Test 1
A nurse is providing an educational event to a local group of disabled citizens. What would be important for the nurse to be aware of when planning this event?
The health promotion needs of the group listening to the nurse
Which is the best example of a client-centered approach to care?
The nurse asks the client about health goals.
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 action by hospital nurses is the best example of an at-risk behavior?
A nurse brings two clients' medications into their room to save time and makes a drug error.
Which nursing action would be considered an ethical/legal skill?
A nurse helps a client prepare a living will
Which nursing action would be considered an ethical/legal skill?
A nurse helps a client prepare a living will.
The joint Commission 2015 Hospital National Patient Safety Goals have been introduced during an educational session for nurses Which action by a nurse best demonstrates the implementation of these goals?
A nurse promptly telephones a clients primary.care provider to report the cients criticaly low hemogiobin
A nursing educator is encouraging nurses on a unit to evaluate their practice in light of the Quality and Safety Education for Nurses (OSEN) project. What nursing action best demonstrates the QSEN competencies?
A nurse regularly asks clients and their families about their preferences for care
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 the immediate care of this client?
Facilitating coping
A client with stage IV colon cancer reports back pain and appears to be anxious. What response should the nurse provide when asked if therapeutic touch may be beneficial?
"Therapeutic touch is a holistic practice that works to redirect energy in the body and may help with pain and anxiety."
According to Rosenstock's health belief model, what are factors that would promote a client with an alcohol problem seeking help? Select all that apply.
-The client saw an informercial on television outlining questions about alcohol use. -The Employee Health Nurse at the client's place of employment asked the client to meet discuss alcohol use. -The client speaks about growing up with father who was an alcoholic.
A nurse is a member of a hospital's quality improvement committee, which has reaffirmed the hospital's commitment to eliminating "never events" Which of these clinical events would the committee address?
A client with vascular dementia exited the hospital unnoticed and suffered a fall
When planning the care of a client, which nurse-prescribed interventions would be appropriate implement? Select all that apply.
-turning clients every 2 hours to prevent skin breakdown -monitoring IV site access every 2 hours for clients with IV fluid infusion monitoring the day's Input and Output to determine fluid retention initiating contact precaution for a client with Methicillin-resistant Staphylococcus aureus
A nurse has submitted an incident report because she accidentally provided a cient with a dirty intravenous pump. Investigation reveals that some staff members had been in the habit of placing discharged clients IV pumps in a portion of the halway next to the door of the clean supply room A nurse reviewing this adverse incident should recognize that
.this change in practice created a latent error which made the nurse's particular error possible
In what time period did the nursing care as we now know it begin?
18th to 19th century
After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that:
ANA aims at fostering high standards of nursing in the United States
While assessing a client, the client tells the nurse that he is a medicine and the concept of qi. Based on the nurse's understanding of this concept, which follower of traditional Chinese treatment modality would the nurse expect the client to mention?
Acupuncture
A client diagnosed with fibromyalgia asks the nurse about acupuncture, stating, "I do not pain," Which explanation should the nurse understand how sticking provide to address the client's needs? needles in me is going to help my chronic
Acupuncture involves placing energy and harmony in the body, very fine needles along nerve tracts, called ultimately redirecting pain signals. meridians, to restore
Which of the following is an example of an illness prevention activity by nurse?
Administering immunizations
A nurse is helping a client on hospice make an informed decision about his own health and life. Which nursing role has this nurse performed?
Advocate
nurse is reading an online journal article about different approaches to health. The nurse is reading about a practice approach that is supported by evidence-based effective when aggressive treatment is needed in an emergency situation. The nurse is reading practice and is particularly about which type of approach?
Allopathic
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
American Nurses Association
Which nursing group provides a definition and scope of practice for nursing?
American Nurses Association (ANA)
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
American nurae association
Which organization is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?
American nurses association
A nurse is assigned a client who has been admitted to the health care facility with high fever. Which nursing skill should the nurse use at the first contact with the client?
Assessment
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
Assist the client with activities of daily living (ADLS) Assist the client and family with the preparation for end-of-life. Refer the client and family to hospice services
Which nursing pioneer established the Red Cross in the United States in 1882?
Clara barton
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
During the clinical rotation, a nurse documents the vital signs of a client on the bedside chart. What role is the nurse playing in such a situation?
Communicator
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 taking care of a 66-year old male client with congestive heart failure. The nurse is taking into account the fact that the client will most likely go home on a diuretic and should be monitoring his weight daily. The nurse provided education accordingly. According to benner, which level of proficiency is the nurse demonstrating?
Competent
The nurse is performing a routine assessment of a client who has an artificial arm as a result of a small plane crash many years earlier. How should the nurse best understand this client's health?
Despite the loss of a limb, the client may identify as being healthy.
The new nursing graduate is concerned about some of the critical changes that will be occuring in nursing. What changes does the nurse anticipate impact nursing care?
Difficulty for nurses to remain current in a rapidly changing medical and technology environment
The new nursing graduate is concerned about some of the critical changes that will be occuring in nursing. What changes does the nurse anticipate will impact nursing care?
Difficulty for nurses to remain current in a rapidly changing medical and technology environment
There are various levels of preparation for nursing practice. Which degree program will best prepare a nurse to work as a nurse researcher?
Doctoral
The nursing process includes steps?
Evaluate implement Plan Assess evaluate
The nurse that has been in practice for 15 years is able to use intuition when providing care to clients and also utilizes resources and demands to attain specific goals. According to Author Patricia Benner, in From Novice Expert what stage of practice is the nurse displaying?
Expert
A nurse manager has issued a formal reprimand to a nurse who accidentally discharged a cient before a discharge order was received and documented What is a potenta unintended consequence of this approach to an adverse incident?
Factors that made the nurse's error possible may remain unchanged
Which statement is true of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys that many clients complete after receiving hospital care?
HCAHPS surveys are one set of data considered in the value-based purchasing (VBP) program
Which model of health and illness places high-level health and death on opposite ends of a graduated scale?
Health-lllness Continuum
The nursing instructor discussing alternative therapy with a group of students. She explains that living organisms are "continuously connecting and interacting with their environment." Furthermore, the connecting and interacting signifies that the human body is a unified dynamic whole. The instructor is describing what theory to the students?
Holism perspective
The nursing instructor is discussing alternative therapy with a group of students. She explains that living organisms are "continuously connecting and interacting with their environment." Furthermore, the connecting and interacting signifies that the human body is a unified dynamic whole. The instructor is describing what theory to the students?
Holism perspective
a nurse is providing supportive care to a client diagnosed with a terminal illness who is not expected to live past the next 3 months or so. The nurse is likely working in which setting?
Hospice care
A nurse manager is teaching staff how to use a new piece of hospital equipment. Which educational setting would most appropriate for this process?
In-service education
The client is experiencing a cold and has sinus by his primary care provider. The client congestion. The client is prescribed a decongestant has a poor response to the decongestant and seeks to the use of a decongestant and acupuncture at include acupuncture treatment. The nurse explains the same time is called what type of therapy?
Integrative
A nurse educator is discussing the role of nursing based on the American nurses association (ANA) Which statement best describes this role?
It is the role of nursing to provide a caring relationship that facilitates health and healing
A high school senior wants to become a geriatric nurse practitioner. What nursing degree will the student need to attain this goal?
Master's degree
The practice of nursing within each state is defined by the:
Nurse Practice Act
A client has come to a health care facility for a routine Papanicolaou test. Who is qualified to perform the test?
Nurse miswife
What guidelines do nurses follow to identify the client's health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes?
Nursing process
What might a nurse need to do to ensure the continuation of his or her nursing license?
Obtain continuing education credits
Which age group in the population is expanding most rapidly resulting in changes in the delivery of health care?
Older adults
Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding?
Refer the mother for a home care visit.
A nurse is providing nursing care in a neighborhood clinic to singe, pregnant teens. Which action is the best example of using the counselor role as a nurse?
Referring a teen who admits having suicidal thoughts to a mental health care specialist
Which Standards of Professional Performance, as defined by the ANA, has the nurse considering factors related to safety, effectiveness, cost, and the impact on practice in the planning and delivery of nursing services? Selected:
Resource Utilization
Which explanation accurately differentiated the role of the registered nurse from that of the licensed practical/vocational nurse (LPN/LVN)?
The LPN/LVN should work under the supervision of an RN
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 corrdinates care delivery
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.
A nurse is struggling to provide adequate care during an exceptionally busy shift. Which action is most lkely a vialation of Occupational Safety and Health Administration (0SHA) regulations
The nurse manually ifts a heavy client rather than using a mechanical lift
When administering an injection to a cient with hepatitis C in a health care facility, the nurse sustained a needlestick injury, Which ensuing action would be most important?
The nurse needs to fle an incident report after the event occurs
A hospital is being evaluated by the Centers for in a reduction in the hospital's reimbursement under the value-based purchasing (VBP) program? Medicare & Medicaid Services. Which of these findings from the evaluation may result
The rate of postoperative complications is significantly higher than national averapes
A nurse instructor is preparing a presentation for a group of incoming nursing students. What would the instructor need to keep in mind when developing the presentation?
The student population is likely to be widely adverse
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.
The registered nurse working with a licensed practical nurse understands which about IIPNS?
They must take a licensure exam
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
Why are nursing organizations important for the continued development and improvement of nursing as a whole?
To set standards for nursing education and practice
Which statement illustrates the effect of the sociocultural dimension on health and illness?
Why shouldn't I drink and drive? Everyone else does."
a nurse demonstates understanding of healthy people 2020; understanding and improving health bysupporing which statement?
a client's health is affected by social, economic, and political factors.
What is the definition of wellness?
active state of being healthy
A clent has been admitted with a gastrointestinal bleed. Two nurses should perform checks before which intervention is performed?
administering a unit of packed red blood cells
which government policy addresses penalizing hospitals for readmissions of clients with certain diagnoses within 30 days after discharge?
affordable care act
After performing neuro checks every 2 hours after an ischemic stroke, the nurse determines the client's neurological status is deterioriating Which nursing action best prevents an adverse outcome in this clients care
assessing the clients neurological status more frequently than ordered
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 client care into an administrative role, but recognizes the need for further education to be considered for such a position. The nurse most likely possesses which nursing qualification?
associate degree
The nursing leaders on an intensive care unit have introduced a new protocol for the care of clients who are receiving parenteral nutrition. All of the major nursing assessments and interventions relevant to parenteral nutrition have been combined into one list. This unit has introduced a
care bundle
A new graduate is preparing to enter into nursing practice. Which should be the central focus for this nurse in practice?
care of the client
A nurse is caring for a client with quadriplegia who is fully conscious and able to communicate. What skill of the nurse would be the most important for this client?
caring
A series of medication errors have prompted a reevaluation of the drug administration practices on a unit, Which of the following strategies is most likely to prevent errors and enhance safety
eliminating interruptions to nurses while they are preparing medications
What is the primary purpose of standards of nursing practice?
ensure knowledgeable, safe, comprehensive nursing care
a new nurse is considering getting a job in either an acute care setting or a home care setting . which statement about these care setting is most accurate?
clients play a large role in helping themselves in the home care setting
A nurse prepared a client's medication, brought it to the client's bedside and then realized at the last minute that the medication was for another client of similar age and appearance. Follow-up to this event should include
completing an incident report describing this near miss
The nurse manager on a medical unit has scheduled a debriefing session, Which of the folowing is the most ikely subject of this meeting?:
discussing a recent event when a newly-admitted cient went into cardlac and respiratory
the growth in home health care is largely attributed to which factor?
early discharge of clients from the hospital setting
A nurse on a medical unit recognizes the need to demonstrate Quality and Safety Education for Nurses (QSEN) competencies in cinical practice. Which action best demonstrates the skills necessary to meet the QSEN competency of safety?
filling out an incident report accurately after a client went mssing from the unit
Which description depicts the role of the nurse practitioner?
functions independently and is skilled at doing nursing assessments, performing physical
As part of a broader safety campaign, huddles are being introduced on a hospital unit. What will be the most appropriate use of this communication strategy?
gving an overview of a new brand of needleless syringe that will be introduced in the unit
A health care institution's most recent strategic plan includes a commitment to creating a culture of safety. The organization can best meet this commitment by
having every employee focus on safety, not only direct care providers.
When administering immunizations, the nurse is engaged in:
illness prevention
A nurse is providing care for a client whose blood pressure has been gradually dropping over the course of a shift The nurse has decided to inform the client's primary care provider by telephone using the SBAR tool. The nurse will end this communication by
making a suggestion about what she believes to be the best action.
Oxygen, food, water, and rest are all examples of what type of human need as described by Maslow?
physiologic
when doing discharge planning for an older adult client who had a stoke, what is the nursing priority?
plan reachable goals with the client and family
Which consideration should a nurse prioritize relating to the use of herbs and supplements by a client?
potential interactions with drugs
A nurse has recently completed the administration of seasonal influenza vaccinations for the residents of a long-term care facility. Which aim of nursing has the nurse most clearly demonstrated?
preventing illness
Teaching a woman about breast self-examination is an example of what broad aim of nursing?
preventing illness
A client with dementia was assigned to a shared hospital room due to a shortage of private rooms. During the night the client became acutely confused and attacked hs roommate. seriously injuring him. When following up this adverse event the institution must
report this sentinel event to the joint Commission and to relevant state agencies
On the advice of friends, a client on a palliative care unit has requested acupuncture. What it is the goal of this form of CAM?
restoring a healthy flow of energy along the meridians of the body
which qualitys are essential for a community based nurse?
strong knowledge foundation, effective communication skills, keen physical assessment skills, strong knowledge foundation
A client is being treated for outcomes community-acquired during this clients care by pneumania and has experienced respiratory distress and hypoxia on several occasions since being admitted. The nurse can best prevent adverse outcomes during this cliets care by:
vigilantly monitoring the cient's oxygenation status
