Week 1 - Chapter 1: Introduction to Nursing
Which social force has most significantly impacted the future supply and demand of nurses?
aging
A nurse is considering relocating to another state to practice nursing. Which is the most appropriate action by the nurse to ensure ability to practice in the new state? a. No action is needed by the nurse. b. applying for a reciprocal license in the new state c. asking the current state to transfer the license d. taking the new state's licensing exam
b
Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting? a. medical centers b. outpatient facilities c. community health care centers d. hospitals
b. outpatient facilities
The Standards of Practice provide nurses with: a. information about potential drug interactions. b. legislation for health care reform. c. guidelines for providing care. d. measurement criteria for payment.
c
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? a. application of research b. science of nursing c. evidence-based practice d. art of nursing
d
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 of each step? a. Caregiver b. Educator c. Decision-maker d. Client advocate
b. Educator
The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented? a. The RN identifies client outcomes. b. The RN educates about preventing falls. c. The RN promotes a safe environment. d. The RN develops a plan of care.
c
Which actions are examples of an RN participating in illness prevention for a client with hypertension? Select all that apply. a. teaching lifestyle modifications b. reporting low bp to the physician c. administering ordered medications d. providing literature on heart healthy diets e. performing risk screenings for hypertension
a, d, and e
After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that: a. members include nurses, other health care providers, and lay people. b. membership is open to all nurses in the United States. c. ANA aims at fostering high standards of nursing in the United States. d. ANA invites students showing excellence in scholarship to become members.
c
Which scenario is the best example of a nurse implementing care according to the ANA standards of practice? a. Taking a client's apical and radial pulse rates b. Analyzing a client's blood glucose levels c. Providing nutrition teaching to a client with diabetes d. Determining that a client is at risk for falls
c. Providing nutrition teaching to a client with diabetes
The nurse is caring for a postoperative client, and administers a pain medication prescribed on a p.r.n. basis by the health care provider. What best describes the type of intervention the nurse is demonstrating? a. nurse-prescribed intervention b. client advocacy intervention c. collaborative intervention d. dependent intervention
c. collaborative intervention
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 quit smoking. A nurse encourages a colleague to join the hospital journal club. A nurse helps a colleague write a journal article. 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 hospital journal club. A nurse encourages a colleague to join the American Nurses Association (ANA).
A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers? A) They are responsible for the continued development and advancement of nursing. B) They usually have a baccalaureate degree in nursing. C) They serve as liaisons between staff members and directors of nursing. D) They tend to work in community health centers and long-term care units.
A) They are responsible for the continued development and advancement of nursing.
Which nursing activities will be most effective to help achieve the Healthy People 2020 guideline to eliminate health disparities among clients? Conducting colorectal screenings at a health care provider's office Conducting blood pressure screenings in an underserved area Administering routine immunizations at the health clinic Providing smoking cessation programs to young males
Conducting blood pressure screenings in an underserved area
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? Communicator Caregiver Client advocate Manager and coordinator
Manager and coordinator
The nurse is demonstrating traits of leadership. What actions by the nurse would be recognized as leadership behaviors? Select all that apply. Serves as president of local chapter of Sigma Theta Tau International Attends a mandatory hospital in-service Communicates an issue to a fellow colleague in the cafeteria Participates on an evidence-based practice council Develops and implements a quality improvement project
Serves as president of local chapter of Sigma Theta Tau International Develops and implements a quality improvement project Participates on an evidence-based practice council
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 prescribes diets for clients. The RN promotes healthy blood pressure. The RN identifies client outcomes. The RN implements the client's care.
The RN identifies client outcomes.
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 promote health To faciliate coping To restore health To prevent illness
To restore health
Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting? a. outpatient facilities b. community health care centers c. hospitals d. medical centers
a
The client's plan of care is created by the nurse using which guideline for nursing practice? a. Nursing process b. ANA Standards of Nursing Practice c. Nursing's Social Policy Statement d. Nurse practice act
a
What are the best examples of the role of the nurse as a communicator? Select all that apply. a. Calling a physician about a client's blood pressure b. Telling a client their blood pressure c. Informing the physical therapist that the client's therapy was discontinued d. Discussing laboratory values with a client e. Telling a friend about something that happened to a client that day
a, b, c, d
During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply. a. Communicator b. Teacher c. Statistician d. Financier e. Counselor
a, b, e
The nurse is attempting to provide anticipatory guidance for the parents of an 18-month-old child. Which statement would be best for the nurse to make? a. "Does the child have nightmares often?" b. "Do not give the child a bottle now." c. "The child is in the 95th percentile for weight." d. "Keep all medications in a locked cabinet."
d
which social force has most significantly impacted the future supply and demand of nurses? a. science b. technology c. economics d. aging
d. aging
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 the composition of the pts fam willingness to follow the health regimen physical and psychological abilities to carry out the plan level of knowledge
level of motivation physical and psychological abilities to carry out the plan level of knowledge willingness to follow the health regimen
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? art of nursing conduction of research quality improvement science of nursing
science of nursing
Which scenario is the best example of the nurse in the role of teacher/educator? Teaching a first-grader to read Communicating discharge status to a home care agency Assessing whether the client is able to perform a dressing change Conducting research on dressing changes
Assessing whether the client is able to perform a dressing change
A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care? A) The nurse's actions B) The client receiving the care C) The nurse as the caregiver D) Nursing as a profession
B) the client receiving the care
Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this? A) Taking an online class at a university B) Participating in a paid internship C) Completing clinical hours supervised by a nursing instructor D) Passing the NCLEX exam
C) Completing clinical hours supervised by a nursing instructor
The nurse is helping the unlicensed assistive personnel (UAP) bathe the client, who is experiencing a lot of pain when repositioned in bed. Which nursing responsibility is the nurse demonstrating? Decision maker Educator Client advocate Manager and Coordinator
Client advocate
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? Hospital stays are much longer these days. Health care delivery systems are less controversial now. Clients enter the health care system acutely ill. Nurses rely on intuition to make decisions today.
Clients enter the health care system acutely ill.
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. Code of ethics Sets standards Well-defined body of knowledge Ongoing research Regulation by the medical profession
Code of ethics Sets standards Well-defined body of knowledge Ongoing research
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? Education Diagnosis Evaluation Collaboration
Collaboration
Then nurse is providing flu shots to older adult clients at a nurse-managed wellness center. This is an example of which aim of nursing? Restoring health Promoting health literacy Preventing illness Coping with disability
Preventing illness
Trends in managed care have resulted in an increased focus on the care of clients by nurses in which settings? a. community based settings b. hospital settings c. critical care units d. long-term care settings
a. community based settings
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? A) The nurse conducting a blood pressure screening at a local church B) The nurse offering to get a shaman for a dying client C) The nurse working in a Christian hospital D) The nurse providing communion to a client in the hospital
A) the nurse conducting a blood pressure screening at a local church
A nurse is considering relocating to another state to practice nursing. Which is the most appropriate action by the nurse to ensure ability to practice in the new state? a. applying for a reciprocal license in the new state b. taking the new state's licensing exam c. No action is needed by the nurse. d. asking the current state to transfer the license
a. applying for a reciprocal license in the new state
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 advocating for the client at all times good teamwork and team-building skills educational attainment such as Master's of Nursing
advocating for the client at all times
Which explanation accurately differentiates the role of the registered nurse (RN) from that of the licensed practical/vocational nurse (LPN/LVN)? A) The RN is permitted to prescribed medications. B) The LPN/LVN can only work in a long-term care facility. C) The RN directs the workload of an LPN/LVN. D) The LPN/LVN should work under the supervision of an RN.
D) The LPN/LVN should work under the supervision of an RN
Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply Changing the bandages of a client who has undergone heart surgery Providing counseling for the family of a teenager with an eating disorder Assisting a client and his family to prepare for death Teaching a class on the nutritional needs of pregnant women Teaching a client and her family how to live with diabetes Starting an intravenous line for a malnourished older adult client
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
Establishing the criteria for the education and licensure of nurses is a component of: a state's nurse practice act. evidence-based practice. the ANA Standards of Practice. the U.S. Department of Health and Human Services' Healthy People 2020 document.
a state's nurse practice act.
Which action by the nurse best represents the evaluative portion of the nursing process? educating a client on how to take one's own blood pressure every morning assessing a client's blood pressure after teaching stress reduction techniques determining that a client is at risk for a fall while in the hospital assessing a client's blood pressure after giving a cup of coffee
assessing a client's blood pressure after teaching stress reduction techniques
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
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: A) "Everything in nature is alive with invisible forces." B) "The physician is viewed as a god-like figure." C) "The nurse is the handmaiden of the physician." D) "Pets can help heal clients."
A) "Everything in nature is alive with invisible forces"
Which scenario is the best example of a nurse in the role of counselor? A) A nurse allowing a crying client to verbalize fears of death B) A nurse telling a client the side effects of a medication C) A nurse providing the physician a client's test results D) A nurse ensuring that a client has follow-up care at a free clinic
A) A nurse allowing a crying client to verbalize fears of death
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? A) Clinical nurse specialist B) Nurse manager C) Nurse-midwife D) Physician assistant
A) Clinical nurse specialist
Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding? A) Refer the mother for a home care visit. B) Ask the mother to come to the emergency room. C) Email the mother a link for breastfeeding. D) Suggest that the mother bottle feed her infant.
A) Refer the mother for a home care visit
The registered nurse (RN) working with a licensed practical nurse (LPN) understands which about LPNs? A) They must take a licensure exam. B) They may work independently. C) They have a higher degree than most RNs. D) The program is 4 years in length.
A) They must take a licensure exam
Which nursing action best exemplifies the nurse's role in promoting health? A) encouraging a group of junior high school students to engage in regular physical activity B) facilitating a support group for the friends and families of clients affected by stroke C) performing deep suctioning on a client who has a tracheotomy and copious secretions D) administering a beta-adrenergic blocker and diuretic to a client who has a history of hypertension
A) encouraging a group of junior high school students to engage in regular physical activity
Which standards are monitored by the Quality and Safety Education for Nurses (QSEN)? Select all that apply. Quality improvement Evidence-based practice Informatics Client-centered care Nursing certification
Evidence-based practice Client-centered care Informatics Quality improvement
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? a. science of nursing b. conduction of research c. art of nursing d. quality improvement
a
The nursing process is: the promotion of health, prevention of illness, and care of ill, disabled, and dying individuals. a critical thinking method used by nurses to provide nursing care that is individualized and holistic. an approach for identifying and analyzing the best available scientific evidence for nursing care. a mechanism for increasing the knowledge and skill of the nurse through programs of education.
a critical thinking method used by nurses to provide nursing care that is individualized and holistic.
The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. Which statement on the assessment of the nursing process is accurate? a. The nurse collects comprehensive data pertinent to the client's health or situation. b. The nurse monitors the ethical conduct of authorities and clients. c. The nurse evaluates progress toward implemented actions d. The nurse dictates the plan that prescribes strategies of care.
a. The nurse collects comprehensive data pertinent to the client's health or situation.
The RN is working with hospital administrators to transform care at their facility. Which nursing competency will be critical for the nurse to utilize? a. Do things the way they have always been done b. Work effectively in interdisciplinary teams c. Correctly utilize and troubleshoot high-tech equipment d. Navigate the electronic medical records system
b
Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply. a. Starting an intravenous line for a malnourished older adult client b. Teaching a client and her family how to live with diabetes c. Providing counseling for the family of a teenager with an eating disorder d. Assisting a client and his family to prepare for death e. Teaching a class on the nutritional needs of pregnant women f. Changing the bandages of a client who has undergone heart surgery
b, c, d
After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that: a. members include nurses, other health care providers, and lay people. b. ANA aims at fostering high standards of nursing in the United States. c. membership is open to all nurses in the United States. d. ANA invites students showing excellence in scholarship to become members.
b. ANA aims at fostering high standards of nursing in the United States.
A nurse is helping a client on hospice make an informed decision about his own health and life. Which nursing role has this nurse performed? a. Caregiver b. Advocate c. Counselor d. Communicator
b. Advocate
A nurse has recently completed the administration of seasonal influenza vaccinations for the residents of a long-term care facility. Which aim of nursing has the nurse most clearly demonstrated? a. restoring health b. facilitating coping c. preventing illness d. promoting health
c
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? a. Limitations that nurses have in the workforce b. Rapid growth of nurses and shortage of job opportunities c. Difficulty for nurses to remain current in a rapidly changing medical and technology environment d. Decrease in health care costs
c
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: a. assistive functioning. b. independent functioning. c. collaborative functioning. d. authoritative functioning.
c
The primary aim of the Healthy People 2020 initiative is: a. illness prevention. b. coping with disability. c. health promotion. d. health restoration.
c
When administering immunizations, the nurse is engaged in: a. coping facilitation b. health promotion c. illness prevention d. health restoration
c
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? a. "They are called vital signs because the blood pressure is very important." b. "The term has just evolved over time without a clear definition for why." c. "Because significant deviation from normal is not compatible with life." d. "They are called vital signs because they are the first things the nurse does when admitting a patient to the hospital."
c. "Because significant deviation from normal is not compatible with life."
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. a. Encourage the family to leave and let the nurse take over care. b. Inform the family that there is nothing they can do for their loved one. c. Assist the client and family with the preparation for end-of-life. d. Assist the client with activities of daily living (ADLs). e. Refer the client and family to hospice services.
c. Assist the client and family with the preparation for end-of-life. d. Assist the client with activities of daily living (ADLs). e. Refer the client and family to hospice services.
The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented? a. The RN develops a plan of care. b. The RN educates about preventing falls. c. The RN promotes a safe environment. d. Th RN identifies client outcomes.
c. The RN promotes a safe environment.
The registered nurse communicates 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? a. The RN identifies outcomes. b. The RN analyzes client data. c. The RN collects client data. d. The RN coordinates care delivery.
d
What is the best nursing intervention to promote health in a client at risk for heart disease? a. Instructing the client to adhere to a high-sodium diet b. Taking the client's pulse rate daily c. Informing the client that the client must lose weight d. Emphasizing a client's strengths to encourage weight loss
d
Which is the best example of a nurse demonstrating the role of caregiver? a. reporting lab values to a client's physician b. assigning a room for a new hospital client c. referring the client to a mental health clinic d. starting an intravenous line in the client's arm
d
Which callenge associated with technology most affects nurses today? a. The identification of super bugs (such as MRSA) b. The use of computerized physician order entry (CPOE) c. The use of electronics (such as a vital sign machine) to monitor clients d. Client privacy issues within the social media realm
d. Client privacy issues within the social media realm
Which nursing actions are characteristic of the nurse's role as communicator? a. Effecting change within a group b. Facilitating clients' problem-solving and decision-making skills c. Assessing, implementing, and evaluating individual teaching plans to meet learning needs d. Establishing and maintaining helping relationships with clients of all ages in a variety of settings
d. Establishing and maintaining helping relationships with clients of all ages in a variety of settings
The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse? a. The RN prays with clients. b. The RN provides spiritual counseling. c. The RN collaborates with spiritual healers. d. The RN collects comprehensive data.
d. The RN collects comprehensive data.
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. client advocate educator decision-maker communicator caregiver
educator communicator caregiver
