Chapter 1 Fundamentals of Nursing Theory
When administering immunizations, the nurse is engaged in
illness prevention
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.
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
American Nurses Association
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
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 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
The nurse preparing a lecture on the history of nursing should include which international organization as the first for professional nurses?
International Council of Nurses
A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse?
Master's
Which is an appropriately stated nursing intervention?
Ambulate 30 ft (9 m) twice a day with the assistance of a walker.
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.
Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting?
Outpatient facility
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
The new nursing graduate is concerned related to 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
A prospective nursing student desires a career that will allow him 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
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
The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse?
The RN collects comprehensive data.
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
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
Teacher Counselor Communicator
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
Which advancement in the nursing profession occurred immediately after World War II?
Advanced nursing education was established.
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."
What are the best examples of the role of the nurse as a communicator?
*Telling a client their blood pressure *Informing the physical therapist that the client's therapy was discontinued *Discussing laboratory values with a client *Calling a physician about a client's blood pressure
Which are approved as nursing diagnoses? Select all that apply.
-Impaired Skin Integrity -Caregiver Role Strain -Compromised Family Coping
Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply.
-Teaching a client and her family how to live with diabetes -Assisting a client and his family to prepare for death -Providing counseling for the family of a teenager with an eating disorder
Which scenario is the best example of a nurse in the role of counselor?
A nurse allowing a crying client to verbalize fears of death
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 (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
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 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.
Which scenario is the best example of the nurse acting as an advocate?
Writing legislation for insurance coverage for screening colonoscopies
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 action should the nurse implement when working with a medically homeless client?
Encourage client to utilize the free health care clinic
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 is the best example of a client-centered approach to care?
The nurse asks the client about health goals.
The nurse is conducting a class for nursing assistants. One of the students asks the nurse why blood pressure, pulse, and temperature are called "vital signs." Which explanations would the nurse offer the student?
Because significant deviation from normal is not compatible with life.
What was one barrier to the development of the nursing profession in the United States after the Civil War?
Lack of educational standards
Florence Nightingale was a nursing pioneer who challenged prejudices against women and elevated the status of all nurses. Which statement accurately describes one of her accomplishments?
She promoted the publication of books about nursing and health care.
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 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 going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?
Mary Breckinridge
Which scenario is the best example of the nurse in the role of teacher/educator?
Assessing whether the client is able to perform a dressing change
What might a nurse need to do to ensure the continuation of his or her nursing license
Obtain continuing education credits
The diploma nurse is considering obtaining a baccalaureate degree. Which degree should the nurse investigate?
RN to BSN
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 to 19th century
A nurse is helping a client on hospice make an informed decision about his own health and life. Which nursing role has this nurse performed?
Advocate
Which social force has most significantly impacted the future supply and demand of nurses?
Aging
Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this?
Completing clinical hours supervised by a nursing instructor
Which is the best example of a nurse demonstrating the role of caregiver?
Starting an intravenous line in the client's arm
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
The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. Which statement on the assessment of the nursing process is accurate?
The nurse collects comprehensive data pertinent to the client's health or situation.
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.
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
A nurse is discussing the history of the profession with a client and describes that a shift in societal focus from religion to warfare had a negative impact on nursing due to:
female criminals recruited as nurses.
The primary aim of the Healthy People 2020 initiative is
health promotion
The primary aim of the Healthy People 2020 initiative is:
health promotion
In the role of entrepreneur, the nurse's primary responsibility is:
managing a health-related business.