Test 1 Study

What is a misconception about chronic disease?

Chronic illnesses cannot be prevented.

Which statement regarding spiritual care providers in hospitals is most accurate?

Clergy, lay volunteers, and those with advanced spiritual care degrees can serve on the spiritual care team at hospitals.

Which challenge associated with technology most affects nurses today?

Client privacy issues within the social media realm

A confused client is pulling at the IV line. When considering alternatives to restraints, which nursing intervention would be used first?

Conceal IV tubing with gauze wrap

An abstract idea or object that relates to other abstract ideas or objects is which?

Concept

A nursing theory differs from a theoretical framework in which way?

Concepts and propositions are more specific

A nurse is caring for a client who has a PPO health care plan. What is the greatest advantage of this type of plan?

Cost effectiveness

A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which task is mostappropriate for the nurse to delegate to the licensed practical nurse (LPN)?

administering bedside blood glucose testing

A program has been introduced at a hospital with the goal of improving client safety. The nurses participating in the program should recognize what event as posing the most significant threat to a client's safety?

administering medications to the client

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

Which social force has most significantly impacted the future supply and demand of nurses?

aging

Medicare part A is:

an insurance program that pays a set amount based on the diagnosis and approved care for in-hospital services.

A nurse is discussing the history of the profession with a client and describes that a shift in societal focus from religion to warfare had a negative impact on nursing due to:

female criminals recruited as nurses.

An older adult client who has been hospitalized due to a stroke is about to be discharged from a rehabilitation center where the client had to relearn how to perform activities of daily living, including feeding and dressing. The client has often voiced a desire to be as active as possible. The client now expresses a strong desire to go home. The nurse recognizes that these statements made by the client indicate that the client is:

giving up the dependent role.

The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as:

high-level wellness.

When the client's primary care physician does not have hospital privileges, a service is available to provide the client's care and communicate with the client's physician. This service is provided by physicians called:

hospitalists.

A well-constructed problem statement formulated at the beginning of a nursing research study should:

indicate the population.

The concept of holism is based on the belief that:

individuals cannot be seen apart from the environment.

From 1900 to 1940, research in nursing focused on:

nursing education and teaching.

In the 1980s, the nursing care delivery model shifted from a team nursing model to a:

primary nursing model.

A nurse is searching the Cochrane Database of Systematic Reviews for information about evidence-based practice related to pain control measures. The nurse searches this database based on the understanding that these reviews reflect which type of research?

randomized, controlled trials

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

A nurse assists the client in the development of a healthy lifestyle. The adoption of these lifestyle changes in the client's life is considered:

self-care.

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

the presence of a disease with the absence of symptoms.

A public health nurse is working with a large group of clients who require a variety of patient care, health teaching, and health promotion. Using Virginia Henderson's Basic Needs Theory, how should the nurse proceed in order to provide a variety of medical, health teaching, and health promotion interventions?

Determine general basic needs of the group and additional needs specific to each client.

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

Determining a client is at risk for falls

A resident of a nursing home keeps trying to get out of bed to use the bathroom, despite having a urinary catheter in place. Which intervention will best preserve this client's safety and could be used as an alternative to restraints?

Investigate the possibility of discontinuing his or her catheter.

Which type of quantitative research will examine cause-and-effect relationships between selected variables?

Quasi-experimental

A nurse is caring for a 17-year-old client whose left leg was amputated after being crushed in a motor vehicle accident. Which intervention might the nurse perform to address the client's intellectual dimension?

Teaching her how to care for the stump and explaining the rehabilitation program

A client has a rare neurological disorder and will require complex management with specialists. Which level of care should the nurse anticipate this client requiring?

Tertiary

A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is most applicable to this client?

Tertiary prevention

The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse?

The RN collects comprehensive data.

The nurse is preparing to submit a research project to the institutional review board (IRB). The nurse understands that if the IRB were to reject the research project, it would most likely be for which reason?

The project lacks sufficient safeguards to protect human subjects.

An example of primary health care is:

a hearing screening in the school setting.

Which are examples of ways that a nurse can use theories to guide client care? (Select all that apply.)

-Collect client data. -Organize client information. -Classify client data. -Analyze client situations.

The scientific process and nursing research have the same methodologies for investigating and solving problems. Place the steps of the scientific process and nursing research in order.

-Identifying what one needs to know or is curious about -Deciding the approach to seeking the answer -Devising a plan -Implementing the plan -Assessing the outcomes

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

-Impaired Skin Integrity -Caregiver Role Strain -Compromised Family Coping

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

starting an intravenous line in the client's arm

What is the central theme of Florence Nightingale's nursing theory?

Meeting the personal needs of the client within the environment.

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.

The nurse is performing care for a client in the end stage of cancer. How can the nurse bestfacilitate 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.

A prospective student is interested in alternate emerging pathways to the nursing profession instead of the traditional programs. What pathways should the student be advised to research? Select all that apply.

-Entry level master's degree programs -RN completion programs for LPNs

The nurse is caring for a client who is on a ventilator. The nurse is bathing and talking to the client, including telling the client what is going to happen next. The nurse speaks to the client in a soothing manner. The nurse is acting in which role? Select all that apply.

-caregiver -communicator -educator

A nurse researcher is collecting nominal data. What type of research is being conducted?

Quantitative research

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

Which nursing activity provides an example of primary prevention?

Teaching a family how to recognize and avoid environments containing lead paint

A nurse in the community has been asked to join an organization based on the leadership abilities demonstrated both in the facility of employment and community-based activities. Which organization is most likely being described?

Sigma Theta Tau International

The nursing process is:

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

The nurse is conducting a class for nursing assistants. One of the students asks the nurse why blood pressure, pulse, and temperature are called "vital signs." Which explanations would the nurse offer the student?

"Because significant deviation from normal is not compatible with life."

A client asks a nurse about the benefit of using diagnosis-related groups (DRGs) as a reimbursement method. Which is the nurse's best response?

"DRGs have helped to reduce healthcare costs by decreasing the overall length of a client's hospital stay."

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."

A nurse says, "We have so many drills and safety checks for everything. It is almost like we are preoccupied with the possibility of failure." How should the charge nurse respond to this statement?

"Highly reliable organizations think about the possibility of failure and what to do to avoid it."

Which are helpful tips for a nurse who has been active in health care policy and reform give to a nurse who is interested in becoming active in this area? Select all that apply.

-Stay up to date regarding new pending legislature that will determine nursing practice. -Join and participate in nursing associations. -Advocate for the rights of all people in health care.

A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "My nutritionist 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?

Authoritative knowledge

Knowledge gained from someone with a great deal of perceived experience is which type of knowledge?

Authoritative knowledge

Which statement is most accurate in discussing the difference between nursing care provided in the acute care setting and that provided in the home care setting?

Both settings focus on the holistic care of an individual.

The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. Which UAP statement demonstrates that teaching has been effective?

"I will rescue clients from harm before doing anything else."

At the last hospital unit meeting, the policy for the insertion of Foley catheters was revised based on current evidence. The new nurse on the unit just learned "the old way" and is frustrated to now have to learn a new methodology. Several other nurses comment that the change is "all about money." The charge nurse must educate the staff about the importance of this new policy. Which explanation by the charge nurse is most appropriate?

"Incorporating evidenced-based practice into our care routines links our interventions to valued outcomes, thereby increasing quality care. When we provide quality care, we can decrease cost."

Which is not an example of a problem statement?

"Is it better to tell clients that a medical error has occurred with their care and do an internal investigation, or tell them about the error and do an internal investigation?"

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."

The nurse and a student are discussing entry into the profession of nursing. Which statement should the nurse use to describe a diploma program?

"It is obtained by a 24-month program at a hospital."

A school nurse is conducting a safety seminar with students in 6th grade. Which teaching point is most important?

"Make sure that you have smoke detectors in your house and that they're in working order."

When using PICO, what does each letter stand for?

"P"- patient or problem "I" - intervention considered "C"- comparison if appropriate, or it may be optional "O"- outcome of interest or relevant outcomes.

Which statement regarding health care reform trends is most accurate?

"Systems are in place to pay for performance and penalize hospitals for excessive readmissions."

Which statement indicates that a family understands the teaching that has been provided by the nurse related to car seat safety for their 3-year-old child?

"We place our child in a front-facing car seat in the back seat of the car."

It is recommended that a client go to a convalescent center upon discharge following a minor stroke. The client says, "I don't want to go anywhere, I want to go home." Which information should the nurse offer?

"You will only stay until you are well enough to go home."

While at a clinic visit, a client asks the nurse, "I'm going to be eligible for Medicare soon. Can you help explain what this involves?" Which information would the nurse likely include in the explanation? Select all that apply.

-"Part A pays for inpatient hospital costs; Part B covers most outpatient costs." -"It's good to have an extra policy to supplement what might not be covered."

The hospital has developed a clinic specifically to serve people who are uninsured. Which statement, made by a nurse asked to transfer to working in the clinic, indicates need for additional teaching? Select all that apply.

-"Why should I change my schedule to work with a group of clients who have never worked at all." -"Aren't most uninsured people illegal aliens?"

A nurse provides interventions for clients in a long-term care facility to help them meet their intellectual needs. Which nursing actions promote these needs? Select all that apply.

-A nurse provides education about foot care to a client with diabetes. -A nurse explains to an obese client the benefits of following a healthy diet. -A nurse shows residents a video discussing modified activities for older adults.

Research is included as an essential component of nursing by which of the following organizations? (Select all that apply.)

-ANA -International Council of Nurses -Nursing specialty organizations

A nurse researcher is reviewing the Privacy Rule under the Health Insurance Portability and Accountability Act (HIPAA) and finds information about handling protected health information (PHI). The nurse researcher would most likely find rules for which aspects of PHI? Select all that apply.

-Access -Usage -Sharing

A nurse is implementing secondary-level interventions for a group of hospitalized clients. With which activity would the nurse be involved? Select all that apply.

-Administering medications -Providing wound care

Based on its jurisdiction, which actions may a state licensing board of nursing take? Select all that apply.

-Allow graduates of approved schools of nursing to take the NCLEX -License nurses during the lifetime of the holder -Deny licensing due to criminal actions

What are common sources of stress in family members due to a hospitalization of a family member? Select all that apply.

-Alterations in roles -Economic problems -Alterations in lifestyle -Decrease in social interactions

A nurse researcher ensures that a research subject's privacy is protected by which method? Select all that apply.

-Anonymity -Confidentiality

Which are characteristics of chronic conditions? (Select all that apply.)

-Are rarely curable -Require lifelong management -Have a prolonged course

The nursing process includes step(s)? Select all that apply.

-Assess -Plan -Implement -Evaluate

Which services are within the scope of practice of a hospital-based social worker? Select all that apply.

-Assisting clients and families in dealing with the social, emotional, and environmental factors that affect their well-being -Making referrals to appropriate community resources -Providing assistance with securing medical devices and supplies -Assisting with discharge planning

Which topics should be included in an education plan for preventing falls in the home? Select all that apply.

-Avoid climbing on a chair or table to reach items that are too high. -Use a nightlight. -Remove clutter from walkways. -Keep electrical and telephone cords against the wall and out of walkways. -Consider the use of a raised toilet seat.

Which activities would the nurse consider to be lifestyle risk factors for the development of health problems? Select all that apply.

-Avoiding exercise -Participating in extreme sports -Maintaining a stressful job

What are chief tasks of the home health care nurse? Select all that apply.

-Developing a nursing care plan -Providing client education and counseling -Providing continuity of care -Administering medications

Which are ethical issues that need to be considered as health care reform continues? Select all that apply.

-Do smokers and the obese who do not make necessary lifestyle changes deserve the same health care as people who lead healthier lives? -Is someone who can afford to advertise for an organ donation more deserving than someone who has been waiting months for a transplant? -Should citizens pay higher insurance premiums and/or taxes so that someone who overdoses on heroin can have intensive care? -Should undocumented peoples in the U.S. have the same access to health care as its citizens?

A group of nurses is participating in a community health fair and is engaged in primary prevention activities. Which activities would these nurses be leading? Select all that apply.

-Family planning services -Accident prevention education -Heart-healthy nutrition services

A nurse is interviewing a family. During the interview, the nurse gathers information about the family's environmental dimension. Which element would the nurse include in this assessment? Select all that apply.

-Housing situation -Local climate

A hospital nurse assesses clients in various stages of illness. Which statements accurately describe client responses to illness based on Suchman's stages of illness? Select all that apply.

-In stage 2, most people focus on their symptoms and bodily functions. -When help from a health care provider is sought, the person becomes a client and enters stage 3, assuming a dependent role. -In stage 1, pain is the most significant symptom indicating illness, although other symptoms, such as a rash, fever, bleeding, or cough, may be present.

A hospital system has adopted the Institute for Healthcare Improvement's "Triple Aim" dimensions and has surveyed nurses for planning ideas. Which strategies will help the hospital comply with this framework? Select all that apply.

-Make results of quality studies available to nurses in a timelier manner. -Create outreach education programs to improve the overall health of the community served. -Reduce redundancy in diagnostic tests.

A nurse is reading a journal article about paying for health care. The nurse demonstrates understanding of the article by identifying which method as being federally funded? Select all that apply.

-Medicare -Medicaid -Veterans Health Administration -Children's Health Insurance Program

A client is being prepared for discharge from the hospital after an exacerbation of heart failure. The client needs assessment of cardiac status, instruction in medications and diet therapy as well as exercises to increase endurance and stamina. The client also needs assistance with self-care, both in performing it now and learning how to adapt to the limitations to maintain independence. The client also lives alone with an older adult, frail spouse. In addition to the client's physician, which members of the interdisciplinary team would need to be involved? Select all that apply.

-Nurse -Physical therapist -Occupational therapist -Unlicensed assistive personnel -Social worker

The nurse is caring for a client that is disoriented. The nurse places the client in soft wrist restraints to discourage pulling at a nasogastric tube. Which nursing action(s) is appropriate? Select all that apply.

-Obtain order from a licensed provider within minutes of restraint application. -Check circulation and skin condition every 2 hours. -Offer regular, frequent opportunities for toileting.

Which are core concepts in nursing theory? (Select all that apply.)

-Person (client) -Environment -Health -Nursing

Which are goals of nursing theory? (Select all that apply.)

-Provide knowledge and a rationale for client interventions -Provide a rationale for appropriate nursing actions in a given situation -Identify and define concepts that are important to nursing -Increase the nursing body of knowledge

A nurse is performing health promotion activities for clients at a local health care clinic. Which nursing actions exemplify the focus of secondary preventive care? Select all that apply.

-Screening clients for hypertension -Scheduling a mammogram for a client -Referring a client to family counseling

The nurse is completing a situational assessment. Which findings would cause the nurse concern? Select all that apply.

-The client is wearing the oxygen around the neck. -There is spilled water on the floor. -The IV is not infusing at the correct rate. -The skin is a bluish-color.

The nurse is using Leavell and Clark's Agent-Host-Environment Health Model to help plan nursing interventions for clients in a hospital setting. Which examples of nursing actions to prevent hospital-acquired infections (HAIs) best illustrate the principles of this model? Select all that apply

-The nurse should assess the clients for risk factors for infection when planning nursing care. -The nurse should consider the client's family history and age when assessing risk factors for infection. -The nurse should examine environmental stressors in clients' lives to see how these stressors might affect their recovery and ability to ward off infection.

The nurse is providing care to several clients. For which client should the nurse include secondary care in the nursing plan of care?

A middle-aged client who presents with new-onset angina

Which could be considered an example of a qualitative research project?

A PhD nursing student is collecting data on how Somali immigrants perceive the care they receive in one community clinic. The nursing student is taping and analyzing interviews with clients that have been in the country and community 2 years or less and who have sought care at least once at this clinic.

What is a conceptual framework?

A group of interrelated objects that follow a pattern

A clinic-based nurse in a sparsely populated remote area far from a regional hospital is working with other local health care team members on a plan to improve client health and outcomes. The team has decided that which health care delivery system would best meet the population's needs

A health clinic run by an advanced practice registered nurse (APRN)

The nurse preparing a lecture on the history of nursing should include which international organization as the first for professional nurses?

International Council of Nurses

Which client would most benefit from the nurse including in the plan of care interventions addressing the client's social health?

A spouse and parent who is angry about no longer being able to work due to a spinal cord injury

Which client would most benefit from the nurse including in the plan of care interventions addressing emotional health?

A stressed client who is experiencing paranoid delusions

Which is the most accurate definition of urgent care?

A type of ambulatory care that treats people who walk in with illnesses and minor trauma

Which criterion is not used for critically evaluating websites when doing a literature review?

Accessibility

Which is an emerging trend in health care delivery?

Active involvement of consumers

Which theory describes how humans adjust to life with other living things and with the environment?

Adaptation theory

Which advancement in the nursing profession occurred immediately after World War II?

Advanced nursing education was established.

Which is the most accurate description of "aging in place"?

Aging in place communities are a form of extended care in which community members meet each other's needs.

What is the definition of wellness?

An active state of being healthy

Which scenario is using a prospective payment plan to reimburse for services?

An older adult client is admitted to the hospital and treated for pneumonia. The hospital is reimbursed based on a predetermined fixed price.

For which research activity is a phenomenological research method most appropriate?

Attempting to understand non-English speaking immigrants' experiences of being hospital clients

Which statement accurately reflects the findings of the 1999 Institute of Medicine report, "To Err Is Human"?

Anywhere from 44,000 to 98,000 people are estimated to die in U.S. hospitals each year as a result of preventable medical errors.

A nurse researcher who plans to collect and analyze data for the purpose of improving clinical practice should select which method of research?

Applied research

A client has frequent readmissions for fall-related injuries. Which is the most appropriate intervention by the nurse?

Arrange for a skilled home care assessment

During a hospice visit, the client's spouse suddenly begins to cry and says, "I am so tired. I just can't do this anymore. I am not getting to sleep and I just eat sandwiches when I can." What is the nurse's best intervention?

Arrange for short-term inpatient care for the client.

A nurse wants to implement Sister Callista Roy's Adaptation Theory in the acute care setting. Which nursing action demonstrates proper use and implementation of this theory?

Assessing for factors interfering with healing

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 American Nurses Association's Commission on Nursing Education developed guidelines for the investigative function of nurses at different educational levels. Which guideline is for a nurse with an associate degree?

Assists in collection of data within an established, structured format

An older adult patient has been recently diagnosed with vascular dementia. Because the client lives alone and has poorly controlled hypertension, the client has begun to receive home healthcare. This new aspect of the client's care is characteristic of which stage of illness?

Assuming a dependent role

A client with a lump in the breast calls the healthcare provider to schedule an appointment for an evaluation. Based on the client's actions, what stage of illness is the client demonstrating

Assuming the sick role

The nurse researcher would like to gather data about the attitudes of young adults on spirituality and health care. What is the most effective form of research on this topic?

Qualitative research

How can the nurse best demonstrate being a role model for health promotion?

Avoid smoking and drinking alcohol

Which service would most likely be provided in a tertiary care center?

Cardiovascular surgery

A nurse is caring for an older adult client in the home. The nurse concludes that the client needs an X-ray to determine whether the client has pneumonia and requires oxygen for shortness of breath. The nurse calls to inform the physician of the client's status and then makes arrangements to carry out the physician's orders. In this scenario, what role does the nurse play?

Case manager

Unlicensed assistive personnel (UAP) include which workers?

Certified nursing assistants, orderlies, attendants, and technician

In selecting sources to include in a literature review for a nursing research project, which would be most helpful?

Cumulative Index to Nursing and Allied Health Literature

There are various levels of preparation for nursing practice. Which degree program will best prepare a nurse to work as a nurse researcher?

Doctoral

The nurse is reading about nursing theorists for a class. The theory reveals the following, "Individuals who use self-care to sustain life and health, to recover from disease or injury, or to cope with its effects." Which individual developed this theory?

Dorothea Orem

Which is a focus of medical research rather than nursing research?

Drug metabolism

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

A teenaged client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health?

Emotional dimension

The nurse is preparing to submit a research project to the institutional review board (IRB). The nurse understands that which is the purpose of the IRB?

Ensure the ethical treatment of all participants

What role does the nurse assume when gathering information for a community assessment?

Epidemiologist

Which nursing actions are characteristic of the nurse's role as communicator?

Establishing and maintaining helping relationships with clients of all ages in a variety of settings

When looking at a model for evidence-based practice, what is the final step of the process?

Evaluating practice change

A nurse is caring for a client with end-stage liver failure. Which healthcare agency should the nurse recommend for continuity of care?

Extended care

The nurse is documenting the client's response to a medication. This action reflects a practice that was started by which key figure in nursing's history?

Florence Nightingale

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

A client has a complex medical history related to the consequences of diabetes. As a result of having diabetic nephropathy, the client now participates in the local hospital's dialysis program and has been referred to an ophthalmologist by the primary care physician following the onset of vision problems. In addition, the client receives home care nursing for the treatment of a foot ulcer that is slow to heal. This client's situation characterizes which phenomenon?

Fragmentation of care

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

What type of nursing program would allow a student with a 4-year degree in psychology to enter and complete a baccalaureate degree in nursing, take the NCLEX examination, and transition into a Master of Science in nursing (MSN) program?

Graduate entry program

What is a dynamic state in which a person constantly adapts to changes in the internal and external environment?

Health

A nurse is reviewing the different types of health care delivery services available in the community. Which method would the nurse identify as having the primary care goal of reducing costs by preventing illness?

Health maintenance organization (HMO)

The statement, "More frequent handwashing will significantly lower the rate of infection in hospitalized clients," is an example of what research component?

Hypothesis

Which cost-cutting meaure in health care is most likely to facilitate improved client outcomes?

Improving transitions across settings

Which is a current trend in health care consumers?

Increased knowledge of health care

The nurse researcher is aware that the type of variable that can be manipulated in a study is which type of variable?

Independent

A nurse researcher is involved in an experimental research study. Which component would the nurse researcher manipulate?

Independent variable

A nurse whose priority tasks include conducting health assessments, teaching health promotion, such as smoking cessation, eating sensibly, using safety equipment, exercising regularly, caring for minor accidents and illnesses, and making referrals for more serious health problems is likely a healthcare team member in which setting?

Industry

A person practicing nursing in the 1950s would most likely have been influenced by what trend?

Large numbers of women began to work outside the home, asserting their independence.

Which individual provided community-based care and founded public health nursing?

Lillian Wald

Who established the first public health service for the sick and poor?

Lillian Wald

A nurse practicing in the early Christian period might perform which nursing action characteristic of this era?

Making organized visits to the sick

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

Mary Breckinridge

Which is the goal of tertiary prevention of illness?

Minimizing complications

A nurse caring for clients in a hospital setting focuses on the ill person in the health care setting. The nurse also provides care based on helping clients to adapt to the health care environment. Whose nursing theory principle is the nurse following?

Myra E. Levine

Which statement regarding pay for performance is most accurate?

Quality of care is measured and used to evaluate hospitals and other providers and to award reimbursement.

A hospital is introducing a program that has the goal of aligning practices more closely with the Quality and Safety Education for Nurses (QSEN) project. What initiative best exemplifies QSEN competencies?

New systems are introduced to increase communication between nurses and the members of other health disciplines.

Which represents the basic framework of the research process?

Nursing process

Which activity systematically inquires about the problems encountered in nursing practice and into the modalities of client care?

Nursing research

A nurse is researching health care in rural areas. Based on a 2013 U.S. Subcommittee on Primary Health and Aging, which statement regarding access to primary health care is correct?

One in five Americans lives in an area without adequate access to primary health care due to a shortage of primary care providers.

Which scenario accurately depicts the influence of one's religious beliefs on health and health care?

Orthodox Jews prohibiting the intake of pork

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

A nurse is helping a client choose a new health care plan. The client states a preference being able to choose a physician. Which plan would be the best option for this client based on the stated preferences?

PPO

A nurse is discharging a client who was admitted for observation following a motor vehicle accident. The client is a single parent who is living in a new community. What service would be an appropriate referral for this client?

Parish nursing

The nurse is teaching the caregiver of an adolescent child about safety. Which teaching will the nurse include?

Peer pressure causes children of this age to take risks.

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

A nurse researcher is studying female clients who have survived breast cancer. The nurse asks each client to describe her experience and then analyzes the data for the meaning of the experience within each person's own reality. This nurse has used what type of qualitative research method?

Phenomenology

Which are priority skills for nurses working in ambulatory mental health centers?

Possessing strong communication and counseling skills and being familiar with community resources

A nurse is explaining A1C diagnostic testing to a client with diabetes. What level of health care delivery does this test suggest?

Primary

A nurse has very strong client education skills. In which health care setting would the nurse make best use of these skills?

Primary care center

A client who is affluent and places a high priority on maintaining freedom to choose which physicians and health care services the client uses would most likely be best served by which group plan?

Private insurance

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

Which scenario is the best example of a nurse implementing care according to the ANA standards of practice?

Providing nutrition teaching to a client with diabetes

Which skill is foundational for a nurse's participation in the evidence-based practice process?

Read and understand a research article.

Which is the best example of evidence-based nursing practice?

Recommending ginger to alleviate nausea and vomiting in obstetric clients based on a literature review

A nurse smells smoke and subsequently discovers a fire in a garbage can in a common area on the hospital unit. What is the nurse's priority action in this situation?

Rescue anyone who is in immediate danger.

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

The client is admitted with a gastrointestinal bleed. The physician ordered a colonoscopy. Which level of care encompasses this procedure?

Secondary

The nurse is holding a cholesterol screening at a local pharmacy this Saturday morning. What level(s) of health promotion is this screening an example of?

Secondary

A father asks the nurse who is caring for his 13-year-old daughter why his daughter could be performing poorly in school lately, and why she is distancing herself from friends and family. Which of these possibilities would the nurse consider as the priority risk?

She may be the victim of cyber-bullying.

Florence Nightingale was a nursing pioneer who challenged prejudices against women and elevated the status of all nurses. Which statement accurately describes one of her accomplishments?

She promoted the publication of books about nursing and health care.

A nurse providing care has a personal philosophy that nursing interventions should be instituted for clients when the clients demonstrate ineffective adaptive responses. This nurse's philosophy is based on the theory of:

Sister Callista Roy

A client has been admitted to the hospital for treatment of pancreatitis secondary to alcoholism. The client states that it is nearly impossible to quit drinking because of the deep entrenchment of alcohol use in the client's circle of friends and line of work. As well, the client claims to have thought that drinking only beer and foregoing hard alcohol would prevent health problems. This client is exhibiting health consequences rooted in which human dimensions?

Sociocultural and intellectual

Which statement most accurately reflects the intent of secondary care?

Specialists provide psychiatric care, same-day surgery, and general hospital care.

A client was admitted to the hospital 2 weeks ago following an ischemic stroke. Since the early introduction of stroke rehabilitation, the client has seen significant improvements in both medical status and activities of daily living (ADLs). This morning, however, the nurse notes that the client has been coughing since eating a minced and pureed breakfast. Auscultation of the client's chest reveals the presence of coarse crackles. Which practitioner should the nurse consult with to obtain a swallowing assessment?

Speech therapist

A nurse is caring for a client who has breast cancer. The client tells the nurse: "I don't know why this happened to me, but I'm ready to move on and do whatever I need to do to get healthy again." This client is in which stage of acute illness?

Stage 3

The nurse recognizes that the client who makes the decision to accept a new diagnosis and follow the prescribed treatment plan is in which stage of an illness?

Stage 3-Assuming a dependent role

The nurse is teaching the caregiver of an infant about safety. Which teaching will the nurse include?

Supervise your child on the changing table.

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.

Which nurse is demonstrating a type of nursing whose roots go back to the ancient Greek times when temples were the center of nursing care?

The nurse conducting a blood pressure screening at a local church

A nurse is formulating a clinical question in PICO format. Which is represented by the letter I?

The treatment of interest

A group of concepts and the relationships among them is what?

Theory

A nurse is preparing to implement an order for the use of restraints to ensure a client's safety. Which statement accurately describes a guideline to follow?

Time-limit the use of restraints and release the client from the restraint as soon as he or she is no longer a risk to self or others.

Which factor is related to the highest proportion of falls in long-term care settings?

Toileting

The nurse is providing care to an older adult client approaching discharge following a surgical procedure to repair a fractured hip. The client requires continued skilled nursing care and physical therapy to improve mobility. When planning care for this client, which prescription should the nurse anticipate?

Transfer to an extended care facility

What is a dynamic balance among the physical, psychological, social, and spiritual aspects of a person's life?

Wellness

A nurse has chosen to characterize a new initiative as "wellness promotion" rather than "health promotion". Which statement best describes the difference between the concept of wellness and the concept of health?

Wellness is an active state, whereas health is a more passive state dependent on the absence of disease.

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

Which scenario is the best example of the nurse acting as an advocate?

Writing legislation for insurance coverage for screening colonoscopies

A conceptual framework is defined as:

a set of concepts and propositions.

Establishing the criteria for the education and licensure of nurses is a component of:

a state's nurse practice act.

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."

Which action by the nurse best represents the evaluative portion of the nursing process?

assessing a client's blood pressure after teaching stress reduction techniques

A 17-year-old is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to:

automobile accidents.

A new graduate is preparing to enter into nursing practice. Which should be the central focus for this nurse in practice?

care of the client

During World War II, nurses were actively recruited and enlisted in the military. What effect did this have on the nursing profession?

caused a civilian nursing shortage

A nurse practitioner considering going back to school to obtain a Doctor of Nursing Practice degree (DNP) anticipates that the main focus of the curriculum will be on:

clinical practice.

The nurse is caring for a postoperative client, and administers a pain medication prescribed on a p.r.n. basis by the health care provider. What best describes the type of intervention the nurse is demonstrating?

collaborative intervention

Trends in managed care have resulted in an increased focus on the care of clients by nurses in which settings?

community-based settings

One of the primary advantages of the managed care model is:

economic, quality care.

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

During a course on terrorism, a group of emergency room nurses learns about terrorists who use bombs or other explosives to inflict injury on numerous people and cause multiple fatalities. This is an example of:

mass trauma terrorism.

The health department is reviewing community health initiatives for the year. During the summer, the health department focuses infection control activities on which program?

using pesticides for mosquitoes

A medical-surgical unit manager intends to have licensed practical nurses (LPNs) in the unit administer intravenous push (IVP) medications. What source would the manager contact to include this procedure in the LPNs' practice?

state nurse practice act (NPA)

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.

The nurse understands that for nursing to be considered a profession, many things need to be in place. Which element is not part of those considerations?

Multidisciplinary approach

A nurse is thinking about pursuing a master's degree in nursing (MSN) and is reviewing information about various programs. What would the nurse expect to find about such programs?

Nurses pursuing such programs require solid scholastic abilities.

Which standards are monitored by the Quality and Safety Education for Nurses (QSEN)? Select all that apply.

-Evidence-based practice -Client-centered care -Informatics -Quality improvement

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 role of the nurse developed from the pre-civilization era through the eras representing the beginning of civilization, the beginning of the 16th century, the 18th and 19th centuries, World War II era, and up to the present day. Place the following roles of the nurse listed below in the correct chronologic order to follow this timeline.

-Nurses were portrayed as a mother, caring for family and delivering physical care and health remedies. -Nurses were viewed as slaves, carrying out menial tasks based on the orders of the priest. -There was a shortage of nurses; criminals were recruited as nurses; nursing was viewed as disreputable. -Florence Nightingale elevated nursing to a respected occupation and founded modern methods in nursing education. -Efforts were made to upgrade nursing education, and women were more assertive and independent. -Nursing was broadened in all areas and was practiced in a wide variety of settings; nursing was viewed as a profession.

Nurse researchers use both quantitative and qualitative research in their practices. Which actions are examples of the use of qualitative research? Select all that apply.

-The nurse examines nursing issues related to Native American/First Nation clients. -The nurse investigates past nursing trends to understand the current profession. -The nurse discovers how people describe the effect of illness in their lives.

Which statements are true regarding nursing theory? (Select all that apply.)

-The ultimate outcome for nursing theory is improved client care. -Nursing theory provides a rationale for the care that nurses provide. -Nursing theories may be descriptive or prescriptive. -Nursing theory provides a focus for care that is delivered to clients.

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 demonstrating traits of leadership. What actions by the nurse would be recognized as leadership behaviors? Select all that apply.

-Participates on an evidence-based practice council -Serves as president of local chapter of Sigma Theta Tau International -Develops and implements a quality improvement project

What are the primary purposes for conducting research in nursing? Select all that apply.

-Provide a basis for best practice guidelines -Provide a resource for evaluating care -Develop new ways to improve assessment and diagnostic skills

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

Which types of knowledge are subjective? (Select all that apply.)

-Traditional knowledge -Authoritative knowledge

A long-term care facility is seeking an advanced practice nurse to educate the staff regarding palliative care for the residents. The facility would benefit most by hiring which advanced practice nurse?

Clinical nurse specialist

A client is brought to the emergency department with a head injury following an all-terrain vehicle (ATV) accident. The nurse asks the family members to describe how the accident occurred. The nurse is implementing which ANA standard?

Collaboration

Which are examples of ways that a nurse can use theories to guide client care? (Select all that apply.)

Collect client data. Organize client information. Classify client data. Analyze client situations.

What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered?

Nursing care now uses EBP as a means of ensuring quality care.

Nursing is described in various ways. The focus of all nursing interventions can be described by which statement?

Nursing focuses on the human experience and responses of individuals, families, and groups

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

Nursing process

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

Which is most similar to a nursing model?

Nursing theory

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

Obtain continuing education credits.

Together the nurse and a client with hypertension set a goal that states that the client will be able to identify foods to avoid on a low-sodium diet. The nurse completes this action as a part of which American Nurses Association Standard of Care?

The RN identifies client outcomes.