nursing 224 – Flashcards
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The nurse is reviewing historic events in nursing for a presentation to be provided to new nursing students. In which chronological order should the nurse present these events? Begin with the earliest (1) and end with the most recent (5). Choice 1. The Order of Deaconesses opens a small hospital in Kaiserswerth, Germany. Choice 2. The Knights of St. Lazarus dedicates themselves to the care of people with leprosy, syphilis, and chronic skin conditions. Choice 3. Harriet Tubman provides care to slaves fleeing on the Underground Railroad. Choice 4. The Cadet Nurse Corps is established. Choice 5. Florence Nightingale administers to soldiers during the Crimean War.
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2, 1, 5, 3, 4
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The nurse is caring for a nurse who provided care to soldiers during the Vietnam War. What information in this patients history should the nurse use to understand the patients nursing career? 1. The patient was still a student when serving in the war. 2. The patients first patient care experiences were during a time of war. 3. The patient decided to leave the profession after serving in the war. 4. The patient contracted long-term illnesses from being overseas in a war.
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2
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The nurse is reviewing public health and health promotion roles for available for nurses. To which leader should the nurse attribute the development of these roles? 1. Clara Barton 2. Lillian Wald 3. Mary Brewster 4. Florence Nightingale
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4 Florence Nightingales vision of nursing included public health and health promotion roles for nurses, but it was only partly addressed in the early days of nursing. Her focus tended to be on developing the profession within the hospitals. Clara Barton is noted for establishing the American Red Cross. She persuaded Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could perform humanitarian efforts in times of peace. Lillian Wald is considered the founder of public health nursing. She and Mary Brewster were the first to offer trained nursing services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement.
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The nurse has been asked to participate on the hospitals Shared Governance Committee. To which nurse leader should the nurse attribute the ability for nurses to control the profession? 1. Mary Breckinridge 2. Lavinia Dock 3. Margaret Higgins Sanger 4. Virginia Henderson
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2 - Mary Breckinridge established the Frontier Nursing Service. - Lavinia Dock was a feminist, writer, and activist. She participated in protest movements for womens rights that resulted in passage of the 19th Amendment, which allowed women the right to vote. In addition, Dock campaigned for legislation to allow nurses, rather than physicians, to control their profession. - Margaret Higgins Sanger is considered the founder of Planned Parenthood. - Virginia Henderson was one of the first modern nurses to define nursing.
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While a nurse is conducting a health assessment, the individual asks why the term patient is being used. What should the nurse explain about the implication of the term patient? 1. The person is seeking assistance because of illness. 2. The individual is proactive in his or her health care needs. 3. The person is a collaborator in his or her care. 4. The individual is using a service or commodity.
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1
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The nurse is creating a community education program on health promotion and wellness. Which topic should the nurse use for this program? 1. Prenatal and infant care 2. Prevention of sexually transmitted disease 3. Exercise class for clients who have had a stroke 4. Home accident prevention
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4 Wellness is a process that engages in activities and behaviors that enhance quality of life and maximize personal potential. This involves individual and community activities to enhance healthy lifestyles, such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents in the home and workplace. The goal of illness prevention is to maintain optimal health by preventing disease, which would include immunization, prenatal and infant care, and prevention of sexually transmitted disease. Teaching clients about recovery activities, such as exercises that accelerate recovery after a stroke, would focus on health restoration.
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The nurse is offering free occult blood screening at a community health fair. Which level of practice is the nurse providing? 1. Promoting health and wellness 2. Illness prevention 3. Restoring health 4. Rehabilitation
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3
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The nurse has starting working in a state other than the one in which the nursing education program was located. Which of the following should the nurse consult in order to understand the implications of this change of venue? 1. American Nurses Association (ANA) 2. National League for Nursing (NLN) 3. National Council of State Boards of Nursing (NCSBN) 4. Nurse State Practice Act
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3 Nurse practice acts regulate the practice of nursing in the United States and Canada. Each state and each province has its own act. Nurses are responsible for knowing their states nurse practice act, as it governs their practice. The ANA is the professional organization of nursing, the NLN is responsible for accrediting schools of nursing, and the NCSBN handles licensure of professional nurses.
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A seasoned nurse is a mentor for a new graduate. Which of the standards of professional performance is the seasoned nurse practicing? 1. Collaboration 2. Leadership 3. Collegiality 4. Evaluation
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3 Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Leadership provides direction in a professional practice setting, and evaluation involves a comparison between ones own nursing practice and professional practice standards.
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The nurse ensures that a patient is covered during a bath. In which nursing role is the nurse functioning? 1. Caregiver 2. Communicator 3. Teacher 4. Client advocate
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1
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A client wishes to discontinue cancer treatment. If acting as the client advocate, which statement should the nurse make to the clients physician? 1. The client is making his own decision. 2. The client would benefit from additional information about treatment options. 3. The family must be involved in this decision. 4. Lets educate the family about the consequences of this decision.
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1
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The nurse has accepted a position as a case manager. What should the nurse expect to perform when functioning in this role? 1. Managing a clients hospital stay 2. Delegating activities to other nurses 3. Evaluating the performance of ancillary workers 4. Identifying areas of client concern or problems
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1
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The manager identifies that a nurse is practicing professionalism. What did the manager observe to come to this conclusion? 1. Recognizing characteristics considered to be professional 2. Maintaining specific character and spirit 3. Learning about the influences of Florence Nightingale 4. Promising to uphold the standards of the profession
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2 Professionalism refers to professional character, spirit, or methods. It is a set of attributes and a way of life that implies responsibility and commitment.
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The nurse is caring for several acutely ill patients. What nursing action demonstrates professional autonomy? 1. Delivering medications and prescribed treatments in a timely manner 2. Prioritizing client according to client needs 3. Communicating with peers when help is needed 4. Informing the supervisor about high acuity level and staff-to-client ratio
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2
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The student nurse contacts a number of other students to create a study group. What behavior is the student nurse demonstrating? 1. Governance 2. Socialization 3. Service orientation 4. Specialized education
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2
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The nursing instructor is explaining the present economic challenges in health care to students in a community health course. What should the instructor emphasize as being important for the students to be aware of? 1. Passage of the Affordable Care Act 2. Consumer presence on the boards of nursing associations and regulatory agencies 3. Diagnostic-related groups (DRGs) 4. Advances in science and technology
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1
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The community health nurse is caring for teenage mothers and their children. For what should the nurse assess these patients when determining their degree of vulnerability? 1. Distance separation from their nuclear families 2. Increased levels of poverty 3. Raising children without the support of family 4. The normal difficulties of adolescence
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2
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A client tells the nurse about research information on the Internet to learn more about a new health problem. What should the nurse respond to this client? 1. Information from the Internet isn't always accurate. 2. It's best to check this information with your physician. 3. Bring your information to the clinic so we can go through it together. 4. I'd prefer you rely on the information you haven't received from our office.
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3
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The nurse practitioner is working with a staff nurse to change the plan of care for a client with a terminal illness. In which areas of nursing practice are these nurses functioning? 1. Promoting health and wellness 2. Preventing illness 3. Restoring health 4. Caring for the dying
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4
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The nurse is scheduled to attend a continuing education program to learn about the latest urinary catheterization care. Which type of credential should the nurse expect to earn after attending this program? 1. None because this program is designed to enhance a skill 2. Advanced degree 3. Certification as a renal nurse 4. Credit hours toward an advanced degree
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1 The term continuing education (CE) refers to formalized experiences designed to enhance the knowledge or skills of practicing professionals. Compared to advanced educational programs, which result in an academic degree, CE courses tend to be more specific and shorter. Participants may receive certificates of completion or specialization.
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The nurse is planning to apply to graduate school to earn a masters degree in nursing. On what should the nurse expect the programs curriculum to focus? 1. An advanced leadership role 2. Case manager 3. Wound care specialist 4. Intravenous therapy specialist
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1
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The staff nurse is considering membership in the National League for Nurses. What should the nurse expect as a member of this organization? 1. Members that are non-nurses 2. Assistance with getting into graduate school 3. Opportunities to be awarded scholarships 4. Assistance with finding employment
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1 The NLN is an organization of both individuals and agencies. Its objective is to foster the development and improvement of all nursing services and nursing education. People who are not nurses but have an interest in nursing services can be members of the league.
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The nurse is consulting other professionals as well as educating, supporting, and managing a clients chemotherapy regimen. In which role is this nurse functioning? 1. Nurse practitioner 2. Clinical nurse specialist 3. Nurse educator 4. Nurse entrepreneur
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2 A clinical nurse specialist has an advanced degree or expertise and is considered to be an expert in a specialized area of practice (oncology in this case). The nurse provides direct client care, educates others, consults, conducts research, and manages care. A nurse practitioner has an advanced education, is a graduate of a nurse practitioner program, and usually deals with nonemergency acute or chronic illness and provides primary ambulatory care. The nurse educator is responsible for classroom and often clinical teaching. A nurse entrepreneur usually has an advanced degree, manages a health-related business, and may be involved in education, consultation, or research.
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A staff nurse is serving as a preceptor for nursing students. In which level of Benner's proficiency is this nurse practicing? 1. Stage II 2. Stage III 3. Stage IV 4. Stage V
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3
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The nurse is explaining the definition of being a nurse to a new nursing assistant. Which themes should the nurse include when talking with the assistant? Select all that apply. 1. Adaptive 2. Client-centered 3. Goal-directed according to the needs of the client 4. Diagnosis and treatment of disease 5. An art 6. A science
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1, 2, 5, 6
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A registered nurse is supervising several LPNs who provide patient care. Which responsibility should the registered nurse expect to complete? 1. Evaluating the care provided to the client 2. Administering intramuscular (IM) medications 3. Performing dressing changes 4. Delegating appropriate tasks to unlicensed client care providers (such as a nurses aide)
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1
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A faculty member is speaking to prospective students interested in enrolling in the BSN program at the university. What should the faculty member emphasize as a major incentive for students to select a BSN program over an ADN program? 1. Ability to work in critical care areas 2. Easier transition to graduate school 3. Better opportunity for career advancement 4. Liberal arts education
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3
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The ANAs proposal for entry level for professional practice initiated debate among nurses. Which nurse would be at greatest risk if the ANA proposal were implemented? 1. An RN with an associate degree who has a head nurse position 2. An RN with a BSN who is a staff nurse 3. An RN with a diploma who works overtime 4. An RN with an associate degree who is currently in school
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1
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A nurse is considering additional education to become a nurse researcher. To prepare for this role the nurse is reviewing the evolution of research in nursing. In which order should the nurse review this information? Put these events in chronological order, starting with the earliest (1) and proceeding to the most recent (4): Click and drag the options below to move them up or down. Choice 1. Centers for nursing research established Choice 2. Research focused on the study of nursing education Choice 3. Early stage of development Choice 4. Studies focused on the knowledge behind nursing practice Choice 5. Research focused on practice-related issues
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3, 1, 2, 4, 5
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A high school graduate is considering entering a nursing program that offers a baccalaureate degree. What organization accreditation should the nurse use to help select a nursing program? 1. NLN (National League for Nursing) 2. CCNE (Commission on Collegiate Nursing Education) 3. NCLEX (National Council Licensure Examination) 4. NCSBN (National Council of State Boards of Nursing)
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2
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The student nurse is reviewing the code of ethics prior to beginning a clinical assignment. On what areas should the nurse focus when providing client care? Standard Text: Select all that apply. 1. Support lifelong learning. 2. Ensure the safety of all clients. 3. Maintain client confidentiality. 4. Provide care in a professional manner. 5. Collaborate with students and faculty.
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2, 3, 4
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The nurse is interested in specializing in forensics. What should the nurse expect to learn prior to assuming the role of a forensics nurse? Standard Text: Select all that apply. 1. Knowledge about the legal system 2. Approaches to collecting evidence 3. Budgeting, staffing, and planning programs 4. Information necessary when providing testimony in court 5. Training in identification, evaluation, and documentation of injuries
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1,2,4,5
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which women made significant contributions to the nursing care of soldiers during the civil war? select all that apply 1. Harriet Tuman 2. Florence Nightingale 3. Fabiola 4. Dorothea Dix 5. Sojourner Truth
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1,4,5
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curricula for nursing education are strongly influenced by which of the following? select all that apply. 1. Physician groups 2. Professional nursing organizations 3. Individual state boards of nursing 4. Hospital administrators 5. The National Council of Stae Boards of Nursing
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2,3,5
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The nurse is reviewing the history of research in nursing care for a school project. In which chronological order should the nurse place the events that occurred in nursing research? Start with the earliest (1) to the most recent (4): Choice 1. The National Center for Nursing Research was created. Choice 2. The National Institute for Nursing Research was created. Choice 3. The journal Nursing Research was established. Choice 4. End-of-life/palliative care research was conducted.
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2, 3, 1, 4
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A nursing student is assigned to develop a research question using a quantitative approach. Which question should the student write that demonstrates this approach? 1. How do siblings react to a new baby of a second marriage after divorcing of their parents? 2. What dressing selections work best for a wound dehiscence? 3. What support do terminal cancer clients find least beneficial in hospice care? 4. Does expression of client spirituality affect recovery time?
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2 (?)
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A client has agreed to participate in a research study. Which action would constitute risks of harm to this client? 1. Withholding information about the study 2. Suggesting that participation would greatly benefit the client's financial situation 3. Giving the client false information about his or her participation 4. Providing the client's name as a participant in the study
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4
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A nursing instructor is researching the implementation of assigning study guides for homework points and the effect this has on the students test grades. The instructor reports group data for published research. Which research right did the instructor implement? 1. Right of full disclosure 2. Right of privacy 3. Right of self-determination 4. Risk of harm
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2
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The nurse researcher is considering whether the findings of a project may present uncertain results in the clinical area. Upon which criteria is the researcher reflecting? 1. Significance 2. Researchability 3. Confidentiality 4. Variables
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2
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A nurse researcher is considering the use of various nonpharmacological distraction techniques that have shown success for behavior control in troubled adolescents. Which criteria is this researcher considering to use? 1. Significance 2. Researchability 3. Feasibility 4. Interest
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1
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The nurse educator develops the research question: Do students who study in groups score better on the NCLEX exam when compared to students who study independently? Which phrase should the educator identify as the dependent variable? 1. Number of students in a study group 2. NCLEX scores of both groups 3. Students college GPAs 4. Time between graduation and sitting for the NCLEX
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2
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The nurse has defined a research problem. What action should the nurse take next? 1. Formulate a hypothesis. 2. Define variables. 3. Review the literature. 4. Select a design.
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3
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The nurse researcher is testing the effects of a new dressing preparation on certain participants, while continuing to use older but more familiar products on others. Which type of research design is the nurse using? 1. Quasi-experimental 2. Experimental 3. Nonexperimental 4. Pilot study
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2
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A researcher is conducting a study with single-parent families within a school system. What sample is the researcher using? 1. The school system 2. Children 3. Parents 4. Single-parent families
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4
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The nurse researcher is using an instrument that provides similar results each time its implemented. Which term should the researcher use to describe the quality of this instrument? 1. Validity 2. Reliability 3. Consistency 4. Variability
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2
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The student nurse is examining the dispersion of data in a research study. Which measurements should this student expect to review? 1. Mean, median, and mode 2. Range, variance, and standard deviation 3. Mean, range, and standard deviation 4. Measures of central tendency
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2
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After the data have been analyzed, the nurse realizes that the probability has a value of less than .05. What should this finding indicate to the nurse? 1. Statistically significant 2. Statistically insignificant 3. Chance occurrences 4. Generalized
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1
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The nursing student completes a literature review on evidence-based practice (EBP). Which action indicates that the student understands EBP? 1. Presenting a paper about EBP 2. Repositioning a client at risk for skin breakdown every 2 hours 3. Explaining EBP to fellow students 4. Trying to find other problems to implement EBP
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2
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A group of nurses is researching how care providers of Stage I/II Alzheimers clients use prior coping skills in dealing with their current situation. Which qualitative research tradition are these nurses using? 1. Grounded theory 2. Ethnography 3. Phenomenology 4. Substantive dimension
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3 Grounded theory is research to understand social structures and social processes. Ethnography is research that provides a framework to focus on the culture of a group of people. Phenomenology is research that investigates peoples life experiences and how they interpret those experiences. Using prior coping skills (life experiences) and applying them to current situations in order to interpret the process of Alzheimer's disease is an example of phenomenology. Substantive dimension is not a research tradition, rather a way to critique research reports.
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The nurse is evaluating the results of a study prior to implementing its findings into practice. Which action should the nurse take when scientifically validating the research results? 1. Scrutinizing how the study was conceptualized, designed, and conducted in order to make a judgment about the overall quality of its findings 2. Assessing how the study's findings compare to findings from other studies about the problem 3. Determining how the study's findings will transfer from the research conditions to the clinical practice conditions in which they will be used 4. Identifying practical or feasibility considerations that need to be addressed when applying the findings in practice
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1
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A nurse practitioner feels it is important to participate in nursing research. Which activity is most appropriate for this nurses level of education and position? 1. Helping to identify clinical problems in direct client care 2. Using research findings to develop policies and procedures 3. Critically analyzing and interpreting research for application to practice 4. Participating in data collection
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3
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A nurse researcher is exploring and formulating research problems. Which criteria should the nurse researcher consider in this process? Select all that apply. 1. Significance 2. Confidentiality 3. Researchability 4. Design 5. Feasibility 6. Interest to the researcher
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1，3，5，6
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The nurse is planning to use evidence-based practice to help guide the care of a client. In which order should the nurse implement the steps of EBP? Standard Text: Click and drag the options below to move them up or down. Choice 1. Design practice change. Choice 2. Assess the need for a change in practice. Choice 3. Integrate and maintain change in practice. Choice 4. Implement and evaluate the change. Choice 5. Critically analyze the evidence. Choice 6. Locate the best evidence.
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2, 6, 5, 1, 4, 3
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The nurse educator is reviewing concerns about the use of research for evidence-based practice. What particular concerns should the nurse highlight when discussing the use of research with the students? Select all that apply. 1. When evidence-based practice is done appropriately, the process often becomes cost-prohibitive. 2. The research environment results in strictly constructed and controlled circumstances. 3. There is a best solution or practice for any specific research question. 4. Evidence-based practice is most applicable to physiological problems. 5. Research evidence can be flawed when applied to various cultures and ethnic groups.
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2，3，4，5
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The nurse using evidence-based practice to guide care has identified a study in which the findings would be appropriate to address a clients health care need. What actions should the nurse take before implementing these findings? Standard text: Select all that apply. 1. Ask the client if the findings can be used. 2. Immediately apply the findings to client care. 3. Examine how the findings fit with the clients health needs. 4. Determine if resources are available to implement the findings. 5. Identify organization policies to support or address the findings.
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1，3，4，5
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The nurse researcher is determining the best way to formulate a research problem. What should the nurse identify if implementing the PICO format? Standard text: Select all that apply. 1. Intervention to use 2. Problem of interest 3. Comparison of treatments 4. Outcome of the treatments 5. Individuals to perform actions
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1，2，3，4
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Nursing students have been assigned to develop their own theory of nursing. What should they include in their theory, often referred to as the metaparadigm for nursing? 1. Society, medicine, nursing, and biology 2. Patient, facility, health, and nursing 3. Organization, discipline, nursing, and client 4. Client, environment, health, and nursing
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4
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Nursing students are researching how cultural practices affect the dying process of terminal cancer clients. For their research, which theory will the students most likely explore? 1. Critical theory 2. Midlevel theories 3. Grand theories 4. Stability models
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1
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A nurse is caring for a client with a severe head trauma. Each shift, the nurse pays attention to the lighting, atmosphere, and surroundings the client is exposed to. The nurse is functioning according to the assumptions of which nursing theorist? 1. Dorothea Orem 2. Martha Rogers 3. Florence Nightingale 4. Jean Watson
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3
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Nursing staff members from an acute psychiatric unit have been asked to establish a nurse theorist they can easily identify with in their practice. Understanding the importance of developing a therapeutic relationship between themselves and their clients, especially in this unit, to which theorist would they most likely be drawn? 1. Florence Nightingale 2. Hildegard Peplau 3. Jean Watson 4. Dorothea Orem
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2
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During a hospital stay, the client has taken control of her recovery and rehabilitation and is utilizing available resources for her needs. In which level of Peplaus model should the nurse determine that this patient is functioning? 1. Orientation 2. Identification 3. Exploitation 4. Resolution
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3
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A Department of Nursing within a medical center is adopting the theory that is founded on 14 fundamental needs of individuals. Which nurse theorist is this department using to guide client care? 1. Dorothea Orem 2. Florence Nightingale 3. Martha Rogers 4. Virginia Henderson
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4
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A nurse has implemented the use of noncontact therapeutic touch. Which theorist is the nurse using as a basis for this intervention? 1. Florence Nightingale 2. Martha Rogers 3. Virginia Henderson 4. Rosemarie Parse
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2
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The nurse is teaching health and wellness principles to junior high students. According to Orems theory, which category of self-care requisite is the nurse using to guide this teaching? 1. Universal 2. Developmental 3. Health deviation 4. Deficit
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2
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The nurse is caring for clients in Stage II/III Alzheimers disease. If Orems theory is applied, which type of nursing system should the nurse use when providing client care? 1. Supportive 2. Educative 3. Partly compensatory 4. Wholly compensatory
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4
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A nurse educator incorporates stress, power, authority, and personal space along with other concepts and considers these concepts essential knowledge for use by nurses. From which theorist is the educator applying principles into the curriculum? 1. Dorothea Orem 2. Imogene King 3. Jean Watson 4. Hildegard Peplau
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2
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The nurse is applying Neumans systems model during client care. Which response should the nurse identify as an intrapersonal stressor to a client? 1. Inadequate health insurance coverage 2. Family members who quarrel frequently about the clients care 3. Adverse reaction to medication 4. Expectations regarding rehab
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3
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A client is being seen in the clinic for the final follow-up appointment after an extensive course of rehabilitation. According to Neumans model, which level of intervention should the nurse realize this patient is experiencing? 1. Primary prevention 2. Secondary prevention 3. Resistant prevention 4. Tertiary prevention
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4
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A client with a postoperative infection is afebrile but still receiving IV antibiotics. The nurse should realize that this client is receiving which level of prevention? 1. Primary 2. Secondary 3. Tertiary 4. Critical
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2
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A group of nursing students is helping to set up an immunization clinic. In which level of prevention are these students functioning? 1. Educational 2. Primary 3. Secondary 4. Tertiary
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2
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The nurse is preparing to complete a spiritual assessment with a client. Which theorist should the nurse review before completing this assessment? 1. Roy 2. Neuman 3. Nightingale 4. Peplau
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1
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The nurse observes a client working to include the spouse in the treatment and recovery process of an illness. Which of Roys modes 1. Physiologic 2. Self-concept 3. Role function 4. Interdependence
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4
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A client is experiencing metabolic acidosis, a condition that involves the bodys pH level, carbon dioxide level, and bicarbonate balance. According to Roys model, to which mode should the nurse realize that this client is responding? 1. Physiologic 2. Self-concept 3. Role function 4. Interdependence
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1
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A nurse has agreed to delay a clients treatment until the matriarch of the family can be present. Understanding that this is an important consideration for this clients cultural practices, which of Leiningers intervention modes is the nurse implementing? 1. Preservation and maintenance 2. Accommodation, negotiation 3. Restructuring 4. Repatterning
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2
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The nurse implements being authentically present to clients by supporting them in their beliefs and helping to instill hopefulness in their recovery. Which theorist is the nurse using when performing these actions? 1. Florence Nightingale 2. Hildegard Peplau 3. Jean Watson 4. Rosemarie Parse
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3
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The nurse struggling with a demanding client focuses on experiencing a sense of true empathy for the clients situation. Which assumption of Parses human becoming theory is the nurse using? 1. Meaning 2. Rhythmicity 3. Intersubjectivity 4. Cotranscendence
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4
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When a client who had a stroke gives up all hope of any amount of recovery, the nurse solicits a visit from a former stroke client who has physical limitations but has since gone back to work and, through adaptation, can function independently at home. This nurse has fulfilled which role, according to Parse? 1. Mobilizing transcendence 2. Synchronizing rhythm 3. Illuminating meaning 4. True presence
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3
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The pediatric nurse implements Watsons assumption regarding a caring environment. Which action did the nurse take to implement this assumption? 1. Providing for all needs and cares of the nurses clients 2. Ensuring that a zone of professionalism is present between the nurse and client 3. Allowing the clients to have choices, as appropriate, in their care 4. Selecting games and activities that are age appropriate for the clients
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3
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Nursing students have been studying the stability model of nurse theorists. What phrases or terms should the students use to describe this model? Standard Text: Select all that apply. 1. Dominant 2. Systems framework 3. Stress/adaptation framework 4. Martha Rogerss theory 5. Caring/complexity framework 6. Callista Roys theory
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1，2，3，6
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Grounding nursing research in theories from other disciplines is argued to be undesirable by some scholars. What should the nurse identify as reasons why grounding theory is not desired? Standard Text: Select all that apply. 1. It detracts from developing nursing as a separate discipline. 2. It makes nursing less relevant. 3. It helps bring a broader perspective and insight to nursing. 4. Other disciplines are not unique to the human condition. 5. Other disciplines get the benefit of nursings research.
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1，2，5
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The nurse is implementing Watsons Assumptions of Caring philosophy. Which actions demonstrate that the nurse is using this philosophy? Standard Text: Select all that apply. 1. Asking the client to explain the impact that his culture and religion will have on required nursing care 2. Asking clients when they prefer to be given the opportunity to bathe 3. Feeling empathy toward the clients loss of mobility as a result of a fractured hip 4. Always assuring that the client has an unobstructed view out his rooms window 5. Arranging to fulfill a clients request to stay with him during a painful diagnostic test
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2，3，5
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The nurse is using the central concepts of nursing when providing client care. What actions is this nurse performing? Standard Text: Select all that apply. 1. Including a clients family in discussions regarding the clients discharge health needs 2. Assessing a physically dependent clients spouse for indications of caregiver stress 3. Asking clients to define what healthy and well means to them 4. Suggesting wound care supplies with the priority of cost 5. Advocating for a client who is not responding to current pain control treatment
answer
1，2，3，5
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The nurse is planning client care while keeping in mind Orems self-care deficit theory. Which methods of helping should the nurse include when determining the best care for the client? Standard Text: Select all that apply. 1. Balancing rest 2. Teaching 3. Supporting 4. Guiding 5. Preventing hazards to life
answer
2，3，4，5
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After completing a health history the nurse reviews the content to determine metaparadigms that contribute to the clients health. Which metaparadigm should the nurse categorize as being a part of the clients environment? Standard Text: Select all that apply. 1. Diet 2. Family 3. Friends 4. Blood pressure 5. Significant others
answer
2，3，5
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The nurse is planning interventions for a client based upon Hendersons fundamental needs. Which interventions should the nurse include in the plan of care? Standard Text: Select all that apply. 1. Sleep 4 to 5 hours each night. 2. Attend to spiritual needs as desired. 3. Wear clothing suitable for the weather. 4. Bathe and keep the body well-groomed. 5. Restrict fluids with an elevated body temperature.
answer
2，3，4
question
Nursing students have been assigned to develop their own theory of nursing. What should they include in their theory, often referred to as the metaparadigm for nursing? 1. Society, medicine, nursing, and biology 2. Patient, facility, health, and nursing 3. Organization, discipline, nursing, and client 4. Client, environment, health, and nursing
answer
4
question
Nursing students are researching how cultural practices affect the dying process of terminal cancer clients. For their research, which theory will the students most likely explore? 1. Critical theory 2. Midlevel theories 3. Grand theories 4. Stability models
answer
1
question
During a hospital stay, the client has taken control of her recovery and rehabilitation and is utilizing available resources for her needs. In which level of Peplaus model should the nurse determine that this patient is functioning? 1. Orientation 2. Identification 3. Exploitation 4. Resolution
answer
3
question
A Department of Nursing within a medical center is adopting the theory that is founded on 14 fundamental needs of individuals. Which nurse theorist is this department using to guide client care? 1. Dorothea Orem 2. Florence Nightingale 3. Martha Rogers 4. Virginia Henderson
answer
4
question
The nurse observes a client working to include the spouse in the treatment and recovery process of an illness. Which of Roys modes should the nurse recognize that this client is demonstrating? 1. Physiologic 2. Self-concept 3. Role function 4. Interdependence
answer
4
question
A client is experiencing metabolic acidosis, a condition that involves the bodys pH level, carbon dioxide level, and bicarbonate balance. According to Roys model, to which mode should the nurse realize that this client is responding? 1. Physiologic 2. Self-concept 3. Role function 4. Interdependence
answer
1
question
A nurse has agreed to delay a clients treatment until the matriarch of the family can be present. Understanding that this is an important consideration for this clients cultural practices, which of Leiningers intervention modes is the nurse implementing? 1. Preservation and maintenance 2. Accommodation, negotiation 3. Restructuring 4. Repatterning
answer
2
question
The nurse implements being authentically present to clients by supporting them in their beliefs and helping to instill hopefulness in their recovery. Which theorist is the nurse using when performing these actions? 1. Florence Nightingale 2. Hildegard Peplau 3. Jean Watson 4. Rosemarie Parse
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3
question
The nurse struggling with a demanding client focuses on experiencing a sense of true empathy for the clients situation. Which assumption of Parses human becoming theory is the nurse using? 1. Meaning 2. Rhythmicity 3. Intersubjectivity 4. Cotranscendence
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4
question
When a client who had a stroke gives up all hope of any amount of recovery, the nurse solicits a visit from a former stroke client who has physical limitations but has since gone back to work and, through adaptation, can function independently at home. This nurse has fulfilled which role, according to Parse? 1. Mobilizing transcendence 2. Synchronizing rhythm 3. Illuminating meaning 4. True presence
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3
question
The pediatric nurse implements Watsons assumption regarding a caring environment. Which action did the nurse take to implement this assumption? 1. Providing for all needs and cares of the nurses clients 2. Ensuring that a zone of professionalism is present between the nurse and client 3. Allowing the clients to have choices, as appropriate, in their care 4. Selecting games and activities that are age appropriate for the clients
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3
question
Grounding nursing research in theories from other disciplines is argued to be undesirable by some scholars. What should the nurse identify as reasons why grounding theory is not desired? Standard Text: Select all that apply. 1. It detracts from developing nursing as a separate discipline. 2. It makes nursing less relevant. 3. It helps bring a broader perspective and insight to nursing. 4. Other disciplines are not unique to the human condition. 5. Other disciplines get the benefit of nursings research.
answer
1,2,5
question
The nurse is planning interventions for a client based upon Hendersons fundamental needs. Which interventions should the nurse include in the plan of care? Standard Text: Select all that apply. 1. Sleep 4 to 5 hours each night. 2. Attend to spiritual needs as desired. 3. Wear clothing suitable for the weather. 4. Bathe and keep the body well-groomed. 5. Restrict fluids with an elevated body temperature.
answer
2,3,4
question
A client was given the wrong dose of medication and died. The case is being tried in court and similar cases are used by the court in comparison to arrive at a decision. Which doctrine should the nurses attorney explain is applied to this situation? 1. Common law 2. Public law 3. Administrative law 4. Stare decisis
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4
question
The nurse is notified about new state practice act regulations. Which type of law should the nurse expect to implement and enforce the nurse practice act regulations? 1. Statutory law 2. Administrative law 3. Common law 4. Public law
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2
question
The admitting nurse explains the process of signing forms to allow for the clients insurance company to be billed for services. If the insurance fails to pay for services, the client is responsible for payment. Which type of law did the nurse explain to the client? 1. Contract law 2. Tort law 3. Statutory law 4. Administrative law
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1
question
The nurse forgets to put the call light within the clients reach and then leaves the room. The client reaches for it and falls out of bed. With what should the nurse expect to be charged? 1. Assault 2. Battery 3. Negligence 4. Criminal intent
answer
3
question
A client is suing the hospital for malpractice. Before the case goes to court, the attorney meets with staff and reads the medical record. The nurse realizes that the attorney is performing which activity? 1. Burden of proof 2. Complaint 3. Discovery 4. Civil action
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3
question
Before applying for re-licensure, the nurse attends continuing education programs. Which action is the nurse performing to adhere to the state board of nursing expectation? 1. Licensure 2. Competency 3. Credentialing 4. Certification
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3
question
The high school graduate desiring to attend nursing school reviews the schools for accreditation. Which regulatory bodys actions is the student analyzing? 1. State board of nursing 2. NLNAC 3. CCNE 4. ANA
answer
1
question
The nurse carries out a medication order, incorrectly written by the physician and subsequently filled by the pharmacist. Who, in this situation, is legally liable for the action? 1. Physician 2. Pharmacist 3. Hospital 4. Nurse
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4
question
A hospital receives notice of being sued for an action performed by a nurse. The nurse realizes that which doctrine is being implemented in this case? 1. Contractual relationship 2. Stare decisis 3. Respondeat superior 4. Res ipsa loquitur
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3
question
A client being prepared for an invasive procedure questions some of the terminology in the consent form. Which response should the nurse make? 1. Just sign the form, and Ill make sure your physician talks to you before he begins the procedure. 2. Ill explain whatever you dont understand. 3. You should have asked your physician when he was in here. 4. Ill call your physician back in the room to answer your questions.
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4
question
The client presents her hand when the nurse makes this statement: I need to start an IV so you can get your antibiotics. Which behavior did the client demonstrate? 1. Informed consent 2. Express consent 3. Implied consent 4. Compliance
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3
question
An adult client who cannot read needs surgery and is competent to make his own decisions. What is the best action that the nurse should take? 1. Tell the client in the nurses own words what the surgical procedure involves. 2. Read the consent form to the client and have the client state understanding. 3. Make sure the physician explains the procedure to the client. 4. Have a family member who can read sign the consent form.
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2
question
An older adult fell at home and fractured a hip, which requires surgical repair. After admittance to the emergency department, the client was given sedation for pain before a surgical permit was signed. What should be done to obtain consent? 1. The physician should have the clients wife sign the consent form. 2. The physician should wait until the effects of the medication wear off and have the client sign the form. 3. Because the client has been medicated, the nurse should thoroughly explain the consent form to the client. 4. This would be considered an emergency situation and consent would be implied.
answer
1
question
A client is brought to the emergency department after being involved in a motor vehicle crash. Although the client is conscious, her condition is critical and will require emergency surgery. The client does not speak English. Which action should the nurse take? 1. Read the consent form and have the client sign it anyway. 2. Explain the form to the best of the nurses ability using pictures and gestures. 3. Have the hospital interpreter explain the procedure. 4. Proceed with surgery, as implied consent would be the case in this situation.
answer
3
question
The nurse manager learns that vital signs delegated to unlicensed assistive personnel (UAP) were not recorded accurately. With which care provider should the manager discuss this finding? 1. The UAP 2. The nurse 3. Both the UAP and the nurse 4. The team leader
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2
question
A nurse is caring for a client in the emergency department (ED) who was brought in by her adult child for vague, flu-like symptoms. While helping the client to change into a gown, the nurse notices numerous bruises on the clients back and arms. When questioned, the client is distracted and ambiguous with her answers. Which action should the nurse take? 1. Report the situation to law enforcement. 2. Report the situation to social services. 3. Question the adult child who brought the client to the ED. 4. File a written report in the clients chart.
answer
2
question
A nurse who has been a longtime employee of a hospital, providing bedside care to clients, was seriously injured and is paralyzed from the shoulders down, with limited use of the upper arms. Through rehabilitation, the nurse is able to mobilize with a wheelchair and has no cognitive or psychological deficits. The nurse wants to return to the same position held prior to the injury. Under the guidelines of the ADA, what should the hospital do? 1. The hospital is required to accommodate the nurse. 2. The hospital must find another job for the nurse. 3. The hospital should claim undue hardship to accommodate this nurse. 4. The hospital terminate the nurses employment.
answer
3
question
A nurse on the unit notices that a co-worker exhibits a pattern of behavior suggestive of drug abuse. What should the nurse do? 1. Report the situation to the unit charge nurse. 2. Send an anonymous letter to the director of nursing. 3. Let other co-workers know about the situation. 4. Report the situation, then let management take care of it.
answer
1
question
A nurses co-worker makes a practice of telling offensive jokes or stories with a sexual undertone during the shift. Which action should the nurse take first? 1. Ignore the co-worker and walk away. 2. Report the incident to the nurse manager. 3. Tell the co-worker to stop the activity because the conduct is offensive. 4. Ask to be scheduled opposite this co-worker.
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3
question
A nurse who is opposed to abortion works in a hospital where abortions are performed. According to the Supreme Courts conscience clause, which action should the nurse take? 1. The nurse should not take action, because the nurse cannot interfere with a womans constitutional right to privacy. 2. The nurse should voluntarily terminate employment. 3. The nurse should counsel women before they have an abortion. 4. The nurse should refuse to participate in abortions.
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4
question
A client woke in the middle of the night, confused and unaware of the surroundings. Although the call light was within reach, the client got out of bed unassisted, tripped on the bedside chair, and fell. Which element of malpractice should the clients attorney realize is missing in this case? 1. Foreseeability 2. Damages 3. Injury 4. Duty
answer
1
question
A client scheduled for surgery has signed the consent form but refuses to have a Foley catheter placed, saying Thats not part of the surgery. What should the nurse do? 1. Explain that this is part of the surgical prep and continue with the procedure. 2. Explain that the client has already signed the consent, and place the catheter. 3. Respect the clients wishes and document accordingly. 4. Offer to call the physician.
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3
question
The nurse documents in a clients medical record: The client is a drug addict and is always asking for more medication than what is necessary. With what might the nurse be charged? 1. Defamation 2. Slander 3. Libel 4. Incompetence
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3
question
The nurse is reviewing the Good Samaritan acts. For which situation should the nurse realize that these laws apply? 1. Giving CPR to a client brought to the emergency department, when the client later is found to have a Do Not Resuscitate order 2. Giving first aid to a child injured in a sporting event 3. Permitting a nursing student to try to insert an airway in an unconscious client 4. Leaving the scene of an emergency to call for help 5. Helping deliver the baby of a neighbor during a snowstorm
answer
5
question
When providing client care the nurse demonstrates practices that are designed to provide legal protections from liability. Which actions is the nurse demonstrating? Standard Text: Select all that apply. 1. Checking the clients name band prior to the administration of a preoperative medication 2. Asking for help when moving a comatose client because the client can not be safely handled by one nurse 3. Attending an in-service on the appropriate use of a new piece of equipment used in the facility 4. Delegating only those tasks that he or she cant personally perform 5. Reviewing the five rights of medication administration when the client states, This doesnt look like my usual pill
answer
1,2,3,5
question
The clinical nursing instructor determines that a nursing student understands the legal responsibilities to clients when providing care. What did the instructor observe to come to this conclusion? Standard Text: Select all that apply. 1. Prepared to discuss the clients medical diagnosis in pre-conference 2. Overheard stating, My care is held to the same standards as that of the unit nurses 3. Offers to stay with the client who is about to experience a painful diagnostic procedure 4. Addresses the staff and clients respectfully and by their full names 5. Asks for help with a dressing change involving techniques he or she has not yet performed alone
answer
1,2,5
question
While working a scheduled shift the nurse focuses on actions to protect the privacy of a client with local notoriety. What actions should the nurse take at this time? Standard Text: Select all that apply. 1. Secure the clients medical record. 2. Review the clients care with the media. 3. Remove the clients name from the door. 4. Permit family to view the clients record. 5. Fax the clients lab values with a cover sheet.
answer
1,3,5
question
The nurse manager is concerned that a staff nurses care demonstrates gross negligence. What actions did the manager use to make this determination? Standard Text: Select all that apply. 1. Removed a clients central line 2. Reconnected contaminated intravenous tubing to a client 3. Accessed the computerized documentation system with a password 4. Walked a client with a blood pressure of 70/58 mm Hg to the bathroom 5. Delegated nasotracheal suctioning for a client to unlicensed assistive personnel
answer
1,2,4,5
question
A client was given the wrong dose of medication and died. The case is being tried in court and similar cases are used by the court in comparison to arrive at a decision. Which doctrine should the nurses attorney explain is applied to this situation? 1. Common law 2. Public law 3. Administrative law 4. Stare decisis`
answer
4
question
A client is suing the hospital for malpractice. Before the case goes to court, the attorney meets with staff and reads the medical record. The nurse realizes that the attorney is performing which activity? 1. Burden of proof 2. Complaint 3. Discovery 4. Civil action
answer
3
question
The high school graduate desiring to attend nursing school reviews the schools for accreditation. Which regulatory bodys actions is the student analyzing? 1. State board of nursing 2. NLNAC 3. CCNE 4. ANA
answer
1
question
The client presents her hand when the nurse makes this statement: I need to start an IV so you can get your antibiotics. Which behavior did the client demonstrate? 1. Informed consent 2. Express consent 3. Implied consent 4. Compliance
answer
3
question
An older adult fell at home and fractured a hip, which requires surgical repair. After admittance to the emergency department, the client was given sedation for pain before a surgical permit was signed. What should be done to obtain consent? 1. The physician should have the clients wife sign the consent form. 2. The physician should wait until the effects of the medication wear off and have the client sign the form. 3. Because the client has been medicated, the nurse should thoroughly explain the consent form to the client. 4. This would be considered an emergency situation and consent would be implied.
answer
1
question
A nurse who has been a longtime employee of a hospital, providing bedside care to clients, was seriously injured and is paralyzed from the shoulders down, with limited use of the upper arms. Through rehabilitation, the nurse is able to mobilize with a wheelchair and has no cognitive or psychological deficits. The nurse wants to return to the same position held prior to the injury. Under the guidelines of the ADA, what should the hospital do? 1. The hospital is required to accommodate the nurse. 2. The hospital must find another job for the nurse. 3. The hospital should claim undue hardship to accommodate this nurse. 4. The hospital terminate the nurses employment.
answer
3
question
A client woke in the middle of the night, confused and unaware of the surroundings. Although the call light was within reach, the client got out of bed unassisted, tripped on the bedside chair, and fell. Which element of malpractice should the clients attorney realize is missing in this case? 1. Foreseeability 2. Damages 3. Injury 4. Duty
answer
1
question
A client scheduled for surgery has signed the consent form but refuses to have a Foley catheter placed, saying Thats not part of the surgery. What should the nurse do? 1. Explain that this is part of the surgical prep and continue with the procedure. 2. Explain that the client has already signed the consent, and place the catheter. 3. Respect the clients wishes and document accordingly. 4. Offer to call the physician.
answer
3
question
A student is attending a school with a high first-time pass rate on the NCLEX. Which student statement articulates a belief that the nursing student has about faculty in the program? 1. Expect high academic standards from their students 2. Are concerned with job placement of their graduates 3. Are most concerned with the successful licensure of each student 4. Work hard to make sure students are successful
answer
3
question
A nurse manager has a staff nurse who observes certain religious holidays. The manager tries to make sure that these observances can be met if possible. Which value is the manager practicing? 1. Human dignity 2. Social justice 3. Autonomy 4. Altruism
answer
4
question
Parents of a terminally ill child have decided to remove their child from life support, a decision that has met with little positive support. Which nursing action demonstrates autonomy regarding the parents decision? 1. Showing respect for the family 2. Respecting the parents decision 3. Referring the parents to social services 4. Asking to be assigned to a different client
answer
2
question
A nurse is working with a local agency to provide care to the inadequately insured by helping to staff an after-hours clinic. Which professional value is the nurse demonstrating? 1. Human dignity 2. Altruism 3. Social justice 4. Integrity
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3
question
A nurse mistakenly gave a client who was NPO a morning breakfast tray. After realizing the mistake, the nurse notified the physician as well as the client; explained the consequences of this mistake, which included a delay in the clients scheduled procedure; and documented the situation in the clients medical record. What did this nurse demonstrate? 1. Altruism 2. Integrity 3. Social justice 4. Human dignity
answer
2
question
A pregnant client says her main concern is that her baby will be born healthy, even though she admits to drinking alcohol on a regular basis. With what should the nurse realize this client is struggling? 1. Values transmission 2. Values clarification 3. Morals 4. Ethics
answer
2
question
A client who has been blinded as result of an injury informs the rehabilitation staff of planning to return to her counseling practice and working full-time. The nurse should realize that this client is demonstrating which aspect of values clarification? 1. Choosing 2. Prizing 3. Acting 4. Clarifying
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3
question
A client has been complaining of pain, even though the nurse has given the client the maximum amount of medication as ordered by the physician. Which action demonstrates the nurses respect for the clients autonomy? 1. Telling the client that he will have to tough it out 2. Calling the physician for further orders 3. Telling co-workers that this client has no pain tolerance 4. Believing the client is drug seeking
answer
2
question
A client has chosen to discontinue hemodialysis. His family is not supportive of his decision. Which statement should the nurse make that demonstrates the theory of principles-based reasoning? 1. This client is of sound mind and is capable of making his own decisions regarding health care. It really is his decision to make. 2. I need to try and help the family understand the clients decision so they can work through this situation together. 3. This clients health is so deteriorated that the treatment is not saving his life. It is prolonging the ultimate outcome, which is his death. 4. The client understands his decision and the advanced stage of his disease. If he quits treatment, he will die.
answer
1
