Exam 1 prepu; intro to nursing

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."

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."

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.

Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply.

- Assisting a client and his family to prepare for death - Teaching a client and her family how to live with diabetes - Providing counseling for the family of a teenager with an eating disorder

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 role of the nurse developed from the pre-civilization era through the eras representing the beginning of civilization, the beginning of the 16th century, the 18th and 19th centuries, World War II era, and up to the present day. Place the following roles of the nurse listed below in the correct chronologic order to follow this timeline.

- Nurses were portrayed as a mother, caring for family and delivering physical care and health remedies. - Nurses were viewed as slaves, carrying out menial tasks based on the orders of the priest. - There was a shortage of nurses; criminals were recruited as nurses; nursing was viewed as disreputable. - Florence Nightingale elevated nursing to a respected occupation and founded modern methods in nursing education. - Efforts were made to upgrade nursing education, and women were more assertive and independent. - Nursing was broadened in all areas and was practiced in a wide variety of settings; nursing was viewed as a profession.

A nurse manager is attempting to switch the medical records in an orthopedic office to a computerized format. The nurse asks questions about the accuracy and efficiency of the current record keeping system by using the PICO format. Which statements illustrate the components of this process? Select all that apply.

- P: The nurse chooses the population involved (orthopedic clients). - I: The nurse considers interventions to make the plan work. - C: The nurse compares the written records to the computerized records.

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)

What are the best examples of the role of the nurse as a communicator? Select all that apply.

- Telling a client their blood pressure - Calling a physician about a client's blood pressure - Informing the physical therapist that the client's therapy was discontinued

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

18th to 19th century

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 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.

Which theory describes how humans adjust to life with other living things and with the environment?

Adaptation theory

Which is an appropriately stated nursing intervention?

Ambulate 30 ft (9 m) twice a day with the assistance of a walker

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

American Journal of Nursing

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

Completing clinical hours supervised by a nursing instructor

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 is the theory that describes the maturation of humans through stages?

Developmental theory

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

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

Which action should the nurse implement when working with a medically homeless client?

Encourage client to utilize the free health care clinic.

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

When looking at a model for evidence-based practice, what is the final step of the process?

Evaluating practice change

What nursing activity forms the bridge between theory and practice?

Evidence-based research

Which activity best helps the nurse apply theory to practice?

Evidence-based research

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

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 researcher?

Florence Nightingale

Who is considered to be the first nursing theorist who conceptualized nursing in terms of manipulating the environment?

Florence Nightingale

A nursing theorist examines a hospital environment by studying each ward and how it works individually, and then relates this information to the hospital as a whole working entity. This is an example of the use of which theory?

General systems theory

In order for the nurse to be able to apply the knowledge that has been obtained in the formal education process, which theory would best break whole concepts into parts and then determine how the parts would work together as a whole?

General systems theory

Which theory emphasizes the relationships between the whole and the parts, and describes how parts function and behave?

General systems theory

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

Implement Plan Assess Evaluate

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.

A person practicing nursing in the 1950s would most likely have been influenced by what trend?

Large numbers of women began to work outside the home, asserting their independence.

A nurse practicing in the early Christian period might perform which nursing action characteristic of this era?

Making organized visits to the sick

The nurse offers a client two possible times to ambulate, as prescribed by the health care provider. The nurse is acting in which nursing role?

Manager and coordinator

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.

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

The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. Which statement on the assessment of the nursing process is accurate?

The nurse collects comprehensive data pertinent to the client's health or situation.

Which statement best explains the importance of theoretic frameworks?

Theoretic frameworks advance nursing knowledge and practice.

A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers?

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

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

Which aspect of the nursing research process addresses a client'Unds understanding of the potential risks and benefits of the study?

Undergoing the informed consent process with the client

Which practice by the nurse indicates that the nurse is a professional?

Using evidence-based practice interventions

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

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

World War II

Which scenario is the best example of the nurse acting as an advocate?

Writing legislation for insurance coverage for screening colonoscopies

The nursing process is:

a critical thinking method used by nurses to provide nursing care that is individualized and holistic.

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

Which social force has most significantly impacted the future supply and demand of nurses?

aging

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 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 graduated several years ago from a 2-year nursing program at a community college near the home city. Recently, the nurse has considered moving from providing direct client care into an administrative role, but recognizes the need for further education to be considered for such a position. The nurse most likely possesses which nursing qualification?

associate degree

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

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

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

An abstract idea or object that relates to other abstract ideas or objects is which?

concept

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.

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

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

One of the primary reasons for conducting nursing research is to:

generate knowledge to guide practice.

The primary aim of the Healthy People 2020 initiative is:

health promotion

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

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

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

managing a health-related business.

The focus of nursing is always on which of the four common concepts in nursing theory?

person

The National Institute of Nursing Research (NINR) was established following a study in 1983. The center's purpose is to:

promote research for health promotion.

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

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

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

starting an intravenous line in the client's arm

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

Evidence-based care emphasizes decision making based on the best available evidence and:

use of outcome studies to guide decisions.

Which nursing group provides a definition and scope of practice for nursing?

American Nurses Association (ANA)

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.

Which scenario is the best example of the nurse in the role of teacher/educator?

Assessing whether the client is able to perform a dressing change

A nurse subscribes to the Basic Needs theory. Which action by the nurse exemplifies this theory?

Assisting the client to the bedside commode

A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "My nutritionist 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?

Authoritative knowledge

Knowledge gained from someone with a great deal of perceived experience is which type of knowledge?

Authoritative knowledge

A nurse develops the following foreground question using the PICO 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

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 best example of a client-centered approach to care?

The nurse asks the client about health goals.

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

Nursing process

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

Obtain continuing education credits.

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

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

What type of research study would a hospital conduct to explore clients' and families' perceptions of receiving care?

Qualitative

A nurse researcher is collecting nominal data. What type of research is being conducted?

Quantitative research

A registered nurse is convicted of stealing narcotics from the medical-surgical unit. Which action might be taken against this RN's nursing license?

Revoking of the nursing license

A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "I read a research article about the importance of beans in the Latino diet. The findings from the study suggested that inclusion of meat and beans in the diet would help in the development of muscles and bones." The information that the client is expressing is known as what?

Scientific knowledge

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 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.