CH. 1: Nursing Foundation PREPU Qs
The Nurse Corps of the United States Army was established by whom?
Dorothea Dix
Which trend in nursing is true?
More licensed nurses are earning master's and doctoral degrees.
Nurses use comforting skills in their care of clients. What is the best example of a comforting skill?
helping a client with breathing during a panic attack
In what time period did nursing care as we now know it begin?
18th to 19th century
A nursing student is obtaining an associate degree in preparation to sit for the NCLEX-RN. How many years will the student likely be in the program?
2
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 wishes to work as a nurse researcher. Which is true regarding nurse researchers?
They are responsible for the continued development and advancement of nursing.
Which nurse broadened the definition of nursing to encompass health promotion?
Virginia Henderson
Which nursing action best exemplifies the nurse's role in promoting health?
encouraging a group of junior high school students to engage in regular physical activity
A licensed practice nurse (LPN) is working as a staff nurse. What role do the LPNs working as staff nurses play?
provide direct nursing care to the clients in the health care facility
The nurse and a student are discussing entry into the profession of nursing. Which statement should the nurse use to describe a diploma program?
"It is obtained by a 24-month program at a hospital."
A nurse is providing care for an elderly client who was admitted to the hospital several days ago after she suffered a stroke. What action by the nurse best demonstrates the definition of nursing that was identified by Henderson and adopted by the International Council of Nurses?
providing temporary assistance to maximize the client's recovery and rehabilitation
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
Which client is an example of "medically homeless"?
the client who goes to the emergency department for minor issues
Which of the following organizations is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?
American Nurses Association (ANA)
Which organization is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?
American Nurses Association (ANA)
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.
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.
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
Which contributor to the nursing profession established two missions: sick nursing and health nursing?
Florence Nightingale
Which nurse posited a theory that can be practically applied to nursing as follows: "Nurses modify unhealthy aspects of the environment to put the client in the best condition for nature to act."
Florence Nightingale
A nurse explains the concept of health to a client when establishing health promotion goals with the client. Which statement by the client indicates that the nurse's teaching has been effective?
Health is a state of optimal functioning.
Nursing is described in various ways. The focus of all nursing interventions can be described by which statement?
Nursing focuses on the human experience and responses of individuals, families, and groups.
A post surgical client required the reinsertion of a urinary catheter after retaining urine for several hours. The registered nurse had delegated this task to a practical nurse. What action shows that the RN applied the principle of right supervision and evaluation when delegating this task?
The RN confirmed that the catheter was inserted correctly after the LPN was finished the task.
The need for university-based nursing education programs was brought to light during which important historical time?
WWII
Nurses use assessment skills in their care of clients. Which example best represents assessment skills?
acts that involve collecting data
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 nurse graduated several years ago from a 2-year nursing program at a community college near the home city. Recently, the nurse has considered moving from providing direct client care into an administrative role, but recognizes the need for further education to be considered for such a position. The nurse most likely possesses which nursing qualification?
associate degree
Which registered nursing (RN) program currently has the highest enrollment level?
associate degree
The director of nursing (DON) of a major hospital is seeking to hire a nurse with a strong technical background to care for clients on a busy surgical unit. The DON is most likely going to hire a nurse prepared at which level of nursing?
associate level
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 student is choosing an educational path and desires a nursing degree with a track for community nursing and leadership and that allows for classes in liberal arts. The student would best be suited in which type of program?
baccalaureate program
Which nursing action is most dependent on technical skill?
changing a client's wound dressing while maintaining asepsis
A nurse is planning to apply Florence Nightingale's theory to current practice. Which interventions will the nurse use during daily client interactions? (Select all that apply.)
evaluating and adjusting the hospital room's ventilation washing hands before and after all client interactions encouraging client to meet daily caloric requirements
Which description depicts the role of the nurse practitioner?
functions independently and is skilled at doing nursing assessments, performing physical examinations, counseling, teaching, and treating health problems
Which description best summarizes the level of responsibility of the licensed nurse as related to assessment?
gathers data by interviewing, observing, and performing a basic physical examination of people with common health problems with predictable outcomes
Which of the following is a current trend affecting nursing education and practice?
increase in chronic health conditions
What factors are contributing to the nursing shortage? (Select all that apply.)
increased aging population requiring health care disappointing salaries for nurses with longevity employment job dissatisfaction as a result of stress and the unrelenting rigor of working in health care
What are the values of the caring, professional nurse identified by the American Association of Colleges of Nursing (AACN)? Select all that apply.
integrity human dignity autonomy
Nurses use counseling skills in their care of clients. Which best represents counseling skills?
interventions that include communicating with clients, actively listening during exchanges of information, offering pertinent health teaching, and providing emotional support
Which description is consistent with the nurse's use of empathy during client care?
intuitive awareness of what the client is experiencing
What was one barrier to the development of the nursing profession in the United States after the Civil War?
lack of educational standards
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
A high school senior wants to become a geriatric nurse practitioner. What nursing degree will the student need to attain this goal?
master's degree
Which age group in the population is expanding most rapidly, resulting in changes in the delivery of health care?
older adults
Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting?
outpatient facilities
A nurse conducts a smoking cessation program for clients of a neighborhood clinic. This is an example of which of the following aims of nursing?
preventing illness
Teaching a woman about breast self-examination is an example of what broad aim of nursing?
preventing illness
A licensed practical nurse is planning a move to a new state and intends to begin practicing as soon as possible. This nurse should be aware that:
there may be differences in the scope of practice when a practical nurse relocates to a new state.
What is the primary purpose of standards of nursing practice?
to ensure knowledgeable, safe, comprehensive nursing care