nursing fundamentals ch 1 prepU

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

18th to 19th century

Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?

ANA

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 documents on a client's electronic chart that the client has an advance directive, makes a copy of the advance directive, and immediately informs the client's physician. Which role is the nurse demonstrating?

Advocate

Which are approved as nursing diagnoses? Select all that apply.

Impaired Skin Integrity Caregiver Role Strain Compromised Family Coping

The diploma nurse is considering obtaining a baccalaureate degree. Which degree should the nurse investigate?

RN to BSN

A nurse is moving to another state and will be working at an acute care facility. Prior to beginning practice, what actions should the nurse take to be compliant with state guidelines for nursing practice? Select all that apply.

Research the laws and regulations that govern nursing practice in the new state Locate the state nursing practice acts Access educational resources related to nursing practice in another state Define the legal requirements and titles for registered nurses (RNs) and licensed practical nurses (LPNs)

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 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.

Which is the best example of a client-centered approach to care?

The nurse asks the client about health goals

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

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

Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree?

using research findings to improve practice

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

The nursing process is:

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

Which advanced nurse practitioner is best qualified to provide prenatal care for a pregnant client? You Selected:

a nurse-midwife

Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?

American Nurses Association

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

WWII

The nurse is performing an extensive dressing change on a client with burns. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step?

educator

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."

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."

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

The first nursing journal owned, operated, and published by nurses was:

American Journal of Nursing

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

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

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 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 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."

Which is an appropriately stated nursing intervention?

Ambulate 30 ft (9 m) twice a day with the assistance of a walker

A registered nurse plans to return to the nursing profession after a long hiatus. Which statement about the trend in health care services would be most important for the nurse to keep in mind?

Clients enter the health care system acutely ill

The nurse is planning an educational visit with a client. Which must the nurse assess to identify the client's readiness to learn? Select all that apply.

Level of motivation Level of knowledge Willingness to follow the health regimen Physical and psychological abilities to carry out the plan

The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?

Mary Breckinridge

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

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

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 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

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

What might a nurse need to do to ensure the continuation of his or her nursing license?

Obtain continuing education credits

Which nursing group provides a definition and scope of practice for nursing?

American Nurses Association (ANA)

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). Refer the client and family to hospice services. Assist the client and family with the preparation for end-of-life.

Which scenario is the best example of the nurse implementing the ANA standard relating to diagnosis?

Determining a client is at risk for fall

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

They must take a licensure exam

In the role of entrepreneur, the nurse's primary responsibility is:

managing a health-related business

For the nurse become a nurse practitioner, what is the minimal degree the nurse will need to acquire?

master's

Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting?

outpatient facilities

The nurse is conducting a community assessment that focuses on Healthy People 2020 health promotion guidelines. What would be important for the nurse to include when performing the community assessment to meet the Healthy People 2020 goals? Select all that apply.

Number of health clinics The violent crime rate Sudden Infant Death Syndrome rate

A nurse wishes to advance his or her career and work as a clinical nurse specialist. Which statement regarding scope of practice should the nurse keep in mind?

The nurse may teach advanced education for nurses

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

18th to 19th century

The community health nurse creates a program to promote the health of the community using health promotion principles. Which intervention would the nurse include in this program?

Activities focused on maintaining wellness

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

Nursing process

When administering immunizations, the nurse is engaged in:

illness prevention

Which is the best example of a nurse demonstrating the role of caregiver?

starting an intravenous line in the client's arm

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