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WorksheetsNRS 110 Midterm 1/2
Total questions: 65
Worksheet time: 33mins
A patient says, “I’ve been thinking about starting yoga soon to help my stress.” Which stage of change does this reflect?
Precontemplation
Contemplation
Preparation
Action
A client buys running shoes and plans to begin jogging next week. Which stage of the Transtheoretical Model is this?
Preparation
Action
Maintenance
Termination
A patient began walking daily two months ago to control blood pressure. Which stage of change is represented?
Action
Preparation
Maintenance
Contemplation
A client says, “I’ve been off soda for eight months and don’t even miss it anymore.” Which stage of change applies?
Action
Maintenance
Termination
Preparation
A patient who had quit smoking relapsed after three months. How should the nurse interpret this event?
The patient failed and must restart from the beginning.
Relapse is an expected step in the behavior change process.
The patient was not truly ready to quit.
Relapse is a sign the patient was in precontemplation.
A patient says, “I don’t think my diet needs to change; I feel fine.” What is the most appropriate nursing approach?
Discuss potential health risks related to current habits.
Provide a sample meal plan for weight loss.
Create a contract for dietary changes.
Encourage journaling of food intake.
A nurse develops a care plan for a patient who recently stopped smoking. Which action supports continued progress?
Provide education about lung disease.
Encourage gradual reduction in cigarettes.
Help identify triggers and coping methods.
Remind the patient of the risks of smoking.
A patient states, “I want to quit drinking but haven’t figured out how yet.” Which stage of change is this?
Contemplation
Preparation
Action
Maintenance
A patient says, “I made an appointment with a trainer to help me get fit.” What stage is represented?
Preparation
Action
Contemplation
Maintenance
Compared to the general population, medically underserved groups often experience:
Equal access but worse outcomes
More access and better outcomes
Limited access and higher risk exposure
Adequate access but minimal resources
Which factor is recognized as a social determinant of health? (Select all that apply.)
Neighborhood safety
Access to quality education
Family genetics
Social and community support
Which goal best represents Healthy People 2030?
Improve hospital staffing ratios
Eliminate health disparities and achieve equity
Reduce insurance costs nationwide
Expand urgent care access
A patient says, “I’m ready to stop smoking tomorrow and have nicotine patches.” Which stage of change?
Preparation
Action
Contemplation
Maintenance
A nurse wants to increase cultural self-awareness. Which self-assessment is most appropriate?
Examine personal biases toward other cultures.
Review community demographics.
Study nonverbal communication differences.
Memorize traditional customs.
A nurse assumes all patients from one culture prefer home remedies. What does this indicate?
Cultural stereotyping
Cultural humility
Cultural congruence
Cultural awareness
The primary goal of culturally congruent care is to:
Provide care consistent with the patient’s beliefs and values.
Teach patients about Western health models.
Avoid addressing cultural differences.
Standardize care for all patients.
During which phase of teaching does the nurse determine if learning goals are met?
Implementation
Planning
Evaluation
Assessment
Which strategy best checks a patient’s understanding of discharge instructions?
Using the teach-back method
Asking, “Do you understand?”
Giving printed handouts
Watching for confusion
Which nursing action reflects holistic care?
Asking about emotional and spiritual concerns
Monitoring only physical symptoms
Following tasks from the care plan
Reporting abnormal vitals only
What is the main goal of SBAR communication?
To ensure consistent, accurate information exchange
To reduce charting time
To improve social interactions
To shorten shift reports
Why are open-ended questions useful in assessments?
They allow the patient to express experiences in detail.
They quickly obtain yes/no answers.
They eliminate the need for follow-up questions.
They focus solely on physical symptoms.
Which of the following is a closed-ended question?
“Are you taking your medication daily?”
“How do you manage your stress?”
“What concerns do you have about your treatment?”
“Tell me about your sleep patterns.”
When working with adolescents, which nursing approach supports trust?
Respecting privacy and listening without judgment
Speaking only to parents
Using complex medical terms
Giving direct orders without explanation
Which data belongs in an individual health assessment?
The patient’s medical and surgical history
Hospital policy changes
National disease statistics
Community demographics
What is the purpose of a review of systems?
To screen for symptoms across all body systems
To diagnose medical conditions
To perform a physical examination
To document social history
The purpose of a functional assessment is to:
Determine the patient’s ability to perform daily activities
Evaluate response to medication
Calculate body mass index
Review immunization status
A nurse notes a patient can dress independently but needs help bathing. This information is most relevant to which type of assessment?
Functional
Psychosocial
Physical
Community
Which communication behavior by the nurse requires further teaching?
Interrupting to finish the patient’s sentence
Maintaining eye contact
Nodding and using active listening
Sitting at eye level
This goal corresponds to which learning domain?
Psychomotor
Cognitive
Affective
Evaluative
Which statement aligns with culturally competent communication?
“Can you share what health practices are important to your family?”
“I know how your culture views illness.”
“Let’s skip cultural topics and focus on your condition.”
“Most people from your background respond the same way.”
Which of the following represents a secondary prevention activity?
Blood pressure screening
Physical fitness promotion
Cardiac rehabilitation
Vaccination
The U.S. Preventive Services Task Force (USPSTF) focuses primarily on:
Evidence-based preventive health recommendations
Managing chronic illnesses
Writing federal insurance laws
Funding public hospitals
A nurse is planning care for an older adult and asks, “What health goals are most important to you?” Which component of the 4Ms does this address?
What Matters
Mobility
Medication
Mentation
An older patient is at risk for falls. The nurse ensures the environment is free of obstacles and implements a daily walking plan. Which 4Ms component is being addressed?
Medication
Mobility
What Matters
Mentation
A nurse reviews a patient’s medications to reduce polypharmacy and minimize side effects impacting cognition and function. Which 4Ms component is this?
Mentation
Mobility
Medication
What Matters
An older adult shows signs of confusion after hospitalization. The nurse orients the patient to time, place, and routine, ensures hydration, and promotes adequate sleep. Which 4Ms component is being applied?
What Matters
Mentation
Medication
Mobility
A patient prefers to prioritize time with family over aggressive treatment options. The nurse documents these preferences in the care plan and ensures staff follow them. Which 4Ms principle is being applied?
Medication
What Matters
Mobility
Mentation
During discharge planning, the nurse provides mobility aids, schedules follow-up therapy, and ensures safe home modifications for an older adult. Which 4Ms component does this reflect?
Mentation
Mobility
Medication
What Matters
A patient has depression and early-stage dementia. The nurse monitors mental status, provides orientation cues, and coordinates care with mental health providers. Which 4Ms component is this?
Medication
Mentation
Mobility
What Matters
A nurse is planning care for an older adult and asks, “What health goals are most important to you?” Which component of the 4Ms does this address?
Mentation
Mobility
What Matters
Medication
An older patient is at risk for falls. The nurse ensures the environment is free of obstacles and implements a daily walking plan. Which 4Ms component is being addressed?
What Matters
Mobility
Mentation
Medication
A nurse reviews a patient’s medications to reduce polypharmacy and minimize side effects impacting cognition and function. Which 4Ms component is this?
Mobility
Mentation
Medication
What Matters
An older adult shows signs of confusion after hospitalization. The nurse orients the patient to time, place, and routine, ensures hydration, and promotes adequate sleep. Which 4Ms component is being applied?
Medication
Mobility
Mentation
What Matters
A patient prefers to prioritize time with family over aggressive treatment options. The nurse documents these preferences in the care plan and ensures staff follow them. Which 4Ms principle is being applied?
What Matters
Mobility
Mentation
Medication
During discharge planning, the nurse provides mobility aids, schedules follow-up therapy, and ensures safe home modifications for an older adult. Which 4Ms component does this reflect?
Mentation
Mobility
Medication
What Matters
A patient has depression and early-stage dementia. The nurse monitors mental status, provides orientation cues, and coordinates care with mental health providers. Which 4Ms component is this?
Mentation
Medication
Mobility
What Matters
Which of the following best describes a key goal of trauma-informed care?
Focus solely on physical injuries
Avoid addressing past trauma to prevent discomfort
Recognize and respond to the effects of all types of trauma
Minimize patient involvement in care decisions
Which of the following is not one of the six guiding principles of trauma-informed care?
Safety
Trustworthiness and Transparency
Patient Financial Responsibility
Peer Support
Which is a core principle of strengths-based nursing?
Collaboration
Punitive feedback
Standardized care for all patients without individualization
Avoiding patient engagement in decision-making
A nurse assumes that all older adults are forgetful and dependent. This attitude is an example of:
Age-related health assessment
Ageism
Strengths-based approach
Trauma-informed care
Which of the following is a leading health indicator specific to older adults?
Immunizations and infectious disease prevention
Pediatric obesity
Adolescent mental health
Prenatal care
Which statement best describes Medicare’s role in financing healthcare for older adults?
Covers all medical costs without limitations
Provides partial funding for hospital, outpatient, and prescription services, impacting national healthcare spending
Only covers long-term nursing home care
Is a private insurance option for older adults
Family caregivers for older adults may experience:
Improved sleep and reduced stress
Physical, emotional, and financial strain leading to burnout
Guaranteed financial compensation
No change in mental health status
Effective health education for older adults includes:
Using complex medical jargon
Providing written materials only
Considering sensory, cognitive, and literacy needs and engaging in teach-back
Assuming prior knowledge and skipping instructions
Which of the following is recommended for older adults?
MMR only
Influenza, shingles (Shingrix), Tdap/Td, and pneumococcal vaccines
Only childhood vaccines
No vaccines needed after age 65
Which of the following is a normal age-related change in older adults?
Decreased bone density
Increased kidney function
Faster metabolic rate
Improved reflexes
When performing a health assessment on an older adult, a nurse should:
Speak quickly and provide minimal explanation
Adjust pace, allow extra time, and consider sensory limitations
Avoid asking about medications
Skip functional assessment
Which of the following correctly lists all four components of the 4Ms framework?
Medication, Mentation, Mobility, What Matters
Mobility, Medication, Mentation, Mental Health
Mentation, Medication, Mobility, Mental Status
What Matters, Medication, Mobility, Mentation
Which screening is essential for older adults according to the USPSTF?
Colon cancer, breast cancer, vision and hearing, blood pressure, and depression screening
Pediatric growth chart assessment
Prenatal screenings
Adolescent scoliosis
The use of a seat belt is what level of prevention
Primary
Secondary
Tertiary
Support
Mammogram is what level of prevention
Primary
Tertiary
Secondary
Support
Stroke rehabilitation is what level of prevention
Secondary
Primary
Tertiary
Support
How many steps are there in EBP (Evidence Based Practice)
6
3
5
4
What are the components of EBP?
Evidence from research
Experience of the provider
Patient's desires
Hospital Policies
What is an interdependent order?
One a nurse can do without an order
Collaborative with another provider
A nurse requires an order
When a nurse relies on clinical experience
