Ch. 1 - Nursing Foundations
Which nursing action is most dependent on technical skill?
Changing a client's wound dressing while maintaining asepsis
A nurse is evaluating clients in an outpatient clinic. Which client requires the nurse to include a secondary illness in the plan care?
Client with a history of chronic obstructive pulmonary disease (COPD) now had symptoms of right side heart failure
Which of the following statements accurately describes the formation of a nursing diagnosis?
Collection of assessment data provides the basis for identifying nursing diagnosis
Advocating for financial support for university-based schools of nursing was noted in which government document?
The Goldmark Report
A nurse mentoring second-year nursing students from a community college plans clinical experience 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 physician has written orders for a pain medication, and the order 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
Trends in managed care have resulted in an increased focus on the care of clients by nurses in which setting?
community-based settings
Which guidelines do nurses follow to identify the client's health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes?
nursing process
The nurse is working with an LPN, understands which of the following about LPNs?
they must take a licensure exam
The need for university-based nursing education programs was brought to light during which important historical time?
World War II
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 occur?
a solution of normal saline
In what time period did nursing care, as we know it, begin?
18th-19th century
A nursing student is obtaining an associate's degree in preparation to sit for the NCLEX-RN. How many years will the students likely be in the program?
2
Which nursing group provides a definition and scope of practice for nursing?
ANA (American Nursing Association)
What are common elements in a state's nurse practice act? (4)
Definition of legal scope of practice Creation of a state board of nursing Criteria for the education of a LPN Requirements for the licensure of the RN
Which organization has established standards that help the nurse determine, which clinical actions fall under the scope of nursing practice?
American Nurses Association
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 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? (3)
Assist the client with activities of daily living Assist the client and family with the preparation for end-of-life Refer the client and family to hospice services
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 of nursing's key people's contributions to nursing?
Florence Nightingale
Which contributor to the nursing profession established two missions: sick nursing and health nursing?
Florence Nightingale
Which nurse posited a theory that can be practically applied to nursing as follows: "Nurses modify unhealthy aspects of the environment to put the client in the best condition for nature to art."
Florence Nightingale
A nurse instructor explains the concept of health to the students. Which statement accurately describes this state of being?
Health is a state of optimal functioning
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 or vocational nursing program
Nurses use assessment skills in their care of clients. What is the best example of an assessment skill?
Taking the temperature of a sick child
Which client is an example of "medically homeless"?
The client who goes to the emergency department for minor issues
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. What 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.
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
The nurse is administering immunizations to a group of teens in a county health clinic. The nurse correctly identifies this action as?
illness prevention
Which of the following is a current trend affecting nursing education and practice?
increase in chronic health conditions
Which description is consistent with the nurse's use of empathy during client care?
intuitive awareness of what the client is experiencing
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
Which age group in the population is expanding most rapidly, resulting in changes in the delivery of health care?
older adults
A nursing student who is completing a clinical placement on a busy hospital unit has learned about the importance of evidence-based practice from a nurse educator on the unit. Evidence-based practice allows nurses to?
predict the likely outcomes of nursing interventions
Teaching a woman about breast self-examination is an example of what broad aim of nursing?
preventing illness
During the Christian era, nursing care excluded which area?
psychiatric services
During the Reformation, what factor influenced the decline of nursing?
women's subordination to men
The client is admitted to the hospital. The nurse is using the nursing process to plan care for this client. Place in order the steps of the nursing process that the nurse would use for this client? (5)
1. The nurse assesses the client is short of breath, coughing, and expectorating thick, yellow sputum 2. The nurse analyzes the data and determines the client is experiencing an oxygenation problem 3. The nurse plans to teach the client about deep breathing, coughing sputum into a tissue, and disposing of the tissue in an appropriate receptacle 4. The nurse administers an intravenous antibiotic every 12 hours 5. The nurse evaluates lung sounds and vital signs for effectiveness of treatment
After hearing about the American Nurses Association, 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 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 education to be considered for such a position. The nurse most likely possesses which nursing qualification?
Associate's degree
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
Which nursing action best exemplifies the nurse's role in promoting health?
Encouraging a group of junior high students to engage in regular physical activity
What are healthy self-care practices that the nurse can utilize for herself? (4)
Engage in an activity, such as painting, that she enjoys Practice mediation for 5 minutes on a regular basis Attend a continuing education class on assertiveness Schedule adequate time for hygiene and eating before attendance at work
Nurses use counseling skills in their care of clients. Which best represents counseling skills?
Interventions that include communicating with clients, actively listening during exchanges of information, offering pertinent health teaching, and providing emotional support
Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. What nursing degree will she need to attain this goal?
Master's degree
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
A nurse is providing care for an elderly client who was admitted to the hospital several days ago after she suffered a stroke. What action by the nurse best demonstrates the definition of nursing that was identified by Henderson and adopted by the International Councial of Nurses?
Providing temporary assistance to maximize the client's recovery and rehabilitation
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
A nurse in the community has been asked to join an organization based on the leadership abilities demonstrated both in the facility of employment and community-based activities. Which organization best describes this process?
Sigma Theta Tau International
Which of the following are examples of the Institute of Medicine's (IOM) recommendations for transforming the nursing profession? (3)
The nurse is a graduate with an associate degree and enrolls in a program to obtain a bachelor's degree in nursing without taking any additional courses The nurse participates in a state-wide committee with other health professionals and legislators to address human trafficking The nurse notes an increase in hospitalized clients who have heart failure and implements a research study addressing this issue
A licensed practical nurse is planning to move to a new state and intends to begin practicing as soon as possible. This nurse should be aware that?
There may be differences in the scope of practice when a practical nurse relocates to a new state
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
What is the primary purpose of standards of nursing practice?
To ensure knowledge, safe, comprehensive nursing care
