PrepU Unit 1

Which group of terms best describes the nursing process?

Patient-centered, systematic, outcome-oriented

Which step of the nursing process involves setting long-term goals and short-term expectations?

Planning

The correct progression of steps of the nursing process is:

Assessment, Diagnosis, Planning, Implementation, Evaluation

Which step of the nursing process involves reporting or analysis of data to identify and define health problems?

Diagnosis

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

What is the primary purpose of standards of nursing practice?

to ensure knowledgeable, safe, comprehensive nursing care

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

ANA- American Nurses Association

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.

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

The primary aim of the Healthy People 2020 initiative is:

Health Promotion

On walking into the room of a client, an experienced nurse has a strong sense that something is going wrong with the client. Which type of clinical decision making is the nurse demonstrating?

Intuitive thinking

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 lockable cabinet

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

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

Nursing Process

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, Counselor, and Communicator

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

The nurse asks the client about Health Goals

Why are nursing organizations important for the continued development and improvement of nursing as a whole?

To set standards for Nursing education and practice

Which practice by the nurse indicates that the nurse is a professional?

Using Evidence-Based practice interventions

The nursing process is:

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

Which is an appropriately stated nursing intervention?

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

A nurse is caring for a young victim of a terrorist attack. During the rehabilitative process, the nurse assists the client in bathing and dressing. What role is the nurse engaged in?

Caregiver

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

Giving medication occurs in which step of the nursing process?

Implementation

A client comes to the emergency department reporting severe chest pain. The nurse asks the client questions and takes vital signs. Which step of the nursing process is the nurse demonstrating?

Assessing

A nurse is assigned a client who has been admitted to the health care facility with high fever. Which nursing skill should the nurse use at the first contact with the client?

Assessment

The nurse is caring for a client who is postoperative and has pain that is an 8 on a scale of 0 to 10. There is an order for intravenous pain medication every 4 hours as needed. The nurse administers the prescribed pain medication to the client. What should the nurse do to assist in meeting this client's desired outcome of a pain scale score less than 4 on a scale of 0 to 10?

Evaluate the client's pain level after the appropriate amount of time has elapsed for the pain medication to take effect.

A nurse administers medications to a client. Which step of the nursing process would the nurse perform next?

Evaluation

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?

Advocate

After graduating from an accredited program in nursing and successfully passing the NCLEX, the nurse must take which action to obtain the legal right to practice?

Be Licensed by the State Board of Nursing

A new graduate is preparing to enter into nursing practice. Which should be the central focus for this nurse in practice?

Care of the client

A client reports weakness following administration of insulin. The nurse decides to assess the client's blood glucose level and prepare a snack in case the level is low. Which action has the nurse implemented?

Clinical Reasoning

A nurse is caring for a client with alcohol use disorder. The nurse educates the client about the harmful effects of alcohol and educates the family on how to cope with the client and the client's disorder. Which type of skill is the nurse using?

Counselor

Which best exemplifies the role of the nurse as educator?

Discussing side effects of a medication with a client

The nurse is administering immunizations to a group of teens in a county health clinic. The nurse correctly identifies this action as:

Illness prevention

A nurse is concerned about the requirements needed to complete all of her courses successfully. Which of the following factors would assist her to be successful?

Implement Time management skills

What is the best example(s) of the role of the nurse as a communicator? Select all that apply.

Telling a client one's blood pressure Discussing laboratory values with a client

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 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."