Fundamentals of Nursing - Taylor - Ch 1

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One of the four broad aims of nursing practice is to restore health. Which examples of nursing interventions reflects this goal? Apply all applied

- A nurse counsels adolescent in a drug rehabilitation program. - A nurse shows a diabetic patient how to inject insulin. - A nurse performs range-of-motion exercises for a patient on bedrest.

Nursing is recognized increasingly as a profession based on which defining criteria? Select all applied.

- Recognized authority by a professional group - Code of ethics - Ongoing research

which phrase describes a purpose of the ANA's Nursing's Social Policy Statement? Select all applied

- To define the scope of nursing practice - to establish a knowledge base for nursing practice - to describe nursing 's social responsibility

Nursing is a Profession Based on ......

-Well-defined body of specific and unique knowledge -Strong service orientation -Recognized authority by a professional group -Code of Ethics -Professional organization that sets standards -Ongoing research -Autonomy and self-regulation

Nursing Process Steps

1) Assessment 2) Diagnosis 3) Planning 4) Implementation 5) Evaluation

4 Aims of Nursing Practice

1) To promote health 2) To prevent illness 3) To restore health 4) To facilitate coping with disability or death

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

18th to 19th century

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

18th- 19th century.

A nursing student is obtaining an associate's degree in preparation to sit for the NCLEX-RN. How many years will the student likely be in the program? Record your answer using a whole number.

2

Isabel Hampton Robb

A leader in nursing education, she organized St. Johns Hopkins Hospitals. initated policies that included limiting the number of working hours in a day's work, and wrote a nursing textbook to help students learn. Was the first President of the Nurse's Association. (which later become the ANA)

Sojourner Truth

A nurse who not only provided care to soldiers during the civil war, but also worked for the women's right movement.

Harriet Tubman

A nurse, and an abolitionist, she was active in the underground railroad movement before joining the Union army in the civil war.

Lavina Dock

A nursing leader and women's right advocate who was instrumental in the Constitutional amendment giving women the right to vote.

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

ANA

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

ANA

which of the following organizations is the best source of information when the nurse wishes to determine whether an action is within the scope of nursing practice?

ANA

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

ANA( The American Nurse Association)

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

Advocate

Reciprocity

Allows a nurse to apply for and be endorsed as a registered nurse by another state.

Which is an appropriately stated nursing intervention?

Ambulate 30 ft. twice a day with assistance of a walker.

Mary Mahoney

America's first Black Nurse, Graduated from the New England Hspital for women and children in 1879

Which of the following organizations is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?

American Nurses Association (ANA)

Prevention

Anticipatory action taken to prevent the occurrence of an event of to minimize its effects after it has occured

The nurse pursued a degree in nursing by attending a junior college for 2 years and successfully took the NCLEX-RN upon completion. Since getting his degree, the nurse has worked in an inpatient setting on a transplant floor for 17 years. Based on the information given, which degree does this nurse have?

Associate degree

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?

Baccalaureate program

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

Clients enter the health care system acutely ill

An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master's degree is considered to be an expert in her area of practice and works on an oncology unit in a large teaching hospital. Based upon this description, which of the following career roles best describes this nurse's role, taking into account her qualifications and experience?

Clinical nurse specialist

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

Collection of assessment data provides the basis for identifying nursing diagnoses

Florence Nightingale

Defined nursing both as an art and science, Published books about nursing, Is the founder of modern nursing. Differentiated nursing from medicine Created concept of nursing education 1851

Nurse practice Acts are established in each state of the United States to regulate nursing practice. What is the common element of every state practice act?

Defining the legal scope of nursing practice.

Which of the following nursing actions best exemplifies the nurse's role in promoting health?

Encouraging a group of junior high school students to engage in regular physical activities.

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

Lillian Ward

Established a neighborhood nursing service for the sick and poor of the lower east side in New York City. The founder of public health nursing.

Margaret Sanger

Established the first abortion clinic in America

Mary Breckenridge

Established the frontier nursing service, and one of the first midwifery schools in America.

A man age 61 is distraught because of has has learned that his most recent computed tomography (CT) scan shows that his colon cancer metastasized to his lung. Which of the following nursing aims should the nurse prioritize in the immediate of this patient?

Facilitating coping

Which nurse posited a theory that can be practically applied to nursing as follows: "Nurses modify unhealthy aspects of the environment to put the client in the best condition for nature to act."

Florence Nightingale

Which nurse who was influential in the development of nursing in North America is regarded as the founder of American Nursing?

Florence Nightingale

Who is considered to be the founder of professional nursing?

Florence Nightingale

Which of the following nursing organizations serves as a primary source of research data about nursing education, and is the professional organization for nurse educators?

National League for Nursing (NLN)

The standards of Practice provides nurses with what?

Guideline for providing care

What factors are contributing to the nursing shortage? (Select all that apply.)

Increased aging population requiring health care Disappointing salaries for nurses with longevity employment Job dissatisfaction as a result of stress and the unrelenting rigor of working in health care

American Nurses Association (ANA)

It's membership is comprised of each state nurse's associations, establishes nursing practice and represents nursing in legislative actions. scope and standards of nursing practice guidelines.

What was on barrier to the development of the nursing profession in the USA after Civil War?

Lack of education standards

Nurse Practice Acts

Laws established in each state in the US to regulate the practice of nursing

A class of nursing students is studying the history of nursing. Who does the class learn that the founder of public health nursing is?

Lilian Wald

Which of the following individuals provided community-based care and founded public health nursing?

Lilian Wald

The Henry Street Settlement was founded by whom?

Lilian Wald & Mary Brewster ( first public health Services for the sick and poor )

A nurse is practicing as a nurse-midwife in a busy OB-GYN office. Which degree in nursing is necessary to practice at this level?

MSN ( Master degree)

Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. What nursing degree will she need to attain this goal?

Master's degree

Which of the following is the characteristic of nursing practiced from early civilization to the 16th century?

Most early civilizations believed that illness had supernatural cause.

Health Promotion

Motivated by the desire to increase a persons well-being and health potential

A nurse student wants to take up an advanced specialty nursing role. Which of the following roles is included in advanced specialty nursing?

Nurse anesthetists are registered nurses

What guidelines do nurses follow to identify the patient's health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes?

Nursing process

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

Nursing progress

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.

10. The National Advice Council on nurse Education & Practice identifies critical challenges to nursing practice in the 21st century. What is a current health care contributing to these challenges?

Older or more acutely ill patients

National League of Nurses (NLN)

Organization that's open to all people interested in nursing, its objective is to development and improve all nursing services and nursing education. provides voluntary accreditation for educational programs in nursing, and provides testing services in the USA including pre-entrance testing and achievement testing for student.

Mary Ann Bickerdyke

Organized the diet kitchens, laundries, and ambulance service and supervised nursing staff in the civil war.

A nurse has recently completed the administration of seasonal influenza vaccinations for the residents of a long-term-care facility. Which of the following aims of nursing has the most clearly demonstrated?

Preventing illness

Jane Addams

Provided social services within a neighborhood setting, she was a leader in women's rights, and a recipient of the 1931 Nobel Peace Prize .

Which is Standards of Professional Performance , as defined by the ANA, has the nurse considering factors related to safety, effectiveness, cost, and the impact on practice in the planning and delivery of nursing services?

Resource Utilization

World War II has a tremendous effects on the profession. Which development occurred during this period?

The role of nurse was broadened.

A nurse in the community has been asked to join an organization based on the leadership abilities she has demonstrated both in her facility of employment and community-based activities. Which organization best describes this process?

Sigma Theta Tau International

Health

State of optimal functioning or well-being

Health Literacy

The ability of patients to obtain, process, and understand the basic information needed to make appropriate decisions about health

The definition of implementation would include which of the following?

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

Nurse as a Leader

The assertive, self-confident practice of nursing when providing care, effecting change, and functioning with groups.

Nurse as a Collaborator

The effective use of skills in organization, communication, and advocacy to facilitate the functions of all members of the health care team as they provide patient care.

Linda Richards

The first trained nurse in the United States, Graduate of New England Hospital for women and children,began writing orders and keeping records was also the superintendent of Bellevue Hospital.

Licensure

The legal authority to practice as a nursing professional

A nurse wishes to advance his or her career as a clinical nurse specialist. Which of the following should the nurse keep in mind?

The nurse may teach advamced education for nurses.

in early civilization, the theory of animism attempted to explain the mysterious changes occurring in the bodily functions. Which statement describes a component of the development of nursing that occurred in this area?

The nurse was the mother who cared for her family during sickness by using herbal remedies

A group of nursing students has attended a presentation about the National Student Nurse's Association (NSNA). Which statement by the group indicates that they have understood the information presented?

The organization provides programs of current professional interest.

Nurse as a Researcher

The participation in or conduct of research to increase knowledge in nursing and improve patient care.

The postoperative patient's plan of care contains an intervention to ambulate twice a day 200 feet with assistance of one member of the healthcare team. The intervention was not completed one morning due to his pain. Which of the following would be the appropriate way to document the missed event?

The patient reported his pain at a level of 8/10 at 30 minutes after dosing. The patient was returned to bed and the physician was notified of the uncontrolled pain level with the current medication order.

The patient has just received a central venous catheter placed by the physician. Which of the following should the nurse anticipate next?

The patient will have an X-ray to confirm placement of the device.

Nurse as an Advocate

The protection of human and legal rights and the securing care for all patients based on the belief that patients have the right to make informed decisions about their own health and lives.

Nurse as a Caregiver

The provision of care to patients that combines the art and the science of nursing in meeting physical, emotional, intellectual, sociocultural, and spiritual needs.

A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral aneurysm room following a lot of consciousness in the emergency room. The nurse anticipates preparing the patient for ordered diagnostic tests. This nurse's knowledge of the diagnosis procedures for the condition reflects which aspects of nursing?

The science of nursing.

Nurse as a Teacher/Educator

The use of communication skills to assess, implement, and evaluate individualized teaching plans to meet learning needs of patients and their families.

Nurse as a Communicator

The use of effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of health care settings

Nurse as a Counselor

The use of therapeutic interpersonal communication skills to provide information, make appropriate referrals, and facilitate the patients problem-solving and decision-making skills.

A registered nurse wishes to work as a nurse researcher. Which of the following is TRUE regarding nurse researcher?

They are responsible for the continued development and advancement of nursing.

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

To set standards for nursing education and pracice

Although all of the following are nursing responsibility, which one would be expected of a nurse of a baccalaureate degree?

Using research finding to improve practice.

American Association of Colleges in Nursing (AACN)

Voice for baccalaureate and higher degree educational programs. focus; quality educational standards, promoting public support of BA and graduate education.

Clara Barton

Volunteered to care and feed Union Soldiers during the civil war, was a supervising nurse for the Army of James, organized hospitals and nurses, established the Red Cross in America 1882, was an educator.

Dorothea Dix

Was a crusader for the reform of the treatment of the mentally ill. Superintendent of the the female nurses of the Army in the civil war.

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

World War II

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

World War II

Nursing

a nurse is a person who nourishes, fosters, and protects and who is prepared to take care of sick, injured, and aged people

A ________________ is a nurse with an advanced degree, education, or experience who is considered to be an expert in a specialized area of nursing. The clinical nurse specialist carries out direct patient care; consultation; teaching of patients, families, and staff; and research

clinical nurse specialist

National Student Nurses Association (NSNA)

members are enrolled in nursing educational programs. voluntary participation , students self governance, and take collective, responsible action on social and political issues.

A _________________________ usually has an advanced degree and teaches in the educational or clinical setting

nurse educator

A ____________________ has an advanced degree and works in a variety of settings to deliver primary care

nurse practitioner

Nursing Process

one of the major guidelines for nursing practice. Nurses implement their roles through the nursing process. The nursing process is used by the nurse to identify the patient's health care needs and strengths, to establish and carry out a plan of care to meet those needs and to evaluate the effectiveness of the plan to meet established outcomes.

A licensed practical nurse is planning a move to a new state and intends to begin practicing as soon as possible. This nurse should be aware that:

there may be differences in the scope of practice when a practical nurse relocates to a new

What is the primary purpose of standards of nursing practice?

to ensure knowledgeable, safe, comprehensive nursing care

International Council of Nurses (ICN)

was the first international organization of professional women, provides a way for national nursing organizations to work together.


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