Fundamental of Nursing Course Point Quiz Ch.1

A nurse is discussing the history of the profession with a client and describes that a shift in societal focus from religion to warfare had a negative impact on nursing due to:

female criminals recruited as nurses.

Then nurse is providing flu shots to older adult clients at a nurse-managed wellness center. This is an example of which aim of nursing?

preventing illness

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

A long-term care facility is seeking an advanced practice nurse to educate the staff regarding palliative care for the residents. The facility would benefit most by hiring which advanced practice nurse?

Clinical nurse specialist

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

American Nurses Association

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

Nursing process

Who established the first public health service for the sick and poor?

Lillian Wald

The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?

Mary Breckinridge

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

The nurse asks the client about health goals.

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 nurse is demonstrating a type of nursing whose roots go back to the ancient Greek times when temples were the center of nursing care?

The nurse conducting a blood pressure screening at a local church

A nurse wishes to advance his or her career and work as a clinical nurse specialist. Which statement regarding scope of practice should the nurse keep in mind?

The nurse may teach advanced education for nurses.

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

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

Most early civilizations believed that illness had supernatural causes.

The nurse understands that for nursing to be considered a profession, many things need to be in place. Which element is not part of those considerations?

Multidisciplinary approach

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."

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

18th to 19th century

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

American Journal of Nursing

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.

A nurse documents on a client's electronic chart that the client has an advance directive, makes a copy of the advance directive, and immediately informs the client's physician. Which role is the nurse demonstrating?

Advocate

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

Which challenge associated with technology most affects nurses today?

Client privacy issues within the social media realm

A recently licensed registered nurse is preparing to enter practice in an acute care facility and wants to practice within the guidelines of that state. When preparing to research the state nurse practice act, what information is important to obtain? Select all that apply.

Definition of legal scope of nursing practice Definition of important terms related to nursing Establishment of educational criteria

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

Nurses who enlist their services to the military are able to do so thanks to the work of which organizer of health care?

Dorothea Dix

Which individual provided community-based care and founded public health nursing?

Lillian Wald

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

Encourage client to utilize the free health care clinic

Which are approved as nursing diagnoses? Select all that apply.

Impaired Skin Integrity Caregiver Role Strain Compromised Family Coping

Which action by the nurse is the best indication that the nurse is incorporating the quality and safety education for nursing (QSEN) competency of teamwork and collaboration in the plan of care for a client?

Including the client in the morning rounds of the health care team

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

Obtain continuing education credits

Which scenario is the best example of a nurse implementing care according to the ANA standards of practice?

Providing nutrition teaching to a client with diabetes

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

Florence Nightingale was a nursing pioneer who challenged prejudices against women and elevated the status of all nurses. Which statement accurately describes one of her accomplishments?

She promoted the publication of books about nursing and health care

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.

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 registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs?

They must take a licensure exam

The major goals of health care are promoting, maintaining, and restoring health. T/F

True

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

Writing legislation for insurance coverage for screening colonoscopies

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

aging

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."

During World War II, nurses were actively recruited and enlisted in the military. What effect did this have on the nursing profession?

caused a civilian nursing shortage

A nurse practitioner considering going back to school to obtain a Doctor of Nursing Practice degree (DNP) anticipates that the main focus of the curriculum will be on:

clinical practice.

The essential activities involved in the nursing process are assessing, _____________, planning, implementing, and evaluating.

diagnosing

There are various levels of preparation for nursing practice. Which degree program will best prepare a nurse to work as a nurse researcher?

doctoral

Nursing theories and nursing research provide a foundation for _________-based nursing practice that defines the rationale for nursing actions.

evidence

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

managing a health-related business.

Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting?

outpatient facilities

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."

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

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.

The nurse is caring for a client who is on a ventilator. The nurse is bathing and talking to the client, including telling the client what is going to happen next. The nurse speaks to the client in a soothing manner. The nurse is acting in which role? Select all that apply.

communicator caregiver educator

The nurse is conducting a community education class on the 2011 Institute of Medicine (IOM) report on the role of nursing in transforming health care. Which statements made by the nurse correlate with the IOM recommendations for transforming nursing education? Select all that apply.

"Education should be transformed to ensure a seamless academic transition." "Nurses are no longer the handmaidens of physicians and should be full partners in redesigning health care."

Which is an appropriately stated nursing intervention?

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

The nurse is considering medical-surgical certification after working in a medical-surgical floor for the past five years. Nursing specialty certification is given by which group?

American Nurses Credentialing Center (ANCC)

The nurse preparing a lecture on the history of nursing should include which international organization as the first for professional nurses?

International Council of Nurses

the nurse is planning an educational visit with a client. Which must the nurse assess to identify the client's readiness to learn? Select all that apply.

Level of motivation Level of knowledge Willingness to follow the health regimen Physical and psychological abilities to carry out the plan

The founder of public health nursing is:

Lillian Wald

Which national nursing organization serves as a primary source of research data about nursing education, and is the professional organization for nurse educators?

National League for Nursing (NLN)

Which action by the nurse best represents the evaluative portion of the nursing process?

assessing a client's blood pressure after teaching stress reduction techniques

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.

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

WWII

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 Quality and Safety Education for Nurses (QSEN) initiative has identified which key competencies for nurses? Select all that apply.

Client-centered care Teamwork and collaboration Evidence-based practice Quality improvement

A registered nurse plans to return to the nursing profession after a long hiatus. Which statement about the trend in health care services would be most important for the nurse to keep in mind?

Clients enter the health care system acutely ill.

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 discussing the recommended entry level for professional nursing practices. Which is the most accurate statement by the nurse?

"BSN is the recommended entry level by national nursing organizations."

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 registered nurse is teaching a community health class about illness prevention. Which statement reflects understanding of this concept?

"It is important to enroll in a smoking cessation class."

A client is brought to the emergency department with a head injury following an all-terrain vehicle (ATV) accident. The nurse asks the family members to describe how the accident occurred. The nurse is implementing which ANA standard?

Collaboration

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 nursing actions are characteristic of the nurse's role as communicator?

Establishing and maintaining helping relationships with clients of all ages in a variety of settings

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

Which organization offers membership by invitation to students who demonstrate excellence in scholarship and to nurses in the community who demonstrate excellence in leadership?

Sigma Theta Tau International, Honor Society of Nursing

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

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 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.

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

Establishing the criteria for the education and licensure of nurses is a component of:

a state's nurse practice act.

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 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.

To meet the aims of nursing practice, the nurse uses four blended competencies: _____________, technical, interpersonal, and ethical/legal.

cognitive

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

A current nursing trend for the next 10 to 20 years is an abundance of practicing nurses. t/f

false

Graduates of a diploma nursing program are not eligible to take the NCLEX-RN examination. t/f

false

The nurse is developing a plan of care for a client. Which nursing action is defined as an activity(ies)/intervention(s)? Select all that apply

holding the client's hand starting an IV educating clients

Health promotion activities that are the framework for nursing activities are considered __________ centered.

patient

Nurse _________ Acts are laws established in each state in the United States to regulate the practice of nursing.

practice

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

starting an intravenous line in the client's arm

All members of the health care team are encouraged to read and contribute to the individual plans of care for their clients. Which health care provider develops the plan of care?

the RN

As defined by the World Health Organization, health includes physical, social, and mental components and is not merely the absence of disease or infirmity. t/f

true

Reciprocity is the process that allows a nurse to apply for and be endorsed as a registered nurse by another state. T/F

true

Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree?

using research findings to improve practice