Nursing Fundamentals Chapter 1

Nurses use assessment skills in their care of clients. What is the best example of an assessment skill? A) setting up a sterile field before a catheterization B) administering pain medication C) helping a client devise a low-fat diet plan D) taking the temperature of a sick child

taking the temperature of a sick child

A nurse is caring for a client with a hernia. Which statement should the nurse use while counseling the client about this condition?

"Open and laparoscopic hernioplasty are available."

____________ listening is demonstrating full attention to what is being said, hearing both the content being communicated and the unspoken message.

ACTIVE LISTENING

The nurse uses his or her _________ skills, which include interviewing, observing, examining the client and in some cases the client's family, to determine the client's needs and problems.

ASSESSMENT

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: A) an LPN or LVN may not normally practice outside of the state where he or she was educated. B) there may be differences in the scope of practice when a practical nurse relocates to a new state. C) a probationary period of up to one year may be required for the nurse to obtain a job in the new state. D) practical nurses may have to retake the NCLEX-PN in order to gain an out-of-state license.

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

Nurses with a ____________ degree are preferred in areas requiring substantial decision-making.

BACCALAUREATE

Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice? A) National League for Nursing B) International Council of Nurses C) National Council of State Boards of Nursing D) American Nurses Association

D) American Nurses Association

The need for university-based nursing education programs was brought to light during which important historical time? A) World War I B) Spanish-American War C) Korean War D) World War II

D) World War II

What is the primary purpose of standards of nursing practice?

to ensure knowledgeable, safe, comprehensive nursing care

Which registered nursing (RN) program currently has the highest enrollment level?

associate degree

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." A) Florence Nightingale B) Dorothea Orem C) Virginia Henderson D) Sister Callista Roy

A) Florence Nightingale

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 the 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? A) diploma B) associate degree C) licensed practical nurse D) baccalaureate degree

B) associate degree

In what time period did nursing care as we now know it begin? A) early civilization to 16th century B) 16th to 17th century C) 18th to 19th century D) pre-civilization

C) 18th to 19th century

The training of nurses in the Nightingale schools was like an unsubsidized apprenticeship. FALSE TRUE

FALSE

The nurse is administering immunizations to a group of adolescents in a county health clinic. The nurse correctly identifies this action as:

illness prevention

A graduate who acquired an associate degree in nursing would be referred to as a _________ nurse.

TECHNICAL

During World War II, abbreviated programs in practical nursing were developed to address the acute shortage of trained nurses. TRUE FALSE

TRUE

The American Recovery and Reinvestment Act authorized a career ladder program to facilitate advancement to higher levels of nursing practices. FALSE TRUE

TRUE

The geographic location of the nursing school is one of the factors that influences a future nurse's choice of a nursing program. FALSE TRUE

TRUE

The schism between King Henry VIII and the Catholic Church led to the demise of nursing in England before Florence Nightingale. FALSE TRUE

TRUE

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 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. A) Assist the client with activities of daily living (ADLs). B) Assist the client and family with the preparation for end-of-life. C) Encourage the family to leave and let the nurse take over care. D) Inform the family that there is nothing they can do for their loved one. E) Refer the client and family to hospice services.

A) Assist the client with activities of daily living (ADLs). B) Assist the client and family with the preparation for end-of-life. E) Refer the client and family to hospice services.

A ___________ nurse works under the direction of a physician or dentist in various health care settings ranging from preventive to acute care.

REGISTERED NURSE

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? A) art of nursing B) science of nursing C) evidence-based practice D) application of research

A) art of nursing

A student is choosing an educational path and desires a nursing degree with a track for community nursing and leadership and that allows for classes in liberal arts. The student would best be suited in which type of program? A) baccalaureate program B) certification in a nursing specialty C) diploma nursing program D) licensed practical nursing program

A) baccalaureate program

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? A) be an advocate for appropriate care B) advise clients on the best plan of action C) ensure families are kept informed D) ensure the families do not get sick

A) be an advocate for appropriate care

A recent LPN graduate is awaiting the results of the licensure exam and is preparing to apply for a position with a local facility. Which facility(ies) usually employ the most LPNs? Select all that apply. A) health care provider's office B) correctional institution C) hospital D) home health care agency E) residential care facility

A) health care provider's office B) correctional institution D) residential care facility E) home health care agency

What is the primary purpose of standards of nursing practice? A) to ensure knowledgeable, safe, comprehensive nursing care B) to establish nursing as a profession and a discipline C) to provide a method by which nurses perform skills safely D) to enable nurses to have a voice in health care policy

A) to ensure knowledgeable, safe, comprehensive nursing care

The community health nurse creates a program to promote the health of the community using health promotion principles. Which intervention would the nurse include in this program?

Activities focused on maintaining wellness

A nursing student is obtaining an associate degree in preparation to sit for the NCLEX-RN. How many years will the student likely be in the program? A) 4 B) 3 C) 2 D) 1

C) 2

A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers? A) They serve as liaisons between staff members and directors of nursing. B) They usually have a baccalaureate degree in nursing. C) They are responsible for the continued development and advancement of nursing. D) They tend to work in community health centers and long-term care units.

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

The registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs? A) They may work independently. B) The program is 4 years in length. C) They must take a licensure exam. D) They have a higher degree than most RNs.

C) They must take a licensure exam.

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

Which of the following is an example of an illness prevention activity by the nurse?

administering immunizations

A nurse at a busy hospital is learning how to perform respiratory care interventions that used to be done by specialists only. What term does this represent?

cross-training

The nurse is assisting a client with gaining independence with bathing. The nurse asks the client's family to bring in bathing items the client normally would use at home. The nurse's actions are an example of which type of skill? A) caring B) comfort C) counseling D) assessment

A) caring

Which nursing action is most dependent on technical skill? A) changing a client's wound dressing while maintaining asepsis B) identifying the learning needs of a woman who is slated for a bilateral mastectomy C) determining the Glasgow Coma Scale score for a client who has a head injury D) creating rapport with a group of homeless youth who have high-risk lifestyles

A) changing a client's wound dressing while maintaining asepsis

A nurse is providing care for an older adult client who was admitted to the hospital several days ago after she suffered a stroke. What action by the nurse best demonstrates the definition of nursing that was identified by Henderson and adopted by the International Council of Nurses?

providing temporary assistance to maximize the client's recovery and rehabilitation

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? A) associate of science registered nursing program B) diploma nursing program C) licensed or vocational nursing program D) baccalaureate of science registered nursing program

C) licensed or vocational nursing program

Which age group in the population is expanding most rapidly, resulting in changes in the delivery of health care? A) newborns B) school-age children C) older adults D) young adults

C) older adults

Teaching a client about performing a self examination of the skin is an example of what broad aim of nursing? A) treating illness B) restoring health C) preventing illness D) facilitating coping

C) preventing illness

Nurses use comforting skills in their care of clients. What is the best example of a comforting skill? A) teaching a client with diabetes how to manage insulin injections B) administering antibiotics to a client with an infection C) taking the blood pressure of a client D) helping a client with breathing during a panic attack

D) helping a client with breathing during a panic attack