Chapter 1: Introduction to Nursing
The RN is working with hospital administrators to transform care at their facility. Which nursing competency will be critical for the nurse to utilize? Navigate the electronic medical records system Correctly utilize and troubleshoot high-tech equipment Do things the way they have always been done Work effectively in interdisciplinary teams
Work effectively in interdisciplinary teams
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 evidence-based practice science of nursing application of research
art of nursing
The primary aim of the Healthy People 2020 initiative is: health restoration. health promotion. coping with disability. illness prevention.
health promotion.
A nurse educator is discussing the criteria that define nursing as a profession. Which nursing actions are based on these criteria? Select all that apply.
A nurse uses diagnosis, interventions and evaluation to plan nursing care for clients. A nurse follows an established code of ethics when performing actions for clients who are in hospice. A nurse is committed to using ongoing research when planning nursing care for clients.
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 taking the new state's licensing exam asking the current state to transfer the license No action is needed by the nurse.
applying for a reciprocal license in the new state
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. ANA invites students showing excellence in scholarship to become members. members include nurses, other health care providers, and lay people. membership is open to all nurses in the United States.
ANA aims at fostering high standards of nursing in the United States.
Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this? Taking an online class at a university Passing the NCLEX exam Completing clinical hours supervised by a nursing instructor Participating in a paid internship
Completing clinical hours supervised by a nursing instructor
Which individual provided community-based care and founded public health nursing? Lillian Wald Mary Adelaide Nutting Clara Barton Sojourner Truth
Lillian Wald
A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care? The nurse as the caregiver The nurse's actions The client receiving the care Nursing as a profession
The client receiving the care
Which is the best example of a client-centered approach to care? The nurse asks the client what the client would like to order from the menu. The nurse draws a blood sample from a client. The nurse helps a client ambulate. The nurse asks the client about health goals.
The nurse asks the client about health goals.
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? "The child is in the 95th percentile for weight." "Keep all medications in a locked cabinet." "Does the child have nightmares often?" "Do not give the child a bottle now."
"Keep all medications in a locked cabinet."
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." "The physician is viewed as a god-like figure." "The nurse is the handmaiden of the physician." "Pets can help heal clients."
"Everything in nature is alive with invisible forces."
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." "Take two ibuprofen every 4 to 6 hours." "Take one acetaminophen every 4 hours." "No nurse can prescribe a medication."
"Only advanced practice registered nurses have prescriptive authority."
Which nursing group provides a definition and scope of practice for nursing? American Nurses Association (ANA) The Joint Commission International Council of Nurses (ICN) American Academy of Neurology (AAN)
American Nurses Association (ANA)
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 planning to pursue further education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which expanded career role is the nurse preparing? Nurse-midwife Nurse manager Clinical nurse specialist Physician assistant
Clinical nurse specialist
What is the best nursing intervention to promote health in a client at risk for heart disease? Taking the client's pulse rate daily Emphasizing a client's strengths to encourage weight loss Instructing the client to adhere to a high-sodium diet Informing the client that the client must lose weight
Emphasizing a client's strengths to encourage weight loss
The nursing process includes step(s)? Select all that apply. Evaluate Assess Plan Implement Prescribe
Evaluate Assess Plan Implement
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. Teacher Financier Communicator Counselor Statistician
Teacher Communicator Counselor
In the role of entrepreneur, the nurse's primary responsibility is: teaching in a clinical setting. administering resources. managing personnel involved in client care. managing a health-related business.
managing a health-related business.
he 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 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? Client advocate Decision-maker Caregiver Educator
Educator
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.
What might a nurse need to do to ensure the continuation of his or her nursing license? Obtain continuing education credits. Obtain a master's degree. Obtain a baccalaureate degree. Attend hospital in-services.
Obtain continuing education credits.
The first nursing journal owned, operated, and published by nurses was: Nursing Research American Journal of Nursing Standards of Clinical Nursing Practice Nurse Educator
American Journal of Nursing
Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)? The RN is permitted to prescribed medications. The LPN/LVN can only work in a long-term care facility. The RN directs the workload of an LPN/LVN. The LPN/LVN should work under the supervision of an RN.
The LPN/LVN should work under the supervision of an RN.
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 oversees the care coordination of a group of clients. The nurse practices only with a private practitioner. This requires at least a doctoral degree education. The nurse may teach advanced education for nurses.
The nurse may teach advanced education for nurses.
The need for university-based nursing education programs was brought to light during which important historical time? World War I Korean War World War II Spanish-American War
World War II
A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which task is most appropriate for the nurse to delegate to the licensed practical nurse (LPN)? administering blood products administering intravenous push medication administering chemotherapy administering bedside blood glucose testing
administering bedside blood glucose testing
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: assistive functioning. independent functioning. authoritative functioning. collaborative functioning.
collaborative functioning.
What was one barrier to the development of the nursing profession in the United States after the Civil War? lack of candidates interested in taking up the nursing profession lack of educational standards lack of nursing instructors lack of clear distinction between nursing and medicine lack of nursing instructors lack of clear distinction between nursing and medicine
lack of educational standards
The nurse is conducting a community education class on the 2011 Institute of Medicine (IOM) report on the role of nursing in transforming health care. Which statements made by the nurse correlate with the IOM recommendations for transforming nursing education? Select all that apply. "Education should be transformed to ensure a seamless academic transition." Baccalaureate-trained nurses do not need further academic training. "Nurses are no longer the handmaidens of physicians and should be full partners in redesigning health care." The infrastructure for data collection related to nursing is in place. Nurses should follow physicians' lead for changing the health care system.
"Education should be transformed to ensure a seamless academic transition." "Nurses are no longer the handmaidens of physicians and should be full partners in redesigning health care."
The nurse is caring for a client at the end stage of life. The client is crying and states to the nurse, "I just cannot believe I am going to be leaving my children without a parent. I am not ready to go." What response by the nurse demonstrates the expression of empathy to the client? "This is so sad and I feel so bad that you are in this situation." "It sounds as though you are most concerned about how your children will feel." "This just is not fair at all and I do not understand why this is happening to you." "I am so sorry that I am crying with you when you need my support the most."
"It sounds as though you are most concerned about how your children will feel."
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
American nurses association
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? Limitations that nurses have in the workforce Rapid growth of nurses and shortage of job opportunities Difficulty for nurses to remain current in a rapidly changing medical and technology environment Decrease in health care costs
Difficulty for nurses to remain current in a rapidly changing medical and technology environment
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? Rapid growth of nurses and shortage of job opportunities Difficulty for nurses to remain current in a rapidly changing medical and technology environment Limitations that nurses have in the workforce Decrease in health care costs
Difficulty for nurses to remain current in a rapidly changing medical and technology environment
A nurse is moving to another state and will be working at an acute care facility. Prior to beginning practice, what actions should the nurse take to be compliant with state guidelines for nursing practice? Select all that apply. Access educational resources related to nursing practice in another state Research the laws and regulations that govern nursing practice in the new state Visit the state board of nursing offices Locate the state nursing practice acts Define the legal requirements and titles for registered nurses (RNs) and licensed practical nurses (LPNs) Let the present state board of nursing know that the nurse is leaving the state
Research the laws and regulations that govern nursing practice in the new state Locate the state nursing practice acts Access educational resources related to nursing practice in another state Define the legal requirements and titles for registered nurses (RNs) and licensed practical nurses (LPNs)
A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers? They usually have a baccalaureate degree in nursing. They serve as liaisons between staff members and directors of nursing. They tend to work in community health centers and long-term care units. They are responsible for the continued development and advancement of nursing.
They are responsible for the continued development and advancement of nursing.