaths/min. The nurse will recognize that these
signs and symptoms are:
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a. indicative of serious, acute health problems and should be reported to the physician
immediately.
b. most likely related to the disease for which the patient is admitted to the hospital.
c. the effects of the parasympathetic nervous system and can be ignored.
d. the effects of the sympathetic nervous system that can negatively affect the patients
health. ANSWER: D
Fear stimulates the sympathetic nervous system to produce the symptoms identified in the
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question. If prolonged, they negatively affect a persons
health. DIF: Cognitive Level: Analysis REF: dm 22, Table 2-
2
OBJ: Theory #10 TOP: Stress KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: coping and adaptation
14. According to Hans Selyes general adaptation syndrome (GAS), a person who has
experienced excessive and prolonged stress is likely to:
a. develop an illness or disease such as allergy, arthritis, or asthma.
b. become resistant to biological methods of treatment.
c. seek treatment for imagined illnesses and nonexistent symptoms.
d. be admitted to the hospital during the alarm

stage. ANSWER: A
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Many diseases are known to be caused or exacerbated by prolonged stress. Seyle concluded
that stress induced illnesses respond to biological methods of treatment.
DIF: Cognitive Level: Comprehension REF: dm 22, Box 2-2
OBJ: Theory #10 TOP: Adaptation KEY: Nursing Process Step:
Assessment MSC: NCLEX: Psychosocial Integrity: coping and adaptation
15. The nurse is aware that a stressor as experienced by an individual is usually perceived:
a. as a negative event or stimulus that affects homeostasis in maladaptive ways.
b. in different ways based on previous experience and personality traits.
c. as an opportunity for growth and learning.
d. in similar ways if age and education are

similar. ANSWER: B
Stressors are not perceived the same way by different people or even by the same person at
different times. The experience of a stressor depends on previous experience and personality,
as well as factors such as physical or emotional conditions, age, and education.
TOP: General Adaptation Syndrome KEY: Nursing Process Step:
Planning MSC: NCLEX: Psychological Integrity: psychosocial adaptation
16. In 1946, the World Health Organization redefined health as the:
a. absence of disease or infirmity.
b. state of complete physical, mental, and social well being.
c. presence of disease or infirmity.
d. state of incomplete physical, mental, and social well

being. ANSWER: B
In 1946, the World Health Organization redefined health as the state of complete
physical, mental, and social well being and not merely the absence of disease or
infirmity.
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TOP: Views of Health and Illness KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
17. The nurse assesses that a person is in the acceptance stage of illness when the patient:
a. looks to home remedies to become well.
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b. reassumes usual responsibilities and roles.
c. assumes the sick role.
d. rejects medical
treatment. ANSWER: C
When a person enters the acceptance stage of illness, he or she assumes the sick role and
withdraws from usual responsibilities and will frequently seek medical treatment at this
time. DIF: Cognitive Level: Comprehension REF: dm 13 OBJ: Theory #1
TOP: Acceptance Stage KEY: Nursing Process Step: Assessment
18. The nurse instructs a patient that according to Selyes GAS theory, when stress is
strong enough and occurs over a long enough period, the patient will enter the stage
of:
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a. convalescence.
b. alarm.
c. transition.
d. exhaustion
. ANSWER: D
The exhaustion stage in the GAS occurs when the stressor has been present for such a period
that the patient will deplete the bodys resources for adaption.

TOP: Exhaustion Stage of GAS KEY: Nursing Process Step:
Intervention MSC: NCLEX: Psychosocial Integrity: coping and
adaptation
19. The nurse explains defense mechanisms as a patients attempt to:
a. justify the patients assumption of the sick role.
b. reduce anxiety.
c. problem solve.
d. increase
dependence. ANSWER: B
Defense mechanisms are unconscious strategies to reduce anxiety.
OBJ: Theory #9 TOP: Defense Mechanisms
KEY: Nursing Process Step: Implementation
20. In giving nursing care to persons of Asian origin, the nurse should:
a. keep the room warm and free of drafts.
b. look the patient directly in the eye.
c. ask permission before touching the patient.

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d. warmly clasp the patients hand in
greeting. ANSWER: C
Seek permission before touching persons of Asian extraction because they may be
sensitive to physical personal contact.
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DIF: Cognitive Level: Application REF: dm 16, Table 2-1
OBJ: Theory #4 TOP: Cultural Sensitivity
KEY: Nursing Process Step: Implementation
21. Sickle cell anemia is an example of a biological trait found primarily in populations.
a. Asian
b. African
c. American Indian
d. Hispani
c ANSWER: B
Sickle cell anemia is a biological variation found predominantly in people of African descent.
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OBJ: Theory #5 TOP: Cultural Influences KEY: Nursing Process Step:
N/A MSC: NCLEX: N/A
22. When a young family man hospitalized after a breaking his leg confides to the nurse that
he is concerned about the well being of his family and financial stress, the nurse can best
support his sense of security by:
a. reassuring him that his leg will heal quickly.
b. actively listening to his concerns.
c. encouraging family to make frequent visits.
d. distracting him from his concerns by

socialization. ANSWER: B
A nurses ability to use active listening will enhance the sense of security when patients feel
that their needs are perceived accurately.
TOP: Maslows Hierarchy of Needs KEY: Nursing Process Step: Intervention
MSC: NCLEX: Psychosocial Integrity: coping and adaptation
23.The nurse assesses successful adaptation in a post stroke patient when the patient:
a. learns to walk and maintain balance with the aid of a walker.
b. consistently takes antihypertensive drugs.
c. attempts to get out of bed unassisted.
d. refuses assistance with

feeding. ANSWER: A
Adaptation is a readjustment in habits to limitations and disabilities. Learning to walk and
maintain balance with the aid of a walker is an example of this.
DIF: Cognitive Level: Application REF: dm 20 OBJ: Theory
#1 TOP: Adaptation KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Physiological Integrity: physiological
adaptation
24.The nurse takes into consideration that in the stage of resistance in Selyes GAS, the patient:
a. regresses to a dependent state.
b. continues to battle for equilibrium.
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c. becomes maladaptive.
d. begins to develop stress related

disorders. ANSWER: B
The resistance stage is the second stage in the GAS when a patient is still attempting to
find equilibrium.
DIF: Cognitive Level: Comprehension REF: dm 22 OBJ: Theory
#10 TOP: Selyes GAS KEY: Nursing Process Step: Planning
25. A patient states, I am not obese. My entire family is large. The nurse assesses that the patient
is using the defense mechanism of:
a. sublimation.
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TEST BANK for Timby's Fundamental Nursing Skills

and Concepts 12th Edition

a. are historically important but have no validity for nursing today.

b. were neither recognized nor appreciated in her own time.

d. were limited only to the care of severe traumatic

a. were directed at community health.

b. provided independence for women through education and employment.

c. were an educational model based in institutions of higher learning.

d. have continued to be entirely focused on hospital

a. caregiver, educator, and collaborator.

b. nursing assistant, delegator, and environmental specialist.

c. medication dispenser, collaborator, and transporter.

d. dietitian, manager, and

a. self-actualization, fundamental needs, and belonging.

b. stress reduction, self-care, and a systems model.

c. curative care, restorative care, and terminal care.

d. human relationships, the environment, and

a. Boards of Nursing Examiners in each state.

b. National Council of States Boards of Nursing (NCSBN).

c. American Nurses Association (ANA).

d. National Federation of Licensed Practical

MSC: NCLEX: N/A

a. using a drug manual to check compatibility of drugs.

b. using scientific information to guide decision making.

d. basing nursing care on advice from an experienced

a. offer a shelter to injured war veterans.

b. found a nursing apprenticeship.

c. provide health care to poor persons living in tenements.

d. offer better housing to low-income families.

a. learning on the job and being promoted to a higher level of responsibility.

b. moving from a maternity unit to a more complicated surgical unit.

c. obtaining additional education to move from one level of nursing to another.

d. learning that advancement requires consistent work and

a. put patients with the same diagnosis on the same unit.

b. attempt to contain the costs of health care.

c. increase availability of medical care to the elderly.

d. identify a patients condition more

c. be aware of the specific drugs related to the diagnosis.

d. acquire cross-training to make staffing more

a. directly to an emergency room for treatment.

b. to any general practitioner of choice.

c. directly to a respiratory specialist.

d. to a primary care physician for a

a. they make insurance coverage of employees less expensive to employers.

b. there are fewer physicians to choose from than in an HMO.

c. long-term relationships with physicians are more likely.

d. patients may go directly to a specialist for

DIF: Cognitive Level: Knowledge REF: dm 6 OBJ: Theory #11

c. operating room technology.

a. are taken to improve the patients health.

c. include the family in nursing care.

d. review guidelines for handling infectious

a. the American Nurses Association.

b. the National Council Licensure Examiners.

d. each health care

b. achievement of maximum level of wellness.

c. relief of self-care deficit.

Clara Barton founded the Red Cross.

b. Sister Calista Roy.

a. advance their nursing career.

b. seek a scientific basis for their interventions.

c. deliver safe, knowledgeable care.

Nurse Practice Acts are designed to protect the public.

b. registered nurse on the unit.