Chapter 1: Professional Nursing Practice

The nurse is assisting with the development of a program to administer flu shots to a group of senior citizens. What type of prevention does this program reflect?

Primary prevention

Which situation would require the nurse to use critical thinking and decision-making skills in providing genetics-related nursing care?

Providing fertility counseling to a young family with a 2-year-old child with cystic fibrosis

Which is a primary task of nursing research?

Contributing to the scientific base of nursing practice

Which statement by the nurse shows an understanding of the focus of the quality assurance programs developed in the 1980s?

"The quality assurance programs focus on processes used to provide care and improving those processes."

The following nursing diagnoses are formulated with a client: constipation, acute pain, and caregiver role strain. During the planning phase of the nursing process, the nurse will prioritize the diagnoses in what order?

Acute pain, constipation, caregiver role strain

A patient who adheres to the dietary laws of Judaism is in traction and confined to bed. The patient needs assistance with the evening meal of chicken, rice, beans, a roll, and a carton of milk. Which nursing approach is most representative of promoting wellness?

Ask whether the patient would like to make any substitutions in the foods and fluids received.

The use of patient restraints limits which ethical principle?

Autonomy

Which ethical principle is related to the duty to do good?

Beneficence

A nurse in a primary care provider's office is caring for a 73-year-old female client who is interested in learning things she can do to maintain movement and flexibility while coping with osteoporosis. In what situation would this client still be considered healthy even though she has been diagnosed with a chronic disease?

Clients with a chronic illness can still achieve a high quality of life within the limits of the illness if they are physiologically stable and mentally healthy.

The nurse is prioritizing a client's care plan based on Maslow's hierarchy of needs. What is an example of the nurse's first priority action?

administering pain medication to a client in acute pain

Skills needed in critical thinking include interpretation, analysis, evaluation, inference, explanation, and self-regulation. Which of the following describes interpretation?

Determine the significance of data that are gathered.

Which of the following patient age groups is currently one of the fastest growing age groups in the population?

adults 65 years of age and over

Which term is defined as a formal systematic study of moral beliefs?

Ethics

A nurse is a member of which entity within the larger health care environment?

Health care team

Which element is involved in the planning phase of the nursing process?

Identify measurable outcomes

Which is an important role for a nurse in the health care delivery system?

Identifying patient needs and working with patients to address them

An emergency department nurse is caring for a 7-year-old child suspected of having meningitis. The client is to have a lumbar puncture performed, and the nurse is doing preprocedure teaching with the child and the mother. The nurse's action is an example of which therapeutic communication technique?

Informing

The nurse educator is planning a teaching session for nursing students related to the treatment and management of gestational diabetes. The nurse educator arranges for a dietitian, pharmacist, and physician assistant to participate in the lesson plan. Which professional nurse competency is the nurse educator demonstrating?

Interdisciplinary teamwork

A nursing student is preparing for a class presentation addressing the collaborative practice model. Which of the following would the student expect to include?

Participation in decision making that is shared by all involved

Telling the truth (veracity) is one of the basic principles of North American culture. Three ethical dilemmas in clinical practice can directly conflict with this principle. Choose the three from the list below.

Revealing a diagnosis to people other than the client with the diagnosis Using placebos Not revealing a diagnosis to a client

Which of the following delineates actions that are legally permitted for a particular profession based on specific educational qualifications

Scope of Practice

Which of these statements best defines the term culture?

The learned patterns of behavior, beliefs, and values that can be attributed to a particular group of people

A client has been admitted to the hospital with a large sacral pressure ulcer. The physician prescribes the wound care protocol to be performed twice a day. What would be a statement on the plan of care that would address the implementation phase of the nursing process for this client?

Turn the client every 2 hours.

A nurse saw a coworker steal drugs from a locked cabinet. The supervisor notices the missing drugs and has a good idea who is responsible for the theft. The supervisor asks if the nurse saw anything out of the ordinary. Which professional value reflects a nurse's duty to tell the truth?

Veracity

A student nurse has been assigned to provide basic care for a 58-year-old man with a diagnosis of AIDS-related pneumonia. The student tells the instructor that she is unwilling to care for this client. What key component of critical thinking is most likely missing from this student's practice?

Withholding judgment

The nurse is developing a plan of care for a patient. What is the end result of the health history and physical assessment step in the nursing process?

collection and analysis of data

An ER nurse must quickly assess two clients who were in a car accident and determine whose needs take priority. In this situation, critical thinking allows the nurse t

consider all factors, interpret the information, and make decisions relevant to each client's care.