Chapter 1 Fundamentals

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

Encourage client to utilize the free health care clinic.

Health

state of optimal functioning or well-being

Secondary Traumatic Stress

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

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 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."

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

18th to 19th century

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

Nurse Practice Act

law established to regulate nursing practice

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

American Nurses Association

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

American Nurses Association (ANA)

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.

Which best exemplifies the role of the nurse as educator?

Discussing side effects of a medication with a client

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

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

Nursing process

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.

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.

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

The nurse asks the client about health goals.

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

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

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

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?

client advocate

Nursing is described in various ways. The focus of all nursing interventions should involve which factor(s)? Select all that apply.

human experience and responses of individuals, families, and groups birth, health, illness, and death of individuals pyschosocial dimension of the client use of evidence-based practice to ensure the best care

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

Compassion Fatigue

loss of satisfaction from providing good patient care

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

managing a health-related business.

Licensure

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

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."

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."

Burnout

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

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 challenge associated with technology most affects nurses today?

Client privacy issues within the social media realm

A registered nurse plans to return to the nursing profession after a long hiatus. Which statement about the trend in health care services would be most important for the nurse to keep in mind?

Clients enter the health care system acutely ill.

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

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

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 nurse is planning an educational visit with a client. Which must the nurse assess to identify the client's readiness to learn? Select all that apply.

Level of motivation Level of knowledge Willingness to follow the health regimen Physical and psychological abilities to carry out the plan

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

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

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

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.

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 Tteacher

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

The nursing process includes step(s)? Select all that apply.

evaluate, implement, assess, plan

Nursing Process

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

The primary aim of the Healthy People 2030 initiative is:

health promotion

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

obtain continuing education credits

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