Major Quiz 1-8 & 13
A client, who has just been diagnosed with a chronic condition, asks the nurse what a "chronic condition" means. What would be the nurse's best response?
"Chronic conditions usually come on slowly and may have periods of remission and exacerbation."
A client expresses worry about upcoming surgery. Which response by the nurse is a cliché?
"Don't worry, everything will be fine."
The nurse is counseling a newly pregnant woman who is concerned about developing infections during her pregnancy. The pregnant woman states, "I'm so afraid something will happen to my baby. My friend developed an infection while she was pregnant and the baby died." Which of the following responses by the nurse would be most appropriate?
"Early prenatal care like you are receiving is very beneficial in reducing chances of infection."
A client who has recently been diagnosed with a chronic illness appears to be depressed. When the nurse asks if there is something wrong, the client states, "Nothing will ever be the same for me since I have this disease." What is the most appropriate response for the nurse?
"If you maintain a positive self-concept, you can live as normally as possible."
A colleague asks a nurse why it is important to study nursing theory. How would the nurse best respond?
"Nursing theory helps explain how nursing knowledge and practice improve patient care."
A client comes to the clinic reporting abdominal pain. Which question would be most appropriate for the nurse to ask to facilitate the assessment?
"What activities exaggerate the pain?"
A nurse is caring for a client who is a practicing Jehovah's Witness. The health care provider prescribes two units of packed red blood cells based on the client's low hemoglobin and hematocrit levels. The nurse states to the health care provider that it is unethical to go against the client's beliefs even though the client's blood counts are very low. What is the best description of the nurse's intentions?
Acting in the client's best interest
Which organization is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?
American Nurses Association (ANA)
A rapid onset of symptoms that lasts a relatively short time indicates which condition?
An acute illness
After graduating from an accredited program in nursing and successfully passing the NCLEX, the nurse must take which action to obtain the legal right to practice?
Be licensed by the State Board of Nursing
A nurse is sitting with friends in a coffee shop while working on a plan of care for a client. The client's name is written at the top of the plan. Which ethical responsibility is the nurse violating?
Confidentiality
Which nursing pioneer established the Red Cross in the United States in 1882?
Clara Barton
Which term describes a nurse who is sensitive to the client's feelings, but remains objective enough to help the client achieve positive outcomes?
Empathic
Who is considered to be the founder of professional nursing?
Florence Nightingale
Which is the most accurate definition of health?
Health is a state of complete physical, mental, and social well-being.
A nurse explains the concept of health to a client when establishing health promotion goals with the client. Which statement by the client indicates that the nurse's teaching has been effective?
Health is a state of optimal functioning.
A nurse caring for an unconscious client knows that communication is important even if the client does not respond. Which nonverbal action by the nurse would communicate caring?
Holding the client's hand while talking
What is the ultimate goal of expanding nursing knowledge through nursing research?
Learn improved ways to promote and maintain health
A nurse using the principle-based approach to client care seeks to avoid causing harm to clients in all situations. What is this principle known as?
Nonmaleficence
What guidelines do nurses follow to identify the client's health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes?
Nursing process
Which of the four concepts common in all nursing theories is the most important to nursing?
Person
What are some examples of healthy self-care behaviors everyone should adopt? Select all that apply.
Sleeping 7 to 8 hours each night Eating regular healthy meals Maintaining an ideal body weight
Nurses must maintain the privacy of clients. Which example is a breach in privacy and would pose an ethical problem?
Taking a picture of a client with the nurse's cell phone
A child, age 4 years, has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness?
The disease is present, but symptoms are not experienced.
A nurse is educating a home care client on how to administer a topical medication. The client is watching television while the nurse is talking. What might be the result of this interaction?
The message will likely be misunderstood.
Which definition best describes acute illness?
The rapid onset of symptoms lasting a relatively short time
A nurse is assigned a client who has been admitted to the health care facility with high fever. Which nursing skill should the nurse use at the first contact with the client?
assessment
While at lunch, a nurse heard other nurses at a nearby table talking about a client they did not like. When they asked him what he thought, he politely refused to join in the conversation. What value was the nurse demonstrating?
basic respect for human dignity
What is the primary purpose of standards of nursing practice?
to ensure knowledgeable, safe, comprehensive nursing care