Ch. 1 (Introduction to Nursing)
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
Which of the following is the best example of a nurse in the role of counselor?
A nurse allowing a crying client to verbalize their fears of death
A 32-year-old construction worker is admitted to the emergency department after suffering a heat stroke. Which of the following IV solutions would the nurse expect the physician would order?
A solution of normal saline
The first nursing journal owned, operated, and published by nurses was:
American Journal of Nursing
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
An early example of the implementation of epidemiologic practices is seen by
Israelites' practice of sanitation and food inspection
A prospective nursing student desires a career that will allow him 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 of Vocational Nursing Program
Trends in managed care have resulted in an increased focus on the care of clients by nurses in which settings?
Community-based settings
Which of the following actions should the nurse implement when working with a medically homeless client?
Encourage client to utilize the free healthcare clinic.
A nurse educator is discussing the role of nursing based on the American Nurses Association (ANA). Which statement best describes this role?
It is the role of nursing to provide a caring relationship that facilitates health and healing.
Florence Nightingale introduced the concept of apprenticeship for nurses. Which of the following statements is an example of this?
Completing clinical hours supervised by a nursing instructor
During the course of any given day of work in the acute care setting, the nurse may need to perform which of the following roles? Select all that apply.
-Communicator -Counselor -Teacher
In what time period did nursing care as we now know it begin?
18th to 19th century
The nurse is evaluating client health. Which of the following clients should the nurse determine to be exhibiting the most signs of health?
A client with a leg amputation that performs activities of daily living with a prosthesis
Which of the following nursing groups provides a definition and scope of practice for nursing?
ANA
Which is an appropriately stated nursing intervention?
Ambulate 30 ft. twice a day with assistance of a walker.
A student is choosing her educational path and desires a nursing degree with a track that contains community nursing and leadership, as well as liberal arts. The student would best be suited in which type of program?
Baccalaureate program
The nurse is helping the unlicensed assistive personnel (UAP) bathe the client, who is experiencing a lot of pain when repositioned in bed. Which nursing responsibility is the nurse demonstrating?
Client advocate
A nurse is planning to continue her education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which of the following expanded career roles is the nurse preparing?
Clinical nurse specialist
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
One of the role's that the nurse has in practice is that of a communicator. What attributes by the nurse demonstrate that is characteristic of this role?
Establishing and maintaining helping relationships with clients of all ages in a variety of settings
A student nurse understands that the primary aim of the Healthy People 2020 initiative is
Health Promotion
A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse?
Masters
Nursing is described in various ways. The focus of all nursing interventions can be described by which statement?
Nursing focuses on the human experience and responses of individuals, families, and groups.
Teaching a woman about breast self-examination is an example of what broad aim of nursing?
Preventing illness
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.
The nurse is attempting to provide anticipatory guidance for the parents of an eighteen-month-old boy. Which of the following would be the best statement for the nurse to make?
"Keep all medications in a locked cabinet."
A client asks asks an RN to prescribe a medication for pain. Which of the following is the best answer by the nurse?
"Only advanced practice registered nurses have prescriptive authority."
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 conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented?
The RN promotes a safe environment.
Nurses must use multiple mechanical devices in the workplace to assess their patients. The data collected from these devices supply what type of information?
objective
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.
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
American Nurses Association
A man age 61 years is distraught because he has just learned that his most recent computed tomography (CT) scan shows that his colon cancer has metastasized to his lungs. Which nursing aim should the nurse prioritize in the immediate care of this client?
Facilitating Coping
The nurse recognizes that immunizations are an example of:
Illness prevention
What was one barrier to the development of the nursing profession in the United States after the Civil War?
Lack of Educational Standards
Which explanation differentiates the Registered Nurse (RN) from the Licensed Practical Nurse (LPN)?
The LPN should work under the supervision of an RN.
The need for university-based nursing education programs was brought to light during which important historical time?
World War II
What is the primary purpose of standards of nursing practice?
to ensure knowledgeable, safe, comprehensive nursing care
A nurse is providing care for clients in a long-term care facility. Based on the definitions of nursing in the textbook, what should be the central focus of this care?
the client receiving the care
Which of the following are the best examples of the role of the nurse as a communicator? Select all that apply.
-Calling a physician about a client's blood pressure -Telling a client their blood pressure -Informing the physical therapist that client's therapy was discontinued
The nurse is describing the role of the nurse entrepreneur. Which of the following statements best describe this role?
A nurse who manages a health-related business
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."
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
The nurse that has been in practice for 15 years is able to use intuition when providing care to clients and also utilizes resources and demands to attain specific goals. According to Author Patricia Benner, in From Novice to Expert (1984), what stage of practice is the nurse displaying?
Expert
What might a nurse need to do to ensure the continuation of his/her nursing license?
Obtain continuing education credits.
The postoperative patient's plan of care contains an intervention to ambulate twice a day 200 feet with assistance of one member of the healthcare team. The intervention was not completed one morning due to his pain. Which of the following would be the appropriate way to document the missed event?
The patient reported his pain at a level of 8/10 at 30 minutes after dosing. The patient was returned to bed and the physician was notified of the uncontrolled pain level with the current medication order.
During the Reformation, what factor influenced the decline of nursing?
Women's subordination to men
The RN is working with hospital administration to transform care at their facility. Which of the following nursing competencies will be critical for the nurse to utilize?
Work effectively in interdisciplinary teams.
A nurse is considering relocating to another state to practice nursing. Which of the following 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 who ascribes to the theory of animism. When attempting to explain this theory to other staff members, the nurse should state which of the following?
"Everything in nature is alive with invisible forces."
The nurse is providing education about reducing the risk of exposure to bloodborne pathogens during venipuncture. Which statements by a student indicates the need for additional education?
-"To reduce my chances of being stuck by a contaminated needle, I should recap the used needle promptly." -"The only way to protect myself from hepatitis B infection is to observe standard precautions with every venipuncture." -"I should always identify which patients have hepatitis B or HIV prior to any procedure that may expose me to their blood or body fluids."
Which nursing actions demonstrate the aim of nursing to facilitate coping?
-Teaching a patient and his/her family how to live with diabetes -Assisting a patient and his/her family to prepare for death -Providing counseling for the family of a teenager with an eating disorder
The nurse graduated several years ago from a 2-year nursing program at a community college near the home city. Recently, the nurse has considered moving from providing direct client care into an administrative role, but recognizes the need for further education to be considered for such a position. The nurse most likely possesses which nursing qualification?
Associate Degree
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
A person practicing nursing in the 1950s would most likely have been influenced by what trend?
Large numbers of women began to work outside the home, asserting their independence.
The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which of the following nursing leaders?
Mary Breckinridge
The student nurse is changing the bed linens of a hospitalized patient. While placing the contaminated materials into the laundry bag, the outside of the bag is touched by the material. What should the student nurse do next?
Obtain another laundry bag and place the contaminated bag inside while in the patient's room.
The diploma nurse is considering obtaining a baccalaureate degree. Which degree should the nurse investigate?
RN to BSN
Which of the following is the best example of client-centered approach to care?
The nurse asks the client about his health goals.
