Chapter 1
Which is a characteristic of nursing practiced from early civilization to the 16th century?
Most early civilizations believed that illness had supernatural causes.
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."
A nurse identifies a client's health care needs and devises a plan of care to meet those needs. Which guideline is being followed in this case?
Nursing process
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?"
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."
The nurse is evaluating client health. Which client should the nurse determine to be exhibiting the most signs of health?
A client with a leg amputation who performs activities of daily living with a prosthesis
Which scenario is the best example of a nurse in the role of counselor?
A nurse allowing a crying client to verbalize fears of death
The community health nurse creates a program to promote the health of the community using health promotion principles. Which intervention would the nurse include in this program?
Activities focused on maintaining wellness
The first nursing journal owned, operated, and published by nurses was
American Journal of Nursing
The nursing process includes step(s)? Select all that apply.
Assess Implement Plan Evaluate
The nursing process includes step(s)? Select all that apply.
Assess Plan Evaluate Implement
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?
Clinical nurse specialist
Which challenge associated with technology most affects nurses today?
Client privacy issues within the social media realm
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
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.
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
Which best exemplifies the role of the nurse as educator?
Discussing side effects of a medication with a client
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 action should the nurse implement when working with a medically homeless client?
Encourage client to utilize the free health care clinic.
Which standards are monitored by the Quality and Safety Education for Nurses (QSEN)? Select all that apply.
Evidence-based practice Client-centered care Informatics Quality improvement
A current nursing trend for the next 10 to 20 years is an abundance of practicing nurses.
FALSE
Graduates of a diploma nursing program are not eligible to take the NCLEX-RN examination.
FALSE
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
For the nurse to become a nurse practitioner, what is the minimal degree the nurse will need to acquire?
Master's
What might a nurse need to do to ensure the continuation of his or her nursing license?
Obtain continuing education credits.
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 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.
As defined by the World Health Organization, health includes physical, social, and mental components and is not merely the absence of disease or infirmity.
TRUE
Reciprocity is the process that allows a nurse to apply for and be endorsed as a registered nurse by another state.
TRUE
The major goals of health care are promoting, maintaining, and restoring health.
TRUE
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 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.
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 registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs?
They must take a licensure exam.
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
To meet the aims of nursing practice, the nurse uses four blended competencies: _____________, technical, interpersonal, and ethical/legal.
cognitive
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 bedside blood glucose testing
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
Health promotion activities that are the framework for nursing activities are considered __________ centered.
patient
There are 12 Standards of Practice?
assessment, diagnosis, outcomes identification, planning, implementation, evaluation, ethics, culturally congruent practice, communication, collaboration, leadership, and education.
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 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 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 essential activities involved in the nursing process are assessing, _____________, planning, implementing, and evaluating.
diagnosing
Which nursing action best exemplifies the nurse's role in promoting health?
encouraging a group of junior high school students to engage in regular physical activity
The primary aim of the Healthy People 2020 initiative is:
health promotion.
Nursing theories and nursing research provide a foundation for _________-based nursing practice that defines the rationale for nursing actions.
evidence
Which action by the nurse is the best indication that the nurse is incorporating the quality and safety education for nursing (QSEN) competency of teamwork and collaboration in the plan of care for a client?
including the client in the morning rounds of the health care team
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
In the role of entrepreneur, the nurse's primary responsibility is:
managing a health-related business.
Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply
Assisting a client and his family to prepare for death Teaching a client and her family how to live with diabetes Providing counseling for the family of a teenager with an eating disorder
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 a member of a team that is actively involved with trying to reverse the nurse shortage in the community. As the nurse looks over the notes from the most recent meeting, which factor(s) should the team prioritize to tackle this issue? Select all that apply.
implement clinical pathways for clients admitted to the hospital offer multicultural diversity training in the community encourage training for advanced practice roles among the nurses
Nurse _________ Acts are laws established in each state in the United States to regulate the practice of nursing.
practice
A nurse has recently completed the administration of seasonal influenza vaccinations for the residents of a long-term care facility. Which aim of nursing has the nurse most clearly demonstrated?
preventing illness
