Font size
WorksheetsHP Midterm 2/2
Total questions: 66
Worksheet time: 34mins
Which step of the nursing process involves identifying patient problems and needs?
Planning
Assessment
Implementation
Evaluation
Which step involves measuring whether desired outcomes have been met?
Assessment
Evaluation
Planning
Diagnosis
A nurse develops a care plan based on patient priorities and expected outcomes. This is an example of which step?
Diagnosis
Planning
Implementation
Evaluation
Which of the following best describes clinical judgment?
Memorizing procedures
Making informed decisions based on patient assessment and evidence
Following orders without questioning
Documenting interventions only
A nurse notices subtle changes in a patient’s vital signs and intervenes early to prevent deterioration. This demonstrates:
Routine assessment
Clinical judgment
Critical thinking without action
Patient teaching
Which source is considered highest quality evidence for EBP?
Case studies
Expert opinion
Systematic reviews and meta-analyses
Textbooks
A nurse incorporates research findings, clinical expertise, and patient preferences into care. This is an example of:
Standardized care
Evidence-Based Practice
Trial-and-error approach
Policy compliance
Which is the best example of an expected outcome in a care plan?
Patient will verbalize understanding of medication side effects within 24 hours
Nurse will administer medications
Hospital policy followed
Patient identified as high-risk
Prioritizing nursing diagnoses in a care plan is guided primarily by:
Patient safety and immediate needs
Hospital routine
Physician preferences
Documentation requirements
A nurse revises the care plan after the patient develops a new symptom. This demonstrates which nursing process principle?
Assessment
Dynamic planning
Implementation
Evaluation
Which principle of the ANA Code of Ethics emphasizes respect for patients’ rights and dignity?
Advocacy
Autonomy
Beneficence
Justice
The ANA Code of Ethics guides nurses to provide safe, compassionate, and competent care. This reflects:
Professional accountability
Delegation authority
Routine procedure
Policy enforcement
Which statement best describes the ANA Scope & Standards of Nursing Practice?
Lists every nursing intervention
Provides a framework for professional nursing responsibilities
Replaces hospital policies
Defines physician responsibilities
Which is a primary purpose of the ANA Standards of Practice?
Evaluate quality of care and professional performance
Document patient outcomes only
Reduce nurse workload
A nurse ensures that all patients receive equal access to care regardless of race, gender, or socioeconomic status. This is an example of:
Cultural competence
Diversity, Equity, and Inclusion
Standard care
Policy compliance
Immunizing a healthy child against measles is an example of:
Primary prevention
Secondary prevention
Tertiary prevention
Quaternary prevention
Screening for hypertension in a clinic setting is an example of:
Primary prevention
Secondary prevention
Tertiary prevention
Quaternary prevention
Which of the following is a Healthy People 2030 objective for older adults?
Reduce childhood obesity
Increase vaccination rates among older adults
Increase school attendance
Reduce teen smoking
A goal of Healthy People 2030 is to:
Improve equity in access to healthcare
Replace clinical judgment
Eliminate nursing documentation
Provide free care to all patients
Which is a social determinant of health?
Age-related physiologic changes
Economic stability
Genetic disorders
Personal preferences only
Neighborhood safety, housing quality, and access to transportation are examples of:
Biological determinants
Social determinants of health
Clinical interventions
Patient habits only
A patient in a rural area has limited access to specialty care. This illustrates:
Health equity
Health disparity
Evidence-based practice
Health promotion
Which intervention best addresses health disparities?
Telehealth services for remote populations
Providing care only during regular clinic hours
Standard discharge instructions without consideration
Ignoring social factors in care planning
A nurse asks about a patient’s cultural beliefs before initiating treatment. This demonstrates:
Cultural humility
Cultural blindness
Standardized care
Cultural imposition
Which action is part of culturally competent practice?
Using patient-preferred language and culturally appropriate teaching
Ignoring patient preferences
Standardizing care regardless of culture
Limiting education to written handouts
Which strategy is most effective to assess patient understanding?
Teach-back method
Asking “Do you understand?”
Providing handouts only
Speaking quickly to save time
A nurse explains diabetes self-management using pictures and simple language. This demonstrates:
Health literacy promotion
Evidence-based practice
Secondary prevention
Cultural insensitivity
Which is a primary goal of health education?
Improve knowledge and promote behavior change
Reduce nurse workload
Document policies only
Test patient memory
A patient says, “I plan to start exercising next week.” Which stage of change is this?
Precontemplation
Contemplation
Preparation
Action
A patient has been following a low-sodium diet for three months. Which stage of change is this?
Preparation
Action
Maintenance
Termination
Which of the following is a Healthy People 2030 objective for the older adult population?
Reduce childhood obesity rates
Increase influenza and pneumococcal vaccination coverage among adults 65+
Eliminate teen smoking completely
Increase school-based health education programs
A primary goal of Healthy People 2030 for older adults is:
Ensure all older adults have access to home-based telehealth services
Improve health equity and reduce preventable hospitalizations
Mandate private health insurance coverage for all
Replace physician care with nurse-led clinics
Which vaccination coverage is emphasized for adults age 65 and older in Healthy People 2030?
HPV vaccination
Influenza and pneumococcal vaccination
Varicella vaccination
Measles-mumps-rubella (MMR) vaccination
Health disparity is best illustrated by:
Equal access to preventive screenings
Limited specialty care availability in rural communities
Universal health coverage
Standardized patient education materials
The teach-back method primarily aims to:
Confirm patient understanding and correct misconceptions
Speed up discharge processes
Replace interpreter services
Assess only memory recall
Which statement about pneumococcal vaccination in older adults is correct?
It is only recommended for adults under 65
It reduces the risk of invasive pneumococcal disease and pneumonia in adults 65+
It should be given annually
It is optional for immunocompromised adults
Which older adult should receive the shingles vaccine (Shingrix)?
Adults 50 years and older, even if they had shingles before
Adults under 40 only
Adults 65+ who are allergic to all vaccines
Adults who already had shingles within the last year
An older adult patient asks why Shingrix is recommended even if they had shingles in the past. What is the best response?
“You do not need it if you had shingles.”
“Shingrix helps prevent recurrence and strengthens immunity, even after prior shingles.”
“Shingles can only happen once, so vaccination is unnecessary.”
“It is only given to hospitalized patients.”
Which of the following is an example of primary prevention?
Administering the influenza vaccine to an older adult
Screening for hypertension in a clinic
Performing a colonoscopy on a patient with symptoms
Providing physical therapy after a stroke
Which of the following best represents secondary prevention?
Educating a patient about healthy diet choices
Checking blood pressure at a wellness visit to identify hypertension early
Administering vaccines to prevent disease
Providing chemotherapy for cancer treatment
Which of the following lists the five key social determinants of health?
Genetics, diet, environment, exercise, income
Health access, environment, economic stability, education, community/social context
Medication adherence, insurance status, culture, neighborhood, family history
Age, gender, race, occupation, religion
Mr. Smith lives in a neighborhood without public transportation, limiting his access to the clinic. Which social determinant is most relevant?
Economic stability
Health access
Education
Community/social context
A nurse demonstrates cultural competence when they:
Assume all patients from the same culture have the same beliefs
Recognize their own biases and assess each patient individually
Use only standardized care for all patients
Avoid asking patients about cultural beliefs
Health literacy is best defined as:
How well a patient can read medical textbooks
How well a patient can understand and use health information to make decisions
The number of health classes a patient has taken
How often a patient visits the clinic
When providing patient education, which step involves assessing literacy, prior knowledge, and readiness to learn?
Assessment
Planning
Implementation
Evaluation
When providing written materials for older adults, which is best practice?
5th grade or lower reading level, use diagrams, consider font size
College-level material for accuracy
Only verbal instructions
Avoid written materials to save time
Which of the following is the best example of therapeutic communication?
“You shouldn’t feel that way; it’s not a big deal.”
“Tell me more about how that made you feel.”
“You need to follow my instructions exactly.”
The PQRST method is used to assess:
Pain
Respiratory status
Medication adherence
Cognitive function
Which step of ADPIE involves evaluating whether patient learning objectives were achieved?
Assessment
Diagnosis
Planning
Evaluation
PICOTT is a framework used primarily for:
Developing a clinical research question
Conducting a pain assessment
Performing a physical exam
Health literacy evaluation
The ROS is primarily used to:
Screen for symptoms in each body system
Diagnose a disease
Provide patient education
Administer medications
Which technique is used to identify a patient’s most immediate need?
ABCs (Airway, Breathing, Circulation)
PQRST
ADPIE
PICOTT
According to Maslow, which need must be addressed first?
Safety
Self-actualization
Love/belonging
Physiological (food, water, oxygen)
Integrative healthcare involves:
Only Western medicine interventions
Combining conventional medicine with complementary approaches like yoga, music therapy, or acupuncture
Ignoring alternative therapies
Replacing conventional care with herbal remedies
A nurse conducting a community health assessment focuses on:
Individual patient genetics
Working with underserved populations to identify health needs and resources
Hospital administrative policies
Providing routine care only
In assessing a patient, identifying strengths such as problem-solving skills, resilience, or social support is an example of:
Focusing only on deficits
Strengths-based nursing care
Risk assessment
Standard care
Which activity is therapeutic for socially isolated older adults?
Encouraging reminiscence about past experiences
Ignoring social needs to save time
Recommending only physical exercise
Focusing exclusively on medications
Which of the following is a tenet of trauma-informed care?
Peer support and recognizing the impact of trauma
Ignoring patient history
Punishing maladaptive behaviors
Providing care without patient input
Which behavior demonstrates ageism?
Assuming an older adult cannot learn new technology
Encouraging independence
Providing patient education
Listening to patient preferences
Which is a symptom of caregiver burnout?
Fatigue, irritability, and decreased coping ability
Increased energy
Improved patience
Enhanced problem-solving
When providing care for older adults, the nurse should:
Always ensure they have their glasses, hearing aids, or other sensory devices
Assume they can manage without them
Remove devices during all interactions
Only provide devices when requested
The nurse is assessing the mental state of their patient. They respond with the appropriate name and date but are not able to recall where they are or what lead them here. How would you list their orientation level? Select all that apply
They are A&O X2
They are oriented to themselves
They are oriented to event
They are oriented to date
They are not oriented to location
Which of the following qualify as an advanced activity of daily living? Select all that apply.
Managing one's own finances
Feeding themselves
Maintaining appointments
Driving a car
Buttoning a shirt
A nurse is caring for a patient with a history of trauma. Which nursing action best reflects the TIC principle of safety?
Ensuring the patient understands their treatment plan and feels physically and emotionally secure in the care environment
Encouraging the patient to relive traumatic experiences to build resilience
Administering medications without explaining side effects
Ignoring the patient’s preferences, as you have better suggestions for the patient
Which of the following interventions best reflects the TIC principle of peer support?
Encouraging the patient to rely solely on family for emotional support
Avoiding discussion of trauma history to prevent discomfort
Connecting the patient with support groups of individuals who have experienced similar trauma
Assigning only healthcare staff to provide all emotional support
Select all of the core components of trauma induced care of the following.
healing
safety
peer support
avoidance
acceptance
