INTRO FINAL
A newly graduated practical nurse asks the registered nurse (RN) about the impact of the women's movement on present-day nursing. What should the RN's response include?
"It encourages nurses to work in a more collaborative manner."
Using Maslow's hierarchy of needs, which statement characterizes the simplest level of need?
"Nurse, my pain is terrible and I need pain medication right away."
Which statement should the nurse make to a family who has asked whether their loved one is legally dead?
"The criterion is that there is no brain activity, but the respiratory and circulatory systems are functioning."
A client is scheduled for a cardiac catheterization. Which statement best illustrates the nurse fulfilling the role of client advocate?
"What were you told by the cardiologist about your scheduled cardiac catheterization procedure?"
A nurse educator is discussing the role of nurses during World War II with a group of new nurses in an army hospital. A new nurse asks about the impact of World War II on nursing. What should the registered nurse's response include?
"World War II started recruitment of men as well as women into nursing."
When asked whether a nurse can bring charges against a client, how should the nurse respond?
"Yes, like in situations where the client knowingly attacks the nurse."
Unlike complementary healthcare methods, which are acceptable modalities used in place of or along with conventional Western methods, many fraudulent healthcare practices and treatments are on the market. According to estimates, how much does the public spend on fraudulent healthcare practices per year?
25 billion dollars
Which client is considered a vulnerable person and so requires special attention?
A 4-year-old child with heart value malfunction
A nurse fails to secure the permission of a client to use a photograph of the client being introduced to service dog. When the photograph is submitted for publication in a local newsletter, the nurse is now liable for prosecution for what legal offense?
A HIPAA violation
What term is used to identify a written and legally witnessed document that requests no extraordinary measures to be taken to save a person's life in the event of terminal illness?
A Physicians Directive
A nurse is interested in achieving licensure as a medical doctor. What is the initial requirement to acquire this licensure?
A minimum of 4 years of undergraduate study
What statement describes a living will?
A written and legally witnessed document that requests no extraordinary measures be taken to save a person's life in the event of terminal illness.
The nurse provides medication education to a client prescribed an ointment for a localized skin rash. The nurse fails to notify the primary care provider that the client reported severe burning when the ointment is applied leading to the client's refusal to apply the medication to the rash. What reason should the hospital management cite while holding the nurse responsible for the resulting systemic infection that developed?
Abandonment of care
What care should the nurse take when updating computerized medical records to best protect the clients' right to privacy? Select all that apply.
Always logging off before leaving the computer and Protecting the computer screen so that it cannot be viewed by unauthorized individuals.
Which nursing actions are not performed in a legally responsible manner? Select all that apply.
Always working extra shifts when asked to volunteer to do so, Advising a client concerning a malpractice suit against a staff member, Not bothering other staff members to help with moving an obese client, and Saving time by asking another nurse how to perform a nursing task instead of reviewing the facility's procedure manual
Which nursing organization represents nurses economically by assisting in collective bargaining situations?
American Nurses Association (ANA)
Sister Callista Roy identified a nursing theory model in 1964 that is still in practice today. What are concepts of this nursing theory?
An individual's state of health/illness moves back and forth on a continuum.
Nursing insignia, uniforms, and the nursing school pin have importance in the field of nursing. Which are religious symbols represented in nursing? Select all that apply
An open Bible and Star of David
What is the role of a consumer healthcare advocate?
Assisting the client and family in resolving care concerns or problems
A nurse wants to know the importance of licensure. Which responses are accurate? Select all that apply.
Assures a minimal level of nursing competency, Identifies a nurse as a qualified healthcare provider, and Protects the public from unqualified nursing providers
There are current trends that are expected to influence the nursing profession in the 21st century. Which among the current trends have been the most influential for the nursing profession? Select all that apply.
Autonomy, Changes in nursing education, Technology, and Increased acuity among long-term care clients
Which nursing programs were established on the basis of the Nightingale plan? Select all that apply.
Bellevue Hospital School of Nursing, Connecticut Training School in New Haven, and Boston Training School at Massachusetts
A nursing student has been asked to list some of the healthcare trends anticipated for the 21st century. What trends should be included in the list? Select all that apply.
Changing demographics, Globalization of the world's economy, and Interdisciplinary education for collaborative practice
A beginning nursing student asks about the principles taught by the Nightingale Nursing School. What should the nurse's answer include? Select all that apply.
Cleanliness is vital to recovery, The nurse must work as a member of a team, The nurse should be healthy in both mind and in body, and The nurse must use discretion, but must follow the physician's orders.
A client is being admitted to a hospital for treatment. Which factor would help the nurse determine whether the client needs an extended care facility instead of an acute care one?
Client requires admission for extended prolonged period of time
A client, who is in a coma, is being treated in an acute care facility. Under which circumstance can the client be moved from the intensive care unit (ICU) to the subacute care unit?
Client's need for acuity care has decreased
When verbalizing events with other healthcare team members, which role is the nurse performing?
Communicator
There is reason to question a medication prescription. Which is an appropriate action for the nurse to take?
Contact the primary care provider to discuss the nurse's concerns
What area of professional nursing is defined in detail by the United States' Nursing Practice Act and the Canadian Nurses (Registered) Act? Select all that apply.
Defining the legal boundaries for nursing's scope of practice, Establishing licensing requirements, Establishing requirements for approved schools of nursing, and Identifying requirements for required continuing education
What instruction should the nurse give a client to best assure that the client's wishes concerning organ donation be honored at the time of death?
Discussing your wishes concerning organ donation in detail with family members
Which nursing action will best protect a nurse from being liable for malpractice?
Effective, appropriate documentation of all nursing care
Which interventions did Nightingale insist upon, that immediately served to reduce the mortality rate during the Crimean War? Select all that apply.
Establishing sanitary conditions and Providing quality nursing care
A student nurse is interested in knowing some of the Nightingale School's innovation in the field of nursing. What should the nurse's response include?
Establishment of a nurses' residence
A nurse is caring for a client with terminal cancer at the client's home. Why should the nurse put greater emphasis on teaching with the family members taking care of the client?
Family members may have to manage the patient-controlled analgesia pump to manage the client's pain.
A registered nurse (RN) has recently specialized in the field of surgery. As an RN in the surgical department, what is the specialized role the RN could pursue?
First assistant in surgery
In what time period were monastic orders established to care for the sick?
First century
What was the impact of World War I on nursing?
First emergency training of nurses
What contribution did Mary Adelaide Nutting contribute to the development of nursing in the United States?
First nurse to be on a university staff
What contribution did Roman Matron Saint Marcella make to the origins of nursing?
First to teach nursing skills
What contribution did Lillian Wald make to the development of nursing in the United States?
Founded American public health nursing
What contribution did Isabel Hampton Robb make to the development of nursing in the United States?
Founded the school of nursing at Johns Hopkins University
What activity does a nurse perform when functioning in the care provider role?
Helps clients achieve the maximum level of wellness
Considering current trends that are expected to influence the nursing profession in the 21st century, which factors create a need for community-based nursing care? Select all that apply.
Homeless, unemployed, or underemployed individuals, Many people have limited health insurance, New advanced technology, and Extended life expectancy
Based on the fact that individual standards of quality are present in an organization, what is meant by standards of performance?
How well the nurse performs, as compared with a job description
When considering the legal aspect of professional nursing, which statement is the basis for maintaining a competent practice?
Ignorance is not a legal defense.
What activity does a nurse perform when functioning in the advocate role?
Informs the RN that the client's pain medication is not effective
A client is opting for imagery treatment. Which is a feature of imagery?
Instructing the client to recall events
When asked to explain the function of meditation, what information will the nurse provide?
Involves deep personal thought and breathe control.
When were male nurses given ranking equal to female nurses in the armed forces?
Korean War
Which type of nurse supervises the care of clients in an intermediate care facility?
Licensed practical nurse
A licensed LPN has recently moved to a new state and is seeking employment. What licensing regularly applies to this nurse's situation?
Mandatory licensure.
A nurse is educating a client about Medicare. The nurse recognizes the need to provide further information when the client makes which statement about the program?
Medicare is a state health insurance program.
Which standard is considered during the hospital accreditation process?
Minimum standards of service to client and community
What is the role of a contiguous (or continuous) quality improvement committee?
Monitors quality of ongoing care
What source establishes the standards for confidentiality that directs the actions of a professional nurse?
National council of state boards of nursing
What are the concepts of Florence Nightingale's nursing theory that are still in practice today?
Nature alone cures. Nursing assists the person to an improved condition for nature to take its course.
When a client with a diagnosis of bronchial asthma and a history of numerous sensitivities reports that the room smells unpleasant, the nurse attempts to solve the problem by spraying an air freshener. Within minutes, the client begins experiencing bronchial spasms and dyspnea. Considering the nurse's actions, what legal issue is the nurse facing?
Negligence
What is an area of specialization of an intensive care unit (ICU)?
Neonatal
A primary care provider orders 10 units of regular insulin to be administered subcutaneously to the client but the nurse administered 10 unit of NPH insulin. After notification of the charge nurse and primary care provider, the nurse monitors the client and no untoward effects occurred from the administration of the incorrect insulin. Would the client likely to be successful in suing the nurse for malpractice?
No, there was no harm to the client as result of administration of the incorrect insulin
A nursing student asks about the significance of the Nightingale lamp. What is the symbolism attached to this image?
Nursing education
Why is it important for the nurse to be familiar with nursing theories? Select all that apply.
Nursing programs are based on nursing theories, It is those theories that separate nursing from medicine, Theories help to systematically develop decision-making skills, and Theories provide the purpose for nursing actions
Which statements provide accurate information about personal values? Select all that apply.
Ones' culture contributes to one's personal values, Personal values change over the course of a lifetime, To best support a client's values, we need to clarify our own, and When made to face a trauma, a person's personal values can change
What are the two types of licensure that can be pursued by the new nurse?
Permissive and mandatory
What nurse's pledge do the LPNs recite at graduation?
Practical Nurse's Pledge
Which goal is the priority for the nurse working in an industrial environment?
Preventing accidents at the workplace
Research into the rising costs of healthcare has revealed that financial needs related to client care needs could be better managed by which type of care?
Preventive
Which nursing interventions demonstrate an understanding of the nurse's responsibility regarding an advanced directive? Select all that apply.
Providing a client with a brochure that explains the purpose of an advance directives, Notifying the healthcare provider that the client has initiated an advance directive, Explaining to a terminally ill client their right to refuse life prolonging treatments, and Arranging assistance for a client who has decided to initiate advance directives
After obtaining licensure, in which kinds of client care is the LPN nursing student likely to be involved? Select all that apply.
Providing bedside care, Providing routine wound care, Administering prescribed oral medications, and Reporting client reactions to prescribed medications
What is the purpose of the National Federation of Licensed Practical Nurses (NFLPN)? Select all that apply.
Providing standards for nursing care, Promoting continued post-licensure education, Interpreting the role and function of an LV/LPN, and Supporting federal and state legislation for the LV/LPN
When asked to explain the function of physical therapy, what information will the nurse provide?
Rehabilitation techniques after injury
What activity does a nurse perform when functioning in the teacher role?
Reinforces instructions for a client who is recovering from surgery
When considering Quality Care, what is meant by the process of care?
Relates to how care is provided
An RN is explaining the importance of projecting a professional image to a group of LPN students. What should the RN's explanation include? Select all that apply.
Representing one's place of employment and Showing respect for others
Which client actions demonstrate an understanding of responsibility to the healthcare? Select all that apply.
Requesting information to clarify instructions or information provided by staff, Providing necessary information to assist in the payment of services provided, Providing the institution with a copy of their advance directives if they exit, and Providing accurate information when asked about their medical history
There are several methods of payment for healthcare services. Which is a feature of health maintenance organization?
Requires advance payment of capitation fee
What is a mandatory licensure?
Requires that nursing functions be performed only by those licensed in that state
In which activities does the National League for Nursing (NLN) engage to support nursing? Select all that apply.
Research in nursing education, Services to the nursing community, Public policy related to lifelong education, and Work needs of nursing staff
A nurse wants to join a nursing organization. What services are usually offered by nursing organizations? Select all that apply.
Scholarships, Student membership, Newsletters of local interest, and Continuing education opportunities
Which interventions are most applicable for a nurse providing care to elementary school children? Select all that apply.
Screening for common disorders, Supervising the administration of immunizations, Providing health counseling, and Assisting in emergency health situations
When considering the current trend of home care in the 21st century, what trends are expected to influence the nursing profession?
Shift to community-based care
What key program area is identified as crucial to nursing by the International Council for Nursing?
Social economic welfare for nurses
A nurse is looking for a source that details the standards of quality that guide the nursing staff when providing care. Which is the most reliable source of this information?
Standards of nursing practice
When a nurse fails to provide care within the limits of the profession's scope of practice, which body will enforce the prescribed punishment?
State Board of Nursing
A nurse is providing hospice care for a client. Which service will the nurse provide?
Taking care of a terminally ill client in a home environment
A client discharged from the hospital is now at home. The client recently discharged to home, requires assistance in relation to the treatment prescribed by the physician. The client needs information quickly. Which service best suits this client's needs?
Telehealth
Which assessments will the nurse note when determining if a client is brain dead? Select all that apply.
The absence cephalic reflexes, The presence of unresponsive pupils, and The absence of external stimuli response
Which client action demonstrates the priority responsibility expected of a client?
The client determines which accepted treatment options they will accept
What occurs when telehealth is included in the way healthcare is delivered to a client?
The client is accessed via telephone or computer link
Which statements are accurate when considering the legal concerns for the nurse when faced with a non-hospital emergency situation? Select all that apply.
The nurse is not liable for emergency care provided within the limits of first aid, In most states, a nurse is required to assist at the scene of an accident when needed, A nurse rendering emergency care is expected to act in a reasonable and prudent manner, and The Good Samaritan Act is the law that protects nurses from liability when providing care in emergency situations.
Which of Florence Nightingale's nursing principles is still practiced today?
The nurse's primary role is to spend time caring for others.
A student of nursing wishes to join the American Nurses Association (ANA) and requests information on the eligibility for the membership of the ANA. What information should the student be given?
The person should be a registered nurse.
What is the focus of the National Association for Practical Nurse Education and Service (NAPNES)? Select all that apply.
The role of the LV/LPN in healthcare delivery, Licensing the LV/LPN for client care practice, and Preparing the LV/LPN student for healthcare practice
Which pioneer nursing school began as a result of Richard Bradley's determination that the local citizens needed nursing service?
Thompson Practical Nursing School in Brattleboro
What are some of the nursing programs a licensed practical nurse (LPN) can pursue to obtain a registered nurse (RN) license? Select all that apply.
Two-year program at a community or junior college, Three-year program affiliated with community and state college, Four-year program in a college or university, and A college-based career ladder program
Which hospital or facility is most likely to require a nurse to do research to improve the treatment of clients?
University affiliated hospitals
What types of programs would an individual interested in pursuing a degree in practical nursing commonly enroll for this type of training? Select all that apply.
Vocational school and Community college
What contribution did Roman Matron Phoebe make to the origins of nursing?
Was the first deaconess and visiting nurse
A licensed nurse has been asked to address a group of newly recruited nurses. What should the licensed nurse inform them about the nursing uniform?
Wearing a nametag is a required element of uniform when giving nursing care
What are some of the changes in healthcare that have been identified for the 21st century? Select all that apply.
Wellness focused care, Cost of healthcare technology, Technology that influences healthcare, and Personal Healthcare responsibilities
Which practical nursing school was established first?
Young Women's Christian Association (YMCA)
