Chapter 1 Fundamentals CoursePoint
A nurse must possess several characteristics to be successful in this profession. Secondary to critical thinking skills, which is of great value?
advocating for the client at all times Chapter 1: Introduction to Nursing - Page 8-17
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 (Chapter 1, Page 13)
The client's plan of care is created by the nurse using which guideline for nursing practice?
Nursing process Chapter 1, Page 11
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 Chapter 1: Introduction to Nursing - Page 14 Nursing students from a community college are most likely students attempting to obtain an associate degree, which is a 2-year program. Therefore, the nurse should plan clinical experiences for students who will most likely graduate at the end of the year, as this is their second year.
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." Chapter 1: Introduction to Nursing - Page 22
Which is the best example of a nurse demonstrating the role of caregiver?
starting an intravenous line in the client's arm Chapter 1: Introduction to Nursing - Page 11 In the role of caregiver, the nurse provides care to clients to meet their needs, such as when starting an intravenous line. The role of caregiver is the primary role of the nurse. Teaching a client about medication is the role of educator. Telling a doctor a lab value is the role of communicator. Securing a referral to the local clinic is the role of counselor. Assigning rooms is a management role.
A recently licensed registered nurse is preparing to enter practice in an acute care facility and wants to practice within the guidelines of that state. When preparing to research the state nurse practice act, what information is important to obtain? Select all that apply.
Definition of legal scope of nursing practice Definition of important terms related to nursing Establishment of educational criteria Chapter 1: Introduction to Nursing - Page 17-19
Which are approved as nursing diagnosis? Select all that apply.
Impaired Skin Integrity Caregiver Role Strain Compromised Family Coping Chapter 1: Introduction to Nursing - Page 11
What might a nurse need to do to ensure the continuation of his or her nursing license?
Obtain continuing education credits. Chapter 1: Introduction to Nursing - Page 14
The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse?
The RN collects comprehensive data. Chapter 1: Introduction to Nursing - Page 18
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." Chapter 1: Introduction to Nursing - Page 7
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 and family with the preparation for end-of-life. Refer the client and family to hospice services. Assist the client with activities of daily living (ADLs). Chapter 1: Introduction to Nursing - Page 13
Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply.
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 Chapter 1: Introduction to Nursing - Page 13
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?
Florence Nightingale Chapter 1: Introduction to Nursing - Page 7-8
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. Chapter 1: Introduction to Nursing - Page 7
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 Chapter 1: Introduction to Nursing - Page 11
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 Chapter 1: Introduction to Nursing - Page 6 The RN working with administrators to transform care will need to be able to work effectively as part of an interdisciplinary team. The nurse will need to work as a team member with members of the administration, as well as representatives from other health disciplines involved in the project. The ability to use and troubleshoot equipment and to navigate the electronic medical records are important to the nurse, but will not necessarily help when working with administration to transform care. Doing things the way they have always been done is a barrier to transformation of care.
Of the following orders, which is considered to be the first to provide visiting nurses in Canada?
The Grey Nuns of Montreal hapter 1: Introduction to Nursing - Page 9
Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting?
outpatient facilities Chapter 1: Introduction to Nursing - Page 15
In what time period did nursing care as we now know it begin?
18th to 19th century chapter 1: Introduction to Nursing - Page 7
The registered nurse is teaching a community health class about illness prevention. Which statement reflects understanding of this concept?
"It is important to enroll in a smoking cessation class." Chapter 1: Introduction to Nursing - Page 13
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
American Nurses Association Chapter 1: Introduction to Nursing - Page 10 The American Nurses Association (ANA) has established standards of clinical nursing practice that define the specific and unique activities of nurses. Standards serve as protection for the nurse, the client, and the institution where health care is given. The other organizations provide valuable services that differ from those of ANA. The National Council of State Boards of Nursing have the nurse practice acts which define state specific guidelines for nurses to practice. The National League for Nursing is a national organization for faculty nurses and leaders in nurse education. The International Council of Nurses is a federation of more than 130 national nurses associations.
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 Chapter 1: Introduction to Nursing - Page 16
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 Chapter 1: Introduction to Nursing - Page 19-24
Which actions are examples of an RN participating in illness prevention for a client with hypertension? Select all that apply.
Teaching lifestyle modifications Providing literature on heart-healthy diets Performing risk screenings for hypertension Chapter 1: Introduction to Nursing - Page 12
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 Chapter 1: Introduction to Nursing - Page 13 Nursing is recognized increasingly as a profession based on the following defining criteria: well-defined body of specific and unique knowledge; strong service orientation; recognized authority by a professional group; code of ethics; professional organization that sets standards; ongoing research; autonomy and self-regulation. Nursing is not regulated by the medical profession.
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 Chapter 1: Introduction to Nursing - Page 14 The LPN, under the nurse practice act (NPA), is permitted to administer testing for bedside blood glucose. The nurse must recognize the scope of practice of the delegate, and remember that client needs and activities delegated must be matched to skill level. The RN would not delegate administration of blood products, intravenous push medication, or chemotherapy to the LPN, as these tasks are not covered under the LPN's NPA
The nurse is caring for a client who cannot meet health needs independently. Which action made by the nurse depicts concern and attachment?
asking the client, "How are you today? I am really worried about you." Chapter 1: Introduction to Nursing - Page 11 Concern and attachment are the result of a close relationship of one human being with another. Thus, asking the client how the client is feeling and expressing concern exemplifies caring. Stability and security, communication and teaching, and organization and evaluation are physical care themes that are part of nursing care.
The nurse is caring for a postoperative client. The health care provider has written a prescription for a pain medication, and the prescription gives a dosage range for the amount the nurse may give depending on the severity of the client's pain. This type of functioning within the health care team is called:
collaborative functioning. Chapter 1: Introduction to Nursing - Page 8 Nurses manage collaborative problems using both nurse- and health care provider-prescribed interventions to reduce the risk of complications. In this situation, the nurse is not operating authoritatively or independently, but within the parameters established by the health care provider. The nurse is not merely acting in an assistive capacity, as the nurse is performing interventions in the absence of the health care provider.
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 Chapter 1: Introduction to Nursing - Page 5-19-23 The science of nursing is the knowledge base for the care provided by the nurse. In this example, the nurse is using this knowledge base to decide how best to care for the client by giving or not giving the blood pressure medication. The art of nursing is the application of the knowledge. In this example, it would be demonstrated by the nurse actually giving or holding the medication. Quality improvement activities and the conduction of research influence the science and the art of nursing by helping build the body of knowledge that is the science of nursing.
