question

A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers?

answer

They are responsible for the continued development and advancement of nursing.

question

What is the best nursing intervention to promote health in a client at risk for heart disease?

answer

Emphasizing a client's strengths to encourage weight loss

question

What is the primary purpose of standards of nursing practice?

answer

to ensure knowledgeable, safe, comprehensive nursing care

question

A nurse is helping a patient on hospice make an informed decision about his own health and life. Which nursing role has this nurse performed?

answer

Advocate

question

The nurse working with an LPN understands which of the following about LPNs?

answer

They must take a licensure exam

question

The diploma nurse is considering obtaining a baccalaureate degree. Which degree should the nurse investigate?

answer

RN to BSN

question

Which of the following Standards of Professional Performance, as defined by the ANA, has the nurse considering factors related to safety, effectiveness, cost, and the impact on practice in the planning and delivery of nursing services?

answer

Resource Utilization

question

Which of the following is the best example of a nurse in the role of counselor?

answer

A nurse allowing a crying client to verbalize their fears of death

question

A nurse manager is teaching staff how to use a new piece of hospital equipment. What educational setting would be most appropriate for this process?

answer

In-service education

question

Which of the following nursing actions best exemplifies the nurse's role in promoting health?

answer

Encouraging a group of junior high school students to engage in regular physical activity.

question

Which of the following nursing groups provides a definition and scope of practice for nursing?

answer

ANA

question

Which nursing actions demonstrate the aim of nursing to facilitate coping? (Select all that apply.)

answer

• Teaching a patient and his/her family how to live with diabetes • Assisting a patient and his/her family to prepare for death • Providing counseling for the family of a teenager with an eating disorder

question

The nurse is attempting to provide anticipatory guidance for the parents of an eighteen-month-old boy. Which of the following would be the best statement for the nurse to make?

answer

"Keep all medications in a locked cabinet.

question

During the course of any given day of work in the acute care setting, the nurse may need to perform which of the following roles? Select all that apply.

answer

• Communicator • Counselor • Teacher

question

The need for university-based nursing education programs was brought to light during which important historical time?

answer

World War II

question

Why are nursing organizations important for the continued development and improvement of nursing as a whole?

answer

To set standards for nursing education and practice

question

What was one barrier to the development of the nursing profession in the United States after the Civil War?

answer

Lack of educational standards

question

A nurse is providing care for patients in a long-term care facility. Based on the definitions of nursing in the textbook, what should be the central focus of this care?

answer

The patient receiving the care

question

The nurse recognizes that immunizations are an example of:

answer

Illness prevention

question

A man age 61 years is distraught because he has just learned that his most recent computed tomography (CT) scan shows that his colon cancer has metastasized to his lungs. Which of the following nursing aims should the nurse prioritize in the immediate care of this patient?

answer

Facilitating coping

question

The registered nurse is teaching a community health class about illness prevention. Which of the following statements reflects understanding of this concept?

answer

"It is important to enroll in a smoking cessation class."

question

The nurse is using the nursing process to care for a client and is in the process of making a nursing diagnosis for the client. Which of the following best reflects a nursing diagnosis?

answer

Risk for falls

question

A nurse practitioner considering going back to school to obtain a Doctor of Nursing Practice Degree (DNP) anticipates that the main focus of the curriculum will be on which of the following?

answer

Clinical practice

question

Which of the following actions should the nurse implement when working with a medically homeless client?

answer

Encourage client to utilize the free healthcare clinic

question

The nurse caring for a client with a new diagnosis of cancer allows the client to verbalize fears relating to how to tell the children. The nurse's intervention reflects which aspect of nursing?

answer

Art of nursing

question

A nurse identifies a patient's health care needs and devises a plan of care to meet those needs. Which guideline is being followed in this case?

answer

Nursing process

question

The RN is working with hospital administration to transform care at their facility. Which of the following nursing competencies will be critical for the nurse to utilize?

answer

Work effectively in interdisciplinary teams

question

Which of the following nursing interventions would be the most appropriate for a new mother that calls the nursery for help with breastfeeding?

answer

Refer the mother for a home care visit.

question

Nurse H. graduated several years ago from a 2-year nursing program that he took at a community college near his home city. Recently, Nurse H. has considered moving from providing direct patient care into an administrative role, but he recognizes the need to further his education in order to be considered for such a position. Nurse H. most likely possesses which of the following nursing qualifications?

answer

Associate degree

question

Which of the following are the best examples of the role of the nurse as a communicator? Select all that apply.

answer

• Telling a client their blood pressure • Calling a physician about a client's blood pressure • Informing the physical therapist that client's therapy was discontinued

question

The nurse is describing the role of the nurse entrepreneur. Which of the following statements best describe this role?

answer

A nurse who manages a health-related business Correct

question

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?

answer

The RN coordinates care delivery

question

Which of the following is the best example of a nurse attending an inservice program?

answer

Attending a hospital program on how to use a new IV pump

question

A student nurse understands that the primary aim of the Healthy People 2020 initiatives is

answer

health promotion

question

Who established the first public health service for the sick and poor?

answer

Lillian Wald

question

The nurse is evaluating client health. Which of the following clients should the nurse determine to be exhibiting the most signs of health?

answer

A client with a leg amputation that performs activities of daily living with a prothesis

question

In what time period did nursing care as we now know it begin?

answer

18th to 19th century

question

During the Reformation, what factor influenced the decline of nursing?

answer

Women's subordination to men

question

A nurse conducting an inservice on the early history of the education of nurses should include which of the following statements?

answer

"The focus was on students providing direct care to clients without pay."

question

Which of the following is the best example of client-centered approach to care?

answer

The nurse asking the client about his or her health goals

question

During the Christian era, nursing care excluded which area?

answer

Psychiatric services

question

The registered nurse is performing a nutritional assessment to ensure that the client's diet is optimal for wound healing. The nurse's intervention can be traced back to which of nursing's key people's contributions to nursing

answer

Florence Nightingale

question

The nurse is conducting a community education class on the 2011 Institute of Medicine Report on the role of nursing in transforming healthcare. Which of the following statements should the nurse include?

answer

• Nurse practitioners should be allowed to practice independently. • Barriers to diploma nurses achieving a BSN should be removed.

question

A nurse applies for membership in a professional nursing organization that is operating in the United States. To which organizations might this nurse apply? (Select all that apply.)

answer

• ICN • AACN • ANA

question

A client admitted to the telemetry floor informs the nurse that he has an advance directive and does not wish to be resuscitated if his heart stops beating. The client takes a copy of the advance directive from his wallet and hands it to the nurse. The nurse documents on the electronic chart that the client has an advance directive, makes a copy of the advance directive, and immediately informs the patient's physician. In this situation, what is the nursing role demonstrated by the nurse?

answer

Advocate

question

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. Which of the following best describes the aspect of nursing demonstrated?

answer

Science of nursing

question

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 which of the following?

answer

"Everything in nature is alive with invisible forces."

question

A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse?

answer

Masters

question

The nurse is explaining to another nurse why there should be only one entry into the profession. What is the best statement by the nurse?

answer

"Multiple methods of preparation is confusing to consumers."

question

A nurse is considering relocating to another state to practice nursing. Which of the following is the most appropriate action by the nurse to ensure ability to practice in the new state?

answer

Applying for a reciprical license in the new state

question

Which of the following might a nurse need to do to ensure the continuation of his/her nursing license?

answer

Obtain continuing education credits

question

The nurse discussing emergent pathways to the nursing profession includes which of the following? Select all that apply

answer

• Entry level masters degree programs • RN completion programs for LPNs

question

A nurse practicing in the early Christian period might perform which nursing action characteristic of this era?

answer

Making organized visits to the sick

question

In which of the following examples is the nurse demonstrating the nursing role of leadership? Select all that apply.

answer

• Participation on evidence-based practice council • Developing and implementing a quality improvement project • President of local chapter of Sigma Theta Tau International

question

A client asks asks an RN to prescribe a medication for pain. Which of the following is the best answer by the nurse?

answer

"Only advanced practice registered nurses have prescriptive authority."

question

A nurse is discussing the history of the profession with a client and describes that a shift in societal focus from religion to warfare had a negative impact on nursing due to which of the following?

answer

Female criminals recruited as nurses

question

Florence Nightingale was a nursing pioneer who challenged prejudices against women and elevated the status of all nurses. Which statement accurately describes one of her accomplishments?

answer

She promoted the publication of books about nursing and health care.

question

Which of the following is the best example of the nurse implementing QSEN competencies?

answer

Including the client in the morning rounds

question

Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice?

answer

American Nurses Association

question

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?

answer

Collaboration

question

Which of the following is the best example of the nurse in the role of teacher/educator?

answer

Assessing if the client is able to perform a dressing change

question

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?

answer

Clients enter the health care system acutely ill.

question

Which of the following nurses is demonstrating a type of nursing whose roots go back to the ancient Greek times when temples were the center of nursing care?

answer

The nurse conducting a blood pressure screening at a local church

question

The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse?

answer

The RN collects comprehensive data.

question

Attracting minorities to the profession of nursing is an important consideration for the future of nursing. Which of the following key historical nursing figures set a precedent in this area?

answer

Mary Elizabeth Mahoney

question

One of the American Nurse Association's (ANA) standards of nursing practice is collegiality. In which of the following examples is the nurse utilizing this standard? Select all that apply.

answer

• 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 ANA.

question

After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that

answer

ANA aims at fostering high standards of nursing in the United States.

question

Which of the following is a characteristic of nursing practiced from early civilization to the 16th century?

answer

Most early civilizations believed that illness had supernatural causes.

question

The client's plan of care is created by the nurse using which guideline for nursing practice?

answer

Nursing process

question

Which of the following actions by the nurse best represents the evaluative portion of the nursing process?

answer

Assessing a client's blood pressure after teaching stress reduction techniques

question

The nurse is discussing entry level for professional nursing practices. Which of the following is the most accurate statement by the nurse?

answer

"BSN is the recommended entry level by national nursing organization."

question

Establishing the criteria for the education and licensure of nurses is a component of:

answer

a state's nurse practice act

question

The Standards of Practice provide nurses with

answer

guidelines for providing care.

question

A nurse wishes to advance his or her career and work as a clinical nurse specialist. Which of the following should the nurse keep in mind?

answer

The nurse may teach advanced education for nurses

question

Which of the following set of terms best describes nursing at the end of the Middle Ages?

answer

purpose, direction, leadership

question

A nurse has recently completed the administration of seasonal influenza vaccinations for the residents of a long-term care facility. Which of the following aims of nursing has the most clearly demonstrated?

answer

Preventing illness

question

The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented?

answer

The RN promotes a safe environment.

question

There are various levels of preparation for nursing practice. Which degree program will best prepare a nurse to work as a nurse researcher?

answer

Doctoral

question

Which nursing actions demonstrate the aim of nursing to promote health? (Select all that apply.)

answer

• Serving as a role model of health for patients by maintaining a healthy weight • Increasing student awareness of sexually transmitted diseases by distributing informational pamphlets at a college health center • Facilitating decisions about lifestyles that would enhance the well-being of a teenager

question

The nurse conducting a community assessment that focuses on Healthy People 2020 leading Health Indicators would include which of the following in the assessment? Select all that apply.

answer

• Number of health clinics • The violent crime rate • Sudden Infant Death Syndrome rate

question

A newly hired nurse consults the nurse practice act affecting her new facility. What are examples of the realm of authority of a nurse practice act? (Select all that apply.)

answer

• Defining the legal scope of nursing practice • Excluding untrained and unlicensed people from practicing nursing • Establishing the criteria for the education and licensure of nurses • Defining legal requirements and titles for RNs and LPNs

question

The role of medicine developed from the pre-civilization era, through the eras signifying the beginning of civilization, the beginning of the 16th century, the 18th and 19th centuries, and the World War II era to the present. Place the events that defined these eras listed below in the correct chronologic order to follow this timeline.

answer

Belief in good and evil spirits bringing health or illness existed; medicine men were physicians. Temples were the centers of medical care; belief that illness is caused by sin and the displeasure of the gods existed; priests were physicians. Focus on religion was replaced by a focus on warfare, exploration, and expansion of knowledge. Hospital schools were organized; female nurses were under control of male hospital administrators and physicians; males dominated the health care setting. An explosion of knowledge in medicine and technology occurred. Varied health care settings developed.

question

The nurse notes the initials APRN after a nurse who is ordering a client's medications. According to ANA standards of nursing practice, which of the following is the correct action by the nurse?

answer

No action is needed. This is within the ANA standards for APRNs.

question

A group of nursing students has attended a presentation about the National Student Nurses' Association (NSNA). Which statement by the group indicates that they have understood the information presented?

answer

The organization provides programs of current professional interest.

question

Which of the following have been identified by the National League for Nursing (NLN) as trends in nursing education? Select all that apply.

answer

• Increased diversity • Need for collaborative practice • Advances in nursing research • Challenge of managed care

question

Teaching a woman about breast self-examination is an example of what broad aim of nursing?

answer

Preventing illness

question

A male nurse who is of Hispanic descent completes a nursing degree at a local community college in two years. This nurse has completed what type of nursing education program?

answer

Associate degree in nursing

question

Which advanced nurse practitioner is best qualified to provide prenatal care for a pregnant client?

answer

A nurse-midwife

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