Ch. 1 PrepU

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

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.

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

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

American Journal of Nursing

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

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

Nursing process

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

Master's

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

When administering immunizations, the nurse is engaged in:

Illness prevention.

What was one barrier to the development of the nursing profession in the United States after the Civil War?

Lack of educational standards

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."

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."

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

18th to 19th century

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

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

American Nurses Association

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

Which scenario is the best example of the nurse implementing the ANA standard relating to diagnosis?

Determining a client is at risk for falls

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 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

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

Managing a health-related business.

Attracting minorities to the profession of nursing is an important consideration for the future of nursing. Which key historical nursing figure set a precedent in this area?

Mary Eliza Mahoney

Of the following orders, which 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 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 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

The nurse is helping the unlicensed assistive personnel (UAP) bathe the client, who is experiencing a lot of pain when repositioned in bed. Which nursing responsibility is the nurse demonstrating?

Client advocate

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

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

Preventing illness

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

The organization provides programs of current professional interest.

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 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 nurse is utilizing knowledge about a blood pressure medication's actions and side effects to determine whether or not to give a client, whose blood pressure is low, the prescribed blood pressure medication. What best describes the aspect of nursing demonstrated?

Science of nursing

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.

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

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

World War II

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

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.

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."

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 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

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.