Nursing Board Exam Reviewer Part 1 of 5

1. According to Maslow, which of the following categories of needs represents the most basic?

a) Physiologic needs
Physiologic needs must be met before an individual is able to move toward psychological health and well-being.

b) Self-actualization
Self-actualization is the highest level of need

c) Safety and security needs
Safety and security needs, while lower level, are not essential to physiologic survival.

d) Belongingness
Belongingness and affection needs are not essential to physiologic survival.

2. Which of the following statements reflects the World Health Organization’s definition of health?

a) A state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity.
Such a definition, however, does not allow for any variations in the degrees of wellness or illness.

b) A condition of homeostatis and adaptation.
The WHO definition addresses physical, mental, and social dimensions of being.

c) An individual’s location along a wellness–illness continuum.
The concept of a health–illness continuum allows for a greater range in describing a person’s health than the definition provided by the WHO.

d) A fluid, ever-changing balance reflected through physical, mental, and social behavior.
The WHO definition does not allow for any variations in the degrees of wellness and illness.

3. Which of the following statements defines culture?

a) The learned patterns of behavior, beliefs, and values that can be attributed to a particular group of people.
Included among characteristics that distinguish cultural groups are manner of dress, values, artifacts, and health beliefs and practices.

b) A group of people distinguished by genetically transmitted material.
A group of people distinguished by genetically transmitted material describes the term race.

c) The status of belonging to a particular region by origin, birth, or naturalization.
The status of belonging to a particular region by origin, birth, or naturalization describes the term nationality.

d) The classification of a group based upon certain distinctive characteristics.
The classification of a group based upon certain distinctive characteristics describes the term ethnicity.

4. The reason that case management has gained such prominence in health care can be traced to

a) decreased cost of care associated with inpatient stay.
The reasons case management has gained such prominence can be traced to the decreased cost of care associated with decreased length of hospital stay, coupled with rapid and frequent inter-unit transfers from specialty to standard care units.

b) increased length of hospital stay.
In general, length of hospital stay has decreased over the past 5 years.

c) discharge from specialty care units to home.
In general, patients are transferred from specialty care units to standard care units at least 24 hours prior to discharge.

d) limited availability for inter-unit hospital transfers.
In general, patients in acute care hospitals undergo frequent inter-unit transfers from specialty to standard care units.

5. A preferred provider organization is described as a

a) business arrangement between hospitals and physicians.
PPO’s usually contract to provide health care to subscribers, usually businesses, for a negotiated fee that often is discounted.

b) prepaid group health practice system.
A prepaid group health practice system is termed a health maintenance organization.

c) limited insurance program.
Insurance is a cost payment system of shared risk, not a health care delivery system.

d) health care savings account program.
A health care savings account program is an incentive program to consumers, not a health care delivery system.

6. Which of the following categories identifies the focus of community/public health nursing practice?

a) Promoting and maintaining the health of populations and preventing and minimizing the progress of disease
Although nursing interventions used by public health nurses might involve individuals, families, or small groups, the central focus remains promoting health and preventing disease in the entire community.

b) Rehabilitation and restorative services
Rehabilitation and restorative services are the focus of extended care facilities and home care nursing.

c) Adaptation of hospital care to the home environment
Adaptation of hospital care to the home environment is the focus of home nursing.

d) Hospice care delivery
Hospice care delivery refers to the delivery of services to the terminally ill.

7. A major goal for home care nurses is

a) restoring maximum health function.
Tertiary preventive nursing care, focusing on rehabilitation and restoring maximum health function, is a goal for home care nurses.

b) promoting the health of populations.
Promoting the health of populations is a focus of community/public health nursing.

c) minimizing the progress of disease.
Minimizing the progress of disease is a focus of community/public health nursing.

d) maintaining the health of populations.
Maintaining the health of populations is a focus of community/public health nursing.

8. In the United States, nurses performing invasive procedures need to be up-to-date with their immunizations, particularly

a) hepatitis B.
Hepatitis B is transmitted through contact with infected blood or plasma.

b) hepatitis E.
Hepatitis E is found mainly in underdeveloped countries with substandard sanitation and water quality.

c) hepatitis A.
hepatitis A is transmitted through the oral route from the feces and saliva of an infected person.

d) hepatitis C.
At present, immunization against hepatitis C is not available.

9. At what time during a patient’s hospital stay does discharge planning begin?

a) Admission
To prepare for early discharge and the possible need for follow-up in the home, discharge planning begins with the patient’s admission.

b) Twenty-four hours prior to discharge
Discharge planning requires identification of patient needs and anticipatory guidance and is not relegated to a specific time for beginning.

c) The shift prior to discharge
Discharge planning requires communication with and cooperation of the patient, family, and health care team and is not relegated to a specific time for beginning.

d) By the third hospital day
Discharge planning may require involvement of personnel and agencies in the planning process and is not relegated to a specific day of hospital stay.

10. The leading health problems of elementary school children include

a) cancer.
The leading health problems of elementary school children are injuries, infections, malnutrition, dental disease, and cancer.

b) alcohol and drug abuse.
Alcohol and drug abuse are leading health problems for high school students.

c) mental and emotional problems.
Mental and emotional problems are leading health problems for high school students.

d) homicide.
Homicide is a leading health problem for high school children.

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