CH. 1 Fundamentals/PrepU

The nursing process is:

a critical thinking method used by nurses to provide nursing care that is individualized and holistic.

Establishing the criteria for the education and licensure of nurses is a component of:

a state's nurse practice act.

Which are approved as nursing diagnoses? Select all that apply.

Impaired Skin Integrity Caregiver Role Strain Compromised Family Coping

The nurse discussing the importance of professional nursing organizations setting standards should include which statement?

It helps identify nursing as a profession.

Who established the first public health service for the sick and poor?

Lillian Wald

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

Mary Breckinridge

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

Nursing process

The nurse is considering medical-surgical certification after working in a medical-surgical floor for the past five years. Nursing specialty certification is given by which group?

American Nurses Credentialing Center (ANCC)

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.

A client is brought to the emergency department with a head injury following an all-terrain vehicle (ATV) accident. The nurse asks the family members to describe how the accident occurred. The nurse is implementing which ANA standard?

Collaboration

Which nursing actions are characteristic of the nurse's role as communicator?

Establishing and maintaining helping relationships with clients of all ages in a variety of settings

The nurse is documenting the client's response to a medication. This action reflects a practice that was started by which key figure in nursing's history?

Florence Nightingale

Which scenario is the best example of a nurse implementing care according to the ANA standards of practice?

Providing nutrition teaching to a client with diabetes

Of the following orders, which is considered to be the first to provide visiting nurses in Canada?

The Grey Nuns of Montreal

The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse?

The RN collects comprehensive data.

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 must possess several characteristics to be successful in this profession. Secondary to critical thinking skills, which is of great value?

advocating for the client at all times

Which action by the nurse best represents the evaluative portion of the nursing process?

assessing a client's blood pressure after teaching stress reduction techniques

The nurse is caring for a client who is on a ventilator. The nurse is bathing and talking to the client, including telling the client what is going to happen next. The nurse speaks to the client in a soothing manner. The nurse is acting in which role? Select all that apply.

caregiver communicator educator

When administering immunizations, the nurse is engaged in:

illness prevention.

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

outpatient facilities

The nurse is utilizing knowledge about a blood pressure medication's actions and side effects to determine whether or not to give a client, whose blood pressure is low, the prescribed blood pressure medication. What best describes the aspect of nursing demonstrated?

science of nursing

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

Lillian Wald

Trends in managed care have resulted in an increased focus on the care of clients by nurses in which settings?

community-based settings

The nurse is discussing the recommended entry level for professional nursing practices. Which is the most accurate statement by the nurse?

"BSN is the recommended entry level by national nursing organizations."

The nurse is conducting a class for nursing assistants. One of the students asks the nurse why blood pressure, pulse, and temperature are called "vital signs." Which explanations would the nurse offer the student?

"Because significant deviation from normal is not compatible with life."

A recently licensed registered nurse is preparing to enter practice in an acute care facility and wants to practice within the guidelines of that state. When preparing to research the state nurse practice act, what information is important to obtain? Select all that apply.

Definition of legal scope of nursing practice Definition of important terms related to nursing Establishment of educational criteria

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

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.

The nurse is caring for a postoperative client, and administers a pain medication prescribed on a p.r.n. basis by the health care provider. What best describes the type of intervention the nurse is demonstrating?

collaborative intervention

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

starting an intravenous line in the client's arm

The nurse studies Dorothea Dix, an individual who organized women volunteers to care for the Civil War troops. For which other groups did Dorothea Dix improve health care? (Select all that apply.)

the mentally ill the blind the deaf the homeless