Nursing Chapter 1

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."

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

Dorothea Dix

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.

A nurse is discussing the history of the profession with a client and describes that a shift in societal focus from religion to warfare had a negative impact on nursing due to:

female criminals recruited as nurses.

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

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 providing care for clients in a long-term care facility. What should be the central focus of this care?

The client receiving the care

The primary aim of the Healthy People 2020 initiative is:

health promotion.

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

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

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?

Mary Eliza Mahoney

A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse?

Master's

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

Obtain continuing education credits.

Then nurse is providing flu shots to older adult clients at a nurse-managed wellness center. This is an example of which aim of nursing?

Preventing illness

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

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

The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse?

The RN collects comprehensive data.

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 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 registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs?

They must take a licensure exam.

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?

To restore health

Which action should the nurse implement when working with a medically homeless client?

Which action should the nurse implement when working with a medically homeless client?

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

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

starting an intravenous line in the client's arm

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

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

The nurse is conducting a class for nursing assistants. One of the students asks the nurse why blood pressure, pulse, and temperature are called "vital signs." Which explanations would the nurse offer the student?

"Because significant deviation from normal is not compatible with life."

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

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 bedside blood glucose testing

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

aging

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.

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)

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 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.

A BSN nurse is discussing the benefits of a BSN to high school students. Which statement made by the nurse would be most appropriate?

"Many nursing management jobs require a BSN."

Which is an appropriately stated nursing intervention?

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

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?

Difficulty for nurses to remain current in a rapidly changing medical and technology environment

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

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

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

A nurse practicing in the early Christian period might perform which nursing action characteristic of this era?

Making organized visits to the sick

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

Mary Breckinridge

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.

Together the nurse and a client with hypertension set a goal that states that the client will be able to identify foods to avoid on a low-sodium diet. The nurse completes this action as a part of which American Nurses Association Standard of Care?

The RN identifies client outcomes.

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

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

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?

associate degree

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

The nurse is caring for a client who is on a ventilator. The nurse is bathing and talking to the client, including telling the client what is going to happen next. The nurse speaks to the client in a soothing manner. The nurse is acting in which role? Select all that apply.

caregiver communicator educator

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

managing a health-related business.

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.

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.

Assist the client with activities of daily living (ADLs). Assist the client and family with the preparation for end-of-life. Refer the client and family to hospice services.

The Quality and Safety Education for Nurses (QSEN) initiative has identified which key competencies for nurses? Select all that apply.

Client-centered care Teamwork and collaboration Evidence-based practice Quality improvement

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

A client is brought to the emergency department with a head injury following an all-terrain vehicle (ATV) accident. The nurse asks the family members to describe how the accident occurred. The nurse is implementing which ANA standard?

Collaboration

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 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

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

lack of educational standards

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