ADN 125 Chapter 1 : Introduction to Nursing

A nurse is working with a client who has undergone a lower leg amputation. While conducting an assessment, the nurse notes the client has a downcast mood. Which statement by the nurse conveys empathy to the client?

"I notice you might be experiencing some feelings of sadness. Would you like to share how you are feeling with me?"

After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that:

ANA aims at fostering high standards of nursing in the United States.

The first nursing journal owned, operated, and published by nurses was:

American Journal of Nursing

Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?

American Nurses Association

A client is distraught because a recent computed tomography (CT) scan shows that the client's colon cancer has metastasized to the lungs. Which nursing aim should the nurse prioritize in the immediate care of this client?

Facilitating coping

A nurse manager is teaching staff how to use a new piece of hospital equipment. Which educational setting would be most appropriate for this process?

In-service education

Which individual provided community-based care and founded public health nursing?

Lillian Wald

Attracting minorities to the profession of nursing is an important consideration for the future of nursing. Which key historical nursing figure set a precedent in this area?

Mary Elizabeth Mahoney

The client's plan of care is created by the nurse using which guideline for nursing practice?

Nursing process

What might a nurse need to do to ensure the continuation of his or her nursing license?

Obtain continuing education credits.

The diploma nurse is considering obtaining a baccalaureate degree. Which degree should the nurse investigate?

RN to BSN

Which organization offers membership by invitation to students who demonstrate excellence in scholarship and to nurses in the community who demonstrate excellence in leadership?

Sigma Theta Tau International, Honor Society of Nursing

Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply.

Teaching a client and her family how to live with diabetes Assisting a client and his family to prepare for death Providing counseling for the family of a teenager with an eating disorder

Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)?

The LPN/LVN should work under the supervision of an RN.

The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented?

The RN promotes a safe environment.

A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care?

The client receiving the care

Which is the best example of a client-centered approach to care?

The nurse asks the client about health goals.

The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. Which statement on the assessment of the nursing process is accurate?

The nurse collects comprehensive data pertinent to the client's health or situation.

A nurse is considering relocating to another state to practice nursing. Which is the most appropriate action by the nurse to ensure ability to practice in the new state?

applying for a reciprocal license in the new state

The nurse is caring for a client with a new diagnosis of cancer, and allows the client to verbalize fears relating to how to tell the children. The nurse's intervention reflects which aspect of nursing?

art of nursing

What was one barrier to the development of the nursing profession in the United States after the Civil War?

lack of educational standards

The nurse is caring for a client who cannot meet health needs independently. Which action made by the nurse depicts concern and attachment?

asking the client, "How are you today? I am really worried about you."

In what time period did nursing care as we now know it begin?

18th to 19th century

During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply.

Communicator Counselor Teacher

The nurse is performing an extensive dressing change on a client with burns. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step?

Educator

What is the best nursing intervention to promote health in a client at risk for heart disease?

Emphasizing a client's strengths to encourage weight loss

The registered nurse is performing a nutritional assessment to ensure that the client's diet is optimal for wound healing. The nurse's intervention can be traced back to which key contributor to nursing?

Florence Nightingale

The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?

Mary Breckinridge

Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding?

Refer the mother for a home care visit

The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?

To restore health

A nurse mentoring second-year nursing students from a community college plans clinical experiences for them. These students will most likely graduate in which time frame?

at the end of the year

The nurse is caring for a postoperative client. The health care provider has written a prescription for a pain medication, and the prescription gives a dosage range for the amount the nurse may give depending on the severity of the client's pain. This type of functioning within the health care team is called:

collaborative functioning.

A prospective nursing student desires a career that will allow the opportunity to provide client care and to assist professional nurses with routine technical procedures. The prospective student needs to be employed in a full-time position quickly due to economic hardship. What type of nursing program would best suit this student?

licensed or vocational nursing program

The registered nurse is teaching a community health class about illness prevention. Which statement reflects understanding of this concept?

"It is important to enroll in a smoking cessation class."

The nurse is attempting to provide anticipatory guidance for the parents of an 18-month-old child. Which statement would be best for the nurse to make?

"Keep all medications in a locked cabinet."

A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse?

"Only advanced practice registered nurses have prescriptive authority."

Which scenario is the best example of the nurse in the role of teacher/educator?

Assessing whether the client is able to perform a dressing change

The nurse is performing care for a client in the end stage of cancer. How can the nurse best facilitate the client and family's ability to cope? Select all that apply.

Assist the client with activities of daily living (ADLs). Assist the client and family with the preparation for end-of-life. Refer the client and family to hospice services.

The role of medicine developed from the pre-civilization era through the eras representing the beginning of civilization, the beginning of the 16th century, the 18th and 19th centuries, the World War II era and up to the present day. Place the events that defined these eras listed below in the correct chronologic order to follow this timeline.

Belief in good and evil spirits bringing health or illness existed; medicine men were physicians. Temples were the centers of medical care; belief that illness is caused by sin and the displeasure of the gods existed; priests were physicians. Focus on religion was replaced by a focus on warfare, exploration, and expansion of knowledge. Hospital schools were organized; female nurses were under control of male hospital administrators and physicians; males dominated the health care setting. An explosion of knowledge in medicine and technology occurred. Varied health care settings developed.

Which challenge associated with technology most affects nurses today?

Client privacy issues within the social media realm

The RN is working with hospital administrators to transform care at their facility. Which nursing competency will be critical for the nurse to utilize?

Work effectively in interdisciplinary teams

The need for university-based nursing education programs was brought to light during which important historical time?

World War II

The new nursing graduate is concerned about some of the critical changes that will be occurring in nursing. What changes does the nurse anticipate will impact nursing care?

Difficulty for nurses to remain current in a rapidly changing medical and technology

The new nursing graduate is concerned about some of the critical changes that will be occurring in nursing. What changes does the nurse anticipate will impact nursing care?

Difficulty for nurses to remain current in a rapidly changing medical and technology environment

A nurse wishes to advance his or her career and work as a clinical nurse specialist. Which statement regarding scope of practice should the nurse keep in mind?

The nurse may teach advanced education for nurses.

A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers?

They are responsible for the continued development and advancement of nursing.

Why do nurses need to care for their own health needs? Select all that apply.

To allow them to give effective nursing care to others To enable them to practice more efficiently To help them serve as role models for clients

In the role of entrepreneur, the nurse's primary responsibility is:

managing a health-related business.

Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting?

outpatient facilities

Which is the best example of a nurse demonstrating the role of caregiver?

starting an intravenous line in the client's arm

The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. Which statement on the assessment of the nursing process is accurate?

The nurse collects comprehensive data pertinent to the client's health or situation

A novice nurse is excited to finally be able to put all the training to use on the inpatient unit. Which factor should the nurse be sure to prioritize when beginning to interact with clients?

be an advocate for appropriate care

The nurse is developing a plan of care for a client. Which nursing action is defined as an activity(ies)/intervention(s)? Select all that apply.

holding the client's hand starting an IV educating clients

When administering immunizations, the nurse is engaged in:

illness prevention.

Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree?

using research findings to improve practice

Which advancement in the nursing profession occurred immediately after World War II?

Advanced nursing education was established.

The registered nurse communicates with the physical therapist that a client is now on strict bed rest due to bradycardia. Which statement best explains the standard exemplified by the nurse?

The RN coordinates care delivery.

The nurse is caring for a client who ascribes to the theory of animism. When attempting to explain this theory to other staff members, the nurse should state:

"Everything in nature is alive with invisible forces."

Which activity by the nurse is an example of exercising professional standards of practice?

Attending a conference for continuing education credits