In class, we talked about the stages in the personal selling process. If you are working with information to understand the potential customer's current needs and feelings about the available brands, which stage of the process are you in?

In class, we talked about the stages in the personal selling process. If you are working with information to understand the potential customer's current needs and feelings about the available brands, which stage of the process are you in?



Answer: Preapproach

The personal selling process refers to

The personal selling process refers to



Answer: the sales activities occurring before, during, and after the sale itself, consisting of six stages: prospecting, preapproach, approach, presentation, close, and follow-up.


Personal selling serves three major roles in a firm's overall marketing effort. Salespeople: (1) are the critical link between a firm and its customers; (2) __________; and (3) may play a dominant role in a firm's marketing program.

Personal selling serves three major roles in a firm's overall marketing effort. Salespeople: (1) are the critical link between a firm and its customers; (2) __________; and (3) may play a dominant role in a firm's marketing program.



Answer: are the company in a consumer's eyes

The first Apple iPad was introduced in 2010 at an initial price of $650 for the 16 GB version. People waited in line overnight so they could be one of the first to own this unique tablet device. Which pricing strategy did Apple use to help recoup its research and development costs for the iPad?

The first Apple iPad was introduced in 2010 at an initial price of $650 for the 16 GB version. People waited in line overnight so they could be one of the first to own this unique tablet device. Which pricing strategy did Apple use to help recoup its research and development costs for the iPad?



Answer: Skimming Pricing


In class, we considered the way in which value-pricing is used by firms like McDonald's to provide more value to consumers. In general, this one useful approach to get consumers' attention for our product. However, as discussed, a practical problem can arise if:

In class, we considered the way in which value-pricing is used by firms like McDonald's to provide more value to consumers. In general, this one useful approach to get consumers' attention for our product. However, as discussed, a practical problem can arise if:



Answer: The COSTS for ingredients may rise, so that the firm cannot produce a profit at the value-priced amount.

In Marketing in the News, we heard that some of the biggest publishers in the US — including The Wall Street Journal, The New York Times, and The Financial Times — have signed up to a new service that will allow them to:

In Marketing in the News, we heard that some of the biggest publishers in the US — including The Wall Street Journal, The New York Times, and The Financial Times — have signed up to a new service that will allow them to:



Answer: Charge readers on a per-article basis.

DiGiorno rising crust pizza has been available in the freezer sections of supermarkets for quite a while. The product's recent introduction of a DiGiorno cheese stuffed crust to its line of pizzas is an example of __________.

DiGiorno rising crust pizza has been available in the freezer sections of supermarkets for quite a while. The product's recent introduction of a DiGiorno cheese stuffed crust to its line of pizzas is an example of __________.



Answer: Product modification

Because early-stage financing is almost always a problem for those starting a new business, __________ is a way to gather an online community of supporters to financially rally around a specific project that is unlikely to get resources from traditional sources.

Because early-stage financing is almost always a problem for those starting a new business, __________ is a way to gather an online community of supporters to financially rally around a specific project that is unlikely to get resources from traditional sources.



Answer: Crowdfunding

Dockers, the U.S. market leader in casual pants, originally intended its product as a single pant for every situation. Dockers now promotes different looks for work, weekend, dress, and golf. Dockers' new strategy is designed to __________.

Dockers, the U.S. market leader in casual pants, originally intended its product as a single pant for every situation. Dockers now promotes different looks for work, weekend, dress, and golf. Dockers' new strategy is designed to __________.



Answer: Create a new use situation

In class, we considered the case of Church & Dwight company. We noted that, in the consumer product area, the company markets Household Deodorizers, Household Cleaners, Oral Care Products, Laundry Products, Pet Care Products, Personal Care Products, Arm & Hammer Baking Soda, and Deodorant & Anti-Perspirants. Based on this information, how much depth do they have in their product mix?

In class, we considered the case of Church & Dwight company. We noted that, in the consumer product area, the company markets Household Deodorizers, Household Cleaners, Oral Care Products, Laundry Products, Pet Care Products, Personal Care Products, Arm & Hammer Baking Soda, and Deodorant & Anti-Perspirants. Based on this information, how much depth do they have in their product mix?



Answer: Based on the information provided, we cannot judge the depth of the product mix

In class, we looked at the ways in which innovation is managed at different companies. In one example, the company wants broad input, open information, and to have employees spending time innovating. In another example, the firm felt it was important to "stick at innovation over time," emphasized operational excellence as well as innovation, and wanted very practical inventions. Which company discussed wanted broad and open input?

In class, we looked at the ways in which innovation is managed at different companies. In one example, the company wants broad input, open information, and to have employees spending time innovating. In another example, the firm felt it was important to "stick at innovation over time," emphasized operational excellence as well as innovation, and wanted very practical inventions. Which company discussed wanted broad and open input?



Answer: Google

In class we considered a variety of types of Organizational Products which we might market. How did we classify items such as electrical resistors, screws, electric motors, computer chips, and spark plugs?

In class we considered a variety of types of Organizational Products which we might market. How did we classify items such as electrical resistors, screws, electric motors, computer chips, and spark plugs?



Answer: Manufactured materials and component parts

A new product or service protocol refers to

A new product or service protocol refers to



Answer: A statement that identifies: (1) a well-defined target market (2) specific customers' needs, wants, and preferences; and (3) what the product or service will be and do to satisfy consumers.

Audiences are allowed to preview actual movies (a "sneak preview") such as The Hunger Games and Star Trek so that changes might be made before they are released to the general public during which stage of the new-product process?

Audiences are allowed to preview actual movies (a "sneak preview") such as The Hunger Games and Star Trek so that changes might be made before they are released to the general public during which stage of the new-product process?



Answer: Market testing

The Vermont Teddy Bear Company sells handmade Teddy bears designed to be given as gifts for almost every occasion imaginable. The Love Bandit Bear is designed for people to give to each other on Valentine's Day. The unique identification number that the Vermont Teddy Bear Company uses to distinguish this Teddy bear from the others in its product line for ordering and inventory purposes is called a(n)

The Vermont Teddy Bear Company sells handmade Teddy bears designed to be given as gifts for almost every occasion imaginable. The Love Bandit Bear is designed for people to give to each other on Valentine's Day. The unique identification number that the Vermont Teddy Bear Company uses to distinguish this Teddy bear from the others in its product line for ordering and inventory purposes is called a(n)



Answer: Stock Keeping Unit

A consumer gets a new Tivo (or a new DVR). This device records all of the consumer's favorite shows and suddenly the consumer does not have to stay at home to watch those shows. To do this, the consumer needs to learn about programming the device, changing programming, and is now able to engage in a new social life. From the consumer's perspective, this would be seen as a(n):

A consumer gets a new Tivo (or a new DVR). This device records all of the consumer's favorite shows and suddenly the consumer does not have to stay at home to watch those shows. To do this, the consumer needs to learn about programming the device, changing programming, and is now able to engage in a new social life. From the consumer's perspective, this would be seen as a(n):



Answer: discontinuous innovation

As we discussed in class, services differ from products (goods) in along a variety of dimensions. Which characteristic of services means that marketers must find ways to relate services to situations that will be familiar to the customer? The characteristic of:

As we discussed in class, services differ from products (goods) in along a variety of dimensions. Which characteristic of services means that marketers must find ways to relate services to situations that will be familiar to the customer? The characteristic of:



Answer: Intangibility

What are the 7 steps in an advertising campaign?

What are the 7 steps in an advertising campaign?



1. Identify target audience

2. Set advertising objectives

3. Determine the advertising budget

4. Convey the message

5. Evaluate and select media

6. Create advertisements

7. Asses impact

What are the 3 considerations for an advertising budget? 1. The role that advertising plays in their attempt to meet their overall promotional objectives 2. Advertising expenditures vary over the course of the product life cycle 3. The nature of the market and the product influence the size of advertising budgets

What are the 3 considerations for an advertising budget?



1. The role that advertising plays in their attempt to meet their overall promotional objectives

2. Advertising expenditures vary over the course of the product life cycle

3. The nature of the market and the product influence the size of advertising budgets

What are the differences between informative, persuasive, and reminder advertising?

What are the differences between informative, persuasive, and reminder advertising?



Answer: Informative= communication used to create and build brand awareness, with the ultimate goal of moving the consumer through the buying cycle to a purchase. Persuasive= communication used to motivate customers to take action. Reminder= communication used to remind consumer of a product or to prompt purchases.

What are the steps involved in planning an ad campaign?

What are the steps involved in planning an ad campaign?



Answer: 


Step 1: Identify Target Audience Step 2: Set Advertising Objectives Step 3:Determine Advertising Budget Step 4:Convey the Message Step 5:Evaluate and Select Media Step 6:Create Advertisements


What is the AIDA model?

What is the AIDA model?



Answer: a model that shows the mental stages customers should move in when advertised to. Awareness, Interest, Desire, and Action!


What is the difference between intensive, exclusive, and selective levels of distribution intensity?

What is the difference between intensive, exclusive, and selective levels of distribution intensity?



Answer: Intensive= a strategy designed to get products into as many outlets as possible, Exclusive=Strategy where only selected retailers can sell a manufacturers brand, Selective= a cross between Intensive and Exclusive, using a select few customers in a territory.

What is EDI and how is it used?

What is EDI and how is it used?



Answer: EDI is Electronic Data Interchange and it is used from computer to computer to exchange business documents from a retailer to a vendor and back.

What are the differences among the three types of vertical marketing systems?

What are the differences among the three types of vertical marketing systems?




Answer: The administered vertical marketing system is one where there is no common ownership and no contractual relationships but the dominant channel member controls the channel relationship. The Contractual vertical marketing system is one where there is contractual agreements between different firms in the supply chain to try and increase economies of scale and reduce conflict. Lastly, the Corporate Vertical marketing system is one where a parent company has complete control over its supply chain.

Unlicensed assistive personnel (UAP) perform all the following actions when caring for a patient with Menires disease who is experiencing an acute attack. Which action by UAP indicates that the nurse should intervene immediately?

Unlicensed assistive personnel (UAP) perform all the following actions when caring for a patient with Menires disease who is experiencing an acute attack. Which action by UAP indicates that the nurse should intervene immediately?



Answer: UAP turn on the patients television.

The nurse at the eye clinic made a follow-up telephone call to a patient who underwent cataract extraction and intraocular lens implantation the previous day. Which information is the priority to communicate to the health care provider?

The nurse at the eye clinic made a follow-up telephone call to a patient who underwent cataract extraction and intraocular lens implantation the previous day. Which information is the priority to communicate to the health care provider?



Answer: The patient has eye pain rated 5/10.

The charge nurse observes a newly hired nurse performing all the following interventions for a patient who has just undergone right cataract removal and an intraocular lens implant. Which one requires that the charge nurse intervene?

The charge nurse observes a newly hired nurse performing all the following interventions for a patient who has just undergone right cataract removal and an intraocular lens implant. Which one requires that the charge nurse intervene?



Answer: The nurse encourages the patient to cough.

The occupational health nurse is caring for an employee who is complaining of bilateral eye pain after a cleaning solution splashed into the employees eyes. Which action will the nurse take first?

The occupational health nurse is caring for an employee who is complaining of bilateral eye pain after a cleaning solution splashed into the employees eyes. Which action will the nurse take first?



Answer: Flush the eyes with sterile saline.

The nurse at the outpatient surgery unit obtains the following information about a patient who is scheduled for cataract extraction and implantation of an intraocular lens. Which information is most important to report to the health care provider at this time?

The nurse at the outpatient surgery unit obtains the following information about a patient who is scheduled for cataract extraction and implantation of an intraocular lens. Which information is most important to report to the health care provider at this time?



Answer: The patient takes 2 antihypertensive medications

The nurse learns that a newly admitted patient has functional blindness and that the spouse has cared for the patient for many years. During the initial assessment of the patient, it is most important for the nurse to

The nurse learns that a newly admitted patient has functional blindness and that the spouse has cared for the patient for many years. During the initial assessment of the patient, it is most important for the nurse to



Answer: Make eye contact with the patient and ask about any need for assistance.

A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing, and whether removal of the eye will be necessary. Based on the assessment data, which nursing diagnosis ismost appropriate at this time?

A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing, and whether removal of the eye will be necessary. Based on the assessment data, which nursing diagnosis ismost appropriate at this time?



Answer: Anxiety r/t the possibility of permanent vision loss.

A patient diagnosed with external otitis is being discharged from the emergency department with an ear wick in place. Which statement by the patient indicates a need for further teaching?

A patient diagnosed with external otitis is being discharged from the emergency department with an ear wick in place. Which statement by the patient indicates a need for further teaching?



Answer: I will clean the ear canal daily with a cotton-tipped applicator.

A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eye drops cause eye burning and visual blurriness for a short time after administration. The best response to the patients statement is

A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eye drops cause eye burning and visual blurriness for a short time after administration. The best response to the patients statement is



Answer: The drops are uncomfortable, but it is important to use them to retain your vision.

The nurse is completing the admission database for a patient admitted with abdominal pain and notes a history of hypertension and glaucoma. Which prescribed medications should the nurse question?

The nurse is completing the admission database for a patient admitted with abdominal pain and notes a history of hypertension and glaucoma. Which prescribed medications should the nurse question?



Answer: Scopolamine patch (Transform Scop) 1.5mg

A 72-year-old patient with age-related macular degeneration (AMD) has just had photodynamic therapy. Which statement by the patient indicates that the discharge teaching has been effective?

A 72-year-old patient with age-related macular degeneration (AMD) has just had photodynamic therapy. Which statement by the patient indicates that the discharge teaching has been effective?



Answer: I will cover up with long-sleeved shirts and pants for the next 5 days

The nurse is working in an urgent care clinic that has standardized treatment protocols for implementation by nursing staff. After reviewing the history, physical assessment, and vital signs for a 60-year-old patient as shown in the accompanying figure, which action should the nurse take first?

The nurse is working in an urgent care clinic that has standardized treatment protocols for implementation by nursing staff. After reviewing the history, physical assessment, and vital signs for a 60-year-old patient as shown in the accompanying figure, which action should the nurse take first?



Answer: Report the vision change to the HCP

A patient who received a corneal transplant 2 weeks ago calls the ophthalmology clinic to report that his vision has not improved with the transplant. Which action should the nurse take?

A patient who received a corneal transplant 2 weeks ago calls the ophthalmology clinic to report that his vision has not improved with the transplant. Which action should the nurse take?



Answer: Remind the patient it may take months to restore vision after transplant

A 75-year-old patient who lives alone at home tells the nurse, I am afraid of losing my independence because my eyes dont work as well they used to. Which action should the nurse take first?

A 75-year-old patient who lives alone at home tells the nurse, I am afraid of losing my independence because my eyes dont work as well they used to. Which action should the nurse take first?



Answer: Ask the patient more about what type of vision problems are being experienced

The charge nurse observes a newly hired nurse performing all the following interventions for a patient who has just undergone right cataract removal and an intraocular lens implant. Which one requires that the charge nurse intervene?

The charge nurse observes a newly hired nurse performing all the following interventions for a patient who has just undergone right cataract removal and an intraocular lens implant. Which one requires that the charge nurse intervene?



Answer: The nurse encourages the patient to cough.

The nurse at the eye clinic made a follow-up telephone call to a patient who underwent cataract extraction and intraocular lens implantation the previous day. Which information is the priority to communicate to the health care provider?

The nurse at the eye clinic made a follow-up telephone call to a patient who underwent cataract extraction and intraocular lens implantation the previous day. Which information is the priority to communicate to the health care provider?



Answer: The patient has eye pain rated 5/10.

The occupational health nurse is caring for an employee who is complaining of bilateral eye pain after a cleaning solution splashed into the employees eyes. Which action will the nurse take first?

The occupational health nurse is caring for an employee who is complaining of bilateral eye pain after a cleaning solution splashed into the employees eyes. Which action will the nurse take first?



Answer: Flush the eyes with sterile saline.

Unlicensed assistive personnel (UAP) perform all the following actions when caring for a patient with Menires disease who is experiencing an acute attack. Which action by UAP indicates that the nurse should intervene immediately?

Unlicensed assistive personnel (UAP) perform all the following actions when caring for a patient with Menires disease who is experiencing an acute attack. Which action by UAP indicates that the nurse should intervene immediately?



Answer: UAP turn on the patients television.

The nurse learns that a newly admitted patient has functional blindness and that the spouse has cared for the patient for many years. During the initial assessment of the patient, it is most important for the nurse to

The nurse learns that a newly admitted patient has functional blindness and that the spouse has cared for the patient for many years. During the initial assessment of the patient, it is most important for the nurse to




Answer: Make eye contact with the patient and ask about any need for assistance.

The nurse at the outpatient surgery unit obtains the following information about a patient who is scheduled for cataract extraction and implantation of an intraocular lens. Which information is most important to report to the health care provider at this time?

The nurse at the outpatient surgery unit obtains the following information about a patient who is scheduled for cataract extraction and implantation of an intraocular lens. Which information is most important to report to the health care provider at this time?



Answer: The patient takes 2 antihypertensive medications

A patient diagnosed with external otitis is being discharged from the emergency department with an ear wick in place. Which statement by the patient indicates a need for further teaching?

A patient diagnosed with external otitis is being discharged from the emergency department with an ear wick in place. Which statement by the patient indicates a need for further teaching?



Answer: I will clean the ear canal daily with a cotton-tipped applicator.

A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eye drops cause eye burning and visual blurriness for a short time after administration. The best response to the patients statement is

A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eye drops cause eye burning and visual blurriness for a short time after administration. The best response to the patients statement is



Answer: The drops are uncomfortable, but it is important to use them to retain your vision.

The nurse is completing the admission database for a patient admitted with abdominal pain and notes a history of hypertension and glaucoma. Which prescribed medications should the nurse question?

The nurse is completing the admission database for a patient admitted with abdominal pain and notes a history of hypertension and glaucoma. Which prescribed medications should the nurse question?



Answer: Scopolamine patch (Transform Scop) 1.5mg

A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing, and whether removal of the eye will be necessary. Based on the assessment data, which nursing diagnosis ismost appropriate at this time?

A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing, and whether removal of the eye will be necessary. Based on the assessment data, which nursing diagnosis ismost appropriate at this time?



Answer: Anxiety r/t the possibility of permanent vision loss.

A 72-year-old patient with age-related macular degeneration (AMD) has just had photodynamic therapy. Which statement by the patient indicates that the discharge teaching has been effective?

A 72-year-old patient with age-related macular degeneration (AMD) has just had photodynamic therapy. Which statement by the patient indicates that the discharge teaching has been effective?



Answer: I will cover up with long-sleeved shirts and pants for the next 5 days

A 32-year-old patient with a history of polycystic kidney disease is admitted to the surgical unit after having shoulder surgery. Which of the routine postoperative orders is most important for the nurse to discuss with the health care provider?

A 32-year-old patient with a history of polycystic kidney disease is admitted to the surgical unit after having shoulder surgery. Which of the routine postoperative orders is most important for the nurse to discuss with the health care provider?



Answer: Give ketorolac (Toradol) 10 mg PO PRN for pain.

A 58-year-old male patient who weighs 242 lb (110 kg) undergoes a nephrectomy for massive kidney trauma due to a motor vehicle crash. Which postoperative assessment finding is most important to communicate to the surgeon?

A 58-year-old male patient who weighs 242 lb (110 kg) undergoes a nephrectomy for massive kidney trauma due to a motor vehicle crash. Which postoperative assessment finding is most important to communicate to the surgeon?



Answer: Urine output is 20 mL/hr for 2 hours.

The nurse observes unlicensed assistive personnel (UAP) taking the following actions when caring for a female patient with a urethral catheter. Which action requires that the nurse intervene?

The nurse observes unlicensed assistive personnel (UAP) taking the following actions when caring for a female patient with a urethral catheter. Which action requires that the nurse intervene?



Answer: Disconnecting the catheter from the drainage tube to obtain a specimen

A 76-year-old with benign prostatic hyperplasia (BPH) is agitated and confused, with a markedly distended bladder. Which intervention prescribed by the health care provider should the nurse implement first?

A 76-year-old with benign prostatic hyperplasia (BPH) is agitated and confused, with a markedly distended bladder. Which intervention prescribed by the health care provider should the nurse implement first?



Answer: Insert a urinary retention catheter.

Nursing staff on a hospital unit are reviewing rates of hospital-acquired infections (HAI) of the urinary tract. Which nursing action will be most helpful in decreasing the risk for HAI in patients admitted to the hospital?

Nursing staff on a hospital unit are reviewing rates of hospital-acquired infections (HAI) of the urinary tract. Which nursing action will be most helpful in decreasing the risk for HAI in patients admitted to the hospital?



Answer: Avoiding unnecessary urinary catheterizations

A patient who had surgery for creation of an ileal conduit 3 days ago will not look at the stoma and requests that only the ostomy nurse specialist does the stoma care. The nurse identifies a nursing diagnosis of

A patient who had surgery for creation of an ileal conduit 3 days ago will not look at the stoma and requests that only the ostomy nurse specialist does the stoma care. The nurse identifies a nursing diagnosis of



Answer: disturbed body image related to change in function.

The home health nurse teaches a patient with a neurogenic bladder how to use intermittent catheterization for bladder emptying. Which patient statement indicates that the teaching has been effective?

The home health nurse teaches a patient with a neurogenic bladder how to use intermittent catheterization for bladder emptying. Which patient statement indicates that the teaching has been effective?



Answer: I will clean the catheter carefully before and after each catheterization.

A 55-year-old woman admitted for shoulder surgery asks the nurse for a perineal pad, stating that laughing or coughing causes leakage of urine. Which intervention is most appropriate to include in the care plan?

A 55-year-old woman admitted for shoulder surgery asks the nurse for a perineal pad, stating that laughing or coughing causes leakage of urine. Which intervention is most appropriate to include in the care plan?



Answer: Teach the patient how to perform Kegel exercises.

A 46-year-old female patient returns to the clinic with recurrent dysuria after being treated with trimethoprim and sulfamethoxazole (Bactrim) for 3 days. Which action will the nurse plan to take?

A 46-year-old female patient returns to the clinic with recurrent dysuria after being treated with trimethoprim and sulfamethoxazole (Bactrim) for 3 days. Which action will the nurse plan to take?



Answer: Obtain a midstream urine specimen for culture and sensitivity testing.

The nurse determines that instruction regarding prevention of future urinary tract infections (UTIs) has been effective for a 22-year-old female patient with cystitis when the patient states which of the following?

The nurse determines that instruction regarding prevention of future urinary tract infections (UTIs) has been effective for a 22-year-old female patient with cystitis when the patient states which of the following?



Answer: I will empty my bladder every 3 to 4 hours during the day.

The Patient: A 75-year-old male. The Situation: The family brings the patient to the emergency room because they witnessed him have a seizure. The patient is hallucinating, and loudly cries out to the nurse, "Get those dogs out of here!" The nurse places the patient in a cubicle where he can be seen from the nurse's station. The Question: What action would be best for the nurse to take?

The Patient: A 75-year-old male. The Situation: The family brings the patient to the emergency room because they witnessed him have a seizure. The patient is hallucinating, and loudly cries out to the nurse, "Get those dogs out of here!" The nurse places the patient in a cubicle where he can be seen from the nurse's station. The Question: What action would be best for the nurse to take?



A. Ask the family to remain with the patient.

B. Ask the family to leave the patient alone.



Answer: A. Ask the family to remain with the patient.

The Patient: An elderly confused female in a semi-private room on a hospital medical unit. The Situation: The patient is yelling loudly at 3:30 a.m. and awakens her roommate, who calls the nurse for assistance. The Question: What should the nurse do first in this situation.

The Patient: An elderly confused female in a semi-private room on a hospital medical unit. The Situation: The patient is yelling loudly at 3:30 a.m. and awakens her roommate, who calls the nurse for assistance. The Question: What should the nurse do first in this situation.



A. Move the patient to a different room.

B. Assess the confused patient for causes of her behavior.



Answer: B. Assess the confused patient for causes of her behavior.

The Patient: An adult with diabetes mellitus who was just given a morning dose of insulin which lowers the blood sugar. The Situation: The patient's breakfast tray arrives, and the nurse notices that the pancake syrup and sugar packets have not been substituted with products containing artificial sweeteners. The Question: What should the nurse do first in this situation?

The Patient: An adult with diabetes mellitus who was just given a morning dose of insulin which lowers the blood sugar. The Situation: The patient's breakfast tray arrives, and the nurse notices that the pancake syrup and sugar packets have not been substituted with products containing artificial sweeteners. The Question: What should the nurse do first in this situation?



A. Send the tray back and ask that they fix it.

B. Remove foods containing sugar and offer sugar substitutes.



Answer: B. Remove foods containing sugar and offer sugar substitutes.

The Patient: A terminally ill male. The Situation: Nurse "A" and an unidentified woman ride the elevator to the fifth floor, Nurse "B" joins them on the elevator and exclaims that a code has just been called on a male patient on the fifth floor, and he is not expected to live. The Question: What should Nurse "A" do in this situation?

The Patient: A terminally ill male. The Situation: Nurse "A" and an unidentified woman ride the elevator to the fifth floor, Nurse "B" joins them on the elevator and exclaims that a code has just been called on a male patient on the fifth floor, and he is not expected to live. The Question: What should Nurse "A" do in this situation?



A. Tell Nurse B to stop discussing the client's situation in a public place.

B. Not respond since you do not know the woman in the elevator.



Answer: A. Tell Nurse B to stop discussing the client's situation in a public place.

The Patient: A 19-year-old male who has previously been healthy. The Situation: The patient complains that he is losing weight despite "eating all the time." The Question: Considering this patient's age and complaint, which diagnostic test is likely to provide the most important information?

The Patient: A 19-year-old male who has previously been healthy. The Situation: The patient complains that he is losing weight despite "eating all the time." The Question: Considering this patient's age and complaint, which diagnostic test is likely to provide the most important information?



A. An MRI

B. A fingerstick for blood sugar level.



Answer: B. A fingerstick for blood sugar level.

The Patient: A 35-year-old female. The Situation: The patient is admitted with a diagnosis of abdominal pain and diarrhea. The Question: Which action should the nurse take first?

The Patient: A 35-year-old female. The Situation: The patient is admitted with a diagnosis of abdominal pain and diarrhea. The Question: Which action should the nurse take first?


A. Give the patient an anti-nauseous medication.

B. Initiate Intravenous fluids.



Answer: B. Initiate Intravenous fluids.

The Patient: A 51-year-old male. The Situation: The patient is pale, has dark circles under his eyes, and responds to questions with a soft, low voice. He tells the nurse that he has not slept well for months, but denies any type of pain. The Question: What information is most important for the nurse to obtain?

The Patient: A 51-year-old male. The Situation: The patient is pale, has dark circles under his eyes, and responds to questions with a soft, low voice. He tells the nurse that he has not slept well for months, but denies any type of pain. The Question: What information is most important for the nurse to obtain?



A. The existence of a significant life in the last year that has caused anxiety.

B. Ask the patient when they last slept.


Answer: A. The existence of a significant life in the last year that has caused anxiety.

The Patient: A 70-year-old man dying of prostate cancer. The Situation: Nurse "A," who is in charge of a medical unit, notices that a dying patient continues to moan in pain after receiving intravenous injections of morphine whenever Nurse "B" is caring for him. Nurse "A" suspects that Nurse "B" may be diluting the patient's dose and taking the morphine to feed an addiction. The Question: What should Nurse "A" do in this situation.

The Patient: A 70-year-old man dying of prostate cancer. The Situation: Nurse "A," who is in charge of a medical unit, notices that a dying patient continues to moan in pain after receiving intravenous injections of morphine whenever Nurse "B" is caring for him. Nurse "A" suspects that Nurse "B" may be diluting the patient's dose and taking the morphine to feed an addiction. The Question: What should Nurse "A" do in this situation.



A. Accuse Nurse "B" of stealing morphine.

B. Notify the shift supervisor and unit director of the circumstances before taking action.



Answer: B. Notify the shift supervisor and unit director of the circumstances before taking action

The Patient: A 29-year-old male. The Situation: A lower leg cast was applied yesterday to a fractured leg. Today the patient tells the nurse that he is in "terrible pain." The Question: Which action is most important for the nurse to take?

The Patient: A 29-year-old male. The Situation: A lower leg cast was applied yesterday to a fractured leg. Today the patient tells the nurse that he is in "terrible pain." The Question: Which action is most important for the nurse to take?



A. Check the patient's toes for adequate circulation.

B. Tell him pain with fractures is normal.



Answer: A. Check the patient's toes for adequate circulation.

The Patient: A 54-year-old male who weighs 275 pounds. He is 5' 10" tall and has many family members who have died of heart disease. The Situation: He comes to the clinic stating that he has had several episodes of "chest pain" in the last week. The Question: What is the most important action for the nurse to take?

The Patient: A 54-year-old male who weighs 275 pounds. He is 5' 10" tall and has many family members who have died of heart disease. The Situation: He comes to the clinic stating that he has had several episodes of "chest pain" in the last week. The Question: What is the most important action for the nurse to take?



A. Ask the patient to describe the chest pain.

B. Tell the patient it must be heartburn since nothing bad happened.



Answer: A. Ask the patient to describe the chest pain.

The Patient: A 7-year-old child. The Situation: A nurse arrives with an injection containing preoperative sedation that must be given to the child now. The child asks the nurse if the shot will hurt. The Question: What response should the nurse offer to this child?

The Patient: A 7-year-old child. The Situation: A nurse arrives with an injection containing preoperative sedation that must be given to the child now. The child asks the nurse if the shot will hurt. The Question: What response should the nurse offer to this child?



A. "Yes, but it won't last very long and soon you will be sleepy"

B. "Yes, but it won't hurt much"



Answer: A. "Yes, but it won't last very long and soon you will be sleepy"

The Patient: A 35-year-old female with a history of asthma. The Situation: The patient has been using a steroid inhaler because she is short of breath. However, she states that her shortness of breath is "no better." The Question: What is the most important information for the nurse to obtain?

The Patient: A 35-year-old female with a history of asthma. The Situation: The patient has been using a steroid inhaler because she is short of breath. However, she states that her shortness of breath is "no better." The Question: What is the most important information for the nurse to obtain?



A. If she takes other asthma medication

B. If she exercises

C. Method of using the inhaler



Answer: C. Method of using the inhaler.

The Patient: An older confused male. The Situation: At 3 a.m. the patient, who thinks he is in the bathroom, defecates in the bed. The bed needs to be changed. However, there are no bedsheets on the nursing unit. The Question: What action should the nurse take first?

The Patient: An older confused male. The Situation: At 3 a.m. the patient, who thinks he is in the bathroom, defecates in the bed. The bed needs to be changed. However, there are no bedsheets on the nursing unit. The Question: What action should the nurse take first?



A. Leave the bed without sheets

B. Ask a nursing assistant to go to another unit and borrow linen.



Answer: B. Ask a nursing assistant to go to another unit and borrow linen.

The Patient: A 25-year-old female hospitalized for anorexia. The Situation: The charge nurse denies the patient permission to pass dinner trays. The Question: What is the most important reason for the nurse to deny this anorexic patient permission to pass the dinner trays?

The Patient: A 25-year-old female hospitalized for anorexia. The Situation: The charge nurse denies the patient permission to pass dinner trays. The Question: What is the most important reason for the nurse to deny this anorexic patient permission to pass the dinner trays?



A. There is a chance for bacteria to be spread when passing the dinner tray.

B. Treatment protocol for anorexics mandates that they avoid preoccupation with food.



Answer: B. Treatment protocol for anorexics mandates that they avoid preoccupation with food.

The Patient: A 75-year-old male who had a heart attack four years ago. The Situation: The patient tells the nurse, "Even though I stopped smoking 10 years ago, I have a terrible cough." The Question: What action should the nurse take first?

The Patient: A 75-year-old male who had a heart attack four years ago. The Situation: The patient tells the nurse, "Even though I stopped smoking 10 years ago, I have a terrible cough." The Question: What action should the nurse take first?



A. Auscultate all lung fields

B. Get the doctor to prescribe an antibiotic,



Answer: A. Auscultate all lung fields

The Patient: A frail 88-year-old male who has recently become slightly confused. The Situation: The nurse is making a home visit and assesses the safety features of the home environment. The Question: Which suggestion would be most important for the nurse to provide the family?

The Patient: A frail 88-year-old male who has recently become slightly confused. The Situation: The nurse is making a home visit and assesses the safety features of the home environment. The Question: Which suggestion would be most important for the nurse to provide the family?



A. Watch him at all times

B. Eliminate any throw rugs from the floor that may cause him to trip.

C. Make sure he has all his belongings are all organized.



Answer: B. Eliminate any throw rugs from the floor that may cause him to trip.

The Patient: A 55-year-old female with a family history of hypertension. The Situation: The patient is concerned about her health and states, "I have had severe headaches for the last six months. I think I might have high blood pressure." The nurse determines that the woman's blood pressure is 138/86 (high normal). The Question: What action would be best for the nurse to take?

The Patient: A 55-year-old female with a family history of hypertension. The Situation: The patient is concerned about her health and states, "I have had severe headaches for the last six months. I think I might have high blood pressure." The nurse determines that the woman's blood pressure is 138/86 (high normal). The Question: What action would be best for the nurse to take?



A. Ask the patient about the frequency, timing, and quality of her headaches.

B. Ask the patient if she takes medication for her headaches.

C. Ask the patient if she has other symptoms.



Answer: A. Ask the patient about the frequency, timing, and quality of her headaches.

The Patient: An elderly female accompanied by her middle-aged son. The Situation: The patient is being discharged after a 15-day stay in the medical unit, and the son offers the nurse a box of candy as a gesture of thanks for caring for his mother. The Question: What should the nurse do in response to the offer of this gift?

The Patient: An elderly female accompanied by her middle-aged son. The Situation: The patient is being discharged after a 15-day stay in the medical unit, and the son offers the nurse a box of candy as a gesture of thanks for caring for his mother. The Question: What should the nurse do in response to the offer of this gift?



A. Sincerely thank the son and take the candy home

B. Sincerely thank the son, but tell her you do not eat candy.

C. Sincerely thank the son and share the candy with all staff members on the units.



Answer: C Sincerely thank the son, and share the candy with all staff members on the unit.

The Patient: A 25-year-old female who has smoked since age 12. The Situation: The patient is complaining of "skipped heartbeats." The Question: Which instruction is most important for the nurse to provide this patient.

The Patient: A 25-year-old female who has smoked since age 12. The Situation: The patient is complaining of "skipped heartbeats." The Question: Which instruction is most important for the nurse to provide this patient.



A. Call for assistance if she feels week or dizzy when getting out of bed.

B. Try to relax.

C. Don't worry about it.



Answer: A. Call for assistance if she feels weak or dizzy when getting out of bed.

The Patients: 1. A 42-year-old with diabetes who is blind and is asking to get up and moved to a chair. 2. An 88-year-old with lower-body paralysis who wants to be turned in bed. 3. A 17-year-old with asthma who smokes and has been in the bathroom for 30 minutes. 4. A 55-year-old with cardiac disease tells the nurse, "Get the TV fixed or I am leaving this place." The Situation: The nurse is caring for these four patients. The Question: Which patient should the nurse see first?

The Patients: 1. A 42-year-old with diabetes who is blind and is asking to get up and moved to a chair. 2. An 88-year-old with lower-body paralysis who wants to be turned in bed. 3. A 17-year-old with asthma who smokes and has been in the bathroom for 30 minutes. 4. A 55-year-old with cardiac disease tells the nurse, "Get the TV fixed or I am leaving this place." The Situation: The nurse is caring for these four patients. The Question: Which patient should the nurse see first?



A. The 17-year old with asthma who may be smoking in the bathroom.

B. A 42-year-old with diabetes who is blind and is asking to get up and moved to a chair.

C. An 88-year-old with lower-body paralysis who wants to be turned in bed.

D. A 55-year-old with cardiac disease tells the nurse, "Get the TV fixed or I am leaving this place."



Answer: A. The 17-year old with asthma who may be smoking in the bathroom.

The Patient: A 70-year-old male who is relatively healthy. The Situation: A liquid mediation is prescribed for this patient. The Question: Prior to administering the prescribed medication, what intervention has the highest priority?

The Patient: A 70-year-old male who is relatively healthy. The Situation: A liquid mediation is prescribed for this patient. The Question: Prior to administering the prescribed medication, what intervention has the highest priority?



A. Determine if the patient is allergic to the medication

B. Ask if the patient has taken any similar medications to that one.

C. Determine the exact dosage needed.



Answer: A. Determine if the patient is allergic to the medication.

The Patient: A fifty-eight-year-old female. The Situation: While the nurse is offering the patient her morning medications, she tells the nurse that she does not recall ever taking a pill that was pink-colored. The Question: What should the nurse do in response to this patient's comment?

The Patient: A fifty-eight-year-old female. The Situation: While the nurse is offering the patient her morning medications, she tells the nurse that she does not recall ever taking a pill that was pink-colored. The Question: What should the nurse do in response to this patient's comment?



A. Assume she is confused and continue to offer the medication.

B. Withhold the medication until the patient's prescription is verified.

C. Discard the medication.



Answer: B. Withhold the medication until the patient's prescription is verified.

The Patients: 1. A 63-year-old with a burn on the left lower leg is complaining of pain. 2. A 45-year-old with pneumonia, complaining of shortness of breath. 3. A 31-year-old with abdominal pain who has just vomited blood. 4. An 88-year-old who has right-sided paralysis and wants to be helped to the bathroom immediately. The Situation: The nurse is caring for these patients. The Question: Whom should the nurse see first?

The Patients: 1. A 63-year-old with a burn on the left lower leg is complaining of pain. 2. A 45-year-old with pneumonia, complaining of shortness of breath. 3. A 31-year-old with abdominal pain who has just vomited blood. 4. An 88-year-old who has right-sided paralysis and wants to be helped to the bathroom immediately. The Situation: The nurse is caring for these patients. The Question: Whom should the nurse see first?



A. The 45-years old with pneumonia and shortness of breath.

B. A 63-year-old with a burn on the left lower leg who is complaining of pain.

C. A 31-year-old with abdominal pain who has just vomited blood.

D. . An 88-year-old who has right-sided paralysis and wants to be helped to the bathroom immediately.



Answer: A. The 45-years old with pneumonia and shortness of breath.

The Patients: 1. A 13-year-old female with a kidney infection reports that there is "lots of blood" in her urine. 2. An 18-year-old male with acute alcohol poisoning who is seeing "bugs on the walls." 3. A 21-year-old female with inflammatory bowel disease who has soaked a dressing three hours after surgery. 4. A 25-year old male is sobbing in his room after being told that he has testicular cancer. The Situation: The nurse is caring for these four patients. The Question: Whom should the nurse see first?

The Patients: 1. A 13-year-old female with a kidney infection reports that there is "lots of blood" in her urine. 2. An 18-year-old male with acute alcohol poisoning who is seeing "bugs on the walls." 3. A 21-year-old female with inflammatory bowel disease who has soaked a dressing three hours after surgery. 4. A 25-year old male is sobbing in his room after being told that he has testicular cancer. The Situation: The nurse is caring for these four patients. The Question: Whom should the nurse see first?



A. A 13-year-old female with a kidney infection reports that there is "lots of blood" in her urine.

B. An 18-year-old male with acute alcohol poisoning who is seeing "bugs on the walls."

C. A 21-year-old female with inflammatory bowel disease who has soaked a dressing three hours after surgery.

D. A 25-year old male is sobbing in his room after being told that he has testicular cancer.



Answer: C. The 21-years old who is three hours postoperative and has a soaked dressing.

The Patient: A 45-year-old female who is 5' 2" tall, weighs 200 pounds, and has smoked since age 21. The Situation: The patient comes to the clinic with a complaint of "leg pain." The Question: It is most important for the nurse to obtain information about which previous occurrence?

The Patient: A 45-year-old female who is 5' 2" tall, weighs 200 pounds, and has smoked since age 21. The Situation: The patient comes to the clinic with a complaint of "leg pain." The Question: It is most important for the nurse to obtain information about which previous occurrence?



A. Ask when the patient smoked her last cigarette.

B. When did her leg hurt last,

C. A previous blood clot in the leg



Answer: C. A previous blood clot in the leg

The Patient: A 61-year-old female. The Situation: The patient has a fever of unknown origin. The nurse administered a fever-reducing medication 30 minutes ago. At this time there has been no decrease in the patient's fever. The Question: What action would be best for the nurse to take?

The Patient: A 61-year-old female. The Situation: The patient has a fever of unknown origin. The nurse administered a fever-reducing medication 30 minutes ago. At this time there has been no decrease in the patient's fever. The Question: What action would be best for the nurse to take?



A. Give the patient more fever-reducing medication.

B. Sponge the patient with cool water.

C. Wait thirty more minutes for the medicine to kick in.



Answer: B. Sponge the patient with cool water.

The Patient: A 41-year-old male. The Situation: The patient is complaining of severe stomach pain and states that he has been "vomiting all the time." The Question: What should the nurse do first?

The Patient: A 41-year-old male. The Situation: The patient is complaining of severe stomach pain and states that he has been "vomiting all the time." The Question: What should the nurse do first?



A. Prescribe an anti-vomiting medication

B. Administer a prescribed pain medication

C. Check for dehydration from vomiting.



Answer: B. Administer a prescribed pain medication

The Patient: The wife of a wealthy owner of the town's bank. The Situation: The patient and her husband arrive on the unit. While orienting the patient to the hospital room, the nurse notices that the patient has placed a large amount of cash and some expensive earrings in the drawer of the bedside table. The Question: What is the best action for the nurse to take?

The Patient: The wife of a wealthy owner of the town's bank. The Situation: The patient and her husband arrive on the unit. While orienting the patient to the hospital room, the nurse notices that the patient has placed a large amount of cash and some expensive earrings in the drawer of the bedside table. The Question: What is the best action for the nurse to take?



A. Advise the patient to have her husband take the items home when he leaves.

B. Offer to put the items in a safe downstairs.

C. Offer to put the items in the nurses' station.



Answer: A. Advise the patient to have her husband take the items home when he leaves.

The Patient: A 65-year- old male. The Situation: The family brings the patient to the emergency room because he just took an entire bottle of pills. The Question: What action should the nurse take first?

The Patient: A 65-year- old male. The Situation: The family brings the patient to the emergency room because he just took an entire bottle of pills. The Question: What action should the nurse take first?



A. Prescribe medicine to induce vomiting.

B. Determine the patient's level of consciousness.

C. Ask the family why he may have taken an entire bottle of pills.



Answer: B. Determine the patient's level of consciousness.

The Patient: An 80-year-old male who has used continuous oxygen for the past three years. The Situation: While making a home visit, the wife tells the nurse that her husband was doing well on 2 liters of oxygen per minute until late last night when he developed severe shortness of breath on the way to the bathroom. The Question: What action should the nurse take first?

The Patient: An 80-year-old male who has used continuous oxygen for the past three years. The Situation: While making a home visit, the wife tells the nurse that her husband was doing well on 2 liters of oxygen per minute until late last night when he developed severe shortness of breath on the way to the bathroom. The Question: What action should the nurse take first?



A. Assess the patient's oxygen saturation by a pulse oximeter.

B. Ask the patient to lie down and wait to see if it happens again.

C. Begin administering 2.5 liters of oxygen per minute.



Answer: A. Assess the patient's oxygen saturation by a pulse oximeter.

The nurse is participating in the development of a research study. What elements of the computer should the nurse ensure are in place before the study begins?

The nurse is participating in the development of a research study. What elements of the computer should the nurse ensure are in place before the study begins?



1. Computer speed adequate

2. Printer drivers installed

3. Word processing program

4. Computer storage capacity adequate

5. Appropriate software programs


Answer: 


1. Computer speed adequate

3. Word processing program

4. Computer storage capacity adequate

5. Appropriate software programs

The nurse educator is considering ways to impact the learning of students through the use of computer technology. Which actions should the educator take to achieve this goal?

The nurse educator is considering ways to impact the learning of students through the use of computer technology. Which actions should the educator take to achieve this goal?



1. Assign distance learners to conduct a research study of current evidence-based articles on caring for the diabetic client.

2. Expect that notification of clinical absences be provided by e-mail.

3. Require a clinical group to make daily reflective entries in an online journal.

4. Provide extra credit for academic work that is created on a computer as an electronic file.

5. Encourage the learners to access online NCLEX review questions as a way to assess their classroom learning.


Answer: 


1. Assign distance learners to conduct a research study of current evidence-based articles on caring for the diabetic client.

3. Require a clinical group to make daily reflective entries in an online journal.

5. Encourage the learners to access online NCLEX review questions as a way to assess their classroom learning.

A nurse educator believes computers can enhance student learning. Which actions should the instructor take to demonstrate this belief?

A nurse educator believes computers can enhance student learning. Which actions should the instructor take to demonstrate this belief?



1. Allow students to research a nursing topic either by going to the library or via an online literature search.

2. Require a student to remediate after a failed test by completing appropriate computer-assisted instruction modules.

3. Use PowerPoint slides to reinforce complex concepts during classroom lectures.

4. Assign a collaborative group project to students enrolled in an online course.

5. Use computer-generated graphics to make written material less monotonous.



Answer: 


1. Allow students to research a nursing topic either by going to the library or via an online literature search.

2. Require a student to remediate after a failed test by completing appropriate computer-assisted instruction modules.

3. Use PowerPoint slides to reinforce complex concepts during classroom lectures.

4. Assign a collaborative group project to students enrolled in an online course.

The nurse is beginning a physical assessment of a client who is a freelance computer information technologist. On which areas should the nurse place particular emphasis during this assessment?

The nurse is beginning a physical assessment of a client who is a freelance computer information technologist. On which areas should the nurse place particular emphasis during this assessment?



1. Vision

2. Hearing

3. Back flexibility

4. Hand range of motion

5. Range of motion of arms


Answer: 


1. Vision

3. Back flexibility

4. Hand range of motion

5. Range of motion of arms

The nurse is accessing information about standard classification of terms prior to documenting in a client's computerized clinical record. Which systems should the nurse consider using for this documentation?

The nurse is accessing information about standard classification of terms prior to documenting in a client's computerized clinical record. Which systems should the nurse consider using for this documentation?



1. ANA

2. HIPAA

3. NANDA

4. The Omaha System

5. HHCC

6. NOC


Answer: 


3. NANDA

4. The Omaha System

5. HHCC

6. NOC

A client asks what is done to keep computerized personal health information confidential. How should the nurse respond?

A client asks what is done to keep computerized personal health information confidential. How should the nurse respond?



1. "Don't worry; your information is always safe."

2. "Information in our system requires a password to retrieve."

3. "Our system was designed with a lot of input from nursing staff."

4. "I can see why you're worried, with all the computer hackers out there these days."



Answer: 2. "Information in our system requires a password to retrieve."

The nurse accesses previous hospitalization information to learn more about a client's previous health history. In what way is the availability of the client's health information assisting with the planning to address new care needs?

The nurse accesses previous hospitalization information to learn more about a client's previous health history. In what way is the availability of the client's health information assisting with the planning to address new care needs?



1. Ability to monitor quality

2. Access warehoused data (stored data)

3. Client sharing of knowledge that influences health

4. Constant availability of client health information



Answer: 4. Constant availability of client health information

The nurse educator stores grade data, including homework and assignment scores, in order to track trends. What is the educator using to maintain this information?

The nurse educator stores grade data, including homework and assignment scores, in order to track trends. What is the educator using to maintain this information?



1. Informatics

2. Student record management

3. Data warehousing

4. Management information system (MIS)



Answer: 3. Data warehousing

The nurse needs to complete mandatory continuing education on client safety as part of a regulatory requirement for the hospital. Which computerized approach should the nurse consider to complete this required education?

The nurse needs to complete mandatory continuing education on client safety as part of a regulatory requirement for the hospital. Which computerized approach should the nurse consider to complete this required education?



1. Complete a computerized tutorial on client safety

2. Read information on safety from a website

3. Review the online hospital policies about client safety

4. Complete a literature review on client safety



Answer: 1. Complete a computerized tutorial on client safety

During a home visit, the client with terminal cancer undergoes respiratory arrest; however, the client has a DNR (do not resuscitate) order. What should the nurse do when the spouse wants to call 911?

During a home visit, the client with terminal cancer undergoes respiratory arrest; however, the client has a DNR (do not resuscitate) order. What should the nurse do when the spouse wants to call 911?



1. Assess vital signs.

2. Call 911.

3. Start CPR.

4. Remind the spouse of the client's desires.



Answer: 4. Remind the spouse of the client's desires.

The nurse is attending a seminar that focuses on the changes within the home healthcare industry. Which statements that the nurse makes indicate an understanding of home care as a primary health service delivery system?

The nurse is attending a seminar that focuses on the changes within the home healthcare industry. Which statements that the nurse makes indicate an understanding of home care as a primary health service delivery system?



1. "It's unfortunate that clients can be screened for illnesses in the privacy of their own home."

2. "With people living well into their 70s and 80s, the healthcare system is being stressed immensely."

3. "The cost of acute hospital-based healthcare has become an economic burden to most people."

4. "A client's chronic cardiac problems can be monitored well with in-home health services."

5. "It relieves so much stress when care can come to them instead of their going to the health provider."



Answer: 


2. "With people living well into their 70s and 80s, the healthcare system is being stressed immensely."

3. "The cost of acute hospital-based healthcare has become an economic burden to most people."

4. "A client's chronic cardiac problems can be monitored well with in-home health services."

5. "It relieves so much stress when care can come to them instead of their going to the health provider."

The nurse has two older parents who were recently hospitalized at the same time and are being discharged home on the same day. What should the nurse do to ensure these family members receive the highest quality of care in the home?

The nurse has two older parents who were recently hospitalized at the same time and are being discharged home on the same day. What should the nurse do to ensure these family members receive the highest quality of care in the home?



1. Call off from work to provide care to both parents.

2. Adjust personal schedule to provide care to the parents.

3. Move in with the parents until conditions are stabilized.

4. Determine if custodial support is needed for the parents.

5. Find out when the home care nurse is scheduled to arrive.


Answer: 


4. Determine if custodial support is needed for the parents.

5. Find out when the home care nurse is scheduled to arrive.

During the first home care visit, the nurse determines that the client needs speech therapy, physical therapy, and custodial care several times a week. When should the nurse schedule the client's care to begin?

During the first home care visit, the nurse determines that the client needs speech therapy, physical therapy, and custodial care several times a week. When should the nurse schedule the client's care to begin?



1. As soon as the nurse completes the initial assessment

2. As soon as the client agrees to the care

3. When the physician signs the plan of care the nurse develops

4. Within 48 hours of the nurse's visit



Answer: 3. When the physician signs the plan of care the nurse develops

The nurse is hired to provide home care through a community agency that is operated by the state health department and financed by taxes. In which type of agency is this nurse employed?

The nurse is hired to provide home care through a community agency that is operated by the state health department and financed by taxes. In which type of agency is this nurse employed?



1. Institution based

2. Private

3. Not-for-profit

4. Official



Answer: 4. Official

A healthcare organization is creating a position description for nurses hired to provide care in their outpatient ambulatory clinics. Which competencies should be included in the position description?

A healthcare organization is creating a position description for nurses hired to provide care in their outpatient ambulatory clinics. Which competencies should be included in the position description?


1. Practice leadership

2. Work in interdisciplinary teams

3. Obtain an advanced degree in nursing

4. Provide culturally sensitive care to a diverse population

5. Use information technology effectively and appropriately


Answer: 


1. Practice leadership

2. Work in interdisciplinary teams

4. Provide culturally sensitive care to a diverse population

5. Use information technology effectively and appropriately

The nurse learns that two new home care agencies are opening in a community. What should the nurse consider as reasons why home care agencies are increasing in numbers?

The nurse learns that two new home care agencies are opening in a community. What should the nurse consider as reasons why home care agencies are increasing in numbers?



1. The need for custodial care

2. Third-party payers who support cost control measures

3. The increase in the older adult population

4. The decreasing need for acute care

5. The focus on the needs of the community


Answer: 


2. Third-party payers who support cost control measures

3. The increase in the older adult population

The nurse is preparing a teaching brochure that outlines the changes in healthcare delivery systems. What information about consumer health-related values should the nurse include in this brochure?

The nurse is preparing a teaching brochure that outlines the changes in healthcare delivery systems. What information about consumer health-related values should the nurse include in this brochure?



1. Disease prevention is important.

2. Health disparities need to be addressed.

3. Quality of life includes a healthy environment.

4. Health encompasses well-being and quality of life.

5. Individuals can maintain their health through lifestyle changes.



Answer: 


1. Disease prevention is important.

3. Quality of life includes a healthy environment.

4. Health encompasses well-being and quality of life.

5. Individuals can maintain their health through lifestyle changes.

The community health nurse is identifying approaches to support a community's healthcare needs. Which programs should the nurse select to support community-based healthcare?

The community health nurse is identifying approaches to support a community's healthcare needs. Which programs should the nurse select to support community-based healthcare?



1. Smoking-cessation classes

2. Personal safety classes for women

3. Blood pressure measurement clinic

4. Outpatient clinic for minor ailments

5. Allergy injection clinic on weekends


Answer: 


1. Smoking-cessation classes

2. Personal safety classes for women

3. Blood pressure measurement clinic

A multiorganization medical system is designing a community-based facility to support the healthcare needs of members who live in an urban area. What should the medical system keep in mind when designing the new facility?

A multiorganization medical system is designing a community-based facility to support the healthcare needs of members who live in an urban area. What should the medical system keep in mind when designing the new facility?



1. Affordability

2. Easy to travel to the facility

3. A focus on the needs of mothers and children

4. Many services available to meet community members' needs

5. Communication of care needs to the community members' other healthcare providers



Answer: 


1. Affordability

2. Easy to travel to the facility

4. Many services available to meet community members' needs

5. Communication of care needs to the community members' other healthcare providers

A parish health nurse is working with a particular congregation in setting up a support program for shut-ins within the congregation who are not able to come to regular prayer services. In which role is this nurse functioning?

A parish health nurse is working with a particular congregation in setting up a support program for shut-ins within the congregation who are not able to come to regular prayer services. In which role is this nurse functioning?



1. Counselor

2. Educator

3. Referral source

4. Facilitator



Answer: 4. Facilitator