Chapter 1: Introduction to Nursing
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 which of the following? -"The nurse is the handmaiden of the physician." -"Pets can help heal clients." -"Everything in nature is alive with invisible forces." -"The physician is viewed as a god-like figure."
"Everything in nature is alive with invisible forces"
The nurse is attempting to provide anticipatory guidance for parents of an eighteen-month-old boy. Which of the following would be the best statement for the nurse to make? -"Do not give the child a bottle now" -"Does he have nightmares often?" -"Keep all medications in a locked cabinet." -"He is in the 95th percentile for weight."
"Keep all medications in a locked cabinet."
In what time period did nursing care as we now know it begin?
18th to 19th century
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 of the following is the best example of a nurse in the role of counselor? -A nurse allowing a client to verbalize their fears of death -A nurse ensuring that a client has follow-up care at a free clinic -A nurse telling a client the side effects of a medication -A nurse providing the physician a client's test results
A nurse allowing a crying client to verbalize their fears of death
A nurse is describing the role of the nurse entrepreneur. Which of the following statements best describe this role? -A nurse who teaches in a clinical setting -A nurse responsible for administration of resources -A nurse who manages personnel involved in client care -A nurse who manages a health-related business
A nurse who manages a health-related business
Which advance nurse practitioner is best qualified to provide prenatal care for a pregnant client?
A nurse-midwife
A 32-year-old construction worker is admitted to the emergency department after suffering a heat stroke. Which of the following IV solutions would the nurse expect the physician would order?
A solution of normal saline
The first nursing journal owned, operated, and published by nurses was:
American Journal of Nursing
Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?
American Nurses Association
A nurse is considering relocating to another state to practice nursing. Which of the following 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 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
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
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
A student is choosing her educational path and desires a nursing degree with a tract that contains community nursing and leadership, as well as liberal arts. The student would best be suited in which type of program?
Baccalaureate program
The nurse is caring for a client who is on a ventilator. The nurse is bathing the client and talking to him as she is carrying out care, as well as telling the client what is going to happen next. The nurse speaks to the client in a soothing manner. The nurse is acting in which role? Select all that apply. -Caregiver -Decision-maker -Communicator -Educator -Client advocate
Caregiver, communicator, and educator
A nurse is planning to continue her education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which of the following expanded career roles is the nurse preparing?
Clinical nurse specialist
A man age 61 years is distraught because he has just learned that his most recent computed tomography (CT) scan shows that his colon cancer has metastasized to his lungs. Which nursing aim should the nurse prioritize in the immediate care of this client?
Facilitating coping
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 the physician, not the nurse, to assist clients in understanding their health problems -It is the role of nursing to provide a caring relationship that facilitates health and healing -Nursing is a profession dependent upon the medical community as a whole -The essential components of professional nursing care are strength, endurance, and cure..
It is the role of nursing to provide a caring relationship that facilitates health and healing
What was one barrier to the development of the nursing profession in the United States after the Civil War?
Lack of educational standards
Which of the following is a characteristic of nursing practiced from early civilization to the 16th century?
Most early civilizations believed that illness had supernatural causes
A nurse understands that for nursing to be considered a profession, many things need to be in place. Which of the following is not part of those considerations? -Well-defined body of knowledge -Multidisciplinary approach -Ongoing research -Strong service orientation -Code of ethics
Multidisciplinary approach
Nurses must use multiple mechanical devices in the workplace to assess their patients. The data collected from these devices supply what type of information?
Objective
The student nurse is changing the bed linens of a hospitalized patient. While placing the contaminated materials into the laundry bag, the outside of the bag is touched by the material. What should the student nurse do next?
Obtain another laundry bag and place the contaminated bag inside while in the patient's room
What might a nurse need to do to ensure the continuation of his/her nursing license?
Obtaining continuing education credits
Teaching a woman about breast self-examination is an example of what broad aim of nursing?
Preventing illness
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
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
Which of the following are examples of a RN participating in illness prevention for a client with hypertension? Select all that apply. -Administering ordered medication -Reporting low blood pressure to the physician -Performing risk screenings for hypertension -Providing literature on heart-healthy diets -Teaching lifestyle modifications
Teaching lifestyle modifications, Providing literature on heart-healthy diets, and perform risk screenings for hypertension
Which of the following 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 -Telling a friend about something that happened to a client that day -Informing the physical therapist that client's therapy was discontinued
Telling a client their blood pressure, calling a physician about a client's blood pressure, and informing the physical therapist that client's therapy was discontinued
Which explanation differentiates the Registered Nurse (RN) from the Licensed Practical Nurse (LPN)?
The LPN should work under the supervision of an RN
The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented? -The RN educates about preventing falls -The RN promotes a safe environment -The RN identifies client outcomes -The RN develops a plan of care
The RN promotes a safe environment
A nurse is providing care for clients in a long-term facility. Based on the definitions of nursing in the textbook, what should be the central focus of this care?
The client receiving the care
The nurse working with an LPN understands which of the following about LPNs? -They must take a licensure exam -They have a higher degree than most RNs -They may work independently -The program is 4 years in length
They must take a licensure exam
What is the primary purpose of standards of nursing practice?
To ensure knowledgeable, safe, comprehensive nursing care
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
During the Reformation, what factor influenced the decline of nursing?
Women's subordination to men
The need for university-based nursing education programs was brought to light during which important historical time?
World War II
Which of the following is the best example of the nurse acting as an advocate? -Writing legislator for insurance coverage for screening colonoscopies -Communicating clients' test results to the physician -Leading implementation of electronic medical records on the unit -Testing which product is the best for healing diabetic foot ulcers
Writing legislator for insurance coverage for screening colonoscopies
A nurse is demonstrating collegiality in professional practice. What behaviors practiced by the nurse correlate with this standard of practice? Select all that apply. -A nurse helps a colleague write a journal article -A nurse encourages a colleague to join the hospital journal club -A nurse encourages a colleague to join the American Nurses Association (ANA) -A nurse helps a colleague complete a bed bath on a client -A nurse encourages a colleague to quit smoking
A nurse helps a colleague write a journal article, a nurse encourages a colleague to join the hospital journal club, and a nurse encourages a colleague to join the American Nurses Association (ANA)
Which of the following is the best example of a nurse attending an inservice program? -Attending a conference on cultural diversity -Taking an online course at a local university -Attending a continuing education program by a national organization -Attending a hospital program on how to use a new IV pump
Attending a hospital program on how to use a new IV pump
The RN is working with hospital administration to transform care at their facility. Which of the following nursing competencies will be critical for the nurse to utilize? -Navigate the electronic medical records system -Do things the way they have always been done -Correctly utilize and troubleshoot high-tech equipment -Work effectively in interdisciplinary teams
Work effectively in interdisciplinary teams
A researched nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers? -They tend to work in community health centers and long-term care units -They serve as liaisons between staff members and directors of nursing -They usually have a baccalaureate degree in nursing -They are responsible for the continued development and advancement of nursing
They are responsible for the continued development and advancement of nursing
The nurse is explaining to a nursing colleague why there should be only one entry into the profession. What is the best statement by the explaining nurse? -"Increasingly, there is opportunity for educational advancement." -"Multiple methods of preparation are confusing to consumers." -"Multiple methods of preparation increase the number of nurses." -"State laws recognize both the LPN and RN as nursing credentials."
"multiple methods of preparation are confusing to consumers."
Which of the following statements accurately describes the formulation of a nursing diagnosis? -Collection of assessment data provides the basis for identifying nursing diagnoses -A nursing diagnosis is first assigned by the physician and modified for the patient by the RN -Nursing care is directed by the nursing diagnosis but there are no legal ramifications for the RN providing care -A member of the healthcare team evaluates the patient and identifies an approved nursing diagnosis -Although the registered nurse assigns the nursing diagnosis, the patient is ultimately the responsibility of the physician
Collection of assessment data provides the basis for identifying nursing diagnoses
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. -Communicator -Teacher -Statistician -Financer -Counselor
Communicator, Teacher, and Counselor
The nurse is developing a plan of care for a client. Which of the following is a nursing care activity/intervention? Select all that apply. -Educating clients -Starting an IV -Reading an X-Ray -Holding the client's hand
Educating clients, starting an IV, and holding the client's hand
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 fo each step?
Educator
Which of the following actions should the nurse implement when working with a medically homeless client? -Encourage the client to utilize the emergency room when ill -Assist the client in finding a job -Assist the client in finding housing -Encourage client to utilize the free healthcare clinic
Encourage client to utilize the free healthcare clinic
A student nurse understands that the primary aim of the Healthy People 2020 initiatives is..?
Health promotion
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?
In-service education
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?
Licensed or vocational nursing program
A class of nursing students is studying the history of nursing. The class learns that the founder of public health nursing is:
Lillian Wald
A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse?
Masters
The registered nurse communicated 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 definition of implementation would include which of the following? -The use of assessment skills to develop a nursing diagnosis -The action phase of the nursing process in which nursing care is provided -The development of outcome criteria -The proper documentation of the nursing assessment -The inclusion of the patient in establishing outcome goals
The action phase of the nursing process in which nursing care is provided
Which of the following is the best example of client-centered approach to care? -The nurse asks the client about his health goals -The nurse asks the client what he would like to order from the menu -The nurse helps a client ambulate -The nurse drawing a blood sample from a client
The nurse asks the client about his health goals
The postoperative patient's plan of care contains an intervention to ambulate twice a day 200 feet with assistance of one member of the healthcare team. The intervention was not completed one morning due to his pain. Which of the following would be the appropriate way to document the missed event? -The patient complained of too much pain to ambulate and was returned to bed -The patient reported his pain at a level of 8/10 at 30 minutes after dosing. The patient was returned to bed and the physician was notified of the uncontrolled pain level with the current medication order. -The patient was assisted to standing but reported severe pain and begged to return to bed. Patient was assisted to bed. -The intervention was not completed due to the patients severe pain level -The patient was in too much pain to complete the morning ambulation
The patient reported his pain at a level of 8/10 at 30 minutes after dosing. The patient was returned to bed and the physician was notified of the uncontrolled pain level with the current medication order.
