Chapter 1: Introduction to Nursing PrepU
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 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 nurse incorporates the health promotion guidelines established by the U.S. Department of Health document Healthy People 2010. Which disease/condition is a health indicator discussed in this document?
Obesity
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 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
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:
clinical practice.
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
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.
Which is an appropriately stated nursing intervention?
Ambulate 30 ft (9 m) twice a day with the assistance of a walker.
The first nursing journal owned, operated, and published by nurses was:
American Journal of Nursing
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 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."
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."
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
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
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
Based on its jurisdiction, which actions may a state licensing board of nursing take? Select all that apply.
-Allow graduates of approved schools of nursing to take the NCLEX -License nurses during the lifetime of the holder -Deny licensing due to criminal actions
Which healthcare trends should the nurse include when speaking about the efficiency of today's healthcare system at a community health fair? (Select all that apply.)
-Encourage the increase use of outpatient and ambulatory services. -Emphasize the need to focus on health promotion and prevention.
In what time period did nursing care as we now know it begin?
18th to 19th century
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
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
The nursing process includes step(s)? Select all that apply.
Assess Plan Implement Evaluate
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 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
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
Which best exemplifies the role of the nurse as educator?
Discussing side effects of a medication with a client
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
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?
In-service education
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 wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse?
Master's
Which is a characteristic of nursing practiced from early civilization to the 16th century?
Most early civilizations believed that illness had supernatural causes.
A nursing student wants to take up an advanced specialty nursing role. Which role is included in advanced specialty nursing?
Nurse anesthetists are registered nurses.
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 organization offers membership by invitation to students who demonstrate excellence in scholarship and to nurses in the community who demonstrate excellence in leadership?
Sigma Theta Tau International, Honor Society of Nursing
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.
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.
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.
The patient has just received a central venous catheter placed by the physician. Which of the following should the nurse anticipate next?
The patient will have an X-ray to confirm placement of the device.
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
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
The need for university-based nursing education programs was brought to light during which important historical time?
World War II
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
The primary aim of the Healthy People 2020 initiative is:
health promotion.
When administering immunizations, the nurse is engaged in:
illness prevention.
What was one barrier to the development of the nursing profession in the United States after the Civil War?
lack of educational standards
Teaching a woman about breast self-examination is an example of what broad aim of nursing?
preventing illness
What is the primary purpose of standards of nursing practice?
to ensure knowledgeable, safe, comprehensive nursing care