n10 cp 1-4 exam 1
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."
Which are stressors that affect the health of the family?
Inadequate childcare services
The nurse assesses a client who is postoperative day 1 following a total abdominal hysterectomy. Assessment data includes blood pressure (BP) 150/88 mm Hg, heart rate (HR) 100 beats/min, respiratory rate (RR) 22 breaths/min with a pain scale of 8 on a scale of 1 to 10. The abdominal dressing is clean, dry, and intact. The client's prescriptions indicate ambulation today. Which is the priority nursing action?
Medicate the client for pain as prescribed by the health care provider.
A nurse is planning to conduct a nursing research study and is seeking federal funding. Which institution would be most helpful for the nurse to contact regarding acquiring funding?
National Institute of Nursing Research
Which national nursing organization serves as a primary source of research data about nursing education, and is the professional organization for nurse educators?
National League for Nursing (NLN)
Nurses in an ICU noticed that their clients required fewer interventions for pain when the ICU was quiet. They then asked a researcher to design a study about the effects of noise on the pain levels of hospitalized clients. How does this demonstrate the ultimate goal of expanding the nursing body of knowledge?
Nursing research helps improve ways to promote and maintain health.
Which theory describes, explains, predicts, and controls outcomes in nursing practice?
Nursing theory
Which scenario is the best example of a nurse in the role of counselor?
A nurse allowing a crying client to verbalize fears of death
Which are characteristics of chronic conditions? (Select all that apply.)
Are rarely curable Require lifelong management Have a prolonged course
Which nursing intervention is an example of tertiary preventive care?
Assisting with speech therapy a client with a traumatic brain injury
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 teenaged client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health?
Emotional dimension
A rapid onset of symptoms that lasts a relatively short time
Environmental risk factor
When looking at a model for evidence-based practice, what is the final step of the process?
Evaluating practice change
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.
Parents raising two school-aged children incorporate their religious beliefs into the family's daily life. The family's beliefs regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family?
Socialization
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.
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
Which is the best example of a client-centered approach to care?
The nurse asks the client about health goals.
A home health nurse is visiting a family after the recent death of their matriarch. The nurse observes that the family is dressed in black, all of the mirrors are covered, and that the immediate family is sitting on square wooden boxes instead of chairs. The nurse asks what is happening, and is told, "We are Jewish, and the family is 'Sitting Shiva'." This family is fulfilling which family function?
affective and coping functions
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
A client makes a decision to quit smoking and joins a smoking cessation class. This is an example of which of Dunn's processes that helps one know who and what one is?
befitting
A nurse researcher develops a foreground question in preparation for conducting a research study. The question is: "In clients with intravenous catheters, how does replacing administration sets every 72 hours (h) compared with other frequent intervals (24h, 48h, or 96h) decrease infection rates?" Applying the PICO framework, which part of the statement reflects the "O"?
decrease infection rates
Which is the theory that describes the maturation of humans through stages?
dev theory
Which is a focus of medical research rather than nursing research?
drug metabolism
isk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor?
environmental risk factor
What nursing activity forms the bridge between theory and practice?
evidence-based res
One of the primary reasons for conducting nursing research is to:
generate knowledge to guide practice.
When administering immunizations, the nurse is engaged in:
illness prevention.
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
A group of nurses is planning to investigate the effectiveness of turning immobilized stroke clients more frequently in order to prevent skin breakdown. The team has begun by formulating a PICO question. Which element will the "O" in the team's PICO question refer to?
preventing skin breakdown
Which nursing activity reflects secondary prevention?
ref 4 mamm
A community health nurse is providing care to several farming families in a rural community. Which concept would be most important for the nurse to integrate into the plans of care for these families?
Family structures may change over time.
A community is defined as a social group that may or may not share common geographic boundaries yet interact because of
common interests
When the nurse researcher informs the participant that the participant's identity will not be linked with the information that is collected, the researcher is ensuring the participant's:
confidentiality.
A Spanish-speaking client is admitted to the emergency department with a urinary tract infection and is experiencing a stress response from hospitalization. What is the priority nursing intervention?
contact a translator
A parent has brought a 6-year-old child into the clinic. The parent is concerned that the child does not seem to skip as well as the other children in the child's class. In planning assessments and care for this child, the nurse would be best served by choosing which theory as a foundation for decision making?
developmental theory
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
What is the definition of wellness?
An active state of being healthy
A nurse is taking care of a client who has a new, permanent colostomy. The nurse is talking with the client about the new appliance and asking how the client feels about managing it. Which client response indicates understanding of the relationship between self-concept and health?
"I am developing a set of realistic expectations to help me manage my overall health and quality of life."
What is an example of a community risk factor?
Children are kept inside on a sunny day due to a lack of recreational opportunities.
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."
In what time period did nursing care as we now know it begin?
18-19 c
Which client requires priority intervention by a nurse providing care on a medical-surgical unit?
A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min
Research is included as an essential component of nursing by which of the following organizations? (Select all that apply.)
ANA International Council of Nurses Nursing specialty organizations
A nurse is caring for a client newly diagnosed with diabetes mellitus and developing a holistic plan of care. For this plan of care to be successful, it must what?
Address the disease but also incorporate the mind, body, and spirit.
The nurse is explaining the expected developmental tasks of a typical family with adolescents. Which of the following would be incorrect for the nurse to include?
Adjustment to retirement
Which is an appropriately stated nursing intervention?
Ambulate 30 ft (9 m) twice a day with the assistance of a walker.
A nurse researcher ensures that a research subject's privacy is protected by which method? Select all that apply.
Anonymity Confidentiality
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.
A nurse develops the following foreground question using the PICOT format in preparation for a research study: "In overweight clients, how do chromium supplements compared to no supplements help with weight loss?" Which part of the question reflects the intervention?
Chromium supplements
Why are health promotion and illness prevention a key responsibility of nurses?
Chronic illnesses are the leading health problem in the world.
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
Place the steps of evidence-based practice in the correct order.
Design a question related to a clinical area of interest. Collect the most relevant and best evidence available. Critically evaluate the collected evidence. Integrate the evidence with clinical expertise, client preferences, and values as the decision is made to make a change. Evaluate the decision or change.
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
A client comes to the health center for a routine visit. During the visit, the client tells the nurse, "I'm motivated to do things now to make sure I'm the healthiest I can be." When planning this client's care, the nurse should focus on which area?
Health promotion
A nurse is providing care to a client who is feeling lonely and isolated. In an effort to develop a trusting nurse-client relationship, the nurse exhibits a caring attitude, ensures the client's privacy, and spends time with the client to promote therapeutic communication. The nurse is meeting which category of client needs?
Love and belonging
The community environment affects the well-being of the individual and the family. Which is the health responsibility of the family?
Maintain a healthy lifestyle
For the nurse become a nurse practitioner, what is the minimal degree the nurse will need to acquire?
Master's
Which is the goal of tertiary prevention of illness?
Minimizing complications
What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered?
Nursing care now uses EBP as a means of ensuring quality care.
The second step in implementation of evidence-based practice includes systematic review. To complete a systematic review of the literature, what must the nurse do?
Summarize findings from multiple studies that are related to a particular nursing practice.
Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply.
Teaching a client and her family how to live with diabetes Assisting a client and his family to prepare for death Providing counseling for the family of a teenager with an eating disorder
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.
Which statement is true regarding Friedman's theory of family-centered nursing care?
The role of the family is essential in every level of nursing practice.
A 44-year-old client is being treated for dehydration in an acute care hospital. The nurse determines that the rehydration treatment is working by assessing which values?
Urine output of 1500 mL in 24 hours
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
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."
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.
Trends in managed care have resulted in an increased focus on the care of clients by nurses in which settings?
community-based settings
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 dz
A nurse is caring for an adolescent who lost a leg in a motor vehicle accident. Which human need would the nurse most likely need to address?
self-esteem needs
The nurse is holding a cholesterol screening at a local pharmacy this Saturday morning. What level(s) of health promotion is this screening an example of?
2nd
A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?
3
A client who has recently been diagnosed with a chronic illness appears to be depressed. When the nurse asks if there is something wrong, the client states, "Nothing will ever be the same for me since I have this disease." What is the most appropriate response for the nurse?
"If you maintain a positive self-concept, you can live as normally as possible."
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 nurse is assessing a family with adolescents. The family consists of a father, mother, a 13-year-old son, a 14-year-old son from a previous marriage, and a 16-year-old daughter. Which statement by the parents would lead the nurse to suspect a potential risk factor for altered health with this family?
"Our 16-year-old just seems to butt heads with us at every turn."
The researcher must critically appraise evidence following a literature review. Which questions should the researcher pose in this appraisal? (Select all that apply.)
"What were the results of each study?" "Are the results of each study valid and reliable?" 'Will the results of each study improve client care?"
The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of?
1
` Which statement best explains the importance of theoretic frameworks?
Theoretic frameworks advance nursing knowledge and practice.
A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "My grandmother always told me that I needed to include beans in my diet so that my muscles would grow." The information that the client is expressing is known as what?
Traditional knowledge
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
A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea?
sit with the client and ask them about their feelings
Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone?
sociocultural needs
Chronic illness may be characterized by periods of remission. Remission is best defined as:
the presence of a disease with the absence of symptoms
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
A nurse working in a long-established hospital learned a specific approach to administering intravenous injections from the previous generation of nurses at the hospital. This is an example of which type of knowledge?
traditional knowledge
Evidence-based care emphasizes decision making based on the best available evidence and:
use of outcome studies to guide decisions.
A community-based nurse acts as a case manager for a small town about 60 miles from a major healthcare center. What is the most important factor of community-based nursing for this nurse to be knowledgeable about?
Community resources available to clients
Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this?
Completing clinical hours supervised by a nursing instructor
The nurse assists a postoperative client with ambulation. The nurse recognizes that assisting the client when performing this skill meets which of Maslow's basic human needs?
Safety and security
A nurse is working at a community clinic that serves mostly families with young children. What would be a priority intervention for clients in this developmental stage?
Setting up parenting classes
The nurse is conducting a family assessment of a traditional family. Which assessment data cue describes the socioeconomic status of the family?
The father is an engineer and the mother is an elementary school teacher.
The home health nurse is making an initial assessment visit to a family that consists of two parents and twin 3-year-old boys. During the interview, the nurse is most concerned if the client makes which statement?
The father states, "I don't discuss money matters with my wife because I don't want her to worry."
A nurse is reading a research article from a nursing journal. The nurse is aware that the opening paragraph summarizing the article and the research findings is a good place to start. What part of the article is the nurse reading?
abstract
A rapid onset of symptoms that lasts a relatively short time indicates which condition?
acute illness
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 preparing to conduct a research study and uses the PICO format to develop the foreground question which is: "In adults, does reducing salt intake, compared to no change in salt intake, lower blood pressure?" The nurse identifies the "P" as:
adults
A new graduate nurse asks a nurse manager working at the community health center, "I've heard people talk about community health nursing and community-based nursing. Is there a difference?" Which response by the nurse manager would be appropriate?
"Community health nursing involves care for entire populations whereas community-based nursing focuses on individuals and families in that population."
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 action should the nurse implement when working with a medically homeless client?
Encourage client to utilize the free health care clinic
Which activity best helps the nurse apply theory to practice?
Evidence-based research
A client is distraught because a recent computed tomography (CT) scan shows that the client's colon cancer has metastasized to the lungs. Which nursing aim should the nurse prioritize in the immediate care of this client?
Facilitating coping
Who is considered to be the first nursing theorist who conceptualized nursing in terms of manipulating the environment?
Florence Nightingale
When caring for a client who has just been diagnosed with a chronic illness, the nurse understands the importance of promoting health by highlighting which concept?
Focus on what is possible.
Which theory emphasizes the relationships between the whole and the parts, and describes how parts function and behave?
General systems theory
When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by the client's personal expectations in relation to health and illness. The nurse is demonstrating an understanding of which health model?
Health belief model
Which definition of health is the best?
Health is a state of complete well-being.
Which action by the nurse is the best indication that the nurse is incorporating the quality and safety education for nursing (QSEN) competency of teamwork and collaboration in the plan of care for a client?
Including the client in the morning rounds of the health care team
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The nurse explains to the client that COPD is a chronic disease. Why is COPD considered a chronic disease?
It has a gradual onset and lasts for a long time.
What might a nurse need to do to ensure the continuation of his or her nursing license?
Obtain continuing education credits.
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
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
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
When chronic illnesses and disabilities are present, individuals benefit most from activities that:
help them maintain independence.
seco The body's attempt to restore balance through self-regulatory mechanisms is termed:
homeostasis
What type of research study would a hospital conduct to explore clients' and families' perceptions of receiving care?
qualitative
A nurse researcher must decide on the method for conducting the research. The researcher that plans to emphasize collection of numerical data and analysis would select which method of research?
quantitative research
Which is an example of tertiary health promotion?
rehab