Kozier & Erb’s Fundamentals of Nursing 8th Edition By Shirlee-Test Bank

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

1) A client wishes to discontinue treatment for his cancer. Acting as the client advocate, the nurse
makes this statement to the client’s physician:

A) “The family must be involved in this decision.”

B) “The client is making his own decision.”

C) “Let’s educate the family about the consequences of this decision.”

D) “The client would benefit from additional information about treatment options.”

Answer: B
Explanation: A)
A client advocate acts to protect the client and may represent the client’s needs and
wishes to other health professionals, such as relaying the client’s wishes for
information to the physician. Providing additional information to the client about
treatment options and bringing the family into the decision-making process would
be examples of the nurse acting as teacher or counselor.
Implementation
Psychosocial integrity
Application B)
A client advocate acts to protect the client and may represent the client’s needs and
wishes to other health professionals, such as relaying the client’s wishes for
information to the physician. Providing additional information to the client about
treatment options and bringing the family into the decision-making process would
be examples of the nurse acting as teacher or counselor.
Implementation
Psychosocial integrity
Application C)
A client advocate acts to protect the client and may represent the client’s needs and
wishes to other health professionals, such as relaying the client’s wishes for
information to the physician. Providing additional information to the client about
treatment options and bringing the family into the decision-making process would
be examples of the nurse acting as teacher or counselor.
Implementation
Psychosocial integrity
Application D)
A client advocate acts to protect the client and may represent the client’s needs and
wishes to other health professionals, such as relaying the client’s wishes for
information to the physician. Providing additional information to the client about
treatment options and bringing the family into the decision-making process would
be examples of the nurse acting as teacher or counselor.
Implementation
Psychosocial integrity
Application

2)Explaining the present economic challenges to students in the community health course, the nurse
educator would emphasize the importance of nurses being familiar with which of the following?

A) Advances in science and technology

B) Emphasis shift from inpatient to outpatient care

C) Diagnostic-related groups (DRGs)

D)Consumer representatives on governing boards of nursing associations and regulatory
agencies

Answer: B
1
Explanation: A)
Economics is one of the social forces currently influencing the profession of
nursing. As a result of the shift from inpatient to outpatient care, more nurses are
being employed in community-based health settings. Other forces include
consumer demands, family structure, and science and technology. DRGs are a
classification system that categorically establishes pretreatment billing based on
diagnosis. Though this is an aspect of economic factors affecting nursing, it is not
the underlying cause of more personnel being employed in community-based
settings.
Evaluation
Safe, effective care environment
Application B)
Economics is one of the social forces currently influencing the profession of
nursing. As a result of the shift from inpatient to outpatient care, more nurses are
being employed in community-based health settings. Other forces include
consumer demands, family structure, and science and technology. DRGs are a
classification system that categorically establishes pretreatment billing based on
diagnosis. Though this is an aspect of economic factors affecting nursing, it is not
the underlying cause of more personnel being employed in community-based
settings.
Evaluation
Safe, effective care environment
Application C)
Economics is one of the social forces currently influencing the profession of
nursing. As a result of the shift from inpatient to outpatient care, more nurses are
being employed in community-based health settings. Other forces include
consumer demands, family structure, and science and technology. DRGs are a
classification system that categorically establishes pretreatment billing based on
diagnosis. Though this is an aspect of economic factors affecting nursing, it is not
the underlying cause of more personnel being employed in community-based
settings.
Evaluation
Safe, effective care environment
Application D)
Economics is one of the social forces currently influencing the profession of
nursing. As a result of the shift from inpatient to outpatient care, more nurses are
being employed in community-based health settings. Other forces include
consumer demands, family structure, and science and technology. DRGs are a
classification system that categorically establishes pretreatment billing based on
diagnosis. Though this is an aspect of economic factors affecting nursing, it is not
the underlying cause of more personnel being employed in community-based
settings.
Evaluation
Safe, effective care environment
Application 2
3)The nurse practitioner is working with the staff nurse to change the plan of care for a client. This is
an example of which of the ANA standards of practice?

A) Planning

B) Implementation

C) Outcomes identification

D) Assessment

Answer: B
Explanation: A)
Consultation-as in advanced practice nurses and staff nurses working together-is
a way for those involved with the client’s care to influence the plan, enhance the
abilities of others, and effect change. Consultation is part of Standard 5:
Implementation. Assessment deals with data collection. Outcomes identification
sets identified goals for a plan specific to the client or situation. Planning prescribes
strategies and alternatives to attain expected outcomes.
Implementation
Safe, effective care environment
Application B)
Consultation-as in advanced practice nurses and staff nurses working together-is
a way for those involved with the client’s care to influence the plan, enhance the
abilities of others, and effect change. Consultation is part of Standard 5:
Implementation. Assessment deals with data collection. Outcomes identification
sets identified goals for a plan specific to the client or situation. Planning prescribes
strategies and alternatives to attain expected outcomes.
Implementation
Safe, effective care environment
Application C)
Consultation-as in advanced practice nurses and staff nurses working together-is
a way for those involved with the client’s care to influence the plan, enhance the
abilities of others, and effect change. Consultation is part of Standard 5:
Implementation. Assessment deals with data collection. Outcomes identification
sets identified goals for a plan specific to the client or situation. Planning prescribes
strategies and alternatives to attain expected outcomes.
Implementation
Safe, effective care environment
Application D)
Consultation-as in advanced practice nurses and staff nurses working together-is
a way for those involved with the client’s care to influence the plan, enhance the
abilities of others, and effect change. Consultation is part of Standard 5:
Implementation. Assessment deals with data collection. Outcomes identification
sets identified goals for a plan specific to the client or situation. Planning prescribes
strategies and alternatives to attain expected outcomes.
Implementation
Safe, effective care environment
Application