ch1 principles
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
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?
be an advocate for appropriate care
The primary aim of the Healthy People 2020 initiative is:
health promotion
The primary aim of the Healthy People 2030 initiative is:
health promotion
When administering immunizations, the nurse is engaged in:
illness prevention
The nurse is conducting a class for nursing assistants. One of the students asks the nurse why blood pressure, pulse, and temperature are called "vital signs." Which explanations would the nurse offer the student?
"Because significant deviation from normal is not compatible with life."
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 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?
"Keep all medications in a locked cabinet."
Based on its jurisdiction, which actions may a state licensing board of nursing take? Select all that apply.
- Allow graduates of approved schools of nursing to take the NCLEX - License nurses during the lifetime of the holder - Deny licensing due to criminal actions
A physician tells the nurse that nursing is a discipline, but not a profession. Which criteria should the nurse utilize to demonstrate that nursing is increasingly recognized as a profession? Select all that apply.
- Well-defined body of knowledge - Code of ethics - Ongoing research - Sets standards
In what time period did nursing care as we now know it begin?
18th to 19th century based on the beliefs of Florence Nightingale.
Which scenario is the best example of a nurse in the role of counselor?
A nurse allowing a crying client to verbalize fears of death
The first nursing journal owned, operated, and published by nurses was:
American Journal of Nursing
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
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?
Difficulty for nurses to remain current in a rapidly changing medical and technology environment
What is the best nursing intervention to promote health in a client at risk for heart disease?
Emphasizing a client's strengths to encourage weight loss
Which is the best example of a client-centered approach to care?
Emphasizing a client's strengths to encourage weight loss
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.
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.
The nurse understands that for nursing to be considered a profession, many things need to be in place. Which element is not part of those considerations?
Multidisciplinary approach
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?
Nursing process
Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)?
The LPN/LVN should work under the supervision of an RN.
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
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.
Florence Nightingale was a nursing pioneer who challenged prejudices against women and elevated the status of all nurses. Which statement accurately describes one of her accomplishments?
She promoted the publication of books about nursing and health care.
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 is the best example of a client-centered approach to care?
The nurse asks the client about health goals.
The registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs?
They must take a licensure exam
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
A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which task is most appropriate for the nurse to delegate to the licensed practical nurse (LPN)?
administering bedside blood glucose testing
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?
applying for a reciprocal license in the new state
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?
educator
In the role of entrepreneur, the nurse's primary responsibility is:
managing a health-related business.
For the nurse to become a nurse practitioner, what is the minimal degree the nurse will need to acquire?
masters
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?
the art of nursing
