Prep U chapter 1 321
In the role of entrepreneur, the nurse's primary responsibility is: A) managing a health-related business. B) administering resources. C) managing personnel involved in client care. D) teaching in a clinical setting.
A
A Nurse is working with a client who has undergone a lower leg amputation. While conducting an assessment, the nurse notes the client has a downcast mood. Which statement by the nurse conveys empathy to the client? A) it is not uncommon to be depressed after have such a major surgery. Many feel sad. B) I notice you might be experiencing some feeling of sadness. Would you like to share how you feel? C) If I had the life altering experience I would be depressed too. You are doing well considering. D) I see you need extra comfort, let me adjust you pillow and bed.
B
A nurse manager is teaching staff how to use a new piece of hospital equipment. Which education setting would be most appropriate for this process? A) continued education B) In-service education C) graduate education D) undergraduate education
B
A Nurse is providing care for clients in a long-term care facility. What should be the central focus of this care? A) The nurse as the caregiver B) Nursing as a profession C) The Nurse action D) The client receiving the care
D
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? A) Evaluation B) Diagnosis C) Education D) Collaboration
D
A nurse identifies a client's health care needs and devises a plan of care to meet those needs. Which guideline is being followed in this case? A) Nursing standards B) Nursing orders C) Nurse practice acts D) Nursing process
D
A nurse is practicing as a nurse-midwife in a busy OB-GYN office. Which degree in nursing is necessary to practice at this level? A) LPN B) ADN C) BSN D) MSN
D
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? A) Clinical nurse specialist B) Nurse-midwife C) Physician assistant D) Nurse manager
A
Nurses today work in a wide variety of health care settings. What trend occurred during World War II that had a tremendous effect on this development in the nursing profession? A) There was a shortage of nurses and an increased emphasis on education. B) Emphasis on the war slowed development of knowledge in medicine and technology C) The role of the nurse focused on acute technical skills used in hospital settings. D) Nursing was dependent on the medical profession to define its priorities.
A
Nursing in the United States is regulated by the state nurse practice act. What is a common element of each state's nurse practice act? A) Defining the legal scope of nursing practice B) Providing continuing education programs C) Determining the content covered in the NCLEX examination D) Creating institutional policies for health care practices
A
The nurse and student are discussing entry into a profession of nursing. How would you describe diploma nursing? A) 36 month program in the hospital B) 2 year program C) 4 year university D) 36 month community college degree
A
The primary aim of the Healthy People 2030 initiative is: A) health promotion. B) coping with disability. C) illness prevention. D) health restoration.
A
In what time period did nursing care as we now know it begin? A) 16th to 17th century B) early civilization to 16th century C) pre-civilization D) 18th to 19th century
D
Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)? A) The LPN/LVN should work under the supervision of an RN. B) The RN directs the workload of an LPN/LVN. C) The RN is permitted to prescribe medications. D) The LPN/LVN can only work in a long-term care facility.
A
Which is the best example of a client-centered approach to care? A) The nurse asks the client health goals B) The nurse asks the client what the client would like to order off the menu C) Nurse draws blood sample D) Nurse helps client ambulate
A
Which nursing action best exemplifies the nurse's role in promoting health? A) encouraging a group of junior high school students to engage in regular physical activity B) performing deep suctioning on a client who has a tracheotomy and copious secretions C) administering a beta-adrenergic blocker and diuretic to a client who has a history of hypertension D) facilitating a support group for the friends and families of clients affected by stroke
A
Which scenario is the best example of the nurse acting as an advocate? A) Writing legislation for insurance coverage for screening colonoscopies B) Testing which product is the best for healing diabetic foot ulcers C) Leading implementation of electronic medical records on the unit D) Communicating clients' test results to the physician
A
A nurse working in a rehabilitation facility focuses on the goal of restoring health for patients. Which examples of nursing interventions reflect this goal? Select all that apply. A) A nurse counsels adolescents in a drug rehabilitation program B) A nurse performs range-of-motion exercises for a patient on bedrest C) A nurse shows a diabetic patient how to inject insulin D) A nurse recommends a yoga class for a busy executive E) A nurse provides hospice care for a patient with end-stage cancer F) A nurse teaches a nutrition class at a local high school
A, B, C
During the course of any given day of work in the acute care setting, the nurse may need to perform which of the following roles? Select all that apply. A) Teacher B) Counselor C) Financer D) statitician E) communicator
A, B, E
A nurse educator is discussing the criteria that define nursing as a profession. Which nursing actions are based on these criteria? Select all that apply. A) A nurse follows an established code of ethics when performing actions for clients who are in hospice. B) A nurse graduate applies for membership in the American Nurses Association. C) A nurse performs actions based on the standards of performance determined by the medical community. D) A nurse is committed to using ongoing research when planning nursing care for clients. E) A nurse uses diagnosis, interventions and evaluation to plan nursing care for clients.
A, D, E
A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse? A) "Take one acetaminophen every 4 hours." B) "Only advanced practice registered nurses have prescriptive authority." C) "Take two ibuprofen every 4 to 6 hours." D) "No nurse can prescribe a medication."
B
A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral aneurysm following a loss of consciousness in the emergency department (ED). The nurse anticipates preparing the patient for ordered diagnostic tests. What aspect of nursing does this nurse's knowledge of the diagnostic procedures reflect? A) The art of nursing B) The science of nursing C) The caring aspect of nursing D) The holistic approach to nursing
B
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? A) in 3 more years B) at the end of the year C) in 1 more year D) in 2 more years
B
According to the National Advisory Council on Nurse Education and Practice, what is a current health care trend contributing to 21st century challenges to nursing practice? A) Decreased numbers of hospitalized patients B) Older and more acutely ill patients C) Decreasing health care costs owing to managed care D) Slowed advances in medical knowledge and technology
B
The nurse is attempting to provide anticipatory guidance for the parents of an 18-month-old child. Which statement would be best for the nurse to make? A) "The child is in the 95th percentile for weight." B) "Keep all medications in a locked cabinet." C) "Do not give the child a bottle now." D) "Does the child have nightmares often?"
B
The primary aim of the Healthy People 2020 initiative is: A) health restoration. B) health promotion. C) coping with disability. D) illness prevention.
B
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice? A) International Council of Nurses B) American Nurses Association C) National League for Nursing D) National Council of State Boards of Nursing
B
Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply. A) Changing the bandages of a client who has undergone heart surgery B) Assisting a client and his family to prepare for death C) Teaching a class on the nutritional needs of pregnant women D) Providing counseling for the family of a teenager with an eating disorder E) Starting an intravenous line for a malnourished older adult client F) Teaching a client and her family how to live with diabetes
B, D, F
A novice nurse is excited to finally be able to put all the training to use on the inpatient unit. Which factor should the nurse be sure to prioritize when beginning to interact with clients? A) advise clients on the best plan of action B) ensure families are kept informed C) be an advocate for appropriate care D) ensure the families do not get sick
C
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? A) No action is needed by the nurse. B) asking the current state to transfer the license C) applying for a reciprocal license in the new state D) taking the new state's licensing exam
C
A nurse manager is teaching staff how to use a new piece of hospital equipment. Which educational setting would be most appropriate for this process? A) Graduate education B) Continuing education C) In-service education D) Undergraduate studies
C
A prospective nursing student desires a career that will allow the opportunity 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? A) associate of science registered nursing program B) diploma nursing program C) licensed or vocational nursing program D) baccalaureate of science registered nursing program
C
The need for university-based nursing education programs was brought to light during which important historical time? A) Korean War B) World War I C) World War II D) Spanish-American War
C
The new nursing graduate is concerned about some of the critical changes that will be occurring in nursing. What changes does the nurse anticipate will impact nursing care? A) Rapid growth of nurses and shortage of job opportunities B) Decrease in health care costs C) Difficulty for nurses to remain current in a rapidly changing medical and technology environment D) Limitations that nurses have in the workforce
C
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? A) Louise Schuyler B) Clara Barton C) Linda Richards D) Lillian Wald
C
The nurse is helping the unlicensed assistive personnel (UAP) bathe the client, who is experiencing a lot of pain when repositioned in bed. Which nursing responsibility is the nurse demonstrating? A) counselor B) decision maker C) client advocate D) educator
C
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? A) The RN analyzes client data. B) The RN identifies outcomes. C) The RN coordinates care delivery. D) The RN collects client data.
C
Which action should a nurse implement when working with a medically homeless client? A) Assist the client in finding jobs B) Encourage pt to go to the ER when ill C) Encourage utilization of free care clinic D) Assist client in finding a house
C
Which individual provided community-based care and founded public health nursing? A) Sojourner Truth B) Clara Barton C) Lillian Wald D) Mary Adelaide Nutting
C
Which nursing intervention would be most appropriate for a new mother that calls the nursery for help w/ breast feeding? A) Email the mother a link for breast feeding? B) Suggest bottle feeding C) Refer the mother for home care visit D) Ask mother to come to ER
C
Which scenario is the best example of the nurse in the role of a teacher/educator? A) Teaching 1st graders B) conducting research on dressing changing C) Assessing whether the client is able to perform a dressing change D) Communicating discharge status to home care agency
C
A nurse practicing in a primary care center uses the ANA's Nursing's Social Policy Statement as a guideline for practice. Which purposes of nursing are outlined in this document? Select all that apply. A) A description of the nurse as a dependent caregiver B) The provision of standards for nursing educational programs C) A definition of the scope of nursing practice D) The establishment of a knowledge base for nursing practice E) A description of nursing's social responsibility F) The regulation of nursing research
C, D, E
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? Select all that apply. A) Encourage the family to leave and let the nurse take over care. B) Inform the family that there is nothing they can do for their loved one. C) Refer the client and family to hospice services. D) Assist the client with activities of daily living (ADLs). E) Assist the client and family with the preparation for end-of-life.
C, D, E
A nurse instructor outlines the criteria establishing nursing as a profession. What teaching point correctly describes this criteria? Select all that apply. A) Nursing is composed of a well-defined body of general knowledge B) Nursing interventions are dependent upon medical practice C) Nursing is a recognized authority by a professional group D) Nursing is regulated by the medical industry E) Nursing has a code of ethics F) Nursing is influenced by ongoing research
C, E, F
Nurses today complete a nursing education program, and practice nursing that identifies the personal needs of the patient and the role of the nurse in meeting those needs. Which nursing pioneer is MOST instrumental in this birth of modern nursing? A) Clara Barton B) Lilian Wald C)Lavinia Dock D) Florence Nightingale
D
The RN is working with hospital administrators to transform care at their facility. Which nursing competency will be critical for the nurse to utilize? A) Do things the way they have always been done B) Navigate the electronic medical records system C) Correctly utilize and troubleshoot high-tech equipment D) Work effectively in interdisciplinary teams
D
The first Nursing Journal owned, operated, and published by nurses was? A) standards of clinical nursing practices B) Nursing Research C) Nurse Educator D) American Journal of Nursing
D
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? A) To prevent illness B) To facilitate coping C) To promote health D) To restore health
D
The role of nurses in today's society was influenced by the nurse's role in early civilization. Which statement best portrays this earlier role? A) Women who committed crimes were recruited into nursing the sick in lieu of serving jail sentences. B) Nurses identified the personal needs of the patient and their role in meeting those needs. C) Women called deaconesses made the first visits to the sick, and male religious orders cared for the sick and buried the dead. D) The nurse was the mother who cared for her family during sickness by using herbal remedies.
D
Which nursing group provides a definition and scope of practice for nursing? A) International Council of Nurses (ICN) B) The Joint Commission C) American Academy of Neurology (AAN) D) American Nurses Association (ANA)
D