Chapter 1 Mastery
A prospective student is interested in alternate emerging pathways to the nursing profession instead of the traditional programs. What pathways should the student be advised to research? Select all that apply. -3-year diploma programs -RN to BSN completion programs -Entry level master's degree programs -RN completion programs for LPNs -Entry level associate degree programs
RN completion programs for LPNs Entry level master's degree programs
A student is choosing her educational path and desires a nursing degree with a track that contains community nursing and leadership, as well as liberal arts. The student would best be suited in which type of program? -Licensed practical nursing program -Certification in a nursing specialty -Diploma nursing program -Baccalaureate program
Baccalaureate program
A nurse is considering relocating to another state to practice nursing. Which of the following is the most appropriate action by the nurse to ensure ability to practice in the new state? -asking the current state to transfer the license -applying for a reciprocal license in the new state -taking the new state's licensing exam -No action is needed by the nurse.
applying for a reciprocal license in the new state
The nurse is evaluating client health. Which client should the nurse determine to be exhibiting the most signs of health? -A client with diabetes who is in denial of the diabetes and refuses to take insulin -A client in acute emotional distress due to husband's death -A client with a leg amputation who performs activities of daily living with a prosthesis -A client with depression who refuses to get out of bed
A client with a leg amputation who performs activities of daily living with a prosthesis
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? -Caregiver -Client advocate -Decision-maker -Educator
Educator
The nurse preparing a lecture on the history of nursing should include which international organization as the first for professional nurses? -International Council of Nurses -National League for Nursing -Sigma Theta Tau International -American Nurses Association
International Council of Nurses
Establishing the criteria for the education and licensure of nurses is a component of: -A state's nurse practice act. -The ANA Standards of Practice. -The U.S. Department of Health and Human Services' Healthy People 2010 document. -Evidence-based practice.
A state's nurse practice act.
The nurse working with an LPN understands which of the following about LPNs? -They must take a licensure exam. -They may work independently. -They have a higher degree than most RNs. -The program is 4 years in length.
They must take a licensure exam.
During the Reformation, which factor influenced the decline of nursing? -Advancement of medicine -Implementation of technology -Establishment of men in nursing -Women's subordination to men
Women's subordination to men
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 -Telling a friend about something that happened to a client that day -Discussing laboratory values with a client
-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
Which scenario is the best example of a nurse in the role of counselor? -A nurse allowing a crying client to verbalize her fears of death -A nurse telling a client the side effects of a medication -A nurse providing the physician a client's test results -A nurse ensuring that a client has follow-up care at a free clinic
A nurse allowing a crying client to verbalize her fears of death
The first nursing journal owned, operated, and published by nurses was: -American Journal of Nursing -Nurse Educator -Nursing Research -Standards of Clinical Nursing Practice
American Journal of Nursing
Which scenario is the best example of a nurse attending an in-service program? -Attending a hospital program on how to use a new IV pump -Attending a continuing education program given by a national organization -Attending a conference on cultural diversity -Taking an online course at a local university
Attending a hospital program on how to use a new IV pump
A nurse is planning to continue their education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which of the following expanded career roles is the nurse preparing? -Clinical nurse specialist -Nurse manager -Nurse-midwife -Physician assistant
Clinical nurse specialist
Which of the following statements accurately decribes the formulation of a nursing diagnosis? -A member of the healthcare team evaluates the patient and identifies an approved nursing diagnosis. -Although the registered nurse assigns the nursing diagnosis, the patient care is ultimately the responsiblity of the physician. -Nursing care is directed by the nursing diagnosis but there are no legal ramifications for the RN providing care. -Collection of assessment data provides the basis for identifying nursing diagnoses -A nursing diagnosis is first assigned by the physician and modified for the patient by the RN.
Collection of assessment data provides the basis for identifying nursing diagnoses
A student nurse understands that the primary aim of the Healthy People 2020 initiative is: -health promotion. -illness prevention. -health restoration. -coping with disability.
Health promotion
A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse? -Diploma -Associate's -Master's -Baccalaureate
Master's
Teaching a woman about breast self-examination is an example of what broad aim of nursing? -Treating illness -Preventing illness -Restoring health -Facilitating coping
Preventing illness
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. -Ask the mother to come to the emergency room. -Email the mother a link for breastfeeding. -Suggest that the mother bottle feed her infant.
Refer the mother for a home care visit.
Which explanation differentiates the Registered Nurse (RN) from the Licensed Practical Nurse (LPN)? -The RN is permitted to prescribed medications. -The LPN can only work in a long-term facility. -The RN directs the workload of an LPN. -The LPN should work under the supervision of an RN.
The LPN should work under the supervision of an RN.
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 -To prevent illness -To promote health -To faciliate coping
To restore health
Which practice by the nurse indicates that the nurse is a professional? -Doing things the way they have always be done -Using intuition to make client decisions -Using evidence-based practice interventions -Submitting an article to a local newspaper
Using evidence-based practice interventions
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 -Correctly utilize and troubleshoot high-tech equipment -Navigate the electronic medical records system -Do things the way they have always been done
Work effectively in interdisciplinary teams
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 -administering blood products -administering intravenous push medication -administering chemotherapy
administering bedside blood glucose testing
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? -Continuing education -Graduate education -In-service education -Undergraduate studies
In-service education
What was one barrier to the development of the nursing profession in the United States after the Civil War? -Lack of educational standards -Hospital-based schools of nursing -Lack of influence from nursing leaders -Independence of nursing orders
Lack of educational standards
The nurse is attempting to provide anticipatory guidance for the parents of an 18-month-old boy. Which statement would be best for the nurse to make? -"Keep all medications in a locked cabinet." -"Does he have nightmares often?" -"He is in the 95th percentile for weight." -"Do not give the child a bottle now."
"Keep all medications in a locked cabinet."
The nurse is describing the role of the nurse entrepreneur. Which statement best describes this role? -A nurse who manages a health-related business -A nurse responsible for adminstration of resources -A nurse who manages personnel involved in client care -A nurse who teaches in a clinical setting
A nurse who manages a health-related business
A 32-year-old construction worker is admitted to the emergency department after suffering a heat stroke. Which of the following IV solutions would the nurse expect the physician would order? -A solution of dextrose -A solution of normal saline -Blood products -Total parenteral nutrition
A solution of normal saline
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 -Science of nursing -Evidence-based practice -Application of research
Art of nursing
A man age 61 years is distraught because he has just learned that his most recent computed tomography (CT) scan shows that his colon cancer has metastasized to his lungs. Which nursing aim should the nurse prioritize in the immediate care of this client? -Facilitating coping -Preventing illness -Restoring health -Promoting health
Facilitating coping
The nurse recognizes that immunizations are an example of: -Health promotion -Illness prevention -Health restoration -Facilitating coping with disability and death
Illness prevention
What might a nurse need to do to ensure the continuation of his/her nursing license? -Obtain a baccalaureate degree. -Obtain a master's degree. -Attend hospital in-services. -Obtain continuing education credits.
Obtain continuing education credits.
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? -Science of nursing -Art of nursing -Conduction of research -Quality improvement
Science of nursing
The nurse is assessing the IV infusion of a patient. The nurse notes the IV is positional and only runs well if the patient's arm is straightened. What is the priority action by the nurse in order to complete the infusion? -Secure the arm to an arm board. -Remind the patient to keep the arm straight. -Remove the IV and restart the infusion from another, more stable site. -Notify the health care provider -Ask the family member at the bedside to hold the patient's arm straight.
Secure the arm to an arm board.
The definition of implementation would include which of the following? -The action phase of the nursing process in which nursing care is provided. -The use of assessment skills to develop a nursing diagnosis. -The developement of outcome criteria. -The inclusion of the patient in establishing outcome goals. -The proper documentation of the nursing assessment
The action phase of the nursing process in which nursing care is provided.
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. -They usually have a baccalaureate degree in nursing. -They serve as liaisons between staff members and directors of nursing. -They tend to work in community health centers and long-term care units.
They are responsible for the continued development and advancement of nursing.
Which is an appropriately stated nursing intervention? -Ambulate in the hall. -Stand at bedside with assistance. -Ambulate 30 ft. twice a day with assistance of a walker. -Ambulate with assistance of a walker.
Ambulate 30 ft. twice a day with assistance of a walker.
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 -Financier -Statistician
Counselor Communicator Teacher