fundamental nursing 1871 CSCC

A client who is receiving chemotherapy for lung cancer has nausea and vomiting because of the therapy. The client wants to know if it is true that smoking marijuana will help. What is the nurse's best response?

"Smoking marijuana is not legal in any state." "Marijuana is effective for nausea and vomiting if it is injected." "Marijuana is not proven to be effective in preventing chemotherapy-induced nausea and vomiting." "Tetrahydrocannabinol is an ingredient in marijuana that decreases nausea and vomiting in some people."========= Tetrahydrocannabinol, an ingredient in marijuana, acts as an antiemetic in some persons and can be absorbed through the gastrointestinal tract or inhaled. The statement "Smoking marijuana is not legal in any state" does not answer the client's question and is inaccurate. Marijuana is not injected. Tetrahydrocannabinol, an ingredient in marijuana, is an effective antiemetic for some clients.

The primary healthcare provider prescribes "bathroom privileges only" for a client with pulmonary edema. The client becomes irritable and asks the nurse whether it is really necessary to stay in bed so much. What would be the best reply by the nurse?

"Why do you want to be out of bed?" "Bed rest plays a role in most therapy." "Rest helps your body direct energy toward healing."=========== "Would you like me to ask your primary healthcare provider to change the prescriptiON A client's knowledge about the treatment program enhances compliance and reduces stress. The response "Why do you want to be out of bed?" does not answer the client's question and might produce frustration. The response "Bed rest plays a role in most therapy" does answer the client's question, but does not explain specifically why. The response "Would you like me to ask your primary healthcare provider to change the prescription?" does not support the treatment regimen; the client needs education.

In which role does the nurse oversee the budget of a specific nursing unit or agency?

1 Nurse educator Nurse manager============= Nurse researcher Nurse practitioner

"Nurses advancing our profession to improve health for all" is the mission statement of which professional group?

American Nurses Association== =========== Institutes of Medicine Joint Commission Robert Wood Johnson Foundation

During the delegation process, which healthcare professional acts as a liaison between the team leader and healthcare provider?

Charge nurse============= Nurse manager Nursing supervisor Chief nursing officer The charge nurse is responsible for acting as a liaison between the team leaders and healthcare providers. Nurse managers cannot act as a liaison between the team leader and other healthcare providers because they are often responsible for more than one unit and have other managerial responsibilities. The nursing supervisor will be delegated to supervise and ensure effective outcomes for the tasks delegated to the delegatees. The chief nursing officer is responsible for establishing the systems for assessment.

To enter the nursing profession, an individual must successfully complete which criterion?

Clinical checklist A graduate degree Licensure examination============== Ongoing education

What is the goal of the professional nurse in the team leader role?

Compliance with physicians Positive outcomes and patient satisfaction========= Satisfied physical therapists and occupational therapists Social service referrals for home care

Which term refers to the nurse's ability to plan, direct, control, and evaluate others in different situations?

Delegation Leadership Followership Management Management is defined as the ability to plan, direct, control, and evaluate the nurse staff in various situations. Delegation is the transfer of authority to perform some type of task or work. Leadership can be defined as the use of individual traits and abilities in relationship to others and the ability to interpret the context where a situation is emerging. Followership is that each member of a team contributes optimally, but acquiesces to a leader or manager to ensure the best clinical decision-making.

The nurse is caring for a client who is in pain following surgery. The nurse informs the primary health care provider about the client's request for pain medication. What is the role of the nurse in this situation?

Educator Manager Advocate============== AdministratoR The nurse acts as a client advocate by speaking to the primary health care provider on behalf of the client. The nurse acts as an educator while teaching the client facts about health and the need for routine care activities. The nurse manager uses appropriate leadership styles to create a nursing environment for client-centered care. The nurse administrator manages client care and delivery of specific nursing services within a health care agency.

Professionalism exemplars related to leadership include which attribute?

Influential================== Licensed Respectful Therapeutic

Which statement is true about the centralization as it relates to organizational structures?

It refers to the physical location of units. It refers to the location where a decision is made======. It refers to the degree in which organization has rules. It refers to the terms of policies that define a member's function. Centralization refers to a location where the decision is made. Geographic dispersion refers to the physical location of the units. Formalization refers to the degree to which organization has rules, in terms of policies that define a member's function.

What is the main reason for nurses to participate in organizations such as the American Nurses Association?

Nursing organizations provide nurses with a professional identity through membership in a professional association. Nursing organizations influence policies affecting nursing, nursing practice, and the health of the community.==================== Nursing organizations grant nurses access to professional networks. Nursing organizations expose nurses to professional growth opportunities.

Which of the following social issues have been championed by nurses throughout nursing's history?

Safe and affordable housing Women's right to vote Advocating for the underserved and their needs All of the above==================

The new nurse understands that the purpose of the American Nurses Association (ANA) includes which of the following activities?

Safe and quality patient care The code of ethics Social policy and standards. All of the above=================

A client with a severe allergy has been administered a high dose of antihistamine. The nurse finds that the client is drowsy and dizzy. Which type of need would the nurse prioritize in the client according to Maslow's hierarchy of needs?

Safety need============ Belonging need Self-esteem need Self-actualization need Clients suffering from the effects of a high dose of antihistamines have strong safety needs. The belonging need is fulfilled when the client is provided love and compassion. Self-esteem needs are fulfilled by providing recognition. Self-actualization needs may not be the priority of the client in the current situation.

Prednisone is prescribed for a client with an exacerbation of colitis. What does the nurse teach the client before administering the first dose?

The client will be protected from getting an infection. Symptoms associated with the colitis will decrease slowly over time. Although the medication causes anorexia, weight loss may not occur. Although the medication decreases intestinal inflammation, it will not cure the colitis==============

What group is primarily protected under the laws that regulate nursing practice?

The public== Practicing nurses The employing agency People with health problems

A client with multiple sclerosis is admitted to the hospital. The client's exacerbations have become more frequent and more severe. One day, the client's partner confides to the nurse, "Life is getting very hard and depressing, and I am upset with myself for thinking about a nursing home." After listening to the partner's concerns, which is the best response by the nurse?

You may be able to lessen your feelings of guilt by seeking counseling." "It would be helpful if you become involved in volunteer work at this time." "I recognize it's hard to deal with this, but try to remember that this too shall pass." "Joining a support group of people who are coping with this problem may be helpful."==============