Exam 1 Question Bank (Lesson 1: 1,2,10, Lesson 2: 3,4,6,7)
Ch 1: In what time period did nursing care as we now know it begin?
18th to 19th century
Ch 2: An abstract idea or object that relates to other abstract ideas or objects is which?
Concept
Ch 2: The process of considering an idea as a whole and then dividing it into smaller, more specific ideas is which?
Deductive reasoning
Ch 2: Which is most similar to a nursing model?
Nursing theory
Ch 1: The nursing process is:
a critical thinking method used by nurses to provide nursing care that is individual.
Ch 1: 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
Ch 2: A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "My grandmother always told me that I needed to include beans in my diet so that my muscles would grow." The information that the client is expressing is known as what?
Traditional knowledge
Ch 2: A nurse working in a long-established hospital learned a specific approach to administering intravenous injections from the previous generation of nurses at the hospital. This is an example of which type of knowledge?
Traditional knowledge
Ch 10: A nurse manager reviews an employee's contribution to the nursing division annually. This process is
performance appraisal
Ch 2: The National Institute of Nursing Research (NINR) was established following a study in 1983. The center's purpose is to:
promote research for health promotion.
Ch 1: 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 and family with the preparation for end of life - refer the client and family to hospice services - assist the client with activities of daily living (ADLs)
Ch 1: 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
Ch 2: A nurse is planning to conduct a nursing research study and is seeking federal funding. Which institution would be most helpful for the nurse to contact regarding acquiring funding?
National Institute of Nursing Research
Ch 2: A nurse is preparing to conduct a research study and uses the PICO format to develop the foreground question which is: "In adults, does reducing salt intake, compared to no change in salt intake, lower blood pressure?" The nurse identifies the "P" as:
adults
Ch 1: 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
Ch 2: The focus of nursing is always on which of the four common concepts in nursing theory?
person
Ch 1: Which is the best example of a nurse demonstrating the role of caregiver?
starting an intravenous line in the client's arm
Ch 1: Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
American Nurses Association
Ch 1: Which advancement in the nursing profession occurred immediately after World War II?
Advanced nursing education was established
Ch 10: A nurse manager values group satisfaction and tries to motivate the staff to be the best nurses possible. In which style of leadership is the group satisfaction and motivation the primary benefit?
Democratic
Ch 10: Two staff nurses on a unit disagree with one another over certain key aspects of providing client care. The nurse manager of the unit arranges a meeting with the charge nurse and the two staff nurses at a mutually agreed-upon time to discuss this situation. This activity is most accurately described as what?
Conflict resolution
Ch 1: 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.
Ch 10: The nurse is caring for an older adult client who states the need to use the restroom. Which safety intervention must the nurse perform first?
Assess the need for assistance with ambulation
Ch 2: When looking at a model for evidence-based practice, what is the final step of the process?
Evaluating practice change
Ch 2: Which activity best helps the nurse apply theory to practice?
Evidence based research
Ch 2: What nursing activity forms the bridge between theory and practice?
Evidence-based research
Ch 2: Which theory emphasizes the relationships between the whole and the parts, and describes how parts function and behave?
General systems theory
Ch 10: A nursing facility has recently implemented new policies regarding nurse-to-client ratios. The nursing staff seems very resistant to the change. How can the nurse manager help the staff accept the change?
Hold a unit meeting to discuss how the changes will benefit staff.
CH 1: The client's plan of care is created by the nurse using which guideline for nursing practice?
Nursing Process
Ch 1: The client's plan of care is created by the nurse using which guideline for nursing practice?
Nursing Process
Ch 2: What is the best explanation for the way evidence-based practice has changed the way nursing care is delievered
Nursing care now uses EBP as a means of ensuring quality care
Ch 1: 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
Ch 2: A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "I read a research article about the importance of beans in the Latino diet. The findings from the study suggested that inclusion of meat and beans in the diet would help in the development of muscles and bones." The information that the client is expressing is known as what?
Scientific knowledge
Ch 1: 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
Ch 2: The second step in implementation of evidence-based practice includes systematic review. To complete a systematic review of the literature, what must the nurse do?
Summarize findings from multiple studies that are related to a particular nursing practice
Ch 1: 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.
Ch 10: The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed assistive personnel (UAP). Which factors should the nurse consider before delegating the task?
The stability of the client's condition, potential for harm, and complexity of the activity
Ch 10: The designated charge nurse on the telemetry unit organizes and facilitates the unit meetings, makes assignments, and performs staff evaluations. This nurse's power to lead is of which type?
Explicit
Ch 1: 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
Ch 10: Which statement by a registered nurse (RN) represents appropriate delegation to the unlicensed assistive personnel (UAP)?
"Dispose of the disconnected IV set."
Ch 1: A team of student nurses are preparing for a debate dealing with the current nursing shortage. Which contributing factor(s) should the team ensure is included? Select all that apply.
- Mandatory overtime - decreased revenue = decreasing staff - idea that only females can be nurses
Ch 2: Which events in the history of nursing research occurred in the 1970s and 1980s? Select all that apply.
- Research was focused on clinical practice, including clinical interventions - Primary client care led to research investigating outcomes and quality of care - the nursing process was studied - concerns of nursing education involved student-learning experiences and clinical evaluation
Ch 10: The home health nurse is caring for a noncompliant client who has been diagnosed with type 2 diabetes. Which nursing interventions would be effective in helping the client change behaviors? Select all that apply.
- Set short term goals for modifying eating habits - Encourage participation in a diabetes support group - Include the client in creating a list of benefits for exercising
Ch 1: 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 an adolescent with an eating disorder
Ch 10: The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive person (UAP). Which task is appropriate for the UAP to complete?
Bathing a combative client
Ch 1: The nurse is conducting a class for unlicensed assistive personnel. One of the students asks the nurse why blood pressure, pulse, and temperature are called "vital signs." Which explanations does the nurse offer the student?
Because significant deviation from normal is not compatible with life
Ch 10: The nurse is working at a facility that is applying for Magnet® Recognition. The nurse knows that compared with other hospitals, Magnet® hospitals have which direct effect on client care?
Better client outcomes
Ch 2: A nurse develops the following foreground question using the PICOT format in preparation for a research study: "In overweight clients, how do chromium supplements compared to no supplements help with weight loss?" Which part of the question reflects the intervention?
Chromium Supplements
Ch 2: A community health nurse has been visiting a diabetic client whose morning fasting glucose levels are constantly elevated. Upon further assessment, the nurse determines that the client's spouse does not understand how to prepare meals following the prescribed diabetic diet. Using Dorothea Orem's Self-Care Theory, how can the nurse help meet the needs of this client?
Arrange an evaluation appointment witha dietitian
Ch 1: 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
Ch 2: A nurse subscribes to the Basic Needs theory. Which action by the nurse exemplifies this theory?
Assisting the client to the bedside commode
Ch 1: 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
Ch 2: Knowledge gained from someone with a great deal of perceived experience is which type of knowledge?
Authoritative knowledge
Ch 10: A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check clients' blood glucose levels. The nurse manager informs the group that this is a new policy on the unit and that discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating?
Autocratic
Ch 10: On a medical unit, the nurses complain that they have no voice in the decisions that are made in the operation of the unit. The nurses state they are always told by the nurse manager to perform tasks instead of being asked. Which of these best describes the leadership style of the nurse manager?
Autocratic
Ch 2: A group of objects with relationships is which?
Concepts
Ch 2: A nurse researcher develops a foreground question in preparation for conducting a research study. The question is: "In clients with intravenous catheters, how does replacing administration sets every 72 hours (h) compared with other frequent intervals (24h, 48h, or 96h) decrease infection rates?" Applying the PICO framework, which part of the statement reflects the "O"?
Decrease infection rates
Ch 10: A nurse informs the client that the client has no choice and must take a bath in the morning. What type of leadership does this exemplify?
Directive leadership
Ch 10: The nurse manager calls a staff into a unit meeting to discuss client satisfaction. During the meeting, several staff members assume control. The nurse manager does not intervene to regain control of the group. Which type of leadership style is the nurse embodying?
Laissez-faire
Ch 1: 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 Elizabeth Mahoney
Ch 2: A nurse is reviewing nursing theory for usefulness in a home healthcare setting. Which is the appropriate application of Dorothea Orem's Self-Care Model in a home healthcare setting?
Match the client's self-care needs with appropriate supportive interventions
Ch 2: Which theory describes, explains, predicts, and controls outcomes in nursing practice?
Nursing theory
Ch 1: A nurse is conducting an in-service on the early history of the education of nurses in the 19th century. Which statement made by the nurse demonstrates how far nursing has come as a profession from the 19th century?
The focus was on students providing direct care to clients without pay
Ch 10: The case manager works in a facility that supports a participative leadership style. Which action should the nurse recognize as an example of democratic leadership style?
The interdisciplinary health care team collectively developing plans of care for clients
Ch 10: The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate?
The nurse practice act or facility's policy and procedures
Ch 2: Evidence based care emphasizes decision making based on the best available evidence?
Use of outcome studies to guide decisions
Ch 1: A nurse must possess several characteristics to be successful in this profession. Secondary to critical thinking skills, which is of great value?
advocating for the client at all times
Ch 1: 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.
Ch 10: After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first task for the manager is to:
assess whether the desired results have occurred.
Ch 2: A nurse is developing a foreground question for nursing research using the PICO model. Which component would be represented by the statement, "a 45-year-old male with coronary heart disease and atrial fibrillation"?
P
Ch 2: Which are core concepts in nursing theory? (Select all that apply.)
Person, Environment, Health, Nursing
Ch 10: Which attributes should be characteristic of a nurse mentor? Select all that apply.
- is supportive - is resourceful - demonstrates leadership abilities - is an experience, licensed professional
Ch 2: When following evidence-based practice, a nurse's actions are based on which sources of information? (Select all that apply.)
- published research - national standards - national guidelines - targeted literature
Ch 2: A nurse who works in a pediatric practice assesses the developmental level of children of various ages to determine their psychosocial development. These assessments are based on the work of
Erikson
Ch 2: Who is considered to be the first nursing theorist who conceptualized nursing in terms of manipulating the environment?
Florence Nightingale
Ch 2: In order for the nurse to be able to apply the knowledge that has been obtained in the formal education process, which theory would best break whole concepts into parts and then determine how the parts would work together as a whole?
General systems theory
Ch 2: Which theory emphasizes the relationships between the whole and the parts and how parts function and behave?
General systems theory
Ch 2: If a nurse describes a study of people and the nursing profession including studies of education, policy development, ethics, and nursing history, then what is the nurse defining?
Nursing research
Ch 2: Which activity systematically inquires about the problems encountered in nursing practice and into the modalities of client care?
Nursing research
Ch 2: Nurses in an ICU noticed that their clients required fewer interventions for pain when the ICU was quiet. They then asked a researcher to design a study about the effects of noise on the pain levels of hospitalized clients. How does this demonstrate the ultimate goal of expanding the nursing body of knowledge?
Nursing research helps improve ways to promote and maintain health
Ch 1: The nurse is providing flu shots to older adult clients at a nurse-managed wellness center. This is an example of which aim of nursing?
Preventing illness
Ch 2: A group of nurses is planning to investigate the effectiveness of turning immobilized stroke clients more frequently in order to prevent skin breakdown. The team has begun by formulating a PICO question. Which element will the "O" in the team's PICO question refer to?
Preventing skin breakdown
Ch 2: The nurse is caring for a client who was recently diagnosed with diabetes mellitus. Which action demonstrates that the nurse is using the Basic Needs theory?
Providing foot care for the client
Ch 2: What type of research study would a hospital conduct to explore clients' and families' perceptions of receiving care?
Qualitative
Ch 2: When a researcher begins to form plans for a research project, the researcher must decide on the method for conducting the research. The nurse researcher that plans to emphasize collection of narrative data and the analyses would select which of the following methods of research?
Qualitative Research
Ch 1: A nurse researcher must decide on the method for conducting the research. The researcher that plans to emphasize collection of numerical data and analysis would select which method of research?
Quantitative research
Ch 10: A nurse manager best demonstrates effective leadership characteristic by which action?
Sharing a vision for the unit and enlisting support
Ch 2: A novice nurse is sharing a newly published research article which outlines a different approach in preventing a wound infection after surgery with a colleague and states the nurse is going to try this new method. Which is the best response from the colleague?
Wait until the method is analyzed to ensure it will be appropriate for their clients.
