CoursePoint Chapter 1, 3, & 24 Questions

In what time period did nursing care as we now know it begin?

18th to 19th century

Which mask should the nurse don when caring for a client with tuberculosis?

Filtered respirator

When preparing to use a bottle of sterile saline for a dressing change, the nurse notes that the date it was opened was two days ago. What should the nurse do?

Obtain a new bottle of sterile saline

A client is admitted to the mental health center with attempted suicide. Which of the client's problems is the priority for the nurse to manage?

Risk of self-harm

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone?

Sociocultural needs

A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?

Tertiary

Why do nurses need to care for their own health needs? Select all that apply.

To allow them to give effective nursing care to others To enable them to practice more efficiently To help them serve as role models for clients

A client with Alzheimer disease in a nursing home is more compliant in following directions for dressing and feeding with one nurse than with other staff members. This phenomenon is best explained by

the Therapeutic Model of Interaction.

A nurse is preparing an operating room theatre for a surgical procedure. Which point regarding the principles of surgical asepsis should the nurse keep in mind when preparing sterilized surgical instruments?

A commercially packaged surgical item is not considered sterile if past expiration date

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 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

Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora?

Escherichia coli in the intestinal tract

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

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 is caring for a client admitted to the hospital with pneumonia and associated pleuritic chest pain. Which would be a priority when creating the nursing care plan?

Monitoring airway clearance.

The nurse in a free clinic caring for clients uses the Health Belief Model, which is based on three components. What is the main focus for this model?

What people believe to be true about their health

The nursing process is:

a critical thinking method used by nurses to provide nursing care that is individualized and holistic.

Which are the names of the transmission-based precautions defined by the Centers for Disease Control and Prevention (CDC)? Select all that apply.

airborne precautions droplet precautions contact precautions

The nurse is reviewing the plan of care for assigned clients. Which client has the highest risk for developing an infection?

an older adult client with a history of heart failure

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 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

Which client should the nurse determine is at greatest risk for vancomycin-resistant enterococci (VRE) infection?

client receiving chemotherapy

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:

collaborative functioning.

To be an effective change agent for wellness, the nurse must:

consume a diet low in fat

A lead nurse is removing personal protective equipment after dressing the infected wounds of a client. Which is the priority nursing action?

handwashing before leaving the client's room

A student nurse is performing hand washing in the clinical setting. Which observation would require the nursing instructor to intervene?

has manicured nails that are 1-in. (2.5-cm) long

The body's attempt to restore balance through self-regulatory mechanisms is termed:

homeostasis

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

The client's plan of care is created by the nurse using which guideline for nursing practice?

nursing process

The nurse will assess a client who has a draining abscess. The nurse should perform what action to safely enter the room?

picture of putting on gloves

Which lifestyle factor is associated with an increased risk for chronic diseases?

smoking

Chronic illness may be characterized by periods of remission. Remission is best defined as:

the presence of a disease with the absence of symptoms

Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)?

wearing a particulate respirator for all client care and interaction

The patient has asked the nurse to explain her WBC level of 8,000 cells/mm3. The nurse would identify the level of WBCs as:

within normal limits

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 registered nurse is teaching a community health class about illness prevention. Which statement reflects understanding of this concept?

"It is important to enroll in a smoking cessation class."

A 48-year-old client was just diagnosed with type 2 diabetes mellitus. The client has a body mass index of 35 and leads a sedentary lifestyle. The nurse informs the client of risk factors for the diagnosis and the need to change diet and exercise behavior. Which client statement indicates a need for further teaching?

"There is nothing that can be done anyway; chronic diseases cannot be prevented."

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

The nurse is preparing to perform handwashing. Place the following steps in the correct order. Use all options.

1. Turn on the faucet and adjust force and temperature of the water. 2 Wet the hand and wrists. 3.Apply soap. 4. Wash the palms and backs of the hands for at least 20 seconds. 5. Pat the hands dry with a paper towel. 6.Turn the faucet off with a paper towel.

In which order should the following steps for putting the first hand into a sterile glove be performed? 1. Carefully open the inner package. Fold open the top flap, then the bottom and sides. 2. Place the inner package on the work surface with the side labeled "cuff end" closest to the body. 3. With the thumb and forefinger of the nondominant hand, grasp the folded cuff of the glove for the dominant hand, touching only the exposed inside of the glove. 4. Keeping the hands above the waistline, lift and hold the glove up and off the inner package with fingers down. 5. Place the sterile glove package on a clean, dry surface at or above your waist. 6. Carefully insert dominant hand palm up into the glove and pull it on. 7. Open the outside wrapper by carefully peeling the top layer back and remove inner package, handling only the outside of it.

5, 7, 2, 1, 3, 4, 6

What is the definition of wellness?

An active state of being healthy

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

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

Which nursing intervention is an example of tertiary preventive care?

Assisting with speech therapy a client with a traumatic brain injury

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?

Associates degree

The nurse is addressing primary prevention with a group of college students. Which promotional statement by the nurse would be the best example of a developmentally appropriate discussion?

Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy

The nurse has completed an intervention with a client. There is no visible soiling on the nurse's hands. Which technique is recommended by infection control practice standards for hand hygiene?

Decontaminate hands using an alcohol-based hand rub

The nurse is preparing a sterile field for a procedure. While the nurse is opening an instrument, the outer wrapper of the sterilized instrument touches the extreme edge of the field. What should the nurse do next?

Discard the sterile field and prepare a new one

While providing client care, a nurse determines that a client adheres to the health belief model. What would the nurse need to assess as a factor possibly affecting the client's response to illness?

Personality characteristics

The nurse uses a small amount of sterile solution from a large, multiuse bottle to moisten gauze in a sterile field. What technique does the nurse use?

Pour the liquid into a sterile container within the sterile field.

The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of?

Primary

Which is an example of tertiary health promotion?

Rehabilitation

What is an accurate guideline for the use of PPE?

Replace gloves if they are visibly soiled

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

A nurse is caring for a client who has COPD, a chronic illness of the lungs. The client is in remission. Which statement best describes a period of remission in a client with a chronic illness?

Symptoms are not experienced

A nurse is in charge of care for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which guideline is accurate for using transmission-based precautions when caring for this client?

Wear gloves whenever entering the client's room.

Which model is most useful in examining the cause of disease in an individual, based upon external factors?

The Agent-Host-Environment Model

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.

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