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Chapter 01 - Fundamentals of Nursing 9th edition - test bank. Course: Nursing I (NUR 131). Chapter 01: Nursing Today. Potter et al.: Fundamentals.

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For fundamentals of nursing courses in the nursing curriculum

Help each student think like a nurse using a clear, consistent approach
Consistency and accessibility are essential to student success in the Fundamentals of Nursing course. With its clear, approachable, writing style, Kozier & Erb’s Fundamentals of Nursing sets the foundation for nursing excellence. Coverage of the key concepts of contemporary nursing, as well as the latest nursing evidence, standards, and competencies, helps prepare readers to become effective nurses. To help students develop their clinical-reasoning abilities, new QSEN features draw connections to actual nursing practice. All basic and fundamental skills for the registered nurse are described within the nursing process. Students will learn to think like nurses as they see how the material they are reading is applied in nursing practice.

Also available with MyNursingLab®
This title is also available with MyNursingLab—an online homework, tutorial, and assessment program designed to engage students in the Fundamentals of Nursing course and improve results. Its guided learning path is proven to help students think like a nurse as they move beyond memorization to true understanding through application.

MyNursingLab should only be purchased when required by an instructor. Students, if interested in purchasing this title with MyNursingLab, ask your instructor for the correct package ISBN and Course ID. Instructors, contact your Pearson representative for more information.

Offer a consistent, seamless skills component
Because the Berman textbook and Skills books are written by the same author team, fundamentals students experience a seamless presentation, style, and experience throughout. Contact your Pearson representative to package Kozier & Erb’s Fundamentals of Nursing, Tenth Edition with the authors’ Skills in Clinical Nursing, Eighth Edition

Table of Contents:

UNIT 1 The Nature of Nursing

1. Historical and Contemporary Nursing Practice
2. Evidence-Based Practice and Research in Nursing
3. Nursing Theories and Conceptual Frameworks
4. Legal Aspects of Nursing
5. Values, Ethics, and Advocacy

UNIT 2 Contemporary Health Care

6. Health Care Delivery Systems
7. Community Nursing and Care Continuity
8. Home Care
9. Electronic Health Records and Information Technology

UNIT 3 The Nursing Process

10. Critical Thinking and Clinical Reasoning
11. Assessing
12. Diagnosing
13. Planning
14. Implementing and Evaluating
15. Documenting and Reporting

UNIT 4 Health Beliefs and Practices

16. Health Promotion
17. Health, Wellness, and Illness
18. Culturally Responsive Nursing Care
19. Complementary and Alternative Healing Modalities

UNIT 5 Lifespan Development

20. Concepts of Growth and Development
21. Promoting Health from Conception Through Adolescence
22. Promoting Health in Young and Middle-Aged Adults
23. Promoting Health in Older Adults
24. Promoting Family Health

UNIT 6 Integral Aspects of Nursing

25. Caring
26. Communicating
27. Teaching
28. Leading, Managing, and Delegating

UNIT 7 Assessing Health

29. Vital Signs
30. Health Assessment

UNIT 8 Integral Components of Client Care

31. Asepsis
32. Safety
33. Hygiene
34. Diagnostic Testing
35. Medications
36. Skin Integrity and Wound Care
37. Perioperative Nursing

UNIT 9 Promoting Psychosocial Health

38. Sensory Perception
39. Self-Concept
40. Sexuality
41. Spirituality
42. Stress and Coping
43. Loss, Grieving, and Death

UNIT 10 Promoting Physiological Health

44. Activity and Exercise
45. Sleep
46. Pain Management
47. Nutrition
48. Urinary Elimination
49. Fecal Elimination
50. Oxygenation
51. Circulation
52. Fluid, Electrolyte, and Acid—Base Balance

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Potter & Perry: Fundamentals of Nursing, 6^th Edition

Chapter 12: Young to Middle Adult

MULTIPLE CHOICE

1. A client thinks that she might be pregnant. Which first trimester physiological changes would most likely indicate this?

ANS: a

1. Amenorrhea and nausea are physiologic changes that may indicate pregnancy in the first trimester.
2. Braxton-Hicks contractions are noted during the second trimester of pregnancy.
3. Increased urinary frequency is commonly seen in the third trimester of pregnancy.
4. Edematous ankles and dyspnea may be experienced during the third trimester of pregnancy.

REF: Text Reference: p. 225

2. A 29-year-old single parent of three children comes into the well-child clinic for a prenatal visit. To determine how the client will be able to cope with the pregnancy, the nurse should ask the client:

ANS: d

1. This could be a situational crisis for a single-parent family. The nurse should assess environmental and familial factors, including support systems and coping mechanisms commonly used.
2. Asking the client whether she has ever been married does not assess her ability to cope with the pregnancy.
3. Asking the client where she works may help determine if any environmental factors may place her pregnancy at risk but does not assess her ability to cope with the pregnancy.
4. This would not be the most opportune time to discuss contraception with the client and may convey a message of disapproval, nor does asking the client about contraception assess her ability to cope with the pregnancy.

REF: Text Reference: p. 224

3. The nurse is performing a physical examination on a 40-year-old adult client. The nurse will most likely find that the client of this age is experiencing which one of the following physiologic changes related to normal aging?

ANS: c

1. A physiologic change related to normal aging in the middle adult would be decreased strength of abdominal muscles.
2. The middle adult should have normal auditory structures and acuity.
3. The middle adult should have a normal sense of smell.
4. The middle adult should have normal functioning of the cranial nerves.

REF: Text Reference: p. 227

4. A 49-year-old client is experiencing problems with depression. She has come to the clinic showing signs of malnutrition and fatigue. Which of the following is the best initial response for the nurse to take in the assessment phase?

ANS: b

1. Mood changes and depression are common phenomena during menopause, and this client is in the expected age range to be experiencing menopause.
2. Depression is not uncommon during menopause.
3. Depression is not something to expect, although it can occur.
4. Asking the client about weight loss may be an indication to verify depression; however, it is not the best initial response.

REF: Text Reference: p. 230

5. The nurse is aware of the external influences on young and middle adult clients. With this knowledge, the nurse recognizes that an effective strategy to promote positive health habits for this age group is:

ANS: c

1. Exercise on a routine basis can be an effective strategy to reduce the stress experienced by young and middle adults. Exercise is a positive health habit for this age group.
2. Clients do not have to abstain from all alcohol consumption. Teaching clients to abstain from excessive alcohol consumption is important, but it is not a proactive positive health habit to help reduce stress.
3. Monitoring one’s blood pressure may be important, but it is not a proactive positive health habit to help reduce stress.
4. Teaching clients about types of medication used for treating depression does not help the client develop positive health habits for reducing stress.

REF: Text Reference: p. 229

6. In reviewing the developmental patterns of young adults, the nurse is aware that individuals at this point in their life are generally expected to:

ANS: c

1. Young adults generally are quite active, experience severe illnesses less commonly than older age groups, tend to ignore physical symptoms, and often postpone seeking health care.
2. Young adults generally do not continue their physical growth.
3. Young adults experience severe illnesses less commonly than older age groups.
4. Young adults often postpone seeking health care.

REF: Text Reference: p. 218

7. A nurse is preparing an education program on safety for a young adult group. Based on the major cause of the mortality and morbidity for this age group, the nurse should focus on:

ANS: b

1. Violence is the greatest cause of mortality and morbidity in the young adult population. Deaths and injury from motor vehicle accidents is significant among this age group.
2. Unplanned pregnancies may be a source of stress but are not the major cause of mortality and morbidity in the young adult population.
3. Exposure to work-related hazards or agent may cause diseases and cancer, but it is not the major cause of mortality and morbidity in this age group.
4. Developing healthy habits to prevent heart disease later in life is important, but heart disease is not the leading cause of mortality and morbidity for the young adult.

REF: Text Reference: p. 222

8. The nurse is working in the health office at a local college. Most of the students are young adults. Being aware of the major concerns for this age group, the nurse includes assessment of her client’s:

Fundamentals Of Nursing Test Bank Download Form

ANS: b

1. The young adult client may benefit from a personal lifestyle assessment to help identify habits that increase the risk for cardiac, malignant, pulmonary, renal, or other chronic diseases.
2. Assessing a client’s marital status does not offer much information about the client’s health or risk for future illnesses.
3. Assessing a client’s experience with chronic disease is less appropriate for this age group.
4. Assessing the client’s history of childhood accidents does not offer much information about the client’s current health or risk for future illnesses.

REF: Text Reference: p. 218

9. Health problems generally become more prevalent as an individual enters middle adulthood. The middle adult may be influenced by chronic illness that results in:

ANS: c

1. A few examples of the problems experienced by clients in whom debilitating chronic illness develops during adulthood include role reversal, changes in sexual behavior, and alterations in self-image.
2. Chronic illness would result in increased health care tasks.
3. Family roles are often changed with chronic illness, not reinforced.
4. Strained family relationships may result from chronic illness.

REF: Text Reference: p. 231

10. The nurse is performing a physical examination on a 58-year-old adult client. The nurse will most likely find that the client of this age is experiencing which one of the following physiological changes related to normal aging?

ANS: c

1. A slow, progressive decrease in skin turgor appears in the middle adult.
2. Pupillary reaction to light and accommodation should not change in the middle adult.
3. The thyroid lobes should not be palpable in the middle adult.
4. A normal change in the middle adult is a decreased range of joint motion.

REF: Text Reference: p. 227

11. The nurse is alert to stressors that may have an influence on the young adult client. One example of a common stressor for this age group is:

ANS: a

1. A common stressor for the young adult is job stress.
2. Health-related matters are not common stressors for the young adult.
3. Coping with cognitive changes is not a common stressor for the young adult.
4. Caring for older adult parents is more often seen with the middle adult, not the young adult.

REF: Text Reference: p. 223

12. A client comes to the clinic for a regular check-up. The nurse determines that the client works in a dry-cleaning establishment. Based on this information, the nurse assesses the client for:

ANS: b

1. Persons who work in dry-cleaning establishments are exposed to solvents that may cause dermatitis or liver disease.
2. Asbestos is more likely to be found as an occupational hazard for automobile workers and insulators.
3. Tendonitis may result from repetitive wrist motion, as seen in office computer workers.
4. Raynaud’s phenomenon may result from vibration, as seen with jackhammer operators.

REF: Text Reference: p. 223

13. The nurse is completing a physical examination for a client who has come to the family practice office. In evaluating the observations made during the examination, the nurse recognizes that an expected finding for a client in this age group is:

ANS: b

Free Fundamentals Of Nursing Test

50. The visual acuity by Snellen chart should be less than 20/50.
51. Hepatomegaly is not an expected finding and would be considered abnormal.
52. Temperature should be 36.1 to 37.6 degrees Celsius.
53. The expected finding would be a slow, progressive decrease in skin turgor.

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REF: Text Reference: p. 227