Teylor, Perry,chapter1

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

D) 18th to 19th century

2. Nursing education programs in the United States may seek voluntary accreditation by the appropriate accrediting commission council of the: 1. National League for Nursing 2. American Nurses Association 3. Congress for Nursing Practice 4. International Council of Nurses

1. National League for Nursing

28. Which age group in the population is expanding most rapidly, resulting in changes in the delivery of healthcare? A) older adults B) young adults C) school-aged children D) newborns

A) older adults

13. Which one of the following examples of nursing actions would be considered an ethical/legal skill? A) A nurse helps a patient prepare a living will. B) A nurse obtains a urine sample for a urinalysis. C) A nurse explains the rationale for a patient's plan of care. D) A nurse holds the hand of a woman whose baby died in childbirth.

A) A nurse helps a patient prepare a living will.

23. Which of the following organizations has established standards for clinical nursing practice? A) American Nurses Association B) National League for Nursing C) International Council of Nurses D) State Board of Nursing

A) American Nurses Association

16. A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes this state of being? A) Health is a state of optimal functioning. B) Health is an absence of illness. C) Health is always an objective state. D) Health is not determined by the patient.

A) Health is a state of optimal functioning.

Which of the following is a characteristic of nursing practiced from early civilization to the 16th century? A) Most early civilizations believed that illness had supernatural causes. B) The physician was the priest who treated disease with prayer. C) The nurse was a nun committed to caring for the needy and homeless. D) Nursing changed from a spiritual focus to an emphasis on knowledge expansion.

A) Most early civilizations believed that illness had supernatural causes.

7. What was one barrier to the development of the nursing profession in the United States after the Civil War? A) lack of educational standards B) hospital-based schools of nursing C) lack of influence from nursing leaders D) independence of nursing orders

A) lack of educational standards

4. A group that lobbies at the state and federal level for advancement of nursing's role, economic interest, and health care is the: 1. State Board of Nursing 2. American Nurses Association 3. American Hospital Association 4. National Student Nurses Association

2. American Nurses Association

12. In the ANA Standards of Professional Performance, which one of the following is a specific measurement criterion for "The nurse's decisions and actions on behalf of clients are determined in an ethical manner"? 1. Acts as client advocate 2. Participates in the collection of client data 3. Seeks experiences to maintain clinical skills 4. Consults with appropriate health care providers

1. Acts as client advocate

7. Nurses have the opportunity to work in a wide variety of health care agencies around the world. The practice setting where the majority of nurses continue to work is: 1. Acute care 2. Home care 3. Long-term care 4. Ambulatory care

1. Acute care

10. In 1893 Lillian Wald and Mary Brewster made significant contributions to the nursing profession through their work involving the: 1. Henry Street Settlement in New York 2. First training school in Toronto, Canada 3. Training school at Johns Hopkins in Baltimore 4. Development of the American Journal of Nursing

1. Henry Street Settlement in New York

22. Nurses are caring for clients from a variety of cultures primarily as a result of: 1. Increased ease of travel and mobility 2. Political unrest in many foreign countries 3. Increased incidence of contagious diseases 4. Poor health care in underdeveloped countries

1. Increased ease of travel and mobility

6. A nurse is caring for a client who has chronic renal failure. The nurse states, "We will do everything possible to return you to the optimum level of self-care possible." In coordinating an approach to best meet the needs of this client, the nurse is fulfilling the role of: 1. Manager 2. Educator 3. Counselor 4. Communicator

1. Manager

5. A nurse moves from Seattle to Boston and begins working in a hospital. The most important factor for the nurse to consider when moving to another state is the: 1. Massachusetts Nurse Practice Act 2. Standard for nursing practice in Boston 3. Clinical ladder of mobility in the new hospital 4. Requirement for continuing education units (CEU) in Massachusetts

1. Massachusetts Nurse Practice Act

21. The human rights movement most directly impacts nursing practice because: 1. Nurses act as advocates for all clients 2. Clients require someone to focus on their needs 3. Caring for clients is the focus of nursing practice 4. Everyone deserves to be treated fairly and with respect

1. Nurses act as advocates for all clients

3. The number of medically uninsured clients requiring nursing care has been impacted by: (Select all that apply.) 1. Rising unemployment rates 2. Decreasing rural population 3. Migration to the urban centers 4. Growth in mental illness diagnoses 5. Escalating cost of medical insurance 6. Increasing numbers in the homeless population

1. Rising unemployment rates 4. Growth in mental illness diagnoses 5. Escalating cost of medical insurance 6. Increasing numbers in the homeless population

1. Which of the following activities reflect the nurse's role in health promotion and wellness? (Select all that apply.) 1. Screening the local homeless population for head lice 2. Monitoring blood pressures at a community health fair 3. Organizing a foot race to benefit national cancer research 4. Consulting a teenage mother on breast-feeding techniques 5. Providing literature on smoking cessation to client families 6. Presenting a nursing workshop on the care of diabetic ulcers

1. Screening the local homeless population for head lice 2. Monitoring blood pressures at a community health fair 4. Consulting a teenage mother on breast-feeding techniques 5. Providing literature on smoking cessation to client families

13. In looking at the nineteenth century, the growth of professional nursing was stimulated by: 1. The Civil War 2. Federal legislation 3. Florence Nightingale 4. The women's suffrage movement

1. The Civil War

14. Which of the following educational activities is an example of in-service education? 1. A workshop given at a nursing convention on malpractice 2. A program on new cardiac medications provided at a local hospital 3. Credit courses in communication offered at the community college 4. Noncredit courses on nursing issues available through the internet

2. A program on new cardiac medications provided at a local hospital

2. Changes in recent population demographics that have impacted the delivery of nursing care include the following: (Select all that apply.) 1. Increased birth rates 2. Increased life expectancy 3. Decreasing rural population 4. Expanding urban settlement 5. Advances in medical modalities 6. Availability of free public education

2. Increased life expectancy 3. Decreasing rural population 4. Expanding urban settlement

3. The minimum educational requirement for a nurse practitioner is: 1. Diploma in nursing 2. Master's in nursing 3. Doctorate in nursing 4. Baccalaureate in nursing

2. Master's in nursing

18. Which of the following statements best reflects Nightingales' nursing philosophy on health maintenance and restoration? 1. "Did all the clients eat a good breakfast?" 2. "What is the client rating his pain level after his medication?" 3. "Have any clients developed a nosocomial infection last month?" 4. "Is anyone interested in volunteering to mentor our new graduates?"

3. "Have any clients developed a nosocomial infection last month?"

11. To obtain a certification in a specialty area, the nurse will have to complete: 1. A request for state approval 2. A graduate degree in nursing 3. An examination and the minimum practice requirements 4. A general examination given to all nurses seeking certification

3. An examination and the minimum practice requirements

1. Contemporary nursing practice is based on knowledge generated through nursing theories. Florence Nightingale's theory introduced the concept that nursing care focuses on: 1. Psychological needs 2. A maximal level of wellness 3. Health maintenance and restoration 4. Interpersonal interactions with the client

3. Health maintenance and restoration

17. The nurse is best able to provide quality care that benefits both client and family by: 1. Incorporating caring into the practice 2. Making the client the center of the practice 3. Integrating the science and art of nursing into the practice 4. Being knowledgeable of the institution's standards of practice

3. Integrating the science and art of nursing into the practice

20. The best example of the impact of the women's movement on health care is: 1. Improvement in breast cancer survival rates 2. Insurance coverage for well-woman check-ups 3. Women subjects to be included in all appropriate health research projects 4. A single, teenage mother receiving Women, Infants, and Children (WIC) benefits

3. Women subjects to be included in all appropriate health research projects

16. The nurse assists the client in a health promotion activity that also reduces the cost of health care delivery when: 1. Administering medication 2. Treating a diabetic foot ulcer 3. Obtaining an operative consent 4. Discussing exercise and nutrition

4. Discussing exercise and nutrition

19. The twentieth century is recognized for which of the following nursing concepts? 1. Code of Nursing Ethics 2. Hospital-based nursing care 3. Specialized nursing textbooks were adopted. 4. Formalized university-based nursing education

4. Formalized university-based nursing education

9. The Goldmark Report concluded that: 1. Nursing roles and responsibilities required clarification 2. A theory-based curriculum was necessary for accreditation 3. Nursing education programs must be affiliated with universities 4. Increased financial support should be provided for nursing education

4. Increased financial support should be provided for nursing education

15. Nurses need to be aware of current trends in the health care delivery system in order to respond in educational preparation and practice. A major trend that is influencing nursing practice today is: 1. Decreased client acuity 2. Increased hospital stays 3. Decreased emphasis on health promotion 4. Increased incidence of chronic disease processes

4. Increased incidence of chronic disease processes

8. A client is receiving Dilantin to prevent seizure activity. To which allied health care professional should the nurse refer this client in order to minimize the challenges this condition creates? 1. Physical therapist 2. Physician's assistant 3. Respiratory therapist 4. Occupational therapist

4. Occupational therapist

23. Risk for injury during client transfer is minimized most effectively by: 1. Implementation of lift teams 2. Yearly personnel training sessions 3. Using mechanical lifts when possible 4. Use of evidence-based techniques

4. Use of evidence-based techniques

9. Which of the following nursing groups provides a definition and scope of practice for nursing? A) ICN B) AAN C) ANA D) The Joint Commission

B) ANA

Which of the following nursing pioneers established the Red Cross in the United States in 1882? A) Florence Nightingale B) Clara Barton C) Dorothea Dix D) Jane Addams

B) Clara Barton

12. A nurse caring for a patient with diabetes chooses an appropriate plan of care and devises interventions to accomplish the desired outcomes. This is an example of using which of the following type of nursing skills? A) Technical B) Cognitive C) Interpersonal D) Ethical/Legal

B) Cognitive

8. Which of the following individuals provided community-based care and founded public health nursing? A) Adelaide Nutting B) Lillian Wald C) Sojourner Truth D) Clara Barton

B) Lillian Wald

17. A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document: Healthy People 2010. Which of the following is a health indicator discussed in this document? A) cancer B) obesity C) diabetes D) hypertension

B) obesity

10. Teaching a woman about breast self-examination is an example of what broad aim of nursing? A) promoting health B) preventing illness C) restoring health D) facilitating coping with disability and death

B) preventing illness

18. A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. This is an example of which of the following aims of nursing? A) promoting health B) preventing illness C) restoring health D) facilitating coping with disability or death

B) preventing illness

Which of the following set of terms best describes nursing at the end of the Middle Ages? A) continuity, caring, critical thinking B) purpose, direction, leadership C) assessment, interventions, outcomes D) advocacy, research, education

B) purpose, direction, leadership

24. What is the primary purpose of standards of nursing practice? A) to provide a method by which nurses perform skills safely B) to ensure knowledgeable, safe, comprehensive nursing care C) to establish nursing as a profession and a discipline D) to enable nurses to have a voice in healthcare policy

B) to ensure knowledgeable, safe, comprehensive nursing care

20. Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree? A) providing direct physical care B) using research findings to improve practice C) administering medications as prescribed D) collaborating with other healthcare providers

B) using research findings to improve practice

14. A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down's Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role? A) Teacher/Educator B) Leader C) Counselor D) Collaborator

C) Counselor

Who is considered to be the founder of professional nursing? A) Dorothea Dix B) Lillian Wald C) Florence Nightingale D) Clara Barton

C) Florence Nightingale

26. A nurse has been tried and found guilty of the felony crime of forgery. How might this affect the nurse's license to practice nursing? A) It will have no effect on the ability to practice nursing. B) The nurse can practice nursing at a less-skilled level. C) The license may be revoked or suspended. D) The license will permanently carry the felony conviction.

C) The license may be revoked or suspended.

Which of the following statements accurately describe an element of nursing? Select all that apply. A) The skills involved in nursing are primarily technical in nature. B) The primary focus of nursing is to assist individuals to recover from illness. C) The science of nursing is the knowledge base for the care that is given. D) The art of nursing is the collection of knowledge through research. E) Nursing is considered to be both an art and a science. F) Nursing is a profession that used specialized knowledge and skills.

C) The science of nursing is the knowledge base for the care that is given. E) Nursing is considered to be both an art and a science. F) Nursing is a profession that used specialized knowledge and skills.

25. After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice? A) enrolling in an advanced degree program B) filing NCLEX results in the county of residence C) being licensed by the State Board of Nursing D) having a signed letter confirming graduation

C) being licensed by the State Board of Nursing

11. What nursing activity would meet the broad nursing aim of facilitating coping with disability and death? Select all that apply. A) conducting a blood pressure screening program B) teaching testicular self-examination C) referring to a community diabetic support group D) administering intravenous fluids E) admitting a patient to a hospice program F) performing a physical assessment on a patient

C) referring to a community diabetic support group E) admitting a patient to a hospice program

22. Why are nursing organizations important for the continued development and improvement of nursing as a whole? A) to provide socialization and networking for members B) to regulate work activities for members C) to set standards for nursing education and practice D) to provide information to nurses about legal requirements

C) to set standards for nursing education and practice

15. A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Which of the following actions is the best example of using the collaborator role as a nurse? A) Discussing the legal aspects of adoption for teens wishing to place their infants with a family B) Searching the Internet for information on child care for the teens who wish to return to school C) Conducting a patient interview and documenting the information on the patient's chart D) Referring a teen who admits having suicidal thoughts to a mental healthcare specialist

D) Referring a teen who admits having suicidal thoughts to a mental healthcare specialist

19. Which of the following is a criteria that defines nursing as profession? A) an undefined body of knowledge B) a dependence on the medical profession C) an ability to diagnose medical problems D) a strong service orientation

D) a strong service orientation

27. Nurses use the nursing process to focus care on human responses to what? A) interactions with the environment B) physical effects of disease C) outcomes of medical or surgical treatment D) actual or potential health problems

D) actual or potential health problems

29. Which of the following is a current trend affecting nursing education and practice? A) over abundance of graduating nurses B) office-based care delivery systems C) increase in length of hospital stay D) increase in chronic health conditions

D) increase in chronic health conditions

21. Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. What nursing degree will she need to attain this goal? A) licensed practical nurse B) associate degree C) baccalaureate degree D) master's degree

D) master's degree