Intro to Nursing Concepts, PrepUs Ch 1 & 2
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."
Which action by the nurse best represents the evaluative portion of the nursing process?
Assessing a client's blood pressure after teaching stress reduction techniques
A community health nurse has been visiting a diabetic client whose morning fasting glucose levels are constantly elevated. Upon further assessment, the nurse determines that the client's spouse does not understand how to prepare meals following the prescribed diabetic diet. Using Dorothea Orem's Self-Care Theory, how can the nurse help meet the needs of this client?
Arrange an evaluation appointment with a dietitian.
The nurse is giving a talk to a local community group on the harms of smoking. The nurse tells the group that a risk factor is something that increases a person's chances for illness or injury. What type of risk factor is smoking?
Modifiable
A nurse is orienting a group of nurses who will be helping to collect data for the nurse's research study. The nurse is explaining the study's theoretical framework, likening it to: __________.
an architectural blueprint
A nurse is conducting an in-service on the early history of the education of nurses in the 19th century. Which statement made by the nurse demonstrates how far nursing has come as a profession from the 19th century?
"The focus was on students providing direct care to clients without pay."
A nursing theory differs from a theoretical framework in which way?
Concepts & propositions are more specific
Which is the best example of a client-centered approach to care?
The nurse asks the client about health goals.
A community health nurse arranges for a dental checkup camp for the local children in the school district. Which of the following would most likely be the nurse's goal for this health camp?
Health promotion
The nurse should identify the need for further teaching when the client with diabetes who is taking daily insulin and follows a strict diet makes which statement?
"I cannot possibly ever be considered as healthy."
The nursing process is: __________.
A critical thinking method used by nurses to provide nursing care that is individualized and holistic.
Conceptual framework
A set of concepts and propositions
Health
A state of complete physical, mental, and social well-being
The first nursing journal owned, operated, and published by nurses was:
AJN
Which nursing group provides a definition and scope of practice for nursing?
ANA
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
ANA
After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that:
ANA aims at fostering high standards of nursing in the United States.
A nurse is helping a client on hospice make an informed decision about his own health and life. Which nursing role has this nurse performed?
Advocate
A nurse must possess several characteristics to be successful in this profession. Secondary to critical thinking skills, which is of great value?
Advocating for the client at all times
When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about the client's health beliefs based primarily on the client's: __________.
Age and developmental stage
Which social force has most significantly impacted the future supply and demand of nurses?
Aging
The nurse is considering medical-surgical certification after working in a medical-surgical floor for the past five years. Nursing specialty certification is given by which group?
American Nurses Credentialing Center (ANCC)
A nurse is considering relocating to another state to practice nursing. Which 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 American Nurses Association's Commission on Nursing Education developed guidelines for the investigative function of nurses at different educational levels. Which guideline is for a nurse with an associate degree?
Assists in collection of data within an established, structured format
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
A group of objects with relationships is which?
Concept
A public health nurse is working with a large group of clients who require a variety of patient care, health teaching, and health promotion. Using Virginia Henderson's Basic Needs Theory, how should the nurse proceed in order to provide a variety of medical, health teaching, and health promotion interventions?
Determine general basic needs of the group and additional needs specific to each client.
The new nursing graduate is concerned about some of the critical changes that will be occuring 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
Which is a focus of medical research rather than nursing research?
Drug metabolism
The nurse is preparing to submit a research project to the institutional review board (IRB). The nurse understands that which is the purpose of the IRB?
Ensure the ethical treatment of all participants
A nurse who works in a pediatric practice assesses the developmental level of children of various ages to determine their psychosocial development. These assessments are based on the work of:
Erikson
Which activity best helps the nurse apply theory to practice?
Evidence-based research
A client has been admitted to the hospital for the treatment of diabetic ketoacidosis, with a random blood glucose reading of 575 mg/dL (31.91 mmol/L), vomiting, and shortness of breath. This client has experienced which phenomenon?
Exacerbation
A nurse researcher is examining the cause-and-effect relationship between the consumption of tap water containing minimal amounts of bleach, and the incidence of cancer in rats. The research is taking place in a laboratory setting. What type of quantitative research is being used based upon this description?
Experimental research
Who is considered to be the first nursing theorist who conceptualized nursing in terms of manipulating the environment?
Florence Nightingale
Holism is based on the belief that:
Individuals cannot be seen apart from the 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.
Which behaviors are necessary for a person to successfully adapt to a chronic illness? Select all that apply.
Learn to live as normally as possible Maintain a positive self-concept Maintain a sense of hope
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
The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?
Mary Breckinridge
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 reviewing nursing theory for usefulness in a home healthcare setting. Which is the appropriate application of Dorothea Orem's Self-Care Model in a home healthcare setting?
Match the client's self-care needs with appropriate supportive interventions.
What is the central theme of Florence Nightingale's nursing theory?
Meeting the personal needs of the client within the environment.
Which is the goal of tertiary prevention of illness?
Minimizing complications
What was the focus of nursing research during the first half of the twentieth century?
Nursing education
If a nurse describes a study of people and the nursing profession including studies of education, policy development, ethics, and nursing history, then what is the nurse defining?
Nursing research
Which theory describes, explains, predicts, and controls outcomes in nursing practice?
Nursing theory
A nurse is developing a foreground question for nursing research using the PICO model. Which component would be represented by the statement, "a 45-year-old male with coronary heart disease and atrial fibrillation"?
P
The focus of nursing is always on which of the four common concepts in nursing theory?
Person
While providing client care, a nurse determines that a client adheres to the health belief model. What would the nurse need to assess as a factor possibly affecting the client's response to illness?
Personality characteristics
A nurse is planning to participate in a research project and is looking for information about what is already known about the topic. The nurse is involved in which step of the research process?
Scientific literature review
Consultation and diagnostic tests are included in which level of health care?
Secondary care
A nurse is caring for a client who has breast cancer. The client tells the nurse: "I don't know why this happened to me, but I'm ready to move on and do whatever I need to do to get healthy again." This client is in which stage of acute illness?
Stage 3
Which is the best example of a nurse demonstrating the role of caregiver? Starting an intravenous line in the client's arm Referring the client to a mental health clinic Assigning a room for a new hospital client Reporting lab values to a client's physician
Starting an intravenous line in the client's arm
A nurse is caring for a 17-year-old client whose left leg was amputated after being crushed in a motor vehicle accident. Which intervention might the nurse perform to address the client's intellectual dimension?
Teaching her how to care for the stump and explaining the rehabilitation program
Which order is considered to be the first to provide visiting nurses in Canada?
The Grey Nuns of Montreal
Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)?
The LPN/LVN 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 RN identifies outcomes. The RN analyzes client data. The RN collects client data.
The RN coordinates care delivery.
Homeostasis
The body's attempt to restore balance through self-regulatory mechanisms
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
A nurse is assessing a client for potential variables that influence the client's health. When assessing the client's self-concept, which area should the nurse include? Select all that apply.
The client's feelings about self as a person The client's view of self physically
Which type of variable can be manipulated in a study?
The independent variable
Remission
The presence of a disease with the absence of symptoms
Which statement best explains the importance of theoretic frameworks?
Theoretic frameworks advance nursing knowledge and practice.
The registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs?
They must take a licensure exam.
What have the models of health promotion and illness prevention been used for?
To help health care providers understand health-related behaviors.
Which aspect of the nursing research process addresses a client's understanding of the potential risks and benefits of the study?
Undergoing the informed consent process with the client.
The nurse is addressing primary prevention with a group of college students. Which promotional statement by the nurse would be the best example of a developmentally appropriate discussion?
Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy
The nurse in a free clinic caring for clients uses the Health Belief Model, which is based on three components. What is the main focus for this model?
What people believe to be true about their health.
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 client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the: __________
agent
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.
Wellness
Dynamic balance among the physical, psychological, social, and spiritual aspects of a person's life. Not merely the absence of disease
An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?
Chronic illness
The Quality and Safety Education for Nurses (QSEN) initiative has identified which key competencies for nurses? Select all that apply. Client-centered care Teamwork and collaboration Evidence-based practice Quality improvement Correct documentation
Client-centered care Teamwork and collaboration Evidence-based practice Quality improvement
Who established the first public health service for the sick and poor?
Lillian Wald
The nurse researcher would like to gather data about the attitudes of young adults on spirituality and health care. What is the most effective form of research on this topic?
Qualitative research
A nurse researcher is collecting nominal data. What type of research is being conducted?
Quantitative research
The diploma nurse is considering obtaining a baccalaureate degree. Which degree should the nurse investigate?
RN to BSN
Which is an example of tertiary health promotion?
Rehab
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." "Does the child have nightmares often?" "The child is in the 95th percentile for weight." "Do not give the child a bottle now."
"Keep all medications in a locked cabinet."
Which could be considered an example of a qualitative research project?
A PhD nursing student is collecting data on how Somali immigrants perceive the care they receive in one community clinic. The nursing student is taping and analyzing interviews with clients that have been in the country and community 2 years or less and who have sought care at least once at this clinic.
A nurse subscribes to the Basic Needs theory. Which action by the nurse exemplifies this theory?
Assisting the patient to the bedside commode
An abstract idea or object that relates to other abstract ideas or objects is which?
Concept
A nurse is planning a health fair in the community to highlight promotion and prevention of the leading cause of death in the United States. Which disease process should the nurse address?
Coronary artery disease
The nurse is preparing a sterile field for a procedure. While the nurse is opening an instrument, the outer wrapper of the sterilized instrument touches the extreme edge of the field. What should the nurse do next?
Discard the sterile field and prepare a new one.
The client's plan of care is created by the nurse using which guideline for nursing practice?
Nursing process
A client with a lump in the breast calls the healthcare provider to schedule an appointment for an evaluation. Based on the client's actions, what stage of illness is the client demonstrating?
Assuming the sick role
Which are valid purposes for concepts in nursing practice? (Select all that apply.)
Guide the steps of the nursing process Suggest appropriate nursing interventions Help identify information relevant to a specific client issue Suggest appropriate nursing outcomes for a client
Which scenario is the best example of a nurse implementing care according to the ANA standards of practice?
Providing nutrition teaching to a client with diabetes
The nurse is caring for a client admitted to the hospital with pneumonia and associated pleuritic chest pain. Which would be a priority when creating the nursing care plan?
Monitoring airway clearance
A nurse researcher is studying female clients who have survived breast cancer. The nurse asks each client to describe her experience and then analyzes the data for the meaning of the experience within each person's own reality. This nurse has used what type of qualitative research method?
Phenomenology
The nurse is educating a client with diabetes on how to better control blood sugar levels and recognize the symptoms associated with both hyperglycemia and hypoglycemia. The client is frequently admitted to the hospital due to elevated blood sugars. This education is an example of which level of health promotion?
Tertiary
Which nursing intervention is an example of tertiary preventive care?
Assisting with speech therapy a client with a traumatic brain injury
An older adult patient has been recently diagnosed with vascular dementia. Because the client lives alone and has poorly controlled hypertension, the client has begun to receive home healthcare. This new aspect of the client's care is characteristic of which stage of illness?
Assuming a dependent role
How can the nurse best demonstrate being a role model for health promotion?
Avoid smoking & drinking alcohol
