Nursing 222

standards

rules or guidelines that allow nurses to carry out professional roles, serving as protection for the nurse, the patient, and the institution where health care is given

health

state of optimal functioning or well-being

licensure

to be given a license to practice nursing in a state or province after successfully meeting requirements

The need for university-based nursing education programs was brought to light during which important historical time? a. World War II b. Korean War c. World War I d. Spanish-American War

a. World War II

nurse practice act

law established to regulate nursing practice

What might a nurse need to do to ensure the continuation of his or her nursing license? a Attend hospital in-services. b Obtain continuing education credits. c Obtain a baccalaureate degree. d Obtain a master's degree.

b Obtain continuing education credits.

Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding? a Suggest that the mother bottle feed her infant. b Refer the mother for a home care visit. c Email the mother a link for breastfeeding. d Ask the mother to come to the emergency room.

b Refer the mother for a home care visit.

In what time period did nursing care as we now know it begin? a. pre-civilization b. 18th to 19th century c. 16th to 17th century d. early civilization to 16th century

b. 18th to 19th century

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: a. authoritative functioning. b. collaborative functioning. c. assistive functioning. d. independent functioning.

b. collaborative functioning.

The primary aim of the Healthy People 2020 initiative is: a. health restoration. b. health promotion. c. illness prevention. d. coping with disability.

b. health promotion.

secondary traumatic stress

feeling of despair caused by the transfer of emotional distress from a victim to a caregiver, which often develops suddenly

nursing process

five-step systematic method for giving patient care; involves assessing, diagnosing, planning, implementing, and evaluating

The role of the nurse developed from the pre-civilization era through the eras representing the beginning of civilization, the beginning of the 16th century, the 18th and 19th centuries, World War II era, and up to the present day. Place the following roles of the nurse listed below in the correct chronologic order to follow this timeline. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left.

1 Nurses were portrayed as a mother, caring for family and delivering physical care and health remedies. 2 Nurses were viewed as slaves, carrying out menial tasks based on the orders of the priest. 3 There was a shortage of nurses; criminals were recruited as nurses; nursing was viewed as disreputable. 4 Florence Nightingale elevated nursing to a respected occupation and founded modern methods in nursing education. 5 Efforts were made to upgrade nursing education, and women were more assertive and independent. 6 Nursing was broadened in all areas and was practiced in a wide variety of settings; nursing was viewed as a profession.

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? a. Client advocate b. Manager and Coordinator c. Decision maker d. Educator

Client advocate

Leader

The assertive, self-confident practice of nursing when providing care, effecting change, and functioning with groups

Collaborator

The effective use of skills in organization, communication, and advocacy to facilitate the functions of all members of the health care team as they provide patient care

Researcher

The participation in or conduct of research to increase knowledge in nursing and improve patient care

Advocate

The protection of human or legal rights and the securing of care for all patients based on the belief that patients have the right to make informed decisions about their own health and lives

Caregiver

The provision of care to patients that combines both the art and the science of nursing in meeting physical, emotional, intellectual, sociocultural, and spiritual needs

Teacher/educator

The use of communication skills to assess, implement, and evaluate individualized teaching plans to meet learning needs of patients and their families

Communicator

The use of effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of health care settings

Counselor

The use of therapeutic interpersonal communication skills to provide information, make appropriate referrals, and facilitate the patient's problem-solving and decision-making skills

For the nurse become a nurse practitioner, what is the minimal degree the nurse will need to acquire? a Master's b Baccalaureate c Associate's d Diploma

a Master's

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? a The RN coordinates care delivery. b The RN analyzes client data. c The RN collects client data. d The RN identifies outcomes.

a The RN coordinates care delivery.

The nursing process includes step(s)? Select all that apply. a Implement b Evaluate c Prescribe d Assess e Plan

a, b, d, e

The nurse is creating a plan of care for a client. Which actions by the nurse demonstrate the components of the nursing process? Select all that apply. a. Plans interventions to meet the client's health care needs b. Plans medical care of the client c. Identifies the needs of the client d. Applies rationales for the actions of the nurse. e. Evaluates the effectiveness of the plan of care

a, c, e

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? Select all that apply. a. Refer the client and family to hospice services. b. Encourage the family to leave and let the nurse take over care. c. Inform the family that there is nothing they can do for their loved one. d. Assist the client with activities of daily living (ADLs). e. Assist the client and family with the preparation for end-of-life.

a, d, e

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: a. "Everything in nature is alive with invisible forces." b. "The physician is viewed as a god-like figure." c. "The nurse is the handmaiden of the physician." d. "Pets can help heal clients."

a. "Everything in nature is alive with invisible forces."

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? a. "I notice you might be experiencing some feelings of sadness. Would you like to share how you are feeling with me?" b. "If I had the type of life-altering experience you had, I would probably feel depressed. You are doing well under the circumstances." c. "I can see you are in need of extra comfort right now. Let me adjust your position and readjust your bed linens for you." d. "It is not uncommon to be depressed after having such major surgery. Many of my clients feel sad."

a. "I notice you might be experiencing some feelings of sadness. Would you like to share how you are feeling with me?"

A nurse documents on a client's electronic chart that the client has an advance directive, makes a copy of the advance directive, and immediately informs the client's physician. Which role is the nurse demonstrating? a. Advocate b. Counselor c. Leader d. Researcher

a. Advocate

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? a Clinical nurse specialist b Nurse manager c Nurse-midwife d Physician assistant

a. Clinical nurse specialist

Which nursing actions are characteristic of the nurse's role as communicator? a. Establishing and maintaining helping relationships with clients of all ages in a variety of settings b. Facilitating clients' problem-solving and decision-making skills c. Assessing, implementing, and evaluating individual teaching plans to meet learning needs d. Effecting change within a group

a. Establishing and maintaining helping relationships with clients of all ages in a variety of settings

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? a. Florence Nightingale b. Clara Barton c. Dorothea Dix d. Linda Richards

a. Florence Nightingale

Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)? a. The LPN/LVN should work under the supervision of an RN. b. The RN directs the workload of an LPN/LVN. c. The RN is permitted to prescribed medications. d. The LPN/LVN can only work in a long-term care facility.

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

Which is the best example of a client-centered approach to care? a. The nurse asks the client about health goals. b. The nurse asks the client what the client would like to order from the menu. c. The nurse draws a blood sample from a client. d. The nurse helps a client ambulate.

a. The nurse asks the client about health goals.

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? a. The nurse collects comprehensive data pertinent to the client's health or situation. b. The nurse evaluates progress toward implemented actions. c. The nurse monitors the ethical conduct of authorities and clients. d. The nurse dictates the plan that prescribes strategies of care.

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

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? a. To restore health b. To promote health c. To prevent illness d. To facilitate coping

a. To restore health

The RN is working with hospital administrators to transform care at their facility. Which nursing competency will be critical for the nurse to utilize? a. Work effectively in interdisciplinary teams b. Correctly utilize and troubleshoot high-tech equipment c. Navigate the electronic medical records system d. Do things the way they have always been done

a. 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? a. art of nursing b. evidence-based practice c. science of nursing d. application of research

a. art of nursing

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? a. at the end of the year b. in 3 more years c. in 1 more year d. in 2 more years

a. 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? a be an advocate for appropriate care b advise clients on the best plan of action c ensure families are kept informed d ensure the families do not get sick

a. be an advocate for appropriate care

profession

an occupation that meets specific criteria including a well-defined body of specific and unique knowledge, a code of ethics and standards, ongoing research, and autonomy

The nurse is evaluating client health. Which client should the nurse determine to be exhibiting the most signs of health? a A client with depression who refuses to get out of bed b A client with diabetes who is in denial of the diabetes and refuses to take insulin c A client with a leg amputation who performs activities of daily living with a prosthesis d A client in acute emotional distress due to spouse's death

c A client with a leg amputation who performs activities of daily living with a prosthesis

After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that: a. membership is open to all nurses in the United States. b. ANA invites students showing excellence in scholarship to become members. c. ANA aims at fostering high standards of nursing in the United States. d. members include nurses, other health care providers, and lay people.

c. 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? a. National Council of State Boards of Nursing b. International Council of Nurses c. American Nurses Association d. National League for Nursing

c. American Nurses Association

What is the best nursing intervention to promote health in a client at risk for heart disease? a. Taking the client's pulse rate daily b. Instructing the client to adhere to a high-sodium diet c. Emphasizing a client's strengths to encourage weight loss d. Informing the client that the client must lose weight

c. Emphasizing a client's strengths to encourage weight loss

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? a. Undergraduate studies b. Continuing education c. In-service education d. Graduate education

c. In-service education

Who established the first public health service for the sick and poor? a Isabel Hampton Robb b Florence Nightingale c Lillian Wald d Dorothea Dix

c. Lillian Wald

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. asking the current state to transfer the license b. No action is needed by the nurse. c. applying for a reciprocal license in the new state d. taking the new state's licensing exam

c. applying for a reciprocal license in the new state

Which is the best example of a nurse demonstrating the role of caregiver? a. reporting lab values to a client's physician b. assigning a room for a new hospital client c. starting an intravenous line in the client's arm d. referring the client to a mental health clinic

c. starting an intravenous line in the client's arm

mindfulness

capacity to intentionally bring awareness to present-moment experience with an attitude of openness and curiosity; mindfulness promotes healing as you pause, focus on the present, and listen

burnout

cumulative state of frustration with the work environment that develops over a long time; (2) behaviors exhibited as the result of prolonged occupational stress

Which scenario is the best example of a nurse in the role of counselor? a A nurse providing the physician a client's test results b A nurse ensuring that a client has follow-up care at a free clinic c A nurse telling a client the side effects of a medication d A nurse allowing a crying client to verbalize fears of death

d A nurse allowing a crying client to verbalize fears of death

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? a Mary Agnes Snively b Nora Gertrude Livingston c Mary Ann Bickerdyke d Mary Elizabeth Mahoney

d Mary Elizabeth Mahoney

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. a. Nurses should follow physicians' lead for changing the health care system. b. The infrastructure for data collection related to nursing is in place. c. "Education should be transformed to ensure a seamless academic transition." d. Baccalaureate-trained nurses do not need further academic training. e. "Nurses are no longer the handmaidens of physicians and should be full partners in redesigning health care."

d,e

A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse? a. "No nurse can prescribe a medication." b. "Take one acetaminophen every 4 hours." c. "Take two ibuprofen every 4 to 6 hours." d. "Only advanced practice registered nurses have prescriptive authority."

d. "Only advanced practice registered nurses have prescriptive authority."

Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this? a. Taking an online class at a university b. Participating in a paid internship c. Passing the NCLEX exam d. Completing clinical hours supervised by a nursing instructor

d. Completing clinical hours supervised by a nursing instructor

The nurse is documenting the client's response to a medication. This action reflects a practice that was started by which key figure in nursing's history? Clara Barton Lillian Wald Louise Schuyler Linda Richards

d. Linda Richards

Which nursing action best exemplifies the nurse's role in promoting health? a. administering a beta-adrenergic blocker and diuretic to a client who has a history of hypertension b. performing deep suctioning on a client who has a tracheotomy and copious secretions c. facilitating a support group for the friends and families of clients affected by stroke d. encouraging a group of junior high school students to engage in regular physical activity

d. encouraging a group of junior high school students to engage in regular physical activity

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? a. associate of science registered nursing program b. diploma nursing program c. baccalaureate of science registered nursing program d. licensed or vocational nursing program

d. licensed or vocational nursing program

compassion fatigue

loss of satisfaction from providing good patient care

reciprocity

process allowing a nurse to apply for and be endorsed as a registered nurse by another state

nursing

profession that focuses on the holistic person receiving health care services and provides a unique contribution to the prevention of illness and maintenance of health