N813 PrepU questions
Evidence-based care emphasizes decision making based on the best available evidence and: Use of outcome studies to guide decisions. Evaluation by experts to direct specialty areas. Care based on pathophysiologic factors. Cost efficiency of treatment models.
Use of outcome studies to guide decisions.
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. Correctly utilize and troubleshoot high-tech equipment. Navigate the electronic medical records system. Do things the way they have always been done.
Work effectively in interdisciplinary teams.
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice? American Nurses Association National League for Nursing International Council of Nurses National Council of State Boards of Nursing
American Nurses Association
The nursing process includes step(s)? Select all that apply. Assess Plan Prescribe Implement Evaluate
Assess Plan Implement Evaluate Explanation: The nursing process consists of assessing the client, planning the client's care, implementing the planned interventions, and evaluating the effectiveness of those interventions. Prescribing is not a part of the nursing process.
A nurse is planning to pursue further education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which expanded career role is the nurse preparing? Clinical nurse specialist. Nurse manager. Nurse-midwife. Physician assistant.
Clinical nurse specialist Explanation: Clinical nurse specialists are nurses with an advanced degree who are considered experts in a specialized area of care. They also provide direct care, consultation, and education of clients, families, and staff. Nurse managers do not normally provide direct care. Nurse-midwives specialize in obstetrical care. Physician assistants are not nurses.
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? Linda Richards Clara Barton Florence Nightingale Lillian Wald
Florence Nightingale Explanation: Documentation is an example of maintaining accurate records, a practice that was initiated by Florence Nightingale. Linda Richards began the practice of keeping the records for a period of time. Clara Barton established the Red Cross. Lillian Wald was the founder of public health nursing.
What was one barrier to the development of the nursing profession in the United States after the Civil War? Lack of educational standards. Hospital-based schools of nursing. Lack of influence from nursing leaders. Independence of nursing orders.
Lack of educational standards
What was one barrier to the development of the nursing profession in the United States after the Civil War? Lack of educational standards. Hospital-based schools of nursing. Lack of influence from nursing leaders. Independence of nursing orders.
Lack of educational standards Explanation: A lack of educational standards was one barrier to the development of the nursing profession after the Civil War. Other barriers included a male dominance of health care and the pervading belief that women were dependent on men. The location of nursing schools, a lack of influence from nursing leaders, and independent nursing orders were not barriers to the development of the nursing profession after the Civil War.
What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered? Nurses now spend time looking up the best way to give nursing care. Nurses now have to take part in research. Nursing care now uses EBP as a means of ensuring quality care. Nursing care now incorporates research studies into client care.
Nursing care now uses EBP as a means of ensuring quality care. Explanation: The facilitation of EBP involves identifying and evaluating current literature and research, as well as incorporating the findings into client care as a means of ensuring quality care. The other answers are incorrect; they were used even before EBP became a major force in the delivery of nursing care.
There are four common concepts in nursing theory. While all concepts are important, the focus of nursing is always on which of the following? Person Environment Health Nursing
Person
During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply. Communicator Counselor Teacher Financier Statistician
Teacher Communicator Counselor
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. Th RN identifies client outcomes. The RN educates about preventing falls. The RN develops a plan of care.
The RN promotes a safe environment
A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care? The nurse's actions. The client receiving the care. The nurse as the caregiver. Nursing as a profession.
The client receiving the care Explanation: The client receiving the care is always the central focus of the nursing care provided. The central focus is not the nurse, the nursing actions, or nursing as a profession.
Which statement best explains the importance of theoretic frameworks? Theoretic frameworks guide physiologic nursing care. Theoretic frameworks guide psychosocial nursing care. Theoretic frameworks advance nursing knowledge and practice. Theoretic frameworks advance the ethical aspects of practice.
Theoretic frameworks advance nursing knowledge and practice.
A man with Alzheimer's disease in a nursing home will follow directions for dressing and feeding better with one nurse than with other staff members. This factor is related to Empathy Aggression Health belief model Therapeutic model of interaction
Therapeutic model of interaction Explanation: The Therapeutic Model of Interaction is client-centered and emphasizes the relationship between the health professional and the client.
The need for university-based nursing education programs was brought to light during which important historical time? Spanish-American War World War I World War II Korean War
World War II Explanation: Esther Lucile Brown, in her report on nursing education published at that time, wrote that nursing education belonged in colleges and universities, not in hospitals.
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. in 3 more years. in 2 more years. in 1 more year.
at the end of the year
When the nurse researcher informs the participant that his identity will not be linked with the information that is collected, the researcher is ensuring the participant's: anonymity. protection from harm. ability to withdraw. confidentiality.
confidentiality. Explanation: Confidentiality ensures that the subjects' identities will not be linked with the information they provide and will not be publicly divulged.
To be an effective change agent for wellness, the nurse must: skip breakfast to reduce calories. drink caffeinated beverages. lead a sedentary lifestyle. consume a diet low in fat.
consume a diet low in fat. Explanation: Nurses focused on wellness advocate the use of lifestyle modification skills that alleviate stress and promote a state less susceptible to disease.
The primary aim of the Healthy People 2020 initiative is: health promotion. illness prevention. health restoration. coping with disability.
health promotion. Explanation: Healthy People 2020 establishes health promotion guidelines for the nation as a whole. The guidelines contain 12 Leading Health Indicators, which are used to measure the health of the nation over a 10-year period. Illness prevention, health restoration, and coping with disability are components of the Healthy People 2020 guidelines, but are not considered as the primary goal of the initiative.
Research has shown that the incidence of chronic conditions is increasing. Which lifestyle factor is associated with chronic diseases? exercise. smoking. eustress. gastrointestinal disease.
smoking Explanation: Lifestyle factors, such as smoking, chronic stress, and sedentary lifestyle, that increase the risk of chronic health problems, such as respiratory disease, hypertension, cardiovascular disease, and obesity. Exercise, eustress, and gastrointestinal disease have not been shown to be factors that have contributed to the increase in chronic conditions.
When looking at a model for evidence-based practice, what is the final step of the process? Evaluating practice change. Searching the literature. Appraising evidence. Formulating a clinical question.
Evaluating practice change Explanation: The fifth and final step in the process of implementing evidence-based practice is to evaluate and critically appraise the change in practice. Formulating a clinical question and searching and appraising the literature precede this step.
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 physician is viewed as a god-like figure." "The nurse is the handmaiden of the physician." "Pets can help heal clients."
"Everything in nature is alive with invisible forces."
A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse? "No nurse can prescribe a medication." "Only advanced practice registered nurses have prescriptive authority." "Take two ibuprofen every 4 to 6 hours." "Take one acetaminophen every 4 hours."
"Only advanced practice registered nurses have prescriptive authority."
The role of medicine 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, the World War II era and up to the present day. Place the events that defined these eras listed below in the correct chronologic order to follow this timeline. -Belief in good and evil spirits bringing health or illness existed; medicine men were physicians. -Temples were the centers of medical care; belief that illness is caused by sin and the displeasure of the gods existed; priests were physicians. -Focus on religion was replaced by a focus on warfare, exploration, and expansion of knowledge. -Varied health care settings developed. -Hospital schools were organized; female nurses were under control of male hospital administrators and physicians; males dominated the health care setting. -An explosion of knowledge in medicine and technology occurred
(1) Belief in good and evil spirits bringing health or illness existed; medicine men were physicians. (2) Temples were the centers of medical care; belief that illness is caused by sin and the displeasure of the gods existed; priests were physicians. (3) Focus on religion was replaced by a focus on warfare, exploration, and expansion of knowledge. (4) Hospital schools were organized; female nurses were under control of male hospital administrators and physicians; males dominated the health care setting. (5) An explosion of knowledge in medicine and technology occurred. (6) Varied health care settings developed.
In what time period did nursing care as we now know it begin? pre-civilization early civilization to 16th century 16th to 17th century 18th to 19th century
18th to 19th century
The nurse is evaluating client health. Which client should the nurse determine to be exhibiting the most signs of health? A client with diabetes who is in denial of the diabetes and refuses to take insulin. A client in acute emotional distress due to spouse's death. A client with a leg amputation who performs activities of daily living with a prosthesis. A client with depression who refuses to get out of bed.
A client with a leg amputation who performs activities of daily living with a prosthesis
The nurse is evaluating client health. Which client should the nurse determine to be exhibiting the most signs of health? A client with diabetes who is in denial of the diabetes and refuses to take insulin. A client in acute emotional distress due to spouse's death. A client with a leg amputation who performs activities of daily living with a prosthesis. A client with depression who refuses to get out of bed.
A client with a leg amputation who performs activities of daily living with a prosthesis
After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that: Membership is open to all nurses in the United States. ANA aims at fostering high standards of nursing in the United States. Members include nurses, other health care providers, and lay people. ANA invites students showing excellence in scholarship to become members.
ANA aims at fostering high standards of nursing in the United States.
The first nursing journal owned, operated, and published by nurses was: American Journal of Nursing. Nurse Educator. Nursing Research. Standards of Clinical Nursing Practice.
American Journal of Nursing Explanation: The American Journal of Nursing was first published in 1900 and was owned, operated, and published by nurses.
Which nursing group provides a definition and scope of practice for nursing? International Council of Nurses (ICN) American Academy of Neurology (AAN) American Nurses Association (ANA) The Joint Commission
American Nurses Association (ANA)
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? Asking the current state to transfer the license. Applying for a reciprocal license in the new state. Taking the new state's licensing exam. No action is needed by the nurse.
Applying for a reciprocal license in the new state.
A community health nurse has been visiting a diabetic client whose morning fasting glucose levels are constantly elevated. Upon further assessment, the nurse determines that the client's spouse does not understand how to prepare meals following the prescribed diabetic diet. Using Dorothea Orem Self Care Theory, how can the nurse help meet the needs of this client? Arrange an evaluation appointment with a dietician. Set up diabetic home meal delivery for the client. Assist the spouse with online grocery shopping. Authorize an unlicensed nursing personnel to cook for the client.
Arrange an evaluation appointment with a dietician. Explanation: According to Dorothea Orem's theory, arranging an evaluation appointment with a dietician the nurse is facilitating self-care to sustain life and health, to recover from disease or injury, or to cope with its effects. The nurse is providing a service that assists the client and spouse to progressively maximize their self-care potential. People learn behaviors that they perform on their own behalf to maintain life, health, and well-being. The other options are providing care for the client, not facilitating self-care.
A nurse develops the following foreground question using the PICO format in preparation for a research study: "In overweight clients, how do chromium supplements compared to no supplements help with weight loss?" Which part of the question reflects the intervention? overweight clients chromium supplements no supplements weight loss
Chromium supplements
A client is distraught because a recent computed tomography (CT) scan shows that the client's colon cancer has metastasized to the lungs. Which nursing aim should the nurse prioritize in the immediate care of this client? Facilitating coping Preventing illness Restoring health Promoting health
Facilitating coping
During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply. Communicator Counselor Teacher Financier Statistician
Communicator Counselor Teacher Explanation: The roles and functions of the nurse are many and include caregiver, communicator, teacher, counselor, leader, researcher, and advocate. Acting as financier and statistician are not the roles of the nurse.
Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this? Taking an online class at a university. Participating in a paid internship. Completing clinical hours supervised by a nursing instructor. Passing the NCLEX exam.
Completing clinical hours supervised by a nursing instructor
Which is not a focus of nursing research? Drug metabolism by Cytochrome P450 Health appraisal Prevention of trauma Promotion of recovery
Drug Metabolism by Cytochrome P450
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? Caregiver. Client advocate. Decision-maker. Educator.
Educator
A nurse practicing in the early Christian period might perform which nursing action characteristic of this era? Carrying out menial tasks based on the orders of the priest-physician. Making organized visits to the sick. Providing physical care and herbal remedies to the mother of a family. Providing nursing care in lieu of serving a jail sentence.
Making organized visits to the sick.
Which action should the nurse implement when working with a medically homeless client? Encourage client to utilize the free health care clinic. Assist the client in finding housing. Encourage the client to utilize the emergency room when ill. Assist the client in finding a job.
Encourage client to utilize the free health care clinic. Explanation: According to the Association of American Medical Colleges, many Americans are medically homeless and find it difficult to navigate the health care system. Encouraging the client to utilize the free health care clinic will help the client navigate the system and obtain access to health care. While utilizing the emergency room when needed is appropriate, the emergency room should not be utilized for all illnesses, as it increases the burden on the health care system. Assisting the client to find housing or a job will help the client, but is outside of the scope of nursing practice.
Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor? Environmental risk factor Physiologic risk factor Health habits risk factor Lifestyle risk factor
Environmental risk factor Explanation: Working and living environments may contribute to disease. Working with cancer-causing chemicals is an example of an environmental risk factor for illness. Physiologic risk factors are those relating to an individual's body or biology. Lifestyle risk factors are habits or behaviors people choose to engage in. A health habit risk factor is any attribute, characteristic, or exposure of an individual that increases the likelihood of developing a disease or injury.
A nurse who works in a pediatric practice assesses the developmental level of children of various ages to determine their psychosocial development. These assessments are based on the work of: Erikson. Maslow. Watson. Rogers.
Erikson. Explanation: Erik Erikson based his theory of psychosocial development on the process of socialization, emphasizing how individuals learn to interact with the world. Erikson recognized the role of social, biologic, and environmental factors in development, and defined specific tasks or conflicts that people accomplish or overcome during what he defined as the eight stages of life, based on chronologic age. Abraham Maslow developed his theory of human needs in terms of physical and psychosocial needs considered essential to human life, rather than by chronologic age as Erikson did. Maslow defined five levels of need in a hierarchy, with different needs existing simultaneously. Jean Watson is a nursing theorist who is known for her focus on caring. The central theme of her work is that nursing is concerned with promoting and restoring health, preventing illness, and caring for the sick. Caring is universal and is practiced through interpersonal relationships. Martha Rogers is a nursing theorist who is known for her theory of the individual client being central to the discipline of nursing. Nursing interventions are directed toward repatterning human environment fields or assisting in mobilizing inner resources.
What nursing activity forms the bridge between theory and practice? Theoretic writing Evidence-based research Client-focused care Case management
Evidence-based research Explanation: Evidence-based research is translational research that forms the bridge between theory and practice.
The nursing student studying research exhibits an understanding when informing the instructor that which of the following is the bridge between theory and practice? Theory development Evidence-based research Client-focused care Case management
Evidence-based research Explanation: Evidence-based research is translational research that forms the bridge between theory and practice. Theory development is how desirable change in society is best achieved. Client focused care is care provided to a client that maintains the client as a functional component of healthcare team. Case management is when care is provided to an individual client by a healthcare provider.
Who is considered to be the first nursing theorist who conceptualized nursing in terms of manipulating the environment? Florence Nightingale Sister Callista Roy Dorothea Orem Lydia Hall
Florence Nightingale Explanation: Florence Nightingale conceptualized the nurse's role as manipulating the environment to facilitate and encourage the reparative process. This would be accomplished by attending to ventilation, warmth, light, diet, cleanliness, and noise. Sister Callista Roy, CSJ is an American nun, nursing theorist, professor and author. She is known for creating the adaptation model of nursing. Dorothea Orem was a nursing theorist and creator of the self-care deficit nursing theory, also known as the Orem model of nursing. Lydia Hall was a pioneer in nursing autonomy and nurse-driven care.
Which theory emphasizes the relationships between the whole and the parts, and describes how parts function and behave? General systems theory. Nursing theory. Adaptation theory. Developmental theory.
General systems theory Explanation: General systems theory describes how to break whole things into parts and then learn how the parts work together in "systems." Nursing theory attempts to describe, explain, predict, and control desired outcomes of nursing care practices. Adaptation theory defines adaptation as the adjustment of living matter to other living things and to environmental conditions. Developmental theory outlines the process of growth and development of humans as orderly and predictable.
A nursing theorist examines a hospital environment by studying each ward and how it works individually, then relates this information to the hospital as a whole working entity. This is an example of the use of which theory? Adaptation theory Developmental theory General systems theory Psychosocial theory
General systems theory Explanation: General systems theory is an example of an interdisciplinary base for a nursing theory. This theory describes how to break whole things into parts and then to learn how the parts work together in "systems." It emphasizes relationships between the whole and the parts and describes how parts function and behave. Another example of an interdisciplinary base for nursing theory is the adaptation theory. Adaptation theory defines adaptation as the adjustment of living matter to other living things and to environmental conditions. A third interdisciplinary base for nursing theory is the developmental theory. Developmental theory outlines the process of growth and development of humans as orderly and predictable, beginning with conception and ending with death.
One of the primary focuses of nursing research is to: Quantify outcomes related to clients. Determine outcomes for clients. Generate knowledge to guide practice. Prevent further disease and death.
Generate knowledge to guide practice
A client comes to the health center for a routine visit. During the visit, the client tells the nurse, "I'm motivated to do things now to make sure I'm the healthiest I can be." When planning this client's care, the nurse would focus on which area? health promotion. illness prevention. self-concept. diagnosis of disease.
Health Promotion
A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse? Diploma Associate's Master's Baccalaureate
Master's
A nurse is planning to conduct a nursing research study and is seeking federal funding. Which institution would be most helpful for the nurse to contact funding? National Institutes of Health. National Institute of Nursing Research. Institute of Medicine. ANA Cabinet on Nursing Research.
National Institute of Nursing Research Explanation: The nurse would most likely contact the National Institute of Nursing Research, which was established under the National Institutes of Health in response to a 1983 study by the Institute of Medicine. The institute's purpose was to place nursing securely in the sphere of scientific investigation and to support research and training in client care, health promotion, and disease prevention, as well as the mitigation of effects of acute and chronic disabilities. The NINR has continued to fund and support nursing research and is instrumental in the support and dissemination of seminal work in nursing. The ANA Cabinet on Nursing Research was responsible for establishing priorities for nursing research.
A nurse is applying a nursing model in the care of a client. Which is most similar to a nursing model? Adaptation Nursing theory Nursing construct Proposition
Nursing Theory
The nursing instructor asks a group of students to identify a theory that describes, explains, predicts, and controls outcomes in nursing practice. One student correctly identifies this theory as what? Nursing theory Systems theory Adaptation theory Developmental theory
Nursing Theory
Nurses in an ICU noticed that their clients required fewer interventions for pain when the ICU was quiet. They then asked a researcher to design a study about the effects of noise on the pain levels of hospitalized clients. How does this demonstrate the ultimate goal of expanding the nursing body of knowledge? Nursing research involves clients in their care while hospitalized. Nursing research helps improve ways to promote and maintain health. Nursing research draws conclusions about the quality of client care. Nursing research explains ongoing medical studies to clients, and asks for participation.
Nursing research helps improve ways to promote and maintain health. Explanation: Nursing research expands knowledge to learn improved ways to promote and maintain health. The other answers are incorrect because they are not the primary purpose of nursing research.
What might a nurse need to do to ensure the continuation of his or her nursing license? Obtain a baccalaureate degree. Obtain a master's degree. Attend hospital in-services. Obtain continuing education credits.
Obtain continuing education credits. Explanation: In many states, continuing education is required for an RN to maintain licensure. These are defined as professional development experiences designed to enrich the nurse's contribution to health. Obtainment of an ongoing degree is not necessary to maintain licensure. While hospital in-services may provide continuing education, not all in-services are designed to do so.
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 I C O
P Explanation: When using PICO, the "P" stands for the patient or problem and its delineation. The "I" signifies the intervention considered; "C" denotes comparison if appropriate, or it may be optional; and "O" represents the outcome of interest or relevant outcomes.
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. Attends a mandatory hospital in-service. Serves as president of local chapter of Sigma Theta Tau. International Develops and implements a quality improvement project. Communicates an issue to a fellow colleague in the cafeteria.
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.
The nurse is preparing to talk to a local community group regarding chronic illness. The nurse informs the group that both external and internal factors influence a person's health. When discussing the fact that the male client has a higher chance of developing lung cancer due to his gender, which dimension is the nurse referring to? Physical dimension Emotional dimension Intellectual dimension Environmental dimension
Physical dimension Explanation: The physical dimension includes genetic inheritance, age, developmental level, race, and gender. These components strongly influence the person's health status and health practices. Since lung cancer is more frequent in men, the male client is at a higher risk of developing lung cancer due to his gender. Emotional dimension refers to feelings. Intellectual dimension is cognitive ability. Environmental dimension is related to a client's environment, including work and school.
The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. What level(s) of health promotion is this an example of? Primary Secondary Tertiary Medical
Primary Explanation: Primary health promotion and illness prevention is directed toward promoting good health and preventing the development of disease process or injury. Primary level activities include immunization clinics, providing poison-control information, and education about seat belt and child-safety seat use. Secondary level is screening programs and identification of disease. Tertiary prevention is returning the optimal function after diagnosis.
What type of research study would a hospital conduct to explore clients' and families' perceptions of receiving care? Quantitative Qualitative Ordinal Non-scientific
Qualitative
A nurse researcher must decide on the method for conducting the research. The researcher that plans to emphasize collection of numerical data and analysis would select which method of research? Quantitative research Qualitative research Basic research Applied research
Quantitative Research
Which skill is foundational for a nursing student's participation in the evidence-based practice process? Read and understand a research article. Critically analyze research articles and the findings. Become involved in evidence-based practice research. Publish an article on evidence-based practice findings.
Read and understand a research article. Explanation: The use of evidence-based research requires critical analysis and extensive, systematic reviews of research articles and findings. However, a beginning nursing student has not acquired the knowledge to complete that task nor to conduct and publish new research. The first stop for a student is to be able to read and understand a research article.
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. Art of nursing. Conduction of research. Quality improvement.
Science of nursing.
Following the identification of a researchable problem, what must the nurse do? Obtain a list of possible outcomes. Evaluate the number of ways to collect data. Select literature relevant to the problem. Determine a source appropriate to collect data.
Select literature relevant to the problem. Explanation: Literature review is the process of selecting published materials that have relevance to the potential research.
Which is the best example of a nurse demonstrating the role of caregiver? Starting an intravenous line in the client's arm. Referring the client to a mental health clinic. Assigning a room for a new hospital client. Reporting lab values to a client's physician.
Starting an intravenous line in the client's arm.
A nurse is caring for a client who has COPD, a chronic illness of the lungs. The client is in remission. Which statement best describes a period of remission in a client with a chronic illness? The symptoms of the illness reappear. The disease is no longer present. New symptoms occur at this time. Symptoms are not experienced.
Symptoms are not experienced. Explanation: Chronic illnesses usually have a slow onset and many have periods of remission (the disease is present but the client does not experience symptoms). Exacerbation is when the symptoms of the disease reappear. Chronic illnesses do not go away; the disease continues to be present.
Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply. Teaching a class on the nutritional needs of pregnant women. Changing the bandages of a client who has undergone heart surgery. Teaching a client and her family how to live with diabetes. Assisting a client and his family to prepare for death. Starting an intravenous line for a malnourished older adult client. Providing counseling for the family of a teenager with an eating disorder.
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.
What are the best examples of the role of the nurse as a communicator? Select all that apply. Telling a client their blood pressure. Calling a physician about a client's blood pressure Informing the physical therapist that the client's therapy was discontinued. Telling a friend about something that happened to a client that day. Discussing laboratory values with a client.
Telling a client their blood pressure. Calling a physician about a client's blood pressure. Informing the physical therapist that the client's therapy was discontinued. Discussing laboratory values with a client.
Which model is most useful in examining the cause of disease in an individual, based upon external factors? The Agent-Host-Environment Model. The Health-Illness Continuum. The High-Level Wellness Model. The Health Belief Model
The Agent-Host-Environment Model Explanation: The Agent-Host-Environment Model is useful for examining the cause of disease in an individual. The agent, host, and environment interact in ways that create risk factors. The Health-Illness Continuum is a way to measure a person's level of health. The High-Level Wellness Model is characterized by functioning to one's maximum potential while maintaining balance and purposeful direction in the environment. The Health Belief Model is used to describe health behaviors.
Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)? The RN is permitted to prescribed medications. The LPN/LVN can only work in a long-term care facility. The RN directs the workload of an LPN/LVN. The LPN/LVN should work under the supervision of an RN.
The LPN/LVN should work under the supervision of an RN. Explanation: LPNs/LVNs are employed in hospitals, long-term care facilities, and rehabilitation centers and by health care providers such as physicians. LPNs/LVNs differ from RNs in two areas: educational preparation and scope of practice. LPNs always practice under the supervision of an RN. LPNs have a scope of practice and the workload is not directed by the RN. RNs are not permitted to prescribe medications. Nurse practitioners may prescribe medications.
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 RN identifies outcomes. The RN analyzes client data. The RN collects client data.
The RN coordinates care delivery. Explanation: There are 12 Standards of Practice: assessment, diagnosis, outcomes identification, planning, implementation, evaluation, ethics, culturally congruent practice, communication, collaboration, leadership, and education. The standard exemplified by the nurse is 5a, implementation via coordination of care in which the RN coordinates care delivery. Standard 5b is health teaching and health promotion in which the registered nurse employs strategies to promote health and a safe environment. Standard 3 is outcomes identification, in which the registered nurse identifies expected outcomes for a plan individualized to the health care consumer or the situation. Standard 2, diagnosis, is when the registered nurse analyzes the assessment data to determine the actual or potential diagnoses, problems, and issues. Standard 1 is assessment, in which the registered nurse collects pertinent data and information relative to the health care consumer's health or the situation.
Which is the best example of a client-centered approach to care? The nurse helps a client ambulate. The nurse asks the client about health goals. The nurse asks the client what the client would like to order from the menu. The nurse draws a blood sample from a client.
The nurse asks the client about health goals.
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. The nurse offering to get a shaman for a dying client. The nurse working in a Christian hospital. The nurse providing communion to a client in the hospital.
The nurse conducting a blood pressure screening at a local church Explanation: The nurse conducting a blood pressure screening at a local church is an example of a nurse demonstrating a type of nursing in which the roots date back to ancient Greek times. Nurses cared for the sick in the home and in the community. Offering a shaman (a person regarded as having access to, and influence in, the world of good and evil spirits, especially among some peoples of northern Asia and North America) for a dying client was not appropriate in the ancient Greek times. Working in a Christian hospital and providing communion to a client in a hospital was supported in the early Christian period.
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. They usually have a baccalaureate degree in nursing. They serve as liaisons between staff members and directors of nursing. They tend to work in community health centers and long-term care units.
They are responsible for the continued development and advancement of nursing. Explanation: Nurse researchers are responsible for the continued development and refinement of nursing. They usually have advanced education in addition to a baccalaureate degree in nursing. Nurse administrators, not nurse researchers, serve as liaisons between staff members and directors of nursing. Nurse researchers tend to work in large teaching hospitals, research centers, and academic institutions, not community health centers and long-term care units.
The registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs? They must take a licensure exam. They may work independently. They have a higher degree than most RNs. The program is 4 years in length.
They must take a licensure exam. Explanation: Schools for practical nursing programs are located in varied settings. Most programs are 1 year in length. Upon completion of the program, graduates can take the National Council Licensure Examination for Practical Nurses (NCLEX-PN) for licensure as an LPN. LPNs work under the direction of a physician or RN to give direct care to clients, focusing on meeting health care needs in hospitals, nursing homes, and home health agencies.
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 interventions reflect which one of nursing's four broad goals? To restore health To prevent illness To promote health To faciliate coping
To restore health
A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "My grandmother always 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? Traditional knowledge Authoritative knowledge Scientific knowledge Philosophical knowledge
Traditional knowledge
The nursing instructor is explaining sources of knowledge to a group of nursing students. She says, "Some knowledge is passed from one generation to another." One of the students correctly describes this source as being what? Traditional knowledge Authoritative knowledge Scientific knowledge Philosophy knowledge
Traditional knowledge Explanation: Traditional knowledge is passed from one generation to another. Authoritative knowledge is passed from an expert, and scientific knowledge is provided by way of the scientific method. Philosophy is a specific type of knowledge, not a source.
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. science of nursing. evidence-based practice. application of research.
art of nursing Explanation: In this example, the nurse is utilizing a holistic approach to the provision of nursing care based on the knowledge of providing psychosocial interventions, such as allowing the client to verbalize feelings/fears. This application of knowledge is the art of nursing. The science of nursing is the knowledge base for the provision of care. Evidence-based practice and application of research are using research to make decisions on how to care for clients.
A nurse researcher develops a foreground question in preparation for conducting a research study. The question is: "In clients with intravenous catheters, how does replacing administration sets every 72 hours (h) compared to other frequent intervals (24h, 48h, or 96h) decrease infection rates?" Applying the PICO framework, which part of the statement reflects the "O"? clients with intravenous catheters replacing administration set every 72 hours replacing administration set at other intervals decrease infection
decrease infection
The definition of chronic conditions can be complex. Which factors would a nurse expect to be included in the definition of chronic conditions? (Select all that apply.) diseases that resolve spontaneously. diseases where complete cures are rare. diseases that have a short course. diseases that do not resolve spontaneously. diseases that have a prolonged course.
diseases where complete cures are rare. diseases that do not resolve spontaneously. diseases that have a prolonged course.
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. Facilitating a support group for the friends and families of clients affected by stroke. Performing deep suctioning on a client who has a tracheotomy and copious secretions. Administering a beta-adrenergic blocker and diuretic to a client who has a history of hypertension.
encouraging a group of junior high school students to engage in regular physical activity Explanation: Health promotion involves encouraging individuals to be proactive in taking measures to foster their well-being and maximize optimal functioning. Exercise is one of the most common and accessible activities that can help achieve this. Facilitating support groups promotes coping with an existing condition. Treating hypertension pharmacologically and removing secretions that can threaten oxygenation help to restore health and prevent illness.
A prospective nursing student desires a career that will allow him 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? associate of science registered nursing program. baccalaureate of science registered nursing program. licensed or vocational nursing program. diploma nursing program.
licensed or vocational nursing program
The nurse is explaining primary and secondary care to the client. Which nursing activity reflects secondary care as provided by the nurse? Promoting the use of seat belts. Ordering a mammography. Discussing the use of drugs and alcohol. Promoting the use of helmets while riding motorcycles or bicycles.
ordering a mammography Explanation: Secondary care involves primary caregivers making referrals for consultation or additional testing, such as mammographies. Discussions about wearing helmets, using seat belts, and drugs and alcohol are all examples of primary care.
Which definition best describes acute illness? The rapid onset of symptoms lasting a relatively short time. A medical condition that is life threatening and requires surgery. A condition that causes a permanent change and a long period of care. The leading health problem in the world.
the rapid onset of symptoms lasting a relatively short time Explanation: Acute illness is generally described as a rapid onset of symptoms lasting a relatively short time. Acute illnesses are not always life threatening and may not even require medical care or surgery. A chronic illness causes a permanent change and requires a long period of care or support. Chronic illnesses are the leading health problem in the world.
