Fundamentals Ch 1: Intro to Nursing

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When a nurse helps a patient make an informed decision about his/her own health and life, which of the following nurse's roles has been performed? a. Advocate b. Counselor c. Caregiver d. Communicator

d. Communicator

Which of the following statements accurately describe a nurse practice act? (Select all that apply.) a. A nurse practice act regulates the practice of nursing. b. Nurse practice acts are regulated by the federal government. c. Nurse practice acts exclude untrained and unlicensed people from practicing nursing. d. The enforcement of rules and regulations does not fall within the scope of nurse practice acts. e. Nurse practice acts establish the criteria for the education and licensure of nurses. f. Legal requirements and titles for RNs and LPNs are not specifically defined by the nurse practice acts.

a. A nurse practice act regulates the practice of nursing. c. Nurse practice acts exclude untrained and unlicensed people from practicing nursing. d. The enforcement of rules and regulations does not fall within the scope of nurse practice acts.

Which of the following criteria define nursing as a profession? (Select all that apply.) a. A well-defined body of specific and unique knowledge b. Standards of performance determined by the medical community c. An established code of ethics d. Commitment to ongoing research e. Selective membership f. Recognized authority by a professional group

a. A well-defined body of specific and unique knowledge c. An established code of ethics d. Commitment to ongoing research f. Recognized authority by a professional group

Who established the Red Cross in the United States in 1882? a. Clara Barton b. Dorothea Dix c. Jane Addams d. Florence Nightingale

a. Clara Barton

Which of the following organizations is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice? A) American Nurses Association (ANA) B) American Association of Colleges in Nursing (AACN) C) National League for Nursing (NLN) D) International Council of Nurses (ICN)

A) American Nurses Association (ANA)

An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master's degree is considered to be an expert in her area of practice and works on an oncology unit in a large teaching hospital. Based upon this description, which of the following career roles best describes this nurse's role, taking into account her qualifications and experience? A) Clinical nurse specialist B) Nurse entrepreneur C) Nurse practitioner D) Nurse educator

A) Clinical nurse specialist

A nurse at a health care facility provides information, assistance, and encouragement to clients during the various phases of nursing care. In which of the following activities does the nurse use counseling skills? A) Educating a group of young girls about AIDS B) Telling a client to localize the pain in his abdomen C) Encouraging a client to walk without support D) Assisting a lactating mother in feeding her child

A) Educating a group of young girls about AIDS

A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes this state of being? A) Health is a state of optimal functioning. B) Health is an absence of illness. C) Health is always an objective state. D) Health is not determined by the patient.

A) Health is a state of optimal functioning.

The nurse is administering immunizations to a group of teens in a county health clinic. The nurse correctly identifies this action as: A) Illness prevention B) Restorative care C) Treatment of disease D) Supportive nursing care

A) Illness prevention

A student has completed a nursing program accredited by the Commission on Collegiate Nursing Education. Which of the following is true about the organization? A) It fosters continued improvement in nursing education programs. B) Accreditation is by governmental peer review process. C) It ensures the quality and integrity of diploma nursing programs. D) It uses state-recognized standards to evaluate the programs.

A) It fosters continued improvement in nursing education programs.

A nurse is caring for a client with a hernia. Which of the following statements should the nurse use while counseling the client about his condition? A) "Open hernioplasty is the best surgery for you." B) "Open and laparoscopic hernioplasty are available." C) "You are not a suitable candidate for hernioplasty." D) "I had a bad experience when I underwent hernioplasty."

B) "Open and laparoscopic hernioplasty are available."

A student wants to join a nursing program that provides flexibility in working at both staff and managerial positions. Which nursing program should the nurse suggest for this student? A) Hospital-based diplomas B) Baccalaureate nursing programs C) Associate degree programs D) Continuing nursing programs

B) Baccalaureate nursing programs

A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document: Healthy People 2010. Which of the following is a health indicator discussed in this document? A) Cancer B) Obesity C) Diabetes D) Hypertension

B) Obesity

A licensed practice nurse (LPN) is working as a staff nurse. What role do the LPNs working as staff nurses play? A) Work only in long-term care facilities and at client's homes B) Provide direct nursing care to the clients in the health care facility C) Work only as care providers, team members, and communicators D) Supervise the work of charge nurses working in different units

B) Provide direct nursing care to the clients in the health care facility

A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role? A) Teacher/Educator B) Leader C) Counselor D) Collaborator

C) Counselor

A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported the action to the State Board of Nursing. How might this affect the nurse's license to practice nursing? A) It will have no effect on the ability to practice nursing. B) The nurse can practice nursing at a less-skilled level. C) The nurse's license may be revoked or suspended. D) The nurse's license will permanently carry a felony conviction.

C) The nurse's license may be revoked or suspended.

A registered nurse assigns the task of tracheostomy suctioning of a client to the LPN. The LPN informs the nurse that she has never done the procedure practically on a client. What should be the most appropriate response from the registered nurse? A) "You are through with your theory class, so you should know." B) "Take the help of the nurse who knows to perform the procedure." C) "Take the help of the procedure manual and act accordingly." D) "I will help you in performing the procedure on the client."

D) "I will help you in performing the procedure on the client."

The director of nursing (DON) of a major hospital is seeking to hire a nurse with a strong technical background to care for patients on a busy surgical unit. The DON is most likely going to hire a nurse prepared at which level of nursing? A) Doctoral level B) Master's level C) Baccalaureate level D) Associate level

D) Associate level

A nurse is caring for a client with quadriplegia who is fully conscious and able to communicate. What skills of the nurse would be the most important for this client? A) Comforting B) Assessment C) Counseling D) Caring

D) Caring

A registered nurse adheres to the American Nurses Association's standard of professional performance by engaging in which of the following? A) Assessment B) Diagnosis C) Evaluation D) Collaboration

D) Collaboration

A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which of the following actions is the best example of using the counselor role as a nurse? A) Discussing the legal aspects of adoption for teens wishing to place their infants with a family B) Searching the Internet for information on child care for the teens who wish to return to school C) Conducting a client interview and documenting the information on the client's chart D) Referring a teen who admits having suicidal thoughts to a mental health care specialist

D) Referring a teen who admits having suicidal thoughts to a mental health care specialist

The 10 leading indicators of health established by Healthy People 2010 are: physical activity, excessive weight and obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunizations, and access to health care. Which of the following is a criteria that defines nursing as profession? A) an undefined body of knowledge B) a dependence on the medical profession C) an ability to diagnose medical problems D) a strong service orientation

D) a strong service orientation

While providing care to the diabetic patient the nurse determines that the patient has a knowledge deficit regarding insulin administration. This nursing action is described in which phase of the nursing process? A) evaluation B) implementation C) planning D) nursing diagnosis

D) nursing diagnosis

Which of the following nursing actions demonstrate the aim of nursing to promote health? (Select all that apply.) a. Increasing student awareness of sexually transmitted diseases by distributing informational pamphlets at a college health center b. Performing diagnostic measurements and examinations in an outpatient setting c. Serving as a role model of health for patients by maintaining a healthy weight d. Helping a person with paraplegia learn how to use a wheelchair e. Facilitating decisions about lifestyles that would enhance the well-being of a teenager f. Administering an insulin shot to a diabetic patient

a. Increasing student awareness of sexually transmitted diseases by distributing informational pamphlets at a college health center c. Serving as a role model of health for patients by maintaining a healthy weight e. Facilitating decisions about lifestyles that would enhance the well-being of a teenager

Which of the following statements regarding nursing licenses are accurate? (Select all that apply.) a. The board of nursing for each state or province has the legal authority to allow graduates of approved schools of nursing to take the licensing examination. b. The licensed nurse is approved to practice nursing in any state. c. The nursing license is valid during the life of the holder. d. The nursing license can be denied due to criminal actions. e. The nursing license cannot be revoked or suspended for professional misconduct. f. A license is not necessary to practice nursing in nursing homes.

a. The board of nursing for each state or province has the legal authority to allow graduates of approved schools of nursing to take the licensing examination. c. The nursing license is valid during the life of the holder. d. The nursing license can be denied due to criminal actions.

Which of the following nursing advocates ele- vated the status of nursing to a respected occu- pation, improved the quality of nursing care, and founded modern nursing education? a. Jane Addams b. Clara Barton c. Dorothea Dix d. Florence Nightingale

d. Florence Nightingale

Which of the following nursing education programs attracts more men, minorities, and nontraditional students and prepares nurses to give care to patients in various structured settings? a. Diploma in nursing b. Associate degree in nursing c. Baccalaureate degree in nursing d. Graduate education in nursing

b. Associate degree in nursing

Which of the following developments had the greatest influence on the development of nursing as a profession since the l950s? a. Large numbers of women began to work outside the home, asserting their independence. b. Nursing practice was broadened to include practice in a wide variety of healthcare settings. c. Male dominance in the healthcare profession slowed the progress of professionalism in the nursing practice. d. Hospital schools were established to provide more easily controlled and less expensive staff for the hospital.

b. Nursing practice was broadened to include practice in a wide variety of healthcare settings.

The various definitions of nursing provided in this chapter conclude that the central focus of nursing is based on which of the following? a. The care provided by the nurse b. The patient receiving care c. The nurse as the caregiver d. Nursing as a profession

b. The patient receiving care

Which of the following statements most clearly defines the role of the nurse in the early Christian period? a. The nurse was viewed as a slave, carrying out menial tasks based on the orders of the priest-physician. b. Women called deaconesses made the first organized visits to the sick, and members of male religious groups gave nursing care and buried the dead. c. The nurse was usually the mother who cared for her family during sickness by providing physical care and herbal remedies. d. Women who had committed crimes were recruited into nursing in lieu of serving jail sentences.

b. Women called deaconesses made the first organized visits to the sick, and members of male religious groups gave nursing care and buried the dead.

Learning how to use a new piece of hospital equipment would most likely occur in which type of educational setting? a. Continuing education b. Graduate education c. In-service education d. Undergraduate studies

c. In-service education

Which of the following statements is an accurate description of nursing's role, according to the American Nurses Association (ANA)? a. Nursing is a profession dependent upon the medical community as a whole. b. It is the role of the physician, not the nurse, to assist patients in understanding their health problems. c. It is the role of nursing to provide a caring relationship that facilitates health and healing. d. The essential components of professional nursing care are strength, endurance, and cure.

c. It is the role of nursing to provide a caring relationship that facilitates health and healing.

Which of the following nursing actions demonstrate the aim of nursing to facilitate coping? (Select all that apply.) a. Teaching a class on the nutritional needs of pregnant women b. Changing the bandages of a patient who has undergone heart surgery c. Teaching a patient and his/her family how to live with diabetes d. Assisting a patient and his/her family to prepare for death e. Starting an intravenous line for a malnour- ished elderly person f. Providing counseling for the family of a teenager with an eating disorder

c. Teaching a patient and his/her family how to live with diabetes d. Assisting a patient and his/her family to prepare for death f. Providing counseling for the family of a teenager with an eating disorder

Which of the following is used by the nurse to identify the patient's healthcare needs and strengths and to establish and carry out a plan of care to meet those needs? a. Nursing standards b. Nursing orders c. Nurse practice acts d. Nursing process

d. Nursing process


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