Fundamentals Exam 1 CoursePoint Questions (Ch 1-3, 5-7, 10-13, 19)

Who established the first public health service for the sick and poor? Lillian Wald Isabel Hampton Robb Florence Nightingale Dorothea Dix

Lillian Wald

Which advancement in the nursing profession occurred immediately after World War II? National standards for nursing were developed. Care of clients in the hospital setting declined. Government funding supported minority nurses. Advanced nursing education was established.

Advanced nursing education was established.

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: authoritative functioning. independent functioning. collaborative functioning. assistive functioning.

collaborative functioning.

Which social force has most significantly impacted the future supply and demand of nurses? economics technology science aging

aging

Which nursing actions will increase efficient management of client care and decrease the ramifications of the nursing shortage? (Select all that apply.) taking early retirement becoming cross-trained in another area of the hospital implementing evidenced-based clinical pathways pursuing postlicensure education coordinating health care services before client discharge

becoming cross-trained in another area of the hospital implementing evidenced-based clinical pathways pursuing postlicensure education coordinating health care services before client discharge

Which activity by the nurse is an example of exercising professional standards of practice? Attending a conference for continuing education credits Mentoring a new nurse employee on the unit Networking at a professional organization meeting Referring to clients as "Mr." or "Ms."

Attending a conference for continuing education credits

There are various levels of preparation for nursing practice. Which degree program will best prepare a nurse to work as a nurse researcher? Diploma Master's Baccalaureate Doctoral

Doctoral

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. She promoted the addition of nursing education as part of a medical degree. She established the tenets of the American Red Cross. She established the fact that nursing is the same as medicine.

She promoted the publication of books about nursing and health care.

Which organization offers membership by invitation to students who demonstrate excellence in scholarship and to nurses in the community who demonstrate excellence in leadership? National Student Nurses Association (NSNA) Accreditation Commission for Education in Nursing (ACEN) Sigma Theta Tau International, Honor Society of Nursing American Nurses Association (ANA)

Sigma Theta Tau International, Honor Society of Nursing

The registered nurse is teaching a community health class about illness prevention. Which statement reflects understanding of this concept? "My family will call hospice for an evaluation." "I will take my medication for hypertension every day." "It is important to enroll in a smoking cessation class." "If I am injured, I will call an ambulance."

"It is important to enroll in a smoking cessation class."

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? Lillian Wald Clara Barton Louise Schuyler Linda Richards

Linda Richards

The client's plan of care is created by the nurse using which guideline for nursing practice? Nursing process Nursing's Social Policy Statement ANA Standards of Nursing Practice Nurse practice act

Nursing process

Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding? Suggest that the mother bottle feed her infant. Ask the mother to come to the emergency room. Email the mother a link for breastfeeding. Refer the mother for a home care visit.

Refer the mother for a home care visit.

Which action by the nurse best represents the evaluative portion of the nursing process? assessing a client's blood pressure after teaching stress reduction techniques assessing a client's blood pressure after giving a cup of coffee educating a client on how to take one's own blood pressure every morning determining that a client is at risk for a fall while in the hospital

assessing a client's blood pressure after teaching stress reduction techniques

During World War II, nurses were actively recruited and enlisted in the military. What effect did this have on the nursing profession? encouraged more men to become nurses inspired the formation of home health nursing increased demand for ambulatory services caused a civilian nursing shortage

caused a civilian nursing shortage

A middle-aged nurse is concerned about a potential shortage of nurses when the baby boomer generation retires. What proactive intervention can the nurse take to address this anticipated deficit of nurses? recruit more nurses to the acute care facility encourage parents to immunize their children lobby to increase the retirement age develop a community program related to healthy nutrition and exercise

develop a community program related to healthy nutrition and exercise

Which is the best example of a nurse demonstrating the role of caregiver? assigning a room for a new hospital client referring the client to a mental health clinic reporting lab values to a client's physician starting an intravenous line in the client's arm

starting an intravenous line in the client's arm

A medical-surgical unit manager intends to have licensed practical nurses (LPNs) in the unit administer intravenous push (IVP) medications. What source would the manager contact to include this procedure in the LPNs' practice? facility policies and procedures committee state nurse practice act (NPA) American Nurses Association (ANA) National League of Nursing (NLN)

state nurse practice act (NPA)

What type of nursing program would allow a student with a 4-year degree in psychology to enter and complete a baccalaureate degree in nursing, take the NCLEX examination, and transition into a Master of Science in nursing (MSN) program? Graduate entry program Continuing education program Baccalaureate program Advanced degree program

Graduate entry program

Which advanced nurse practitioner is best qualified to provide prenatal care for a pregnant client? A nurse anesthetist A clinical nurse specialist A nurse-midwife A nurse educator

a nurse-midwife

The LPN is reviewing the various in-services which are being offered for continuing education (CE) at the facility. For which reason will the nurse pursue in-service CE? "It will help increase the paycheck at my yearly evaluation." "It is required by the federal government to maintain my license." "Advances in technology are constantly making previous methods obsolete." "Why not? I enjoy learning new ways to do my job."

"Advances in technology are constantly making previous methods obsolete."

The nurse is discussing the recommended entry level for professional nursing practices. Which is the most accurate statement by the nurse? "National nursing organizations are promoting diploma nursing." "National nursing organizations are eliminating accelerated programs." "BSN is the recommended entry level by national nursing organizations." "ADN programs are the recommended entry level by national nursing organizations."

"BSN is the recommended entry level by national nursing organizations."

Nurses who enlist their services to the military are able to do so thanks to the work of which organizer of health care? Dorothea Dix Linda Richards Theodor Fliedner Florence Nightingale

Dorothea Dix

The nurse is conducting a community education class on the 2011 Institute of Medicine (IOM) report on the role of nursing in transforming health care. Which statements made by the nurse correlate with the IOM recommendations for transforming nursing education? Select all that apply. "Education should be transformed to ensure a seamless academic transition." "Nurses are no longer the handmaidens of physicians and should be full partners in redesigning health care." Baccalaureate-trained nurses do not need further academic training. Nurses should follow physicians' lead for changing the health care system. The infrastructure for data collection related to nursing is in place.

"Education should be transformed to ensure a seamless academic transition." "Nurses are no longer the handmaidens of physicians and should be full partners in redesigning health care."

The nurse and a student are discussing entry into the profession of nursing. Which statement should the nurse use to describe a diploma program? "It is obtained by a 36-month program at a hospital." "It is obtained by a 4-year program at a university." "It is obtained by a 36-month program at a community college." "It is obtained through a 2-year program at a university."

"It is obtained by a 36-month program at a hospital."

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? "Multiple methods of preparation are confusing to consumers." "Increasingly, there is opportunity for educational advancement." "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."

A nurse is conducting an in-service on the early history of the education of nurses in the 19th century. Which statement made by the nurse demonstrates how far nursing has come as a profession from the 19th century? "Education was founded on theoretical knowledge behind interventions." "The focus was on promoting nursing as a profession." "The focus was on students providing direct care to clients without pay." "It occurred in the university setting."

"The focus was on students providing direct care to clients without pay."

The role of the nurse developed from the pre-civilization era through the eras representing the beginning of civilization, the beginning of the 16th century, the 18th and 19th centuries, World War II era, and up to the present day. Place the following roles of the nurse listed below in the correct chronologic order to follow this timeline. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. Nurses were portrayed as a mother, caring for family and delivering physical care and health remedies. Efforts were made to upgrade nursing education, and women were more assertive and independent. There was a shortage of nurses; criminals were recruited as nurses; nursing was viewed as disreputable. Florence Nightingale elevated nursing to a respected occupation and founded modern methods in nursing education. Nursing was broadened in all areas and was practiced in a wide variety of settings; nursing was viewed as a profession. Nurses were viewed as slaves, carrying out menial tasks based on the orders of the priest.

1. Nurses were portrayed as a mother, caring for family and delivering physical care and health remedies. 2. Nurses were viewed as slaves, carrying out menial tasks based on the orders of the priest. 3. There was a shortage of nurses; criminals were recruited as nurses; nursing was viewed as disreputable. 4. Florence Nightingale elevated nursing to a respected occupation and founded modern methods in nursing education. 5. Efforts were made to upgrade nursing education, and women were more assertive and independent. 6. Nursing was broadened in all areas and was practiced in a wide variety of settings; nursing was viewed as a profession.

In what time period did nursing care as we now know it begin? 16th to 17th century early civilization to 16th century pre-civilization 18th to 19th century

18th to 19th century

Which scenario is the best example of a nurse in the role of counselor? A nurse ensuring that a client has follow-up care at a free clinic A nurse allowing a crying client to verbalize fears of death 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 fears of death

A nurse is demonstrating collegiality in professional practice. Which behaviors practiced by the nurse correlate with this standard of practice? Select all that apply. A nurse encourages a colleague to join the American Nurses Association (ANA). A nurse encourages a colleague to join the hospital journal club. A nurse encourages a colleague to quit smoking. A nurse helps a colleague complete a bed bath on a client. A nurse helps a colleague write a journal article.

A nurse encourages a colleague to join the American Nurses Association (ANA). A nurse encourages a colleague to join the hospital journal club. A nurse helps a colleague write a journal article.

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 nurse follows an established code of ethics when performing actions for clients who are in hospice. A nurse performs actions based on the standards of performance determined by the medical community. A nurse uses diagnosis, interventions and evaluation to plan nursing care for clients. A nurse is committed to using ongoing research when planning nursing care for clients. A nurse graduate applies for membership in the American Nurses Association.

A nurse follows an established code of ethics when performing actions for clients who are in hospice. A nurse uses diagnosis, interventions and evaluation to plan nursing care for clients. A nurse is committed to using ongoing research when planning nursing care for clients.

The nurse is considering medical-surgical certification after working in a medical-surgical floor for the past five years. Nursing specialty certification is given by which group? National League for Nursing (NLN) American Nurses Credentialing Center (ANCC) American Nurses Association (ANA) American Association of Colleges of Nursing (AACN)

American Nurses Credentialing Center (ANCC)

A registered nurse plans to return to the nursing profession after a long hiatus. Which statement about the trend in health care services would be most important for the nurse to keep in mind? Nurses rely on intuition to make decisions today. Hospital stays are much longer these days. Clients enter the health care system acutely ill. Health care delivery systems are less controversial now.

Clients enter the health care system acutely ill.

A long-term care facility is seeking an advanced practice nurse to educate the staff regarding palliative care for the residents. The facility would benefit most by hiring which advanced practice nurse? Clinical nurse specialist Nurse administrator Nurse researcher Nurse practitioner

Clinical nurse specialist

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? Collaboration Education Diagnosis Evaluation

Collaboration

The nurse is caring for a client who is on a ventilator. The nurse is bathing and talking to the client, including 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. communicator educator client advocate decision-maker caregiver

Communicator Educator Caregiver

Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this? Participating in a paid internship Taking an online class at a university Passing the NCLEX exam Completing clinical hours supervised by a nursing instructor

Completing clinical hours supervised by a nursing instructor

A nurse practicing in the early Christian period might perform which nursing action characteristic of this era? Carrying out menial tasks based on the orders of the priest-physician Making organized visits to the sick Providing physical care and herbal remedies to the mother of a family Providing nursing care in lieu of serving a jail sentence

Making organized visits to the sick

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 important terms related to nursing The members of the state board of nursing Establishment of educational criteria Definition of legal scope of nursing practice Content for the NCLEX

Definition of legal scope of nursing practice Definition of important terms related to nursing Establishment of educational criteria

Which scenario is the best example of the nurse implementing the ANA standard relating to diagnosis? Teaching a diabetic client to inject insulin Assessing a client's apical pulse rate Evaluating a client's laboratory results Determining a client is at risk for falls

Determining a client is at risk for falls

Which nursing actions are characteristic of the nurse's role as communicator? Effecting change within a group Assessing, implementing, and evaluating individual teaching plans to meet learning needs Facilitating clients' problem-solving and decision-making skills Establishing and maintaining helping relationships with clients of all ages in a variety of settings

Establishing and maintaining helping relationships with clients of all ages in a variety of settings

The nurse preparing a lecture on the history of nursing should include which international organization as the first for professional nurses? American Nurses Association Sigma Theta Tau International International Council of Nurses National League for Nursing

International Council of Nurses

The nurse discussing the importance of professional nursing organizations setting standards should include which statement? It helps regulate nursing licensure. It helps to identify nurses. It helps identify nursing as a profession. It sets the standard for nursing research.

It helps identify nursing as a profession.

The nurse offers a client two possible times to ambulate, as prescribed by the health care provider. The nurse is acting in which nursing role? Manager and coordinator Communicator Client advocate Caregiver

Manager and coordinator

A person practicing nursing in the 1950s would most likely have been influenced by what trend? Large numbers of women began to work outside the home, asserting their independence. Male dominance in the health care profession slowed the progress of professionalism in the nursing practice. Hospital schools were established to provide more easily controlled and less expensive staff for the hospital. Nursing practice was broadened to include practice in a wide variety of health care settings.

Large numbers of women began to work outside the home, asserting their independence.

The nurse is planning an educational visit with a client. Which must the nurse assess to identify the client's readiness to learn? Select all that apply. Level of motivation Physical and psychological abilities to carry out the plan Level of knowledge Willingness to follow the health regimen The composition of the patient's family

Level of motivation Level of knowledge Willingness to follow the health regimen Physical and psychological abilities to carry out the plan

Based on its jurisdiction, which actions may a state licensing board of nursing take? Select all that apply. License nurses during the lifetime of the holder Protect nurses from being suspended for professional misconduct Allow graduates of approved schools of nursing to take the NCLEX Deny licensing due to criminal actions Issue special licenses to nurses practicing in long-term care facilities as a priority Authorize nurses to practice nursing in any state

License nurses during the lifetime of the holder Allow graduates of approved schools of nursing to take the NCLEX Deny licensing due to criminal actions

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? Code of ethics Well-defined body of knowledge Ongoing research Strong service orientation Multidisciplinary approach

Multidisciplinary approach

Which national nursing organization serves as a primary source of research data about nursing education, and is the professional organization for nurse educators? Sigma Theta Tau International National League for Nursing (NLN) American Association of Colleges of Nursing (AACN) American Nurses Association (ANA)

National League for Nursing (NLN)

A nurse is thinking about pursuing a master's degree in nursing (MSN) and is reviewing information about various programs. What would the nurse expect to find about such programs? Students need to take the licensure examination after the course. Master's degree nursing education began in the late 18th century. Such degrees can be attained only in a certain specific area of interest. Nurses pursuing such programs require solid scholastic abilities.

Nurses pursuing such programs require solid scholastic abilities.

The nurse is creating a plan of care for a client. Which actions by the nurse demonstrate the components of the nursing process? Select all that apply. Plans medical care of the client Plans interventions to meet the client's health care needs Identifies the needs of the client Evaluates the effectiveness of the plan of care Applies rationales for the actions of the nurse.

Plans interventions to meet the client's health care needs Identifies the needs of the client Evaluates the effectiveness of the plan of care.

Which actions are examples of an RN participating in illness prevention for a client with hypertension? Select all that apply. Providing literature on heart-healthy diets Performing risk screenings for hypertension Teaching lifestyle modifications Administering ordered medication Reporting low blood pressure to the physician

Providing literature on heart-healthy diets Performing risk screenings for hypertension Teaching lifestyle modifications

Which standards are monitored by the Quality and Safety Education for Nurses (QSEN)? Select all that apply. Quality improvement Informatics Evidence-based practice Client-centered care Nursing certification

Quality improvement Informatics Evidence-based practice Client-centered care

The nurse is demonstrating traits of leadership. What actions by the nurse would be recognized as leadership behaviors? Select all that apply. Communicates an issue to a fellow colleague in the cafeteria Serves as president of local chapter of Sigma Theta Tau International Participates on an evidence-based practice council Develops and implements a quality improvement project Attends a mandatory hospital in-service

Serves as president of local chapter of Sigma Theta Tau International Participates on an evidence-based practice council Develops and implements a quality improvement project

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. Sets standards Ongoing research Code of ethics Regulation by the medical profession Well-defined body of knowledge

Set standards Ongoing research Code of ethics Well-defined body of knowledge

The nurse is developing a plan of care for a client. Which nursing action is defined as an activity(ies)/intervention(s)? Select all that apply. starting an IV diagnosing a medical condition reading an x-ray educating clients holding the client's hand

Starting an IV educating clients holding the client's hand

Together the nurse and a client with hypertension set a goal that states that the client will be able to identify foods to avoid on a low-sodium diet. The nurse completes this action as a part of which American Nurses Association Standard of Care? The RN promotes healthy blood pressure. The RN identifies client outcomes. The RN implements the client's care. The RN prescribes diets for clients.

The RN identifies client outcomes

Which practice by the nurse indicates that the nurse is a professional? Using intuition to make decisions about client care Submitting an article to a local newspaper Doing things the way they have always been done Using evidence-based practice interventions

Using evidence-based practice interventions

Which nurse is demonstrating a type of nursing whose roots go back to the ancient Greek times when temples were the center of nursing care? The nurse offering to get a shaman for a dying client The nurse providing communion to a client in the hospital The nurse conducting a blood pressure screening at a local church The nurse working in a Christian hospital

The nurse conducting a blood pressure screening at a local church

A nurse wishes to advance his or her career and work as a clinical nurse specialist. Which statement regarding scope of practice should the nurse keep in mind? The nurse practices only with a private practitioner. The nurse may teach advanced education for nurses. This requires at least a doctoral degree education. The nurse oversees the care coordination of a group of clients.

The nurse may teach advanced education for nurses.

A group of nursing students has attended a presentation about the National Student Nurses' Association (NSNA). Which statement by the group indicates that they have understood the information presented? The organization is funded by the national government. The organization provides programs of current professional interest. The NSNA contributes to the improvement of public health. The NSNA is run by a group of registered nurses.

The organization provides programs of current professional interest.

Which scenario is the best example of the nurse acting as an advocate? Writing legislation for insurance coverage for screening colonoscopies Leading implementation of electronic medical records on the unit Communicating clients' test results to the physician Testing which product is the best for healing diabetic foot ulcers

Writing legislation for insurance coverage for screening colonoscopies

Establishing the criteria for the education and licensure of nurses is a component of: the U.S. Department of Health and Human Services' Healthy People 2030 program. evidence-based practice. the American Nurses Association Standards of Practice. a state's nurse practice act.

a state's nurse practice act.

A nurse must possess several characteristics to be successful in this profession. Secondary to critical thinking skills, which is of great value? delegation of responsibilities good teamwork and team-building skills educational attainment such as Master's of Nursing advocating for the client at all times

advocating for the client at all times

A client is very upset after being told by the health care provider that test results confirm a diagnosis of colon cancer. Which action should the nurse consider most important when answering questions from this client? avoid offering personal opinion to which action to take next support the client's decision concerning treatment provide necessary information concerning diagnosis and potential treatment allow client to make his or her own decision

avoid offering personal opinion to which action to take next

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? ensure the families do not get sick be an advocate for appropriate care ensure families are kept informed advise clients on the best plan of action

be an advocate for appropriate care

A nurse practitioner considering going back to school to obtain a Doctor of Nursing Practice degree (DNP) anticipates that the main focus of the curriculum will be on: managerial styles. ethics. clinical practice. conducting research.

clinical practice

The nurse is caring for a postoperative client, and administers a pain medication prescribed on a PRN basis by the health care provider. What best describes the type of intervention the nurse is demonstrating? collaborative intervention client advocacy intervention nurse-prescribed intervention dependent intervention

collaborative intervention

Which nursing activities will be most effective to help achieve the Healthy People 2030 guideline to eliminate health disparities among clients? conducting blood pressure screenings in an underserved area conducting colorectal screenings at a health care provider's office providing smoking cessation programs to young males administering routine immunizations at the health clinic

conducting blood pressure screenings in an underserved area

A team of student nurses are preparing for a debate dealing with the current nursing shortage. Which contributing factor(s) should the team ensure is included? Select all that apply. decreased revenue = decreasing staff lack of continuing education opportunities decreasing number of older clients mandatory overtime idea that only females can be nurses

decreased revenue = decreasing staff mandatory overtime idea that only females can be nurses

A nurse is discussing the history of the profession with a client and describes that a shift in societal focus from religion to warfare had a negative impact on nursing due to: nurses caring for war victims and soldiers. unmarried females recruited as nurses. female criminals recruited as nurses. nurses no longer praying for their clients.

female criminals recruited as nurses.

Which action by the nurse is the best indication that the nurse is incorporating the quality and safety education for nursing (QSEN) competency of teamwork and collaboration in the plan of care for a client? asking a client about his or her personal goals for rehabilitation following a stroke using a new client positioning technique described in research to prevent pressure injuries keeping up all four side rails for a confused client to prevent falls including the client in the morning rounds of the health care team

including the client in the morning rounds of the health care team

In the role of entrepreneur, the nurse's primary responsibility is: administering resources. managing a health-related business. teaching in a clinical setting. managing personnel involved in client care.

managing a health-related business.

The nursing instructor has presented some basic concepts related to the nursing profession to a class of nursing students. Which factor is part of the definition of nursing? limit injuries occurring in the local community provide appropriate diagnosis of client's health concern ensure clients follow their health care providers' orders gently remind client of his or her physical limitations

provide appropriate diagnosis of client's health concern

All members of the health care team are encouraged to read and contribute to the individual plans of care for their clients. Which health care provider develops the plan of care? the RN the physician any licensed member of the health care team the LPN or RN

the RN

Nursing is described in various ways. The focus of all nursing interventions should involve which factor(s)? Select all that apply. use of evidence-based practice to ensure the best care birth, health, illness, and death of individuals curing the illness in individuals human experience and responses of individuals, families, and groups pyschosocial dimension of the client.

use of evidence-based practice to ensure the best care birth, health, illness, and death of individuals human experience and responses of individuals, families, and groups pyschosocial dimension of the client