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."

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

18th to 19th century

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 scenario is the best example of a nurse in the role of counselor?

A nurse allowing a crying client to verbalize fears of death

A 32-year-old construction worker is admitted to the emergency department after suffering a heat stroke. Which of the following IV solutions would the nurse expect the physician would order?

A solution of normal saline

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

American Nurses Association (ANA)

Which is a characteristic of a person-centered or helping relationship?

An unequal sharing of information

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

O American Nurses Association (ANA)

The role of medicine 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, the World War II era and up to the present day. Place the events that defined these eras listed below in the correct chronologic order to follow this timeline.

Belief in good and evil spirits bringing health or illness existed; medicine men were physicians. Temples were the centers of medical care; belief that illness is caused by sin and the displeasure of the gods existed; priests were physicians. Focus on religion was replaced by a focus on warfare, exploration, and expansion of knowledge. Hospital schools were organized; female nurses were under control of male hospital administrators and physicians; males dominated the health care setting. An explosion of knowledge in medicine and technology occurred. Varied health care settings developed.

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 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 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

A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse?

Master's

Which guideline should a nurse use when choosing position (location) in relation to a client during a verbal interaction?

Take note of the client's cues when choosing a position and act on these cues.

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.

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.

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

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 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 nurse working in an army hospital in the 1800s faced deplorable conditions while caring for clients. What nursing actions would directly aid in the reduction of high death rates? (Select all that apply.)

bathing clients and washing linens and clothing daily providing daily meals and feeding clients opening windows to improve ventilation

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

lack of educational standards

What is the primary purpose of standards of nursing practice?

to ensure knowledgeable, safe, comprehensive nursing care

The nurse is caring for a group of inpatient clients. Which action by the nurse best demonstrates the use of universal precautions?

using universal precautions to protect the nurse from infection.