306 Test 1 – Flashcards
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to ensure knowledgeable, safe, comprehensive nursing care
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What is the primary purpose of standards of NURSING PRACTICE?
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Correct Concepts or propositions that project a systematic view of phenomena
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In preparing to review different theories, the nurse reviews basic information to ASSIST in understanding the material. Theories are defined as:
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A well-lit, ventilated room
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A NURSE is preparing to teach a patient about heart failure. Which environment is best for patient learning?
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Master's Degree
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Amy Jones, a high school senior, wants to be a geriatric nurse practitioner. What NURSING DEGREE will she need to attain this goal?
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Empathic
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Which term describes a nurse who is sensitive to the client's feelings, but remains objective enough to help the client achieve positive outcomes?
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Return demonstration
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A patient has been taught how to cough and deep breathe. Which evaluation method is most appropriate?
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The working phase
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A dialysis nurse is educating a client on caring for the dialysis access that was inserted in the client's right arm. The nurse assesses the client's fears and concerns related to dialysis, the dialysis access, and care of the access. This information is taught over several sessions during the course of the client's hospitalization. What phase of the working relationship is best described in this scenario?
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"What do you think has been causing your current depression?"
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The nurse decides to interview the client using the open-ended question technique. Which of the following statements reflects this type of questioning?
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reminiscing about life events
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Using Erikson's theory, which of the following activities would the nurse use to provide a sense of fulfillment and purpose in later adulthood?
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Short of breath, has a tracheostomy, and is anxious.
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The patient that will cause the greatest communication concerns for a nurse is the patient who is
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The nurse files an incident report regarding a medication error.
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Which of the following nursing situations best reflects accountability?
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Counselor
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A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role?
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"Did you take those drugs?"
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Which of the following is an example of a closed-ended question or statement?
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I don't feel good.
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A nurse is standing beside the patient's bed. Nurse: How are you doing? Patient: I don't feel good. In this situation, which element is the feedback?
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Demonstrate the procedure on a teddy bear.
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A nurse is teaching a 7-year-old diabetic child who is in Piaget's concrete operational stage about insulin injections. Based on Piaget's theory, what would be the nurse's best method of preparation for this child?
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A nurse helps a patient prepare a living will.
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Which one of the following examples of nursing actions would be considered an ethical/legal skill?
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Sits facing the client
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Communication involves both active listening and body language working together. The nurse actively listens to the client and:
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An ethical dilemma about inconsistent courses of action
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A client nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the client. What situation does this create for the nurse providing care?
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Critical thinking
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What is a systematic way to form and shape one's thinking?
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Immediately after the education session
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What is the best time to evaluate one's own teaching effectiveness?
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Caring
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What word or phrase best describes an effective counselor?
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Advocacy
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The patient tells the nurse that she is afraid to speak up regarding her desire to end care for fear of upsetting her husband and children. Which principle in the nursing code of ethics ensures that the nurse will promote the patient's cause?
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The nurse's license may be revoked or suspended.
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A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported the action to the State Board of Nursing. How might this affect the nurse's license to practice nursing?
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Allow time for the patient to respond.
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A confused older adult patient is wearing thick glasses and a hearing aid. Which intervention is priority to facilitate communication?
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They outline the process of human growth and development.
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Why are the developmental theories important to nursing practice?
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Assessing
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A client comes to the emergency department complaining of severe chest pain. The nurse asks the client questions and takes vital signs. Which step of the nursing process is the nurse demonstrating?
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Missouri State Board of Nursing
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A nurse moves from Ohio to Missouri. Where can a copy of the Nurse Practice Act in Missouri be obtained?
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Being licensed by the State Board of Nursing
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After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice?
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Continuing education In-service education Continuing education In-service education
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After licensure, the practicing nurse is required to update his or her knowledge about the latest research and practice developments. The most common way nurses do this is through _____ programs. (Select all that apply.)
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1. Assessing 2. Diagnosing 3. Outcome Identification and Planning 4. Implementation 5. Evaluation
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The knowledge of the nursing process guides nurse-client communication. Arrange the steps of the nursing process in sequential order:
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Value judgments that can vary from person to person.
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Determinations regarding quality of life are
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Develop written materials in the client's native language.
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A nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq. Which of the following considerations is necessary for culturally competent client teaching?
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Doctor of Philosophy degree (PhD).
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The nurse has been working in the clinical setting for several years as an advanced practice nurse and has earned her master's degree as a family nurse practitioner. However, she seems unfulfilled and has a strong desire to do research. To fulfill her desire, the nurse most likely would apply to attend a program that would lead to a
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Clara Barton
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Which of the following nursing pioneers established the Red Cross in the United States in 1882?
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Florence Nightingale
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Who is considered to be the founder of professional nursing?
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Public
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A nurse wants to present information about flu immunizations to the elderly in the community. Which type of communication should the nurse use?
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Clara Barton.
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The American Red Cross was founded by
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Presence of conflicting values.
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Ethical dilemmas are common occurrences when caring for patients. The nurse understands that dilemmas are a result of
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Developed learning objectives
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While preparing a teaching plan, the nurse described what the learner will be able to accomplish after the teaching session. Which action did the nurse complete?
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Assess what the patient already knows about hypertension.
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A nurse is going to teach a patient about hypertension. Which action should the nurse implement first?
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"It helps explain how nursing is different from medicine."
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A staff nurse asks a student, "Why in the world are you studying nursing theory?" How would the student best respond?
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Apply a bandage to a doll's ear.
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A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage?
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Plaintiff
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A client is suing a nurse for malpractice. What is the term for the person bringing suit?
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Integrity
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A nursing student reports to the instructor that a medication due at 9 a.m. was omitted. Which of the following principles is the student demonstrating?
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An interpreter
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Which person is the best referral for a patient who speaks a foreign language?
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Nurse practitioner Clinical nurse specialist Nurse midwife Certified registered nurse anesthetist
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Which of the following is (are) an example of an advanced practice nurse? (Select all that apply.)
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Responsibility
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The nurse has become aware of missing narcotics in the patient care area. Which ethical principle obligates the nurse to report the missing medications?
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The client The environment Nursing
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A nursing student has been asked to correlate her clinical experiences with two different theories of nursing. The student will recognize that which of the following concepts are common to all theories of nursing? Select all that apply.
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whistle-blowing
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A nurse believes her employer has violated the law and reports this to the appropriate law enforcement agency. What is this type of action called?
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Cognitive
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A nurse instructs a client to tell her about the side effects of a medication. What learning domain is the nurse evaluating?
