prepu ch 1 intro to nursing and professional formation
A nurse is working with a client who has undergone a lower leg amputation. While conducting an assessment, the nurse notes the client has a downcast mood. Which statement by the nurse conveys empathy to the client? "I notice you might be experiencing some feelings of sadness. Would you like to share how you are feeling with me?" "It is not uncommon to be depressed after having such major surgery. Many of my clients feel sad." "If I had the type of life-altering experience you had, I would probably feel depressed. You are doing well under the circumstances." "I can see you are in need of extra comfort right now. Let me adjust your position and readjust your bed linens for you."
"I notice you might be experiencing some feelings of sadness. Would you like to share how you are feeling with me?"
Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)? The RN is permitted to prescribe medications. The LPN/LVN can only work in a long-term care facility. The RN directs the workload of an LPN/LVN. The LPN/LVN should work under the supervision of an RN.
The LPN/LVN should work under the supervision of an RN.
In the role of entrepreneur, the nurse's primary responsibility is: managing a health-related business. administering resources. managing personnel involved in client care. teaching in a clinical setting.
managing health-related business
Which advanced nurse practitioner is specifically qualified to provide prenatal care for a pregnant client? nurse-midwife nurse anesthetist clinical nurse specialist nurse educator
nurse-midwife
What might a nurse need to do to ensure the continuation of his or her nursing license? Obtain a baccalaureate degree. Obtain a master's degree. Attend hospital in-services. Obtain continuing education credits.
obtain continuing education credits
Which nursing intervention is appropriate for a new parent that calls the nursery for help with breastfeeding? Refer the parent for a home care visit. Ask the parent to come to the emergency room. Email the parent a link for breastfeeding. Suggest that the parent bottle feed their infant.
refer parent for a home care visit
Which organization offers membership by invitation to students who demonstrate excellence in scholarship and to nurses in the community who demonstrate excellence in leadership? National Student Nurses Association (NSNA) Sigma Theta Tau International, Honor Society of Nursing American Nurses Association (ANA) Accreditation Commission for Education in Nursing (ACEN)
sigma theta tau international, honor society of nursing
Which is the best example of a nurse demonstrating the role of caregiver? starting an intravenous line in the client's arm referring the client to a mental health clinic assigning a room for a new hospital client reporting lab values to a client's health care provider
starting an intravenous line in the clients arm
Which is the best example of a client-centered approach to care? The nurse helps a client ambulate. The nurse asks the client about health goals. The nurse asks the client what the client would like to order from the menu. The nurse draws a blood sample from a client
the nurse asks client about health goals
The registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs? They must take a licensure exam. They may work independently. They have a higher degree than most RNs. The program is 4 years in length.
they must take a licensure exam
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 To prevent illness To promote health To facilitate coping
to restore health
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 Correctly utilize and troubleshoot high-tech equipment Navigate the electronic medical records system Do things the way they have always been done
work effectively in interdisciplinary teams
A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse? "No nurse can prescribe a medication." "Only advanced practice registered nurses have prescriptive authority." "Take two ibuprofen every 4 to 6 hours." "Take one acetaminophen every 4 hours."
"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 nurse is evaluating client health. Which client should the nurse determine to be exhibiting the most signs of health? A client with diabetes who is in denial of the diabetes and refuses to take insulin A client in acute emotional distress due to spouse's death A client with a leg amputation who performs activities of daily living with a prosthesis A client with depression who refuses to get out of bed
A client with a leg amputation who performs activities of daily living with a prosthesis
After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that: membership is open to all nurses in the United States. ANA aims at fostering high standards of nursing in the United States. members include nurses, other health care providers, and lay people. ANA invites students showing excellence in scholarship to become members.
ANA aims at fostering high standards of nursing in the United States.
The new nursing graduate is concerned about some of the critical changes that will be occurring 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 Rapid growth of nurses and shortage of job opportunities Decrease in health care costs Limitations that nurses have in the workforce
Difficulty for nurses to remain current in a rapidly changing medical and technology environment
A nurse educator is discussing the role of nursing based on the American Nurses Association (ANA). Which statement best describes this role? Nursing is a profession dependent upon the medical community as a whole. It is the role of the health care provider, not the nurse, to assist clients in understanding their health problems. It is the role of nursing to provide a caring relationship that facilitates health and healing. The essential components of professional nursing care are strength, endurance, and cure.
It is the role of nursing to provide a caring relationship that facilitates health and healing.
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 To make them look more appealing to the public To deemphasize the importance of care provided by health care providers
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
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 nurse telling a client the side effects of a medication A nurse providing the health care provider a client's test results A nurse ensuring that a client has follow-up care at a free clinic
a nurse allowing a crying client to verbalize fears of death
A novice nurse is excited to finally be able to put all the training to use on the inpatient unit. Which factor should the nurse be sure to prioritize when beginning to interact with clients? be an advocate for appropriate care ensure the families do not get sick ensure families are kept informed advise clients on the best plan of action
advocate for appropriate care
The first nursing journal owned, operated, and published by nurses was: American Journal of Nursing Nurse Educator Nursing Research Standards of Clinical Nursing Practice
american journal of nursing
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
american nurses association ANA
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice? American Nurses Association National League for Nursing International Council of Nurses National Council of State Boards of Nursing
american nurses association ANA
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? asking the current state to transfer the license applying for a reciprocal license in the new state taking the new state's licensing exam No action is needed by the nurse.
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 science of nursing evidence-based practice application of research
art of nursing
Which action by the nurse best represents the evaluative portion of the nursing process? assessing a client's blood pressure after giving a cup of coffee educating a client on how to take one's own blood pressure every morning assessing a client's blood pressure after teaching stress reduction techniques determining that a client is at risk for a fall while in the hospital
assessing a client's blood pressure after teaching stress reduction techniques
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). Encourage the family to leave and let the nurse take over care. Inform the family that there is nothing they can do for their loved one. Assist the client and family with the preparation for end-of-life. Refer the client and family to hospice services.
assist the client with activities of ADLs assist client and family with preparation of end of life refer hospice services
A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care? The nurse's actions The client receiving the care The nurse as the caregiver Nursing as a profession
client receiving care
A nurse is planning to pursue further education in the hopes of becoming an expert in care of older adults who carries out direct care. For which expanded career role is the nurse preparing? clinical nurse specialist nurse manager nurse-midwife physician assistant
clinical nurse specialist
During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply. Communicator Counselor Teacher Financier Statistician
communicator counselor teacher
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 Preventing illness Restoring health Promoting health
facilitating coping
The primary aim of the Healthy People 2020 initiative is: health promotion. illness prevention. health restoration. coping with disability.
health promotion
When administering immunizations, the nurse is engaged in: health promotion. illness prevention. health restoration. coping facilitation.
illness prevention
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 composition of the client's family
level of motivation level of knowledge willingness to follow the health regimen physical and psychological abilities to carry out the plan
