Chapter 1 Ethics course point
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 patient's family
Level of motivation Level of knowledge Willingness to follow the health regimen Physical and psychological abilities to carry out the plan
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 facilitating a support group for the friends and families of clients affected by stroke performing deep suctioning on a client who has a tracheotomy and copious secretions administering a beta-adrenergic blocker and diuretic to a client who has a history of hypertension
encouraging a group of junior high school students to engage in regular physical activity
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."
A nurse practitioner considering going back to school to obtain a Doctor of Nursing Practice degree (DNP) anticipates that the main focus of the curriculum will be on: ethics. clinical practice. conducting research. managerial styles.
clinical practice.
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
The nursing process includes step(s)? Select all that apply. Assess Plan Prescribe Implement Evaluate
Assess Plan Implement Evaluate
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. Ask the mother to come to the emergency room. Email the mother a link for breastfeeding. Suggest that the mother bottle feed her infant.
Refer the mother for a home care visit.
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? associate of science registered nursing program baccalaureate of science registered nursing program licensed or vocational nursing program diploma nursing program
licensed or vocational nursing program
A BSN nurse is discussing the benefits of a BSN to high school students. Which statement made by the nurse would be most appropriate? "Many nursing management jobs require a BSN." "BSN nurses only work in the hospital." "Most nontraditional students obtain a BSN." "BSN programs attract the most males."
"Many nursing management jobs require a BSN."
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
18th to 19th century
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
Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this? Taking an online class at a university Participating in a paid internship Completing clinical hours supervised by a nursing instructor Passing the NCLEX exam
Completing clinical hours supervised by a nursing instructor
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 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
The nurse is performing care for a client in the end stage of cancer. How can the nurse bestfacilitate 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 and family with the preparation for end-of-life. Assist the client with activities of daily living (ADLs). Refer the client and family to hospice services.
The new nursing graduate is concerned about some of the critical changes that will be occuring 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
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.
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 Nurse manager Nurse-midwife Physician assistant
Clinical nurse specialist
Which action should the nurse implement when working with a medically homeless client? Encourage client to utilize the free health care clinic. Assist the client in finding housing. Encourage the client to utilize the emergency room when ill. Assist the client in finding a job.
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? Continuing education Graduate education In-service education Undergraduate studies
In-service education
Who established the first public health service for the sick and poor? Dorothea Dix Lillian Wald Florence Nightingale Isabel Hampton Robb
Lillian Wald
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 Nora Gertrude Livingston Mary Agnes Snively Mary Ann Bickerdyke
Mary Eliza Mahoney
A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse? Diploma Associate's Master's Baccalaureate
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 standards Nursing orders Nurse practice acts Nursing process
Nursing process
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 prescribed 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.
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 RN coordinates care delivery.
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 art of nursing conduction of research quality improvement
science of nursing
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: "The nurse is the handmaiden of the physician." "Everything in nature is alive with invisible forces." "Pets can help heal clients." "The physician is viewed as a god-like figure."
"Everything in nature is alive with invisible forces."
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 Telling a friend about something that happened to a client that day Discussing laboratory values with a client
Discussing laboratory values with a client Informing the physical therapist that the client's therapy was discontinued Telling a client their blood pressure Calling a physician about a client's blood pressure
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 the client about health goals.
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 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 physician
starting an intravenous line in the client's arm
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 physician, 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.
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
The client receiving the care
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
World War II
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 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: authoritative functioning. independent functioning. assistive functioning. collaborative functioning.
collaborative functioning.
A nurse wishes to advance his or her career and work as a clinical nurse specialist. Which statement regarding scope of practice should the nurse keep in mind? The nurse may teach advanced education for nurses. The nurse oversees the care coordination of a group of clients. This requires at least a doctoral degree education. The nurse practices only with a private practitioner.
The nurse may teach advanced education for nurses.