Textbook of Basic Nursing (Lippincott's Practical Nursing) 10th Edition by Caroline Bunker Rosdahl, Mary T. Kowalski - Test Bank

Textbook of Basic Nursing (Lippincott’s Practical Nursing) 10th Edition by Caroline Bunker Rosdahl, Mary T. Kowalski – Test Bank

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Sample Questions Posted Below

 

1. Maslow developed a hierarchy of needs from the simple to the complex. Using Maslow’s hierarchy of needs, which statement characterizes the simplest level of need?
A) “Nurse, my pain is terrible and I need pain medication right away.”
B) “When I first joined the golf club, I felt welcomed and looked forward to the weekly golf games.”
C) “I’m very proud to be placed on the Dean’s List for spring semester.”
D) “There have been three neighborhood break-ins on the street in the last month. I am going to sell my house and move to a different neighborhood.”
2. Maslow developed a hierarchy of needs from the simple to the complex. Using Maslow’s hierarchy of needs, which statement characterizes the highest level of need?
A) “Nurse, my pain is terrible and I need pain medication right away.”
B) “When I first joined the golf club, I felt welcomed and looked forward to the weekly golf games.”
C) “I’m very proud to be placed on the Dean’s List for spring semester.”
D) “There have been three neighborhood break-ins on the street in the last month. I am going to sell my house and move to a different neighborhood.”
3. Maslow developed a hierarchy of needs from the simple to the complex. A male client tells the nurse of having no threats in his life at this time. The nurse communicates in the sign-off report that this client is meeting what level in Maslow’s hierarchy of needs?
A) Physiologic
B) Security and safety
C) Self-esteem
D) Self-actualization
4. Maslow developed a hierarchy of needs from the simple to the complex. A female client tells the nurse of recently recognizing strength in her life and the ability to make her own choices. The nurse states in the client’s record that this client’s recognition of strength and choice is meeting which level in Maslow’s hierarchy of needs?
A) Physiologic
B) Security and safety
C) Self-esteem
D) Self-actualization
5. A client is recovering from a serious motor vehicle accident. The client is focusing all attention on physical needs of recovery rather than returning to a job. The nurse knows that the client has already met the simple, basic needs and should be concentrating efforts on the more complex, higher level needs. What would the nurse document for the client who is focusing on a simple, basic need that has already been fulfilled?
A) Security and safety
B) Love, affection, and belonging
C) Regression
D) Self-esteem
6. To help clients prevent risks or threats to their basic human needs, the nurse knows that the simple, most basic needs in Maslow’s hierarchy of needs must be met. Several physiologic needs for all clients must be met. A client newly admitted to the unit has several basic physiologic needs that must be met. Which are the physiologic needs that must be included in the nursing care plan?

1.     Oxygen

2.     Food

3.     Water

4.     Shelter

5.     Elimination
A) 1, 2, 3, 4
B) 1, 2, 3, 5
C) 1, 3, 4, 5
D) 2, 3, 4, 5
7. A client has been admitted as a result of lack of food and nutrients in the body. When caring for the client, the nurse finds that the client feels nauseated at meal times. Which is the most appropriate intervention for the nurse?
A) Weighing the client daily
B) Providing tube feeding, as ordered
C) Administering insulin, as ordered
D) Providing warm milk regularly
8. After surgery, a client has difficulty breathing and needs supplemental oxygen. Which situation places the client at the highest risk of lack of oxygen?
A) Client has quadriplegia
B) Client has dehydration
C) Client is unconscious
D) Client has high blood pressure
9. A nurse is caring for a group of clients in a long-term care facility. During change of shift report, it was addressed that some of the clients would need assistance with meeting the basic needs of receiving adequate fluids. Which client has the highest potential for requiring the nurse’s assistance to meet fluid needs?
A) Client with severe mental illness
B) Client with nausea and vomiting
C) Client with a broken limb
D) Client with a skin disorder
10. A client complains to the nurse that her daughter often shivers after she comes out of a swimming pool. Based on this information, the nurse recognizes that the client needs further teaching about the mechanisms of shivering. What should the nurse’s response be?
A) “This could be serious; you should consult a physician immediately.”
B) “This is an expected response; shivering is a body mechanism that assists temporary regulation.”
C) “This may be risky; your daughter should avoid swimming completely.”
D) “Your daughter should have a hot water bath as soon as she comes out of the pool.”
11. To help clients prevent risks and threats to their basic human needs, the nurse must be familiar with the basic human needs and identify each client’s specific needs. The client’s chart identifies several basic needs that should be addressed during hospitalization for prostate surgery. Which should the nurse recognize as the highest secondary need of this individual?
A) Elimination of waste products
B) Activity and exercise
C) Sexual gratification
D) Social needs
12. A client has had a spine operation and cannot walk properly. Which is the highest priority nursing intervention to ensure that the client can resume daily activity?
A) Administering pain medication to relieve the pain
B) Providing a soothing backrub
C) Encouraging walking with help
D) Suggesting consultation with the primary care provider
13. A nurse is a member of a local support group that counsels on relationships. Which client should the nurse identify with the lowest priority to be concerned about meaningful relationships?
A) A person who volunteers in the community
B) A homeless person
C) A person with a fractured limb
D) A working professional
14. A client was involved in an accident that has impaired hearing and vision. The client is a writer and the client’s condition has affected hopes and self-esteem. How can the nurse help this client regain self-esteem?

1.     Encourage dependence from family members

2.     Reward progress

3.     Allow family members to assist the client with self-care needs

4.     Observe the client for symptoms of repression and depression
A) 1, 2
B) 1, 3
C) 2, 3
D) 2, 4
15. A client has undergone a double mastectomy for breast cancer. The client is spending sleepless nights worrying about how this surgery will impact her future. What should be the nurse’s highest priority nursing action at this time?
A) Consult the surgeon to order a sedative/hypnotic medication for the client to promote sleep
B) Encourage the client to complete activities of daily living independently
C) Provide the client with a safe, quiet, and peaceful sleeping environment
D) Work together with the occupational therapist on rehabilitation goals
16. A nurse is assigned to care for clients who have been rendered homeless by a hurricane. The nurse is reviewing the nursing care plan for a client. Which levels of nursing interventions on the nursing care plan is the highest priority for this client at this time?

1.     Physiologic

2.     Security and safety

3.     Self-esteem

4.     Self-actualization
A) 1, 2
B) 1, 3
C) 2, 3
D) 3, 4
17. A client verbalizes being very satisfied with life and is planning to go forward with art classes. To help clients prevent potential risks or threats to their basic human needs, the nurse must be familiar with the basic human needs and identify each client’s specific needs. Based on Maslow’s theory of human needs, the nurse needs to document which level of this theory about this person’s perspective of life?
A) Physiologic
B) Security and safety
C) Shelter
D) Self-actualization
18. Maslow described a theory of human needs in which simple, basic needs are identified in relation to more complex, higher-level needs. During the recovery period, a professor is focusing on the simpler, basic hierarchy of needs. What is the term when the most basic needs have been met rather than dealing with the higher-level needs that the nurse would document about this professor at this time?
A) Affection needs
B) Regression
C) Physical needs
D) Secondary needs
19. A college professor seen 6 months after prostate surgery tells the nurse about getting two holes in one at the local golf course in 3 months. The professor is thrilled to be involved in activities that are important in his personal life. Based on Maslow hierarchy of needs, which need is of highest priority for this individual that the nurse needs to communicate in the client chart?
A) Need for shelter and freedom from harm and danger
B) Need for affection, feeling of belonging, and meaningful relations with others
C) Need to be well thought of by oneself as well as by others
D) Need to be self-fulfilled, learn, create, understand, and experience one’s potential
20. The nurse is caring for a group of older adults in an assisted living memory care facility. Which nursing intervention will assist this group of clients to meet their social needs while residing at the assisted living memory care facility?
A) Show love, affection, and belonging
B) Provide reading and video materials
C) Provide water and cookies
D) Provide opportunities for innovation and creativity
21. The community has basic needs concerning the welfare of all its residents. What is an example of a public health measure that concerns the welfare of all of its residents?
A) Immunization programs
B) Water and electricity
C) Pollution
D) Ambulances and paramedics
22. The community has basic needs concerning the welfare of all its residents. What is an example of maintenance services that concerns the welfare of all of its residents?
A) Immunization programs
B) Water and electricity
C) Pollution
D) Ambulances and paramedics
23. The community has basic needs concerning the welfare of all its residents. What is an example of an environmental issue that concerns the welfare of all of its residents?
A) Immunization programs
B) Water and electricity
C) Pollution
D) Ambulances and paramedics
24. Several factors can threaten the body’s need for temperature regulation. What are factors that can threaten the body’s need for temperature regulation?

1.     Excessive external heat

2.     Excessive internal cold

3.     Excessive external cold

4.     Excessive internal heat
A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4
25. Maslow describes a theory of human needs in which simple, basic needs are identified in relation to more complex, higher-level needs. The needs are listed in random order. Which is the correct sequence in which these needs must be fulfilled, in order, from most basic to most complex?

1.     Security and safety

2.     Self-actualization

3.     Physiologic

4.     Love, affection, and belonging

5.     Self-esteem
A) 1, 2, 3, 4, 5
B) 3, 1, 4, 5, 2
C) 4, 1, 3, 2, 5
D) 3, 4, 1, 5, 2

Answer Key

1. A
2. C
3. B
4. C
5. C
6. B
7. B
8. A
9. A
10. B
11. D
12. C
13. B
14. D
15. B
16. D
17. D
18. B
19. A
20. B
21. A
22. B
23. C
24. C
25. B

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