Question 1

Which of the following statements about communication theory is true?&#10;A) Primates are able to learn new languages to share ideas and feelings.&#10;B) Concepts include only verbal communication.&#10;C) Perceptions are clarified through feedback.&#10;D) Past experience does not influence communication.

Accepted Answer

Feedback is the only way to know that one's perceptions about meanings are valid. Human communication is unique. Only human beings have large vocabularies and are capable of learning new languages as a means of sharing their ideas and feelings. Communication includes language, gestures, and symbols to convey intended meaning, exchange ideas and feelings, and to share significant life experience. To encode a message appropriately requires a clear understanding of the receiver's mental frame of reference (e.g., feelings, personal agendas, past experiences) and knowledge of its purpose or intent of the communication.

Question 2

When describing nursing to a group of nursing students, the nursing instructor lists all of the following characteristics of nursing except&#10;A) historically nursing is as old as mankind.&#10;B) nursing was originally practiced informally by religious orders dedicated to care of the sick.&#10;C) nursing was later practiced in the home by female caregivers with no formal education.&#10;D) nursing has always been identifiable as a distinct occupation.

Accepted Answer

Historically, nursing is as old as humankind. Originally practiced informally by religious orders dedicated to care of the sick and later in the home by female caregivers with no formal education, nursing was not identifiable as a distinct occupation until the 1854 Crimean War. There, Florence Nightingale's Notes on Nursing introduced the world to the functional roles of professional nursing and the need for formal education.

Question 3

The nursing profession's first nurse researcher, who served as an early advocate for high-quality care and used statistical data to document the need for hand washing in preventing infection, was&#10;A) Abraham Maslow.&#10;B) Martha Rogers.&#10;C) Hildegard Peplau.&#10;D) Florence Nightingale.

Accepted Answer

An early advocate for high-quality care, Florence Nightingale's use of statistical data to document the need for hand washing in preventing infection marks her as the profession's first nurse researcher.

Question 4

Which of the following statements best represents therapeutic communication when a student discovers a patient crying in bed?&#10;A) &#34;I am the nurse who will be doing your treatments today.&#34;&#10;B) &#34;Will you listen to me so I can help you get better?&#34;&#10;C) &#34;This is what is going to happen during surgery.&#34;&#10;D) &#34;Can we talk about what seems to be bothering you?&#34;

Accepted Answer

Asking about what is bothering the patient is goal directed. Its purpose is to promote patient well-being. "I am the nurse who will be doing your treatments today" is a statement of fact, and it ignores the patient's emotional needs. "Will you listen to me so I can help you get better?" is not goal directed and does not involve mutuality. "This is what is going to happen during surgery" is simply one way. It does not engage the patient in a therapeutic manner.

Question 5

When admitting a patient to the medical-surgical unit, the nurse asks the patient about cultural issues. The nurse is demonstrating use of the concept of&#10;A) person.&#10;B) environment.&#10;C) health.&#10;D) nursing.

Accepted Answer

The concept of environment includes all cultural, developmental, and social determinants that influence a patient's health perceptions and behavior. A person is defined as the recipient of nursing care, having unique bio-psycho-social and spiritual dimensions. The word health derives from the word whole. Health is a multidimensional concept, having physical, psychological, sociocultural, developmental, and spiritual characteristics. The World Health Organization (WHO, 1946) defines health as "a state of complete physical, mental, social well-being, not merely the absence of disease or infirmity." Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled, and dying people.

Question 6

Which of the following is NOT a specific way interpersonal health communication impacts health care service quality?&#10;A) More effective diagnosis and earlier recognition of health changes.&#10;B) Better understanding of the patient's condition.&#10;C) Development of a workable treatment partnership.&#10;D) Each communicator constructs a mental picture of the other during the conversation.

Accepted Answer

Communication between health care providers and patients impacts the way care is delivered; it is as important as the care itself. Outcomes of effective interpersonal communication in health care relate to higher patient satisfaction and productive health changes.

Question 7

A young mother tells the nurse, &#34;I'm worried because my son needs a blood transfusion. I don't know what to do, because blood transfusions cause AIDS.&#34; Which central nursing construct is represented in this situation?&#10;A) Environment&#10;B) Caring&#10;C) Health&#10;D) Person

Accepted Answer

The concept of environment includes all cultural, developmental, and social determinants that influence a patient's health perceptions and behavior. Caring is not one of the four central nursing constructs. The word health derives from the word whole. Health is a multidimensional concept, having physical, psychological, sociocultural, developmental, and spiritual characteristics. The World Health Organization (WHO, 1946) defines health as "a state of complete physical, mental, social well-being, not merely the absence of disease or infirmity." Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled, and dying people. Person is defined as the recipient of nursing care, having unique bio-psycho-social and spiritual dimensions.

Question 8

Today, professional nursing education begins at the&#10;A) undergraduate level.&#10;B) graduate level.&#10;C) advanced practice level.&#10;D) administrative level.

Accepted Answer

Today, professional nursing education begins at the undergraduate level, with a growing number of nurses choosing graduate studies to support differentiated practice roles and/or research opportunities. Nurses are prepared to function as advanced practice nurse practitioners, administrators, and educators.

Question 9

Nursing's metaparadigm, or worldview, distinguishes the nursing profession from other disciplines and emphasizes its unique functional characteristics. The four key concepts that form the foundation for all nursing theories are

A) caring, compassion, health promotion, and education.
B) respect, integrity, honesty, and advocacy.
C) person, environment, health, and nursing.
D) nursing, teaching, caring, and health promotion.

Accepted Answer

Individual nursing theories represent different interpretations of the phenomenon of nursing, but central constructs-person, environment, health, and nursing-are found in all theories and models. They are referred to as nursing's metaparadigm.

Question 10

In the circular transactional model of communication,&#10;A) questions are framed in order to recognize the context of the message.&#10;B) people take only complementary roles in the communication.&#10;C) the context of the communication is unimportant.&#10;D) the purpose of communication is to influence the receiver.

Accepted Answer

A circular model expands linear models to include the context of the communication, feedback loops, and validation. With this model, the sender and receiver construct a mental picture of the other, which influences the message and includes perceptions of the other person's attitude and potential reaction to the message.

Question 11

The identification phase of the nurse-patient relationship&#10;A) sets the stage for the rest of the relationship.&#10;B) correlates with the assessment phase of the nursing process.&#10;C) focuses on therapeutic goals to enhance patient and family well-being.&#10;D) uses community resources to help resolve health care issues.

Accepted Answer

The answer of The identification phase of the nurse-patient relationship&#10;A)...

Question 12

The nurse recognizes that feedback loops&#10;A) do not allow for correction of original information.&#10;B) are solely based on the General Systems Theory.&#10;C) do not allow for validation of information.&#10;D) allow the human system to correct its original information.

Accepted Answer

The answer of The nurse recognizes that feedback loops&#10;A) do...

Question 13

The central constructs of person, environment, health, and nursing are found in all nursing theories and models and are referred to as&#10;A) telehealth.&#10;B) the medical model.&#10;C) nursing's metaparadigm.&#10;D) five core areas of competency.

Accepted Answer

The answer of The central constructs of person, environment, health,...

Question 14

The nurse-patient relationship as described by Hildegard Peplau&#10;A) would not be useful in a short-stay unit.&#10;B) allows personal and social growth to occur only for the patient.&#10;C) facilitates the identification and accomplishment of therapeutic goals.&#10;D) focuses on maintaining a personal relationship between the nurse and the patient.

Accepted Answer

The answer of The nurse-patient relationship as described by Hildegard...

Question 15

The nurse performs a dressing change using sterile technique. This is an example of which pattern of knowledge?&#10;A) Empirical&#10;B) Personal&#10;C) Aesthetic&#10;D) Ethical

Accepted Answer

The answer of The nurse performs a dressing change using...

Deck 1: Historical Perspectives and Contemporary Dynamics