Chapter 1: Intro to 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 intervention reflects which one of the nursing's four broad goals?
Restore health
A RN is convicted of stealing narcotics from the medical-surgical unit. What might be taken against this RNs nursing license?
Revoking of the nursing license
Due to the rising cost of health services, many procedures and treatments are being delivered in what type of setting?
outpatient facilities
What are the best examples of the role of the nurse as a communicator?
-Informing the physical therapist that the client's therapy was discontinued -Discussing laboratory values with the client -Call a physician about a client's blood pressure -telling a client their blood pressure
The nurse graduated several years ago from a 2-year nursing program at a community college near the home city. Recently, the nurse has considered moving from providing direct care into a administrative role, but recognizes the need to further education to be considered for the position. The nurse is most likely possesses which nursing qualification?
Associates degree
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
A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse?
Only advanced practice RNs have prescriptive authority
The nurse asks a client about his spiritual health. Which statement best explains the standards of care utilized by the nurse?
The RN collects the comprehensive data
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 advanced nurse practitioner is best qualified to provide prenatal care for pregnant client
A nurse midwife
Which organization has established standards that help the nurse determine which clinical action fall under the scope of nursing practice?
American Nurse Association
The nurse is conducting a class for nursing assistants. One of the students ask the nurse, why blood pressure, pulse, temperature are called vital signs.Which explanation would the nurse offer the student?
Because significant deviation from normal is not compatible with life
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 nurse discussing the important of a professional nursing organization setting standards should include which statement?
It helps identify nursing as a profession
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 a 24-month program at a hospital
The RN 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
A prospective nursing student desires a career that will allow the opportunity to provide care and to assist professional nurses with routine technical procedures. This 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 BSN nurse is discussing the benefits of a BSN to high school students. Which statement made by the nurse would be most appropriate?
Many nursing management jobs require a BSN
The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?
Mary Breckenridge
Which scenario is the best example of a nurse implementing care according to ANA standards of practice?
Providing nutrition teaching to a client with diabetes.
Florence Nightingale was a nurse pioneer who challenges prejudices against women and elevated the status of all nurses. Which statement accurately describes one of her accomplishments?
She promoted the publication of book about nursing and health care
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 part of which American Nurses Association Standard of Care?
The RN identifies client outcome
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
Which social force has most significant impacted the future supply and demand of nurses?
aging
The nurse is attempting to provide anticipatory guidance for the parents of an 18-month child. Which statement would be best for the nurse to make?
Keep all medication in a locked cabinet
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 is caring for a postoperative client. The health care provider has written a prescription for pain medication, and the prescription gives a dosage range for the amount the nurse may give depending on the severity of the client's pain. This type of functioning within the health care team is called:
collaborative functioning
Which are approved as nursing diagnoses?
-compromised family coping -impaired skin integrity -caregiver role strain
The nursing process:
A critical thinking method used by nurses to provide nursing care that is individualized and holistic
The nurse is considering medical-surgical certification after working in a medical-surgical unit for the past 5 years. Nursing specialty certification is given by which group?
AACN
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 doing today? I am really worried about you."
The nurse is discussing the recommended entry level for professional nursing practice. What is the most accurate statement by the nurse?
BSN is the recommended level by national nursing organization
Which challenge associated with technology most affects nurses today?
Client privacy issues with social media realm
A RN 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 client's plan of care is created by the nurse using which guidelines for nursing?
Nursing Process
Which is the best example of a nurse demonstrating the role of caregiver.
Starting an intravenous line in the client's arm.
Which nursing group provides a definition and scope of practice for nursing?
American Nurses Association (ANA)
Which action by the nurse best respresents the evaluative portion of the nursing process?
Assessing a client's blood pressure after teaching stress reduction techniques
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
A long-term care facility is seeking an advanced practice nurse to educate the staff regarding palliative care for the reside. The facility would benefit most by hiring which advanced practice nurse?
Clinical nurse specialist
The nurse is caring for a postoperative client, and administers a pain medication prescribed P.R.N. basis by the health care provider. What best describes the type of intervention this nurse demonstrating?
Collaborative intervention
Which nursing actions demonstrate the aim of nursing to facilitate coping?
-assisting a client and his family to prepare for death -teaching a client and her family how to live with diabetes -providing counseling for the family of a teenager with an eating disorder
A recently license RN is preparing to enter practice in an acute care facility and to practice within the guideline of the state. When preparing to research the state nurse practice act, what information is important to obtain?
-establishment of educational criteria -definition of important terms related to nursing -definition of legal scope of nursing practice
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 ANA standards of Professional Nursing Practice provides standards 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
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?
-refer the client and family to hospice services -assist the client and family with the preparation for end-of-life - assist the client with activities of daily living
