Module 3 Practice Quizzes

Conducting blood pressure screenings in an underserved area

Which nursing activities will be most effective to help achieve the Healthy People 2020 guideline to eliminate health disparities among clients?

Ambulate 30 ft (9 m) twice a day with the assistance of a walker.

Which is an appropriately stated nursing intervention?

The nurse asks the client about health goals.

Which is the best example of a client-centered approach to care?

starting an intravenous line in the client's arm

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

Encouraging a group of junior high school students to engage in regular physical activity

Which nursing action best exemplifies the nurse's role in promoting health?

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

Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply.

Increasing student awareness of sexually transmitted diseases by distributing informational pamphlets at a college health center Serving as a role model of health for patients by maintaining a healthy weight Facilitating decisions about lifestyles that would enhance the well-being of a teenager

Which nursing actions demonstrate the aim of nursing to promote health? (Select all that apply.)

American Nurses Association (ANA)

Which nursing group provides a definition and scope of practice for nursing?

Refer the mother for a home care visit.

Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding?

Discussing your recent breakup with your boyfriend with a patient who is also going through a difficult breakup. Asking a patient if they would like to go out for dinner after they are discharged.

Which of the following are examples of nonprofessional involvement? (Select all that apply.)

American Nurses Association

Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?

Empathy

Which qualities in a nurse help the nurse to become effective in providing for a client's needs while remaining compassionately detached?

Providing nutrition teaching to a client with diabetes

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

A nurse allowing a crying client to verbalize fears of death

Which scenario is the best example of a nurse in the role of counselor?

Assessing whether the client is able to perform a dressing change

Which scenario is the best example of the nurse in the role of teacher/educator?

Aging

Which social force has most significantly impacted the future supply and demand of nurses?

"What day of the week is it?"

A 70-year-old female client had a cholecystectomy four days ago. The client's daughter tells the nurse, "My mother seems confused today." Which question would be best for the nurse to ask the client in order to assess the her orientation?

asking the client if he or she has recently taken ferrous sulfate (iron) or bismuth subsalicylate.

A client arrives at the emergency department after experiencing several black, tarry stools. The nurse will develop a cause and effect by:

"Only advanced practice registered nurses have prescriptive authority."

A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse?

"Surgery is your only option. You need this operation."

A client is reluctant to undergo surgery and is discussing it with the nurse. Which response by the nurse would reflect an authoritarian approach?

"What questions do you have about the surgery?"

A client scheduled to have hip replacement surgery states, "I am so scared of the surgery and of the anesthetic." What is the best response by the nurse?

The working phase

A dialysis nurse is educating a client on caring for the dialysis access that was inserted into the client's right arm. The nurse assesses the client's fears and concerns related to dialysis, the dialysis access, and care of the access. This information is taught over several sessions during the course of the client's hospitalization. Which phase of the working relationship is best described in this scenario?

ask to speak to the night shift nurse in private and explain how the comment made her feel.

A graduate nurse has been working on a telemetry unit for 6 months. The nurse arrives at work in the morning and overhears a night shift nurse talking about the graduate nurse. The night shift nurse is heard saying, "That new nurse is only here to meet a doctor and get married." The best response by the new nurse would be to:

Orientation phase

A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established?

Clinical nurse specialist

A long-term care facility is seeking an advanced practice nurse to educate the staff regarding palliative care for the residents. The facility would benefit most by hiring which advanced practice nurse?

Open-ended question

A male client has always prided himself in maintaining good health and is consequently shocked at his recent diagnosis of diabetes. The nurse has asked the client, "How do you think your diabetes is going to affect your lifestyle?" The nurse has utilized which of the following interviewing techniques?

an incongruent relationship.

A nurse communicating with a client states, "I will be changing your dressing, but we have plenty of time to talk first." She is already wearing sterile gloves and a mask and is busy working with her back to the client. The nurse is conveying:

aggressive.

A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be:

"This must be very difficult for you to hear. How do you feel right now?"

A nurse has developed strong rapport with the wife of a client who has been receiving rehabilitation following a debilitating stroke. The wife has just been informed that her husband will be unlikely to return home and will require care that can only be provided in a facility with constant nursing care. The client's wife tells the nurse, "I can't believe it's come to this." How should the nurse best respond?

Obesity

A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document Healthy People 2010. Which disease/condition is a health indicator discussed in this document?

"What factors have contributed to your weight loss over the last few months?"

A nurse is assessing a client's nutritional intake prior to admission based upon information that indicates the client has lost 10 lb (4.5 kg) over the last 2 months. Which therapeutic communication technique is appropriate to gain information?

"You're worried about how you will tolerate the pain associated with labor."

A nurse is assessing vital signs on a pregnant client during a routine prenatal visit. The client states, "I know labor will be so painful, it sounds awful. I am sure I will not be able to stand the pain; I really dread going into labor." What is the best response from the nurse?

sit at the bedside and allow the client to explain the statement.

A nurse is at the end of a busy shift on a medical-surgical unit. The nurse enters a room to empty the client's urinary catheter and the client says, "I feel like you ignored me today." In response to the statement, the nurse should:

swaddling the child and gently stroking its head.

A nurse is attempting to calm an infant in the nursery. The nurse responds to the highest developed sense by:

allow the client to set the pace.

A nurse is attempting to complete an admission database. While taking the history, the nurse notices the client appears uncomfortable and slightly tachypneic. The nurse should:

"My name is Sue Smith, RN and I am calling regarding Mrs. Jones in room 356 at Jefferson hospital."

A nurse is calling a physician to communicate a change in the client's condition. According to the ISBARR format for handoff communication among health care personnel, which is the most appropriate way to begin the conversation?

"Share with me the advantages and disadvantages of your options as you see them."

A nurse is caring for a client experiencing biliary colic from uncomplicated cholelithiasis. The client asks, "My doctor says I should have surgery to remove my gallbladder. Do you think it is really necessary?" What is the nurse's best response?

"I know this is hard for you. Is there any way I can help?"

A nurse is caring for a client who is newly diagnosed with terminal cancer. The nurse enters the client's room and finds the client sitting in the dark crying. Which statement conveys empathy by the nurse?

"Is that a new shirt you're wearing?"

A nurse is caring for a client with depression. The nurse finds that the client is withdrawn and does not communicate with others. What is the most appropriate response by the nurse?

"You said that you do not smoke, but you have an open package of cigarettes in your pocket."

A nurse is collecting a health history on a client. When asked about alcohol, tobacco, and drug use, the client states, "I quit smoking 10 years ago." However, the nurse observes an open package of cigarettes in the client's shirt pocket. What is the most appropriate response by the nurse?

The nurse maintains eye contact with the client. The nurse shows patience with the client and gives the client time to respond. The nurse keeps communication simple and concrete.

A nurse is communicating the plan of care to a client who is cognitively impaired. Which nursing actions facilitate this process? Select all that apply.

Be silent and allow the client to continue speaking when ready.

A nurse is completing a health history with a newly admitted client. During the interview, the client presents with an angry affect and states, "If my doctor did a good job, I would not be here right now!" What is the nurse's best response?

applying for a reciprocal license in the new state

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?

A nurse helps a colleague write a journal article A nurse encourages a colleague to join the hospital journal club A nurse encourages a colleague to join the American Nurses Association (ANA)

A nurse is demonstrating collegiality in professional practice. Which behaviors practiced by the nurse correlate with this standard of practice? Select all that apply.

"I understand you have four kids; how many times have you actually been pregnant?"

A nurse is obtaining a history from an adult female client. When the nurse asks how many times the client has been pregnant, the client answers, "I have four kids." Which statement, made by the nurse, seeks clarification of the original question?

ask to speak to the physician in private and address any disrespectful remarks or behaviors.

A nurse is on his lunch break in the hospital cafeteria and sits at a table near a group of physicians eating their lunch. The nurse recognizes one of the physicians as being in charge of his clients. The nurse witnesses the physician point at the nurse and state, "That guy needs to get fired." The best response by the nurse would be to:

Clinical nurse specialist

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?

communication channel.

A nurse touches the client's hand while discussing his diagnosis. This action is a(an):

reviewing health changes

A nurse who has been caring for a client for the past few days is preparing the client for discharge and termination of the nurse-client relationship. Which activity would the nurse be carrying out?

Stop the LPN/LVN immediately and discuss the possible consequences of this action.

A nurse working with an experienced licensed practical/vocational nurse (LPN/LVN) delegates the task of administering oral medications to a team of clients. The nurse observes the LPN/LVN document a client's medication administration before entering the client's room. What is the most appropriate action of the nurse?

Baccalaureate program

A student is choosing an educational path and desires a nursing degree with a track for community nursing and leadership and that allows for classes in liberal arts. The student would best be suited in which type of program?

Control the tone of the voice to avoid hidden messages.

A student nurse is attempting to improve their communication skills. Which therapeutic communication skill is appropriate?

have group members confront the dominant member to promote the needed team work.

A unit-based infection control task force was developed in an attempt to reduce catheter-acquired infections. The group consists of 10 team members. During the past three meetings, one person dominated the meeting and did not allow other members ample time to speak. The best way to address the team dysfunction is to:

ANA aims at fostering high standards of nursing in the United States.

After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that:

ask the client why she thinks she will wake up during surgery.

An evening shift nurse is caring for a client scheduled for a colon resection in the morning. The client tells the nurse she is afraid of waking up during surgery. The best response by the nurse is to:

an incongruent relationship

An older adult client who has had a colostomy for over 10 years states, "I won't need any teaching about colostomies. I understand how to change the bag and care for my colostomy, but I'm not sure how to best clean my stoma." What does this statement indicate?

Mary Eliza Mahoney

Attracting minorities to the profession of nursing is an important consideration for the future of nursing. Which key historical nursing figure set a precedent in this area?

Working phase

Care provided to a client following surgery and until discharge represents which phase of the nurse-client relationship?

Analysis

Carl Rogers (1961) studied the process of therapeutic communication. Through his research, the elements of a "helpful" person were described. They include all of the following except which choice?

outpatient facility

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

Psychiatric services

During the Christian era, nursing care excluded which area?

Women's subordination to men

During the Reformation, which factor influenced the decline of nursing?

Completing clinical hours supervised by a nursing instructor

Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this?

Therapeutic communication

In order to provide effective nursing care, the nurse should engage in what type of communication with the client and significant others?

managing a health-related business.

In the role of entrepreneur, the nurse's primary responsibility is:

18th to 19th century

In what time period did nursing care as we now know it begin?

Dorothea Dix

Nurses that enlist their services to the military are able to do so thanks to the work of which organizer of health care?

Lillian Wald

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

The nurse collects comprehensive data pertinent to the client's health or situation.

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?

Dorothea Dix

The Nurse Corps of the United States Army was established by whom?

Work effectively in interdisciplinary teams

The RN is working with hospital administrators to transform care at their facility. Which nursing competency will be critical for the nurse to utilize?

Speak directly to the client.

The client recently immigrated from Mumbai, India. The client was just admitted to the nurse's unit postoperatively following gallstone removal. The client does not speak the dominant language. When using the hospital's interpretive services, which is most important?

Nursing process

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

American Journal of Nursing

The first nursing journal owned, operated, and published by nurses was:

Christian era

The identity of the nursing profession was primarily shaped during which historical period?

World War II

The need for university-based nursing education programs was brought to light during which important historical time?

"Do you have any questions about your cholecystectomy?"

The newly hired nurse is collecting assessment data for an upcoming surgical procedure from a client who speaks English as a second language. Which statement or question made by the newly hired nurse would indicate to the nurse educator that intervention is needed?

difficulty with decoding messages

The nurse caring for a client with a recent head injury asks the client to raise his left arm as high as possible. The client repeatedly raises his right arm. What does this indicate?

"You are hoping to figure out the cause of your extreme fatigue during this hospital stay."

The nurse completes the admission process of a client to an acute care facility. Which statement by the nurse demonstrates the communication technique of focusing?

The RN promotes a safe environment.

The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented?

Mary Breckinridge

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

Associate degree

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?

The nurse is accountable for the outcome.

The nurse is attempting to develop therapeutic nurse-client relationship with a newly admitted clientl . What expectations does the nurse have when developing the relationship?

"Keep all medications in a locked cabinet."

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?

To restore health

The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?

"Everything in nature is alive with invisible forces."

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:

Asking the client, "How are you today? I am really worried about you."

The nurse is caring for a client who cannot meet health needs independently. Which action made by the nurse depicts concern and attachment?

American Nurses Credentialing Center (ANCC)

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?

Cues or inferences that cluster as observable cues or manifestations of an actual illness or wellness health state

The nurse is creating a plan of care for a client and has performed a subjective and objective assessment. What is most important when forming a nursing diagnosis for the client that is a defining characteristic?

Educator

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?

Science of nursing

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?

Orientation phase

The nursing instructor is discussing communication with a student. The student identifies that a contract is made with the client during which phase of the nurse-client relationship?

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

The nursing process is:

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 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?

health promotion.

The primary aim of the Healthy People 2020 initiative is:

The RN coordinates care delivery.

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?

Florence Nightingale

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 key contributor to nursing?

"It is important to enroll in a smoking cessation class."

The registered nurse is teaching a community health class about illness prevention. Which statement reflects understanding of this concept?

allowing the client time to reflect on his thoughts reflecting on the communication that has occurred after asking the client a question when the client is upset and needs time to compose himself

The student nurse is practicing communication skills by talking with several different clients in the hospital. In which instances would silence be appropriate? Select all that apply.

The sender and the receiver use one another's reactions to produce further messages.

The student nurse is studying the concepts of communication. Which description demonstrates the student understands the concept of feedback?

interpersonal bridge between verbal and nonverbal communication.

The term metacommunication is best defined as:

Telling a client their blood pressure Calling a physician about a client's blood pressure Informing the physical therapist that the client's therapy was discontinued Discussing laboratory values with a client

What are the best examples of the role of the nurse as a communicator? Select all that apply.

To ensure knowledgeable, safe, comprehensive nursing care

What is the primary purpose of standards of nursing practice?

Obtain continuing education credits.

What might a nurse need to do to ensure the continuation of his or her nursing license?

Lack of educational standards

What was one barrier to the development of the nursing profession in the United States after the Civil War?

"The thought of having surgery is keeping you awake."

When the preoperative client tells the nurse that he cannot sleep because he keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is:

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

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

Impaired Skin Integrity Caregiver Role Strain Compromised Family Coping

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

Client privacy issues within the social media realm

Which challenge associated with technology most affects nurses today?

The LPN/LVN should work under the supervision of an RN.

Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)?