PrepU Intro to Nursing Chapter 1
The community health nurse creates a program to promote the health of the community using health promotion principles. Which intervention would the nurse include in this program?
Activities focused on maintaining wellness
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
American Nurses Association
Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this?
Completing clinical hours supervised by a nursing instructor
For the nurse to become a nurse practitioner, what is the minimal degree the nurse will need to acquire?
Master's
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 is attempting to provide anticipatory guidance for the parents of an 18-month-old child. Which statement would be best for the nurse to make?
"Keep all medications in a locked cabinet."
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 nurse is evaluating client health. Which client should the nurse determine to be exhibiting the most signs of health?
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:
ANA aims at fostering high standards of nursing in the United States.
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
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 action should the nurse implement when working with a medically homeless client?
Encourage client to utilize the free health care clinic.
A nurse manager is teaching staff how to use a new piece of hospital equipment. Which educational setting would be most appropriate for this process?
In-service education
What might a nurse need to do to ensure the continuation of his or her nursing license?
Obtain continuing education credits.
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 registered nurse is convicted of stealing opioids from the medical-surgical unit. Which action might be taken against this RN's nursing license?
Revoking of the nursing license
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 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
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 registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs?
They must take a licensure exam.
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 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
The need for university-based nursing education programs was brought to light during which important historical time?
World War II
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."
Which is the best example of a nurse demonstrating the role of caregiver?
starting an intravenous line in the client's arm
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 and family with the preparation for end-of-life. -Refer the client and family to hospice services. -Assist the client with activities of daily living (ADLs).
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 -Teacher -Counselor
A graduate nurse is joining the National League for Nursing (NLN) prior to furthering education in the field of nursing. What actions by the graduate when becoming a member will assist the student in attaining educational goals? Select all that apply.
-Determines which schools are nationally accredited -Researches surveys of new schools for furthering education goals
The role of the nurse developed from the pre-civilization era through the eras representing the beginning of civilization, the beginning of the 16th century, the 18th and 19th centuries, World War II era, and up to the present day. Place the following roles of the nurse listed below in the correct chronologic order to follow this timeline.
-Nurses were portrayed as a mother, caring for family and delivering physical care and health remedies. -Nurses were viewed as slaves, carrying out menial tasks based on the orders of the priest. -There was a shortage of nurses; criminals were recruited as nurses; nursing was viewed as disreputable. -Florence Nightingale elevated nursing to a respected occupation and founded modern methods in nursing education. -Efforts were made to upgrade nursing education, and women were more assertive and independent. -Nursing was broadened in all areas and was practiced in a wide variety of settings; nursing was viewed as a profession.
Which nursing actions will increase efficient management of client care and decrease the ramifications of the nursing shortage? (Select all that apply.)
-coordinating health care services before client discharge -pursuing postlicensure education -implementing evidenced-based clinical pathways -becoming cross-trained in another area of the hospital
The first nursing journal owned, operated, and published by nurses was:
American Journal of Nursing
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
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
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
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
A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which task is most appropriate for the nurse to delegate to the licensed practical nurse (LPN)?
administering bedside blood glucose testing
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 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.
A nurse mentoring second-year nursing students from a community college plans clinical experiences for them. These students will most likely graduate in which time frame?
at the end of the year
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
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
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
In the role of entrepreneur, the nurse's primary responsibility is:
managing a health-related business.
A nursing instructor has completed a session with a group of nursing students exploring features which characterize nursing. The instructor determines the session is successful when the students choose which feature as essential to nursing?
promote social justice
Which nursing group provides a definition and scope of practice for nursing?
American Nurses Association (ANA)
The primary aim of the Healthy People 2030 initiative is:
health promotion.
