foundations (ch 1, 2)

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

Which current nursing action(s) aligns with Florence Nightingale's theory? Select all that apply.

evaluating and adjusting the hospital room's ventilation washing hands before and after all client interactions encouraging client to meet daily caloric requirements

Which description depicts the role of the nurse practitioner?

functions independently and is skilled at doing nursing assessments, performing physical examinations, counseling, teaching, and treating health problems

Nurses use comforting skills in their care of clients. What is the best example of a comforting skill?

helping a client with breathing during a panic attack

The purpose of obtaining a nursing history is to:

identify actual and potential health problems.

Consider the following statement: "The client will ambulate with the assistance of a cane without incident during a physical therapy session." Which part of the outcome statement does the portion in italics represent?

Verb (action)

The need for university-based nursing education programs was brought to light during which important historical time?

World War II

Which description is consistent with the nurse's use of empathy during client care?

intuitive awareness of what the client is experiencing

Nurses use assessment skills in their care of clients. What is the best example of an assessment skill?

taking the temperature of a sick child

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

18th to 19th century

"Acute Pain related to instillation of peritoneal dialysate as evidenced by client wincing and grimacing during procedure, client description of experience as 'stabbing'" is an example of which type of nursing diagnosis?

Actual nursing diagnosis

A nurse administers an antihypertensive medication according to the standardized plan of care for a client admitted with uncontrolled hypertension. Which assessment information indicates the expected client outcome has been met within the first 24 hours?

Client is normotensive.

A newly graduated nurse is unable to determine the significance of data obtained during an assessment. What would be the nurse's most appropriate action?

Consult with a more experienced nurse.

What are specific measurable and realistic statements of goal attainment?

Outcomes

What activity is carried out during the implementing step of the nursing process?

Planned nursing actions (interventions) are carried out.

A licensed practical nurse is planning a move to a new state and intends to begin practicing as soon as possible. This nurse should be aware that:

there may be differences in the scope of practice when a practical nurse relocates to a new state.

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 pursued a degree in nursing by attending a junior college for 2 years and successfully took the NCLEX-RN upon completion. Since getting this degree, the nurse has worked in an inpatient setting on a transplant floor for 17 years. Based on the information given, which degree does this nurse have?

associate degree

The director of nursing (DON) of a major hospital is seeking to hire a nurse with a strong technical background to care for clients on a busy surgical unit. The DON is most likely going to hire a nurse prepared at which level of nursing?

associate level

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

Which nursing action is most dependent on technical skill?

changing a client's wound dressing while maintaining asepsis

A client being treated with chemotherapy for breast cancer tells the nurse that she no longer wants to receive the medication because of the overwhelming nausea and vomiting. What is the best response by the nurse?

"I will consult with the health care provider to see how the nausea and vomiting can be prevented."

A nurse is caring for a client with a hernia. Which statement should the nurse use while counseling the client about this condition?

"Open and laparoscopic hernioplasty are available."

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.

The client, who is 8 weeks pregnant as the result of a rape, tells the nurse, "I do not want to have this baby, but I have always believed that abortion is a sin. I don't know what to do." What nursing diagnosis would be most appropriate for the nurse to formulate?

Decisional Conflict related to conflict with moral beliefs as evidenced by the client's statement

Which nursing action reflects evaluation?

The nurse assesses the client's response to pain medication.

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.

The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?

To restore health

The nurse pursued a degree in nursing by attending a junior college for 2 years and successfully took the NCLEX-RN upon completion. Since getting the degree, the nurse has worked in an inpatient setting on a transplant floor for 17 years. Based on the information given, which degree does this nurse have?

associate degree

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

Which age group in the population is expanding most rapidly, resulting in changes in the delivery of health care?

older adults

The nurse has prepared to educate a client about caring for a new colostomy. When the nurse begins the instruction, the client states, "I am not ready to deal with this now. I am feeling overwhelmed." What is the nurse's most appropriate action?

Discontinue the education and attempt at another time.

One hour after receiving pain medication, a postoperative client reports intense pain. What is the nurse's appropriate first action?

Assess the client to determine the cause of the pain.

Which nurse posited a theory that can be practically applied to nursing as follows: "Nurses modify unhealthy aspects of the environment to put the client in the best condition for nature to act."

Florence Nightingale

When the nurse inspects a postoperative incision site for infection, which type of assessment is the nurse performing?

Focused

The nurse has instructed the client in self-catheterization, but the client is unable to perform a return demonstration. What is the nurse's most appropriate plan of action?

Reassess the appropriateness of the method of instruction.

An indwelling urinary catheter has been ordered for a client experiencing urinary retention after surgery. When the nurse enters the room to place the catheter, the client reports voiding in the bathroom. Which is the nurse's most appropriate action?

Reassess whether the client still needs the urinary catheter.

Teaching a woman about breast self-examination is an example of what broad aim of nursing?

preventing illness

The registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs?

They must take a licensure exam.

A student is interested in becoming a registered nurse. Which options for education are available to the student? (Select all that apply.)

a baccalaureate nursing program a program that awards an associate degree in nursing a hospital-based diploma program

Nurses use assessment skills in their care of clients. Which example best represents assessment skills?

acts that involve collecting data

Nurses use counseling skills in their care of clients. Which best represents counseling skills?

interventions that include communicating with clients, actively listening during exchanges of information, offering pertinent health teaching, and providing emotional support

What was one barrier to the development of the nursing profession in the United States after the Civil War?

lack of educational standards

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

A high school senior wants to become a geriatric nurse practitioner. What nursing degree will the student need to attain this goal?

master's degree