Chapter 1
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."
A client asks 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."
The nursing instructor is educating the students on the use of latex gloves. Which statement made by the instructor would be most important? Select all that apply.
- Latex gloves are preferred when fine motor skills are necessary. - Hands should be washed well following the use of latex gloves. - Limited use of latex gloves will decrease the chances of developing latex allergy.
What are the best examples of the role of the nurse as a communicator? Select all that apply.
- Telling a client their blood pressure - Calling a physician about a client's blood pressure - Informing the physical therapist that the client's therapy was discontinued - Discussing laboratory values with a client
In what time period did nursing care as we now know it begin?
18th-19th century
The nurse utilizing the nursing process includes which of the following steps?
ADPIE
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.
The nurse is considering medical-surgical certification after working in a medical-surgical floor for the past five years. Nursing specialty certification is given by which of the following groups?
American Nurses Credentialing Center (ANCC)
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 scenario is the best example of a nurse attending an in-service program?
Attending a hospital program on how to use a new IV pump
A nurse is planning to continue their education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which of the following expanded career roles 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.
Attracting minorities to the profession of nursing is an important consideration for the future of nursing. Which key historical nursing figure set a precedent in this area?
Mary Eliza Mahoney
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
The student nurse is changing the bed linens of a hospitalized patient. While placing the contaminated materials into the laundry bag, the outside of the bag is touched by the material. What should the student nurse do next?
Obtain another laundry bag and place the contaminated bag inside while in the patient's room.
Which Standards of Professional Performance, as defined by the ANA, has the nurse considering factors related to safety, effectiveness, cost, and the impact on practice in the planning and delivery of nursing services?
Resource Utilization
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 postoperative patient's plan of care contains an intervention to ambulate twice a day 200 feet with assistance of one member of the healthcare team. The intervention was not completed one morning due to his pain. Which of the following would be the appropriate way to document the missed event?
The patient reported his pain at a level of 8/10 at 30 minutes after dosing. The patient was returned to bed and the physician was notified of the uncontrolled pain level with the current medication order
During the Reformation, which factor influenced the decline of nursing?
Women's subordination to men
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
A 32-year-old construction worker is admitted to the emergency department after suffering a heat stroke. Which of the following IV solutions would the nurse expect the physician would order?
a solution of normal saline (An isotonic solution is helpful for hypotension caused by hypovolemia in dehydration. Examples of an isotonic solution include normal saline (0.9% NaCl) and lactated Ringer's)
The definition of implementation would include which of the following?
action phase
The first nursing journal owned, operated, and published by nurses was
american journal of nursing
A new graduate is preparing to enter into nursing practice. Which factor will be the central focus for the nurse in practice?
care of the client
A nurse receives an x-ray report on a newly admitted client suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in?
communicator
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
Trends in managed care have resulted in an increased focus on the care of clients by nurses in which settings?
community-based settings (Health care is increasingly provided in community-based settings such as clinics, outpatient settings, and homes. The impetus for this change has largely been the implementation of a system of managed care to control and monitor health care services to minimize costs)
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
The nurse that has been in practice for 15 years is able to use intuition when providing care to clients and also utilizes resources and demands to attain specific goals. According to Author Patricia Benner, in From Novice to Expert (1984), what stage of practice is the nurse displaying?
expert
A man age 61 years is distraught because he has just learned that his most recent computed tomography (CT) scan shows that his colon cancer has metastasized to his lungs. Which nursing aim should the nurse prioritize in the immediate care of this client?
facilitating coping
A student nurse understands that the primary aim of the Healthy People 2020 initiative is:
health promotion
The nurse recognizes that immunizations are an example of:
illness prevention
A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse?
master's
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 process
A nurse is providing care for clients in a long-term care facility. Based on the definitions of nursing in the textbook, what should be the central focus of this care?
the client receiving the care
The nurse is describing the role of the nurse entrepreneur. Which statement best describes this role?
A nurse who manages a health-related business
What was one barrier to the development of the nursing profession in the United States after the Civil War?
Lack of educational standards
A nurse is considering relocating to another state to practice nursing. Which of the following 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 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