Nursing Foundations Assessment
A nurse is discussing culturally competent care with another nurse. Which of the following statements should the nurse include? a) "Use a medical interpreter for a client who does not speak the same language." b) "Provide the client with information in print only so they can have it as a resource." c) "Provide standard educational materials to all clients for continuity." d) "Limit communication with the client if there is a language barrier."
a) "Use a medical interpreter for a client who does not speak the same language." - The nurse should provide a medical interpreter for a client who speaks a different language than the nurse when providing culturally competent care. The interpreter should be able to translate the client's native language so that the information is clear and understandable.
A nurse is performing the role of case manager for a client. Which of the following actions demonstrates this nursing role? a) Coordinating and overseeing the care the client is receiving b) Helping to develop nursing knowledge for clinical interventions c) Providing knowledgeable and compassionate care to promote health and address illness d) Instructing the client on specialized topics such as diabetes care
a) Coordinating and overseeing the care the client is receiving - A case manager is an RN who coordinates and oversees client care, working with their family and the health care team, usually when clients need a variety of services.
A nurse is caring for a client who reports experiencing chills and not feeling well. The nurse informs the client that they need to have their temperature taken to monitor the manifestations. Which of the following terms describes that the nurse's action is grounded in research? a) Evidence-Based Practice b) Competencies c) Lifelong Learning d) Change Agent
a) Evidence-Based Practice - The nurse should identify that obtaining the temperature of a client who is not feeling well and experiencing chills is grounded in research and is referred to as evidence-based practice. This type of practice indicates that actions the nurse takes have been tested with a scientific rationale for meaning, purpose, and importance.
A nurse is reviewing the contributions made by various nursing organizations that have impacted the nursing profession. The nurse should identify that which of the following are contributions made by The American Nurses Association (ANA)? (Select all that apply.) a) Providing a definition of nursing b) Lobbying for whistle blower protection c) Providing objective data to improve the health of society d) Providing all registered nurses with competency expectations e) Providing the nursing magazine Imprint
a) Providing a definition of nursing - The ANA defined nursing through The Nursing Scope and Standards of Practice, which provides a clear definition of what nursing involves and the responsibilities of the professional nurse. b) Lobbying for whistle blower protection - The ANA provides support to registered nurses through lobbying for major issues including whistle blower protection and improving safety in the workplace. c) Providing all registered nurses with competency expectations - The ANA provides the nursing profession with The Nursing Scope and Standards of Practice, which defines the actions RNs are expected to perform competently.
A nurse is reviewing the contributions of various organizations that provide support in caring for clients. The nurse should identify that which of the following agencies provides The Nursing Scope and Standards of Practice? a) The American Nurses Association (ANA) b) The American Academy of Nursing c) The National Student Nurses Association (NSNA) d) The National Academy of Medicine
a) The American Nurses Association (ANA) - The ANA is an organization responsible for establishing a set of nursing standards that are contained within The Nursing Scope and Standards of Practice. This document provides a clear definition of what nursing involves and the responsibilities of the nurse as a professional.
A nurse manager is providing education to a group of newly licensed nurses about various nursing organization. Which of the following information should the nurse manager include? a) The American Nurses Association's The Code of Ethics for Nurses with Interpretive Statements guides nurses through difficult decisions. b) The National Academy of Medicine developed the Healthy People campaign to improve the health of all Americans. c) The American Academy of Nursing requires members to have a doctorate degree in nursing to join. d) The National Student Nurses' Association is an organization to encourage students to enter nursing.
a) The American Nurses Association's The Code of Ethics for Nurses with Interpretive Statements guides nurses through difficult decisions. - The American Nurses Association created The Code of Ethics for Nurses with Interpretive Statements to help nurses worth through ethical issues that can be complicated and sensitive in nature.
A nurse educator is planning a presentation for nurses about the opioid epidemic. Which of the following is a strategy promoted by the U.S. Department of Health and Human Services to address this epidemic? a) Continue to evaluate to determine if the use of opioids improves on its own. b) Educate nurses and other health care personnel about naloxone. c) Keep the issue private to avoid embarrassment. d) Reduce efforts to explore alternative pain management practices until the opioid epidemic is over.
b) Educate nurses and other health care personnel about naloxone. - Promoting the use and administration techniques of overdose-reversing medications is one of the five priority strategies for the opioid epidemic. Naloxone is a medication that is promoted because it is widely available and can be administered by laypersons with minimal training.
A nurse is explaining to a newly licensed nurse that caring for clients involves lifelong learning by the nurse. The nurse should include which of the following as examples of learning opportunities for nurses? (Select all that apply.) a) Nursing blogs or opinions b) Online continuing education journal articles c) Nursing skill refresher opportunities d) Continuing education presentations e) Participating in healthcare research
b) Online continuing education journal article - Online continuing education journal articles provide the nurse with an option for lifelong learning. This allows the nurse to improve their skills, resulting in improved client care. The availability of continuing education for reading the article and successfully completing the post-test or activity indicates the article itself meets the rigor required to meet accreditation standards by either a state board of nursing or some other accrediting agency. c) Nursing skill refresher opportunities - Nursing skill refresher opportunities provide the nurse with an option for lifelong learning. This allows the nurse to improve their skills, resulting in improved client care. Specialized courses such as skill refresher courses and some college courses provide credits for continuing education demonstrating they meet the rigor required to meet the accreditation standards and promote lifelong learning. d) Continuing education presentations - Continuing education presentations provide the nurse with an option for lifelong learning. This allows the nurse to improve or maintain competency, resulting in improved client care. Presentations that offer credit for continuing education meets accreditation standards and promote lifelong learning. e) Participating in healthcare research - Health care research provides the nurse with an option for lifelong learning. This allows the nurse to improve nursing practice by generating evidence for nurses to use in the care for their clients. Participation in research demonstrates a dedication to the profession and to advancing learning.
A nurse in a long-term care facility took a picture of a client and posted it on the internet. This action by the nurse is an example of which of the following? a) Serving as an advocate for the client b) Violating the code of ethics for nurses c) Participating in the Healthy People 2030 program d) Demonstrating collaboration
b) Violating the code of ethics for nurses - Posting a client's picture on the internet is a violation of the client's right to privacy, which is included in the code of ethics for nurses. Provision 3 of the American Nurses Association Code of Ethics for Nurses with Interpretive Statements states that the nurse should promote, advocate for, and protect the rights, health, and safety of the client.
A nurse is talking with a client who arrived at the clinic over an hour ago and states, "Doesn't anyone care that I am sick? Why do I have to wait so long?" The nurse listens to the client and notifies the provider, relaying the needs of the client. In which of the following roles is the nurse performing? a) Educator b) Case Manager c) Advocate d) Leader
c) Advocate - A client advocate acts on behalf of the needs of the client. In this example, the nurse is voicing the concerns of the client when their needs are not being met.
A newly licensed nurse is reviewing Benner's Novice to Expert Model for nursing competence. At which of the following stages does the nurse first develop the ability to prioritize tasks by drawing on experience? a) Advanced Beginner b) Proficient c) Competent d) Novice
c) Competent - The nurse in the competent stage is able to prioritize tasks by drawing on past experience. The competent nurse does not prioritize as quickly as a proficient nurse, but they do have mastery in multiple areas.
A nurse is caring for a client who asks about healthy choices to lose weight. The nurse shares information from Healthy People 2030 to address the client's questions. Which of the following describes the Healthy People initiative? a) It is a program for health care practitioners to get healthy. b) It is a social media platforms for nurses. c) It is a set of objectives for improving the health of American lives. d) It is a rehabilitation program for clients who have substance use disorders.
c) It is a set of objectives for improving the health of American lives. - Healthy People 2030 is a campaign developed by the U.S. Office of Disease Prevention and Health Promotion. It is science based upon past data providing objectives to improve upon the health of Americans.
A nurse is describing to another nurse how to use social media in client care. Which of the following examples should the nurse include as an acceptable use of social media? a) Posting a comment on social media about facility staffing shortages b) Accepting a social media friend request from a client c) Reviewing the use of a fitness application with a client d) Sharing client information with a coworker in a private social media message
c) Reviewing the use of a fitness application with a client - Reviewing the use of a fitness application with a client is an acceptable use of social media. This can lead to an improvement in client outcomes and a healthier lifestyle.
A nurse is reviewing historical nursing data and how it has impacted nursing care. The nurse should identify that which of the following nursing pioneers is credited with first using evidence-based practice in caring for clients? a) Clara Barton b) Dorothea Dix c) Eddie Bernice Johnson d) Florence Nightingale
d) Florence Nightingale - Florence Nightingale is credited with first using evidence-based practice. She collected data and was able to connect the unclean conditions to would infections during the Crimean War. She reported that overall cleanliness and handwashing reduced the infection rates.
A nurse is caring for a client who tells the nurse they want to quit smoking. The nurse provides the client with information about smoking cessation and other ways to improve their health. Which of the following nursing roles is the nurse demonstrating? (Select all that apply.) a) Advocate b) Collaborator c) Change Manager d) Health Promoter e) Nurse Educator
d) Health Promoter - The nurse is serving as a health promoter by providing the client with information about smoking cessation and health improvement. The concept of educating clients to promote health is a priority to support individuals taking care and control of their own physical and mental health. e) Nurse Educator - The nurse is serving as a nurse educator by providing educational information to the client regarding smoking cessation and other health information. Providing information on selected topics such as smoking cessation empowers the client and helps the client improve their overall health and quality of life.
A nurse who completed their shift realized they forgot to take a client's vital signs as frequently as prescribed. Which of the following actions should the nurse take to uphold the American Nurses Association's Code of Ethics for Nurses with Interpretive Statements? a) Take the client's vital signs now and document them as being completed 8 hours earlier. b) Document vital signs that are the same as those obtained earlier. c) Make a reminder note to be more diligent when returning the next day. d) Report this omission to the charge nurse and the nurse on the next shift.
d) Report this omission to the charge nurse and the nurse on the next shift. - The nurse should be ethically responsible as indicated in The Code of Ethics for Nurses with Interpretive Statements and report the omission. The Code of Ethics for Nurses with Interpretive Statements requires nurses to provide quality care responsibly and ethically.
A nurse is reviewing the Institute of Medicine (IOM) Future of Nursing report to better understand proposed educational requirements of nurses. Which of the following organizations is responsible for publishing this report? a) The American Nurses Association b) The National Academy of Medicine c) State Board of Nursing d) American Association of Colleges of Nursing
b) The National Academy of Medicine - The National Academy of Medicine, formerly known as the Institute of Medicine, and the Robert Woods Johnson Foundation published the IOM Future of Nursing report in 2011, which includes how nursing education should evolve from 2010 to 2020.
A nursing student expresses a desire to become more involved with the nursing profession on a national level. Which of the following organizations should the student join? a) The National League for Nursing b) The National Student Nurses' Association c) The National Academy of Medicine d) The International Council for Nurses
b) The National Student Nurses' Association - The National Student Nurses' Association is an organization for students to join to become involved with initiatives and issues, and to connect with other student nurses across the nation.
A nurse has accepted a position at a hospital in the state where they live. The nurse should identify that which of the following regulates the nurse's actions when they begin working? a) American Nurses Association (ANA) Code of Ethics for Nurses with Interpretive Statements b) The State Nurse Practice Act c) The National Student Nurses Association (NSNA) d) The National League for Nursing
b) The State Nurse Practice Act - Upon licensure, a nurse will follow the Nurse Practice Act for the state in which they choose to practice. This document states the rules and regulations surrounding the practice of nursing set forth by each state's board of nursing.
A nurse is reviewing the health history of a client during a routine office visit. Which of the following observations by the nurse is an example of the client demonstrating health literacy? a) The client states they want to improve their current knowledge about their health. b) The client asks for information that will help them improve their eating habits. c) The client states they understand their health care information and treatments. d) The client requests a meeting with the nurse, the physical therapist, and the provider.
c) The client states they understand their health care information and treatments. - Healthy literacy can be described as the capacity to obtain, communicate, and understand basic health information and services in order to make appropriate health decisions. This client is demonstrating health literacy by being knowledgeable about and understanding their health care information and treatments.
