Foundations of Nursing Practice

Themes, concepts and frameworks, fourth edition

by Richard Hogston and Barbara Marjoram

Test Yourself!

Below are all of the test yourself questions, taken from each chapter of the book. If you’ve got time, you could work your way through them all! If not, simply click on one of the numbers below to take you straight to the questions from that chapter.

Chapter One - Managing Nursing Care

  1. Name the stages of the nursing process
  2. Give two reasons for using the nursing process
  3. What sort of information needs to be collected during a nursing assessment?
  4. How many types of nursing diagnosis are there?
  5. What are the two stages of the planning phase?
  6. What criteria should goals conform to?
  7. How can the nursing care plan be evaluated?


Chapter Two

  1. Name the three core qualities that are necessary for personal growth and change.
  2. Name the six categories of Heron’s six-category intervention analysis and give examples of how these may be used in your area of practice.
  3. Give five interventions that could be used in the catalytic category.
  4. What does the acronym SPIKES stand for in breaking bad news?
  5. List seven members of the interdisciplinary team in your area of practice.
  6. Describe what is meant by a ‘primary group’ and a ‘secondary group’. Give two examples of each.
  7. Describe the elements of the Three Circles model.
  8. What are the four stages that Tuckman suggests groups move through as they establish themselves?
  9. There are four ways to respond in an interaction, one of which is by being manipulative. What are the other three?
  10. What are the five principal ways of being assertive?

Chapter Three - Challenges to Professional Practice

  1. What is meant by the term ‘professional practice’?
  2. What ethical principles underpin the NMC’s Code?
  3. Describe how nurses display professional accountability
  4. What are the key components of evidence-based practice?
  5. What are the key skills required to adopt a values-based practice approach?
  6. What is the NHS constitution and how does it help patients?

Chapter Five - Infection Control

  1. What does HCAI stand for?
  2. What stages are involved in the ‘chain of infection’?
  3. What are the commonest sites for HCAI s?
  4. Describe the classification for clinical waste.

Chapter Six - Administration of Medications

  1. Name the five Rs in relation to drug administration.
  2. Which five sites can be used for injections?
  3. What side effects can arise from using anti-psychotic drugs?

Chapter Seven - Eating and Drinking

  1. List the five sections that make up the ‘plate model’.
  2. What influence do saturated fatty acids have on blood cholesterol level?
  3. What foods are rich in iron?
  4. If your BMI was in the range of 25.0–29.9 what would you be classed as?
  5. What is refeeding syndrome?

Chapter Eight - Elimination

  1. What information do you need to obtain when making an assessment of your client’s elimination needs?
  2. List and explain the factors that may cause a client to become constipated.
  3. Identify four types of incontinence.
  4. What is the difference between an ileostomy, a colostomy and a urostomy?
  5. Identify the psychological factors that affect both urinary and faecal elimination
  6. How much fluid should a healthy individual weighing 65 kg drink in a day?

Chapter Nine - Respiration

  1. What is the normal respiratory rate for a 2-year-old child?
  2. What are Cheyne-Stokes respirations?
  3. Describe four types of sputum and their causes.
  4. What is the target oxygen saturation range for adults with no history of lung disease?

Chapter Ten - Circulation

  1. List five common causes of shock
  2. What are some of the early physical signs of shock?
  3. What is the normal range for the adult heart rate?
  4. Name three key factors which affect blood pressure.
  5. List five physical features which may be noted if a patient suffers from peripheral vascular disease.
  6. What is a normal capillary refill time?
  7. What is the normal urine output (mls/kg/hr) for infants, children and adults?
  8. What are the 8 reversible causes (4 H’s and 4 T’s) considered in cardiac arrest?
  9. Describe the types of pain assessment tool available.
  10. Describe five complications of a blood transfusion.

Chapter Eleven - Wound Management

  1. What are the main causes of pressure ulcers?
  2. What preventative measures can be taken to avoid development of pressure ulcers?
  3. What are the four main phases of wound healing?
  4. The factors affecting wound healing have been described in terms of local, systemic and contextual. How many of these factors can you list?
  5. What are the criteria identified to provide the optimum environment for wound healing?
  6. What specific wound characteristics would you include in your assessment of the patient?

Chapter Twelve - Moving and Handling

  1. Identify the key elements of ELIOT.
  2. Which part of the legislation identifies the need to check moving and handling equipment prior to its use?
  3. List five contributory factors of musculo-skeletal disorders.
  4. What is the importance of effective communication within moving and handling?
  5. What were the key issues that students highlighted as being poor practice within clinical placements?
  6. Why is it important to maintain a good base of support while engaging in moving and handling interventions?

Chapter Thirteen - Dying, Death and Spirituality

  1. List the common cardinal signs of death
  2. What are the dimensions of palliative care described by Davies and O’Berle (1990)?
  3. What does the term ‘total pain’ mean?
  4. What does the term ‘analgesic ladder’ mean?
  5. What, according to Solano et al. (2006) are the 11 most common symptoms seen in patients with end stage disease?
  6. What does the term ‘last offices’ mean?
  7. What is the principal difference between euthanasia and physician assisted suicide.
  8. What are the two elements of the dual process model of bereavement described by Stoebe and Schut (1999)?
  9. Identify at least four ways in which you can help bereaved relatives.
  10. What are the three elements of spirituality, as defined by Kellehear (2000)?

Chapter Fourteen - Drug and Alcohol Misuse

  1. Using your own words, describe what is meant by the term drug/alcohol dependency.
  2. What is meant by the term harm reduction and give three examples of harm reduction strategies.
  3. Name two drugs from class A, B and C of the Misuse of Drugs Act 1971.
  4. Name six of the physiological effects associated with alcohol misuse and dependency.

Chapter Fifteen - Body Image and Sexuality

  1. Using your own words describe what is meant by the term ‘body image’.
  2. What are the three fundamental interrelated concepts used by Price (1990) to define body image?
  3. Give five examples of surgical procedures not evident to others (concealed) that could affect body image.
  4. Name some factors that may affect the sexual experiences of people with learning disabilities.
  5. What does PLISSIT stand for?
  6. What are the four principles suggested as a framework for practice in body image and sexuality issues?

Chapter Sixteen - Genetics Knowledge within an Ethical Framework

  1. Identify the four secondary principles reflected by the Human Genetics Commission (DoH, 2002a) in the primary principle of ‘respect for persons’.
  2. Name the four nitrogen-containing bases of the DnA molecule.
  3. Describe the pairing rule of the nitrogen-containing bases in the DnA sequence.
  4. Name the following conditions: (a) 47, XY+21, (b) 47, XXY, (c) 45, XO, (d) 12q24.1, (e) Xq28.
  5. Define the terms: (a) autosomes, (b) trisomy, (c) monosomy, (d) non-disjunction.
  6. Calculate the inheritance of a: (a) dominant condition, (b) recessive condition, (c) X-linked condition.

Chapter Seventeen - Nursing Practice in an Interprofessional practice

  1. What does the term ‘interprofessional practice’ mean?
  2. How do different professionals contribute to teamworking?
  3. What challenges does working in a primary health-care team create for the nurse?
  4. How will personalisation impact on collaborative practice?

Chapter Eighteen - Public Health in Nursing

  1. Identify the four core areas of public health activity and the five defined (non-core) areas.
  2. Revisit the definition of public health (Wanless, 2004) and identify the contribution of the nurse to public health activity.
  3. How do government policies influence the development of public health activity for you?
  4. What factors must the nurse consider when participating in a health needs assessment?
  5. Consider the qualities necessary in the nurse for working with service users in identifying their health needs.
  6. What is the role of the nurse in health protection and why is this so important?

Chapter Nineteen - Health Informatics

  1. What is the difference between data, information and knowledge?
  2. During a day in your placement setting consider all information you come across. Plot the flow of this information: how did it come to you, what happened to it next?
  3. Describe a patient journey
  4. What are the differences between an electronic care record and an integrated health record?
  5. Compile a list of resources you have found useful in informing your practice.
  6. Describe the three basic components of evidence-based practice.
  7. What are the main differences between efficiency and effectiveness?
  8. What does the acronym HORUS stand for?
  9. Can a patient see their own health-care record?
  10. What factors should be considered before divulging any patient-related

Chapter Twenty - Developing Effective Leadership and Management Skills

  1. What are the four roles of a manager as described by Fayol (1949)?
  2. Transformational leadership is often associated with change situations but the four ‘I’s of transformational leadership are key elements in leading and managing a team. What are the four ‘I’s of transformational leadership?
  3. Organising is seen as an important aspect of managing the care of patients, what are the four key elements of organising the work to be done?
  4. Outline three aspects which can help a leader to motivate others (Vroom, 1964).
  5. What are the three steps in the control process (Boddy, 2005)?