Professional Nursing Practice Chapter 1: PREPU
-It is the role of nursing to provide a caring relationship that facilitates health and healing. Explanation: The American Nurses Association (ANA) defines nursing as "the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations"
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.
-Nursing process Explanation: The essential activities involved in the nursing process are assessing, diagnosing, planning, implementing, and evaluating. The nursing process is used by the nurse to identify the patient's health care needs and strengths, to establish and carry out a care plan to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes.
A nurse identifies a client's health care needs and devises a plan of care to meet those needs. Which guideline is being followed in this case? -Nursing standards -Nursing orders -Nurse practice acts -Nursing process
-"I notice you might be experiencing some feelings of sadness. Would you like to share how you are feeling with me?" Explanation: Empathy is the ability to understand and share the feelings of another.
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."
-In-service education Explanation: Many hospitals and health care facilities provide education and training for employees of their institution or organization, called in-service education. This is designed to increase the knowledge and skills of the nursing staff. Programs may involve learning, for example, a specific nursing skill or how to use new equipment.
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? -Continuing education -Graduate education -In-service education -Undergraduate studies
-at the end of the year Explanation: Most associate degree in nursing (ADN) programs are offered by community or junior colleges. These 2-year educational programs attract more men, more minorities, and more nontraditional students than do the other types of programs
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 -in 3 more years -in 2 more years -in 1 more year
-They are responsible for the continued development and advancement of nursing. Explanation: A nurse researcher is a nurse with an advanced degree who conducts research relevant to the definition and improvement of nursing practice and education
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. -They usually have a baccalaureate degree in nursing. -They serve as liaisons between staff members and directors of nursing. -They tend to work in community health centers and long-term care units.
-18th to 19th century Explanation:
In what time period did nursing care as we now know it begin? -pre-civilization -early civilization to 16th century -16th to 17th century -18th to 19th century
-Work effectively in interdisciplinary teams Explanation: Teamwork and Collaboration/Quality Improvement: What communication skills do you need to improve to ensure that you function as a competent, caring, and responsible member of the patient-care team and ensure that you obtain assistance when needed? How would you have responded if nursing leadership did not address your concerns? What special talents do you bring to promoting a well-functioning interdisciplinary team?
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
-American Journal of Nursing Explanation: 1940 A "Tentative Code" is published in the American Journal of Nursing, although never formally adopted.
The first nursing journal owned, operated, and published by nurses was: -American Journal of Nursing -Nurse Educator -Nursing Research -Standards of Clinical Nursing Practice
-World War II Explanation: After World War II, efforts were directed at upgrading nursing education. Schools of nursing were based on educational objectives and were increasingly developed in university and college settings, leading to degrees in nursing for men, women, and minorities.
The need for university-based nursing education programs was brought to light during which important historical time? -Spanish-American War -World War I -World War II -Korean War
-To restore health Explanation: Four broad aims of nursing practice can be identified in the definitions of nursing: To promote health To prevent illness To restore health To facilitate coping with disability or death Activities to restore health encompass those traditionally considered to be the nurse's responsibility. These focus on the person with an illness, and range from early detection of a disease to rehabilitation and teaching during recovery.
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
Explanation: The science of nursing is the knowledge base for care that is provided. In contrast, the skilled application of that knowledge is the art of nursing. Providing holistic care to patients based on the science of nursing is considered the art of nursing.
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
-Collaborative intervention Explanation: The administration of a p.r.n. medication requires a physician-prescribed intervention (the medication order) as well as a nurse-prescribed intervention (determining when the order should be carried out and proper administration of the medication); therefore, this action would be considered a collaborative intervention. Nurse-initiated interventions, such as turning and repositioning a client, are described as nurse-prescribed interventions. Physician-directed actions are described as physician-prescribed interventions. Client advocacy refers to communicating the needs and protecting the safety of the client.
The nurse is caring for a postoperative client, and administers a pain medication prescribed on a PRN basis by the health care provider. What describes the type of intervention the nurse is demonstrating? -dependent intervention -collaborative intervention -client advocacy intervention -nurse-prescribed intervention
-Health promotion. Explanation: Guidelines for Healthy people 2022: Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote quality of life, healthy development, and healthy behaviors across all life stages.
The primary aim of the Healthy People 2020 initiative is: -health promotion. -illness prevention. -health restoration. -coping with disability.
-The RN coordinates care delivery. Explanation: Standard 5. Implementation: The registered nurse implements the identified plan = Standard 5a. Coordination of Care: The registered nurse coordinates care delivery
The registered nurse communicates with the physical therapist that a client is now on strict bed rest due to bradycardia. Which statement best explains the standard exemplified by the nurse? -The RN coordinates care delivery. -The RN identifies outcomes. -The RN analyzes client data. -The RN collects client data.
-The nurse asks the client about health goals.
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.
-American Nurses Association Explanation: In addition to a definition of nursing, the ANA describes the social context of nursing, the knowledge base for nursing practice, the scope of nursing practice, standards of professional nursing practice, and the regulation of professional nursing in its Nursing's Social Policy Statement (2010)
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
