NURS 211 Ch. 1

The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse?

The RN collects comprehensive data. (Pg. 18)

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. (pg. 18)

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 (Pg. 14)

The primary aim of the Healthy People 2020 initiative is:

health promotion. (Pg. 12)

The primary aim of the Healthy People 2030 initiative is:

health promotion. (Pg. 12)

When administering immunizations, the nurse is engaged in:

illness prevention. (Pg. 13)

A nurse is working with a client who has undergone a lower leg amputation. While conducting an assessment, the nurse notes the client has a downcast mood. Which statement by the nurse conveys empathy to the client?

"I notice you might be experiencing some feelings of sadness. Would you like to share how you are feeling with me?"

The nurse is planning the care for several clients. Which factor(s) should the nurse prioritize when planning to delegate care to unlicensed assistive personnel (UAP)?

"Is the UAP the right person for this task?" "Did the UAP follow directions correctly?" "Can the UAP assist the client with this task?" "Did the UAP properly record the vital signs?" (Pg. 428)

The nurse and a student are discussing entry into the profession of nursing. Which statement should the nurse use to describe a diploma program?

"It is obtained by a 36-month program at a hospital." (Pg. 14)

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." (Pg. 12)

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." (Pg. 15)

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 (Pg. 23)

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

18th to 19th century (Pg. 7)

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 (Pg. 11)

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 (Pg. 11)

The nursing process includes step(s)? Select all that apply.

Assess Plan Implement Evaluate (Pg. 11-18)

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. (Pg. 10)

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

American Journal of Nursing (Pg. 10)

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

American Nurses Association (ANA) (Pg. 10)

The nurse is performing care for a client in the end stage of cancer. How can the nurse bestfacilitate 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. (Pg. 13)

Which activity by the nurse is an example of exercising professional standards of practice?

Attending a conference for continuing education credits (PG. 17-18)

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 (Pg. 16)

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 (Pg. 11)

Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this?

Completing clinical hours supervised by a nursing instructor (Pg. 7)

The new nursing graduate is concerned about some of the critical changes that will be occurring 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 (PG. 19-24)

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 (Pg. 11-12

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 key contributor to nursing?

Florence Nightingale (Pg. 7-9)

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?

In-service education (Pg. 16)

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. (Pg. 10)

For the nurse to become a nurse practitioner, what is the minimal degree the nurse will need to acquire?

Masters (Pg. 15)

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

Most early civilizations believed that illness had supernatural causes (Pg. 7)

A nurse identifies a client's health care needs and devises a plan of care to meet those needs. Which guideline is being followed in this case?

Nursing Process (Pg. 19)

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

Obtain continuing education credits. (Pg. 14)

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. (Pg. 11-12)

A nurse is moving to another state and will be working at an acute care facility. Prior to beginning practice, what actions should the nurse take to be compliant with state guidelines for nursing practice? Select all that apply.

Research the laws and regulations that govern nursing practice in the new state Locate the state nursing practice acts Access educational resources related to nursing practice in another state Define the legal requirements and titles for registered nurses (RNs) and licensed practical nurses (LPNs) (Pg. 19)

What is the best example(s) of the role of the nurse as a communicator? Select all that apply.

Telling a client one's blood pressure Discussing laboratory values with a client (Pg. 11)

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. (Pg. 8)

Which is the best example of a client-centered approach to care?

The nurse asks the client about health goals (Pg. 11)

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

WWII (Pg. 7-8)

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 (Pg. 6)

A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which task is mostappropriate for the nurse to delegate to the licensed practical nurse (LPN)?

administering bedside blood glucose testing (Pg. 14)

A nurse is considering relocating to another state to practice nursing. Which is the mostappropriate action by the nurse to ensure ability to practice in the new state?

applying for a reciprocal license in the new state (Pg. 14)

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." (PG. 11)

A novice nurse is excited to finally be able to put all the training to use on the inpatient unit. Which factor should the nurse be sure to prioritize when beginning to interact with clients?

be an advocate for appropriate care (Pg. 10)

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. (Pg. 8)

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 (Pg. 14)

In the role of entrepreneur, the nurse's primary responsibility is:

managing a health-related business. (Pg. 16)

Which is the best example of a nurse demonstrating the role of caregiver?

starting an intravenous line in the client's arm (Pg. 11)

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." (Pg. 7)

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 (pg. 13)

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 (Pg. 11-16)