NURS 203 Test 1: Ch. 1-5 PrepU

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 should identify the need for further teaching when the client with diabetes who is taking daily insulin and follows a strict diet makes which statement?

"I cannot possibly ever be considered as healthy."

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 48-year-old client was just diagnosed with type 2 diabetes mellitus. The client has a body mass index of 35 and leads a sedentary lifestyle. The nurse informs the client of risk factors for the diagnosis and the need to change diet and exercise behavior. Which client statement indicates a need for further teaching?

"There is nothing that can be done anyway; chronic diseases cannot be prevented."

Place the steps of evidence-based practice in the correct order.

1. Design a question related to a clinical area of interest. 2. Collect the most relevant and best evidence available. 3. Critically evaluate the collected evidence. 4. Integrate the evidence with clinical expertise, client preferences, and values as the decision is made to make a change. 5. Evaluate the decision or change.

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

18th to 19th century

Which client requires priority intervention by a nurse providing care on a medical-surgical unit?

A postsurgical client who is feeling dizzy and has a heart rate of 45 beats/min

An adolescent confides in the school nurse that the adolescent is arguing daily with her mother and often wonders whether her mother loves her. The school nurse recognizes that the student faces which of the following risk factors for altered family health?

A psychosocial risk factor

Which client would most benefit from the nurse including in the plan of care interventions addressing emotional health?

A stressed client who is experiencing paranoid delusions

An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?

Chronic illness

A client has been admitted to the hospital for the treatment of diabetic ketoacidosis, with a random blood glucose reading of 575 mg/dL (31.91 mmol/L), vomiting, and shortness of breath. This client has experienced which phenomenon?

Exacerbation

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

When caring for a client who has just been diagnosed with a chronic illness, the nurse understands the importance of promoting health by highlighting which concept?

Focus on what is possible.

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

A student nurse is having difficulties finding appropriate journal articles to prepare for a research project. Which individual will be best for the student to approach for assistance with this process?

Librarian

The founder of public health nursing is:

Lillian Wald

Which nursing activity reflects secondary prevention?

Making a referral for a mammogram

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.

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 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

A nurse who is using Duvall's conceptual framework to assess a family with two parents and three children must first determine the

age of the oldest child.

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

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

The nurse is creating a plan of care for a client. Which actions by the nurse demonstrate the components of the nursing process? Select all that apply.

Identifies the needs of the client Evaluates the effectiveness of the plan of care Plans interventions to meet the client's health care needs

The nurse is assessing a family parented by a 60-year-old grandmother and three school-age grandchildren. The nurse is aware that which problem may occur in a single-parent family at a greater level than in other types of families?

Increased financial concerns

A home health nurse is visiting a family after the recent death of their matriarch. The nurse observes that the family is dressed in black, all of the mirrors are covered, and that the immediate family is sitting on square wooden boxes instead of chairs. The nurse asks what is happening, and is told, "We are Jewish, and the family is 'Sitting Shiva'." This family is fulfilling which family function?

affective and coping functions

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."

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 body's attempt to restore balance through self-regulatory mechanisms is termed:

homeostasis.

A well-constructed problem statement formulated at the beginning of a nursing research study should:

indicate the population.

The concept of holism is based on the belief that:

individuals cannot be seen apart from the environment.

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 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

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea?

sit with the client and ask them about their feelings

Which lifestyle factor is associated with an increased risk for chronic diseases?

Smoking

Parents raising two school-aged children incorporate their religious beliefs into the family's daily life. The family's beliefs regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family?

Socialization

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

generate knowledge to guide practice.

When chronic illnesses and disabilities are present, individuals benefit most from activities that:

help them maintain independence.

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

starting an intravenous line in the client's arm

Chronic illness may be characterized by periods of remission. Remission is best defined as:

the presence of a disease with the absence of symptoms.

A teenaged client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health?

Emotional dimension

What is the definition of wellness?

An active state of being healthy

Which are characteristics of chronic conditions? (Select all that apply.)

Are rarely curable Require lifelong management Have a prolonged course

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

Authoritative knowledge

When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by the client's personal expectations in relation to health and illness. The nurse is demonstrating an understanding of which health model?

Health belief model

Which is the most accurate definition of health?

Health is a state of complete physical, mental, and social well-being.

Which definition of health is the best?

Health is a state of complete well-being.

Which are stressors that affect the health of the family?

Inadequate childcare services

Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor?

Environmental risk factor

A nurse providing care has a personal philosophy that nursing interventions should be instituted for clients when the clients demonstrate ineffective adaptive responses. This nurse's philosophy is based on the theory of:

Sister Callista Roy

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 an appropriately stated nursing intervention?

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

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 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)

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.

A community health nurse has noticed a large number of women in the community are not getting regular mammograms. This is a rural community with limited access to health care. Which action would be the most appropriate for the nurse to pursue to promote compliance in getting annual mammograms?

Arrange for a mobile mammography unit to come to the community several days a month.

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

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

Assisting the client to the bedside commode

Which nursing intervention is an example of tertiary preventive care?

Assisting with speech therapy a client with a traumatic brain injury

How can the nurse best demonstrate being a role model for health promotion?

Avoid smoking and drinking alcohol

Which challenge associated with technology most affects nurses today?

Client privacy issues within the social media realm

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 group of objects with relationships is which?

Concept

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

Concept

A nursing theory differs from a theoretical framework in which way?

Concepts and propositions are more specific

Which is true of concepts?

Concepts describe objects, properties, and events and the relationships among them.

A nurse researcher is planning to conduct a research study and applies to the appropriate Institutional Review Board (IRB) for approval. When applying to the IRB, which information would the nurse researcher be required to include? Select all that apply.

Detailed plans for data security A proposed consent form

A public health nurse is working with a large group of clients who require a variety of patient care, health teaching, and health promotion. Using Virginia Henderson's Basic Needs Theory, how should the nurse proceed in order to provide a variety of medical, health teaching, and health promotion interventions?

Determine general basic needs of the group and additional needs specific to each client.

The nurse is caring for a client admitted to the hospital with pneumonia and associated pleuritic chest pain. Which would be a priority when creating the nursing care plan?

Monitoring airway clearance.

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

Most early civilizations believed that illness had supernatural causes.

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)

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

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

A nurse is immunizing children against measles. This is an example of what level of preventive care?

Primary

The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of?

Primary

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

Qualitative

When a researcher begins to form plans for a research project, the researcher must decide on the method for conducting the research. The nurse researcher that plans to emphasize collection of narrative data and the analyses would select which of the following methods of research?

Qualitative research

The diploma nurse is considering obtaining a baccalaureate degree. Which degree should the nurse investigate?

RN to BSN

Which is an example of tertiary health promotion?

Rehabilitation

A nurse is planning to participate in a research project and is looking for information about what is already known about the topic. The nurse is involved in which step of the research process?

Scientific literature review

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.

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone?

Sociocultural needs

The second step in implementation of evidence-based practice includes systematic review. To complete a systematic review of the literature, what must the nurse do?

Summarize findings from multiple studies that are related to a particular nursing practice.

The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?

Teaching about adhering to a low-sodium diet

A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?

Tertiary

Which model is most useful in examining the cause of disease in an individual, based upon external factors?

The Agent-Host-Environment Model

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.

The nurse is conducting a family assessment of a traditional family. Which assessment data cue describes the socioeconomic status of the family?

The father is an engineer and the mother is an elementary school teacher.

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.

A group of concepts and the relationships among them is what?

Theory

Why do nurses need to care for their own health needs? Select all that apply.

To allow them to give effective nursing care to others To enable them to practice more efficiently To help them serve as role models for clients

What have the models of health promotion and illness prevention been used for?

To help health care providers understand health-related behaviors.

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

Undergoing the informed consent process with the client

The nurse in a free clinic caring for clients uses the Health Belief Model, which is based on three components. What is the main focus for this model?

What people believe to be true about their health