CoursePoint+ Foundations of Nursing Ch. 1: Introduction to Nursing

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 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 normal saline

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."

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 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."

A client asks 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."

The nurse utilizing the nursing process includes which of the following steps? Select all that apply.

- Assess - Evaluate - Implement - Plan

A graduate nurse applies for a nursing license in Pennsylvania. Which action does the jurisdiction of the licensing board have? Select all that apply.

- Denying licensing due to criminal actions - Licensing nurses during the lifetime of the holder - Allowing graduates of approved schools of nursing to take the NCLEX

What is the primary purpose of standards of nursing practice?

- Each nurse is accountable for her own quality of practice and is responsible for using standards to ensure knowledgeable, safe, comprehensive care. - Standards of practice do not provide the ability to safely perform skills, establish nursing as a profession and discipline, or enable nurses to have a voice in health care policy.

The nurse is conducting a community assessment that focuses on Healthy People 2020 health promotion guidelines. What would be important for the nurse to include when performing the community assessment to meet the Healthy People 2020 goals? Select all that apply.

- Number of health clinics - The violent crime rate - Sudden Infant Death Syndrome rate

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

When planning the care of a client, which nurse-prescribed interventions would be appropriate to implement? Select all that apply.

- Turning clients every 2 hours to prevent skin breakdown - Monitoring IV site access every 2 hours for clients with IV fluid infusion - Monitoring the day's Input and Output to determine fluid retention - Initiating contact precaution for a client with Methicillin-resistant Staphylococcus aureus

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

18th to 19th century

Which of the following nursing groups provides a definition and scope of practice for nursing?

ANA

A client admitted to the telemetry floor informs the nurse that he has an advance directive and does not wish to be resuscitated if his heart stops beating. The client takes a copy of the advance directive from his wallet and hands it to the nurse. The nurse documents on the electronic chart that the client has an advance directive, makes a copy of the advance directive, and immediately informs the client's physician. In this situation, what is the nursing role demonstrated by the nurse?

Advocate

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

Aging

The first nursing journal owned, operated, and published by nurses was:

American Journal of Nursing

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?

Applying for a reciprocal license in the new state

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."

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

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

The nurse is caring for a postoperative client. The physician has written orders for a pain medication, and the order 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

Which of the following statements accurately decribes the formulation of a nursing diagnosis?

Collection of assessment data provides the basis for identifying nursing diagnoses

A nurse receives an x-ray report on a newly admitted client suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in?

Communicator

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

Dorthea Dix Explanation: - While not a nurse, Dix established the Nurse Corps of the United States Army during the Civil War. She was a pioneer for reform of treatment for the mentally ill. - Linda Richards was the first trained nurse to graduate from a nursing program. - Theodor Fliedner opened the first hospital-based school of nursing, and - Florence Nightingale was nursing's first professional leader.

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.

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

Lack of educational standards

The nurse that has been in practice for 15 years is able to use intuition when providing care to clients and also utilizes resources and demands to attain specific goals. According to Author Patricia Benner, in From Novice to Expert (1984), what stage of practice is the nurse displaying?

Expert

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?

Florence Nightingale Explanation: - Documentation is an example of maintaining accurate records, a practice that was initiated by Nightingale. - Linda Richards began the practice of keeping the records for a period of time. - Clara Barton established the Red Cross. - Lillian Wald was the founder of public health nursing.

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 of nursing's key people's contributions to nursing?

Florence Nightingale Explanation: - Nightingale's contributions to nursing include the recognition of the importance of nutrition to health. - Clara Barton established the Red Cross. - Dorothea Dix was a pioneer for reform of treatment for the mentally ill. - Linda Richards began the practice of keeping records and writing orders.

The nurse recognizes that immunizations are an example of:

Illness prevention

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 prospective nursing student desires a career that will allow him 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 in a rehabilitative facility makes certain that her client is participating in group activities that are of interest to him. The nurse is ensuring which client need is met?

Love and belonging

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

Making organized visits to the sick

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

Master's

A nurse is thinking about pursuing a master's degree in nursing (MSN) and is reviewing information about various programs. What would the nurse expect to find about such programs?

Nurses pursuing such programs require solid scholastic abilities.

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

Nursing process

The student nurse is changing the bed linens of a hospitalized patient. While placing the contaminated materials into the laundry bag, the outside of the bag is touched by the material. What should the student nurse do next?

Obtain another laundry bag and place the contaminated bag inside while in the patient's room.

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

Obtain continuing education credits.

Teaching a woman about breast self-examination is an example of what broad aim of nursing?

Preventing illness

During the Christian era, nursing care excluded which area?

Psychiatric services

The diploma nurse is considering obtaining a baccalaureate degree. Which degree should the nurse investigate?

RN to BSN

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 Explanation: The science of nursing is the knowledge base for the care provided by the nurse. In this example, the nurse is using this knowledge base to decide how best to care for the client by giving or not giving the blood pressure medication. The art of nursing is the application of the knowledge. In this example it would be demonstrated by the nurse actually giving or holding the medication. Quality improvement activities and the conduction of research influence the science and the art of nursing by helping build the body of knowledge that is the science of nursing.

Which explanation differentiates the Registered Nurse (RN) from the Licensed Practical Nurse (LPN)?

The LPN should work under the supervision of an RN.

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.

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.

The definition of implementation would include which of the following?

The action phase of the nursing process in which nursing care is provided.

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?

The art of nursing

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 nurse working with an LPN understands which of the following about LPNs?

They must take a licensure exam.

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

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

A nurse is providing care for clients in a long-term care facility. Based on the definitions of nursing in the textbook, what should be the central focus of this care?

the client receiving the care