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

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Terms in this set (101)

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

Restoring health
Treating illness
Facilitating coping
Preventing illness

Preventing illness

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

American Nurses Association
International Council of Nurses
State Board of Nursing
National League for Nursing

American Nurses Association

The American Nurses Association (ANA) has established standards of clinical nursing practice that define the specific and unique activities of nurses. Standards serve as protection for the nurse, the client, and the institution where health care is given. The other organizations provide valuable services that differ from those of ANA. State Boards of Nursing also have the nurse practice act which define state specific guidelines for nurses to practice. The National League for Nursing is a national organization for faculty nurses and leaders in nurse education. The International Council of Nurses is a federation of more than 130 national nurses associations.

The director of nursing (DON) of a major hospital is seeking to hire a nurse with a strong technical background to care for clients on a busy surgical unit. The DON is most likely going to hire a nurse prepared at which level of nursing?

Baccalaureate level
Doctoral level
Associate level
Master's level

Associate level

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

Nursing's Social Policy Statement
Nursing process
Nurse practice act
ANA Standards of Nursing Practice

Nursing process

Nursing process is used to identify the client's strengths, limitations, and health care needs, to formulate a plan of care to address the health care needs, to implement that plan of care, and to evaluate the effectiveness of the plan to achieve established outcomes. The ANA Standards of Nursing Practice defines the activities of nurses that are specific and unique to nursing. Nurse practice acts are laws established by each state to regulate the practice of nursing. Nursing's Social Policy Statement describes the values and social responsibility of nursing, provides a definition and scope of practice for nursing and nursing's knowledge base, as well as the methods by which nursing is regulated.

The nurse is caring for a postoperative client. The physician has written orders for a pain medication, and the order gives a dosage range for the amount the nurse may give depending on the severity of the client's pain. This type of functioning within the health care team is called:

independent functioning.
assistive functioning.
authoritative functioning.
collaborative functioning.
dependent functioning.

collaborative functioning.

During the Christian era, nursing care excluded which area?
Personal counseling
Psychiatric services
Comfort measures
Nutrition

Psychiatric services

A long-term care facility is seeking the consultation from an advanced practice nurse to educate the staff regarding palliative care for the residents. The facility will benefit most by hiring which advanced practice nurse?

Nurse administrator
Clinical nurse specialist
Nurse researcher
Nurse practitioner

Clinical nurse specialist

The clinical nurse specialist has advanced experience and expertise in a specialized area of practice such as gerontology, and would be best suited to provide education on palliative care. The nurse researcher is responsible for the continued development and refinement of nursing knowledge and practice through the investigation of nursing problems. The nurse educator generally has specific clinical specialties and advanced clinical experience in a particular area. The nurse administrator is responsible for managing client care. Nurse practitioners typically provide direct care more often than leading and educating staff.

The nurse is caring for a postoperative client, and administers a pain medication prescribed on a p.r.n. basis by the physician. What best describes the type of intervention the nurse is demonstrating?

Dependent intervention
Client advocacy intervention
Nurse-prescribed intervention
Collaborative intervention

Collaborative intervention

A prospective nursing student desires a career that will allow him to provide client care and to assist professional nurses with routine technical procedures. The prospective student needs to be employed in a full-time position quickly due to economic hardship. What type of nursing program would best suit this student?

Baccalaureate of science registered nursing program
Licensed or vocational nursing program
Diploma nursing program
Associate of science registered nursing program

Licensed or vocational nursing program

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

Th RN identifies client outcomes.
The RN educates about preventing falls.
The RN develops a plan of care.
The RN promotes a safe environment.

The RN promotes a safe environment.

The nurse is utilizing knowledge about a blood pressure medication's actions and side effects to determine whether or not to give a client, whose blood pressure is low, the prescribed blood pressure medication. What best describes the aspect of nursing demonstrated?

Quality improvement
Art of nursing
Science of nursing
Conduction of research

Science of nursing

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?

Florence Nightingale
Linda Richards
Dorothea Dix
Clara Barton

Florence Nightingale

The nurse is documenting the client's response to a medication. This action reflects a practice that was started by which key figure in nursing's history?

Lillian Wald
Linda Richards
Florence Nightingale
Clara Barton

Florence Nightingale

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

Mary Agnes Snively
Mary Eliza Mahoney
Mary Ann Bickerdyke
Nora Gertrude Livingston

Mary Eliza Mahoney

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

Assessing if the client is able to perform a dressing change
Conducting research on dressing changes
Communicating discharge status to home care agency
Teaching a first-grader to read

Assessing if the client is able to perform a dressing change

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

Telling a friend about something that happened to a client that day
Calling a physician about a client's blood pressure Discussing laboratory values with a client
Informing the physical therapist that the client's therapy was discontinued
Telling a client their blood pressure

Telling a client their blood pressure
Calling a physician about a client's blood pressure
Informing the physical therapist that the client's therapy was discontinued
Discussing laboratory values with a client

A nurse mentoring second-year nursing students from a community college plans clinical experiences for them. These students will most likely graduate in which time frame?

In 1 more year
In 2 more years
At the end of the year
In 3 more years

At the end of the year

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

the nursing actions provided by the nurse
the nurse as the caregiver
nursing as a profession
the client receiving the care

the client receiving the care

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

Teaching a class on the nutritional needs of pregnant women
Providing counseling for the family of a teenager with an eating disorder
Assisting a client and his family to prepare for death
Changing the bandages of a client who has undergone heart surgery
Starting an intravenous line for a malnourished older adult client
Teaching a client and her family how to live with diabetes

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

The nurse that has been in practice for 15 years is able to use intuition when providing care to clients and also utilizes resources and demands to attain specific goals. According to Author Patricia Benner, in From Novice to Expert (1984), what stage of practice is the nurse displaying?

Proficient
Expert
Novice
Competent

Expert

Which nursing action best exemplifies the nurse's role in promoting health?

Performing deep suctioning on a client who has a tracheotomy and copious secretions.
Administering a beta-adrenergic blocker and diuretic to a client who has a history of hypertension.
Encouraging a group of junior high school students to engage in regular physical activity.
Facilitating a support group for the friends and families of clients affected by stroke.

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

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

The ANA Standards of Practice.
The U.S. Department of Health and Human Services' Healthy People 2010 document.
Evidence-based practice.
A state's nurse practice act.

A state's nurse practice act.

A nursing student wants to take up an advanced specialty nursing role. Which role is included in advanced specialty nursing?

Nurse anesthetists are registered nurses.
Nurse midwives are licensed practice nurses.
Nurse anesthetists can have independent practices.
Nurse midwives care for women with complicated pregnancies.

Nurse anesthetists are registered nurses.

Nurse anesthetists are registered nurses. Nurse midwives are also registered nurses, but not licensed practice nurses. Nurse midwives care for women with uncomplicated pregnancies, not complicated pregnancies. Nurse anesthetists cannot have independent practices. They work under the supervision of an anesthesiologist.

The identity of the nursing profession was primarily shaped during which historical period?

Christian era
Greek era
Roman era
Egyptian era

Christian era

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

Florence Nightingale
Lillian Wald
Isabel Hampton Robb
Dorothea Dix

Lillian Wald

The nursing process is:

An approach for identifying and analyzing the best available scientific evidence for nursing care.
A mechanism for increasing the knowledge and skill of the nurse through programs of education.
A critical thinking method used by nurses to provide nursing care that is individualized and holistic.
The promotion of health, prevention of illness, and the care of ill, disabled, and dying individuals.

A critical thinking method used by nurses to provide nursing care that is individualized and holistic.

Which of following are approved as nursing diagnoses? Select all that apply.

Congestive Heart Failure
Compromised Family Coping
Abdominal Hernia
Impaired Skin Integrity
Caregiver Role Strain

Impaired Skin Integrity
Caregiver Role Strain
Compromised Family Coping

The nurse is conducting a class for nursing assistants. One of the students asks the nurse why blood pressure, pulse, and temperature are called "vital signs". Which of the following explanations would the nurse offer the student?

"They are called vital signs because the blood pressure is very important."
"The term has just evolved over time without a clear definition for why."
"They are called vital signs because they are the first things the nurse does when admitting a patient to the hospital."
"Because significant deviation from normal is not compatible with life."

"Because significant deviation from normal is not compatible with life."

The student nurse is changing the bed linens of a hospitalized patient. While placing the contaminated materials into the laundry bag, the outside of the bag is touched by the material. What should the student nurse do next?

Take the bag to the disposal room and label the bag as contaminated.
Notify his instructor of the error.
Obtain another laundry bag and place the contaminated bag inside while in the patient's room.
Carefully remove the linens from the bag and place them into a clean bag.

Obtain another laundry bag and place the contaminated bag inside while in the patient's room.

The nurse is performing an extensive dressing change on a client with burns. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step?

Caregiver
Educator
Client advocate
Decision-maker

Educator

The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?

Sojourner Truth
Lavinia Dock
Mary Breckinridge
Margaret Sanger

Mary Breckinridge

Which scenario is the best example of a nurse implementing care according to the ANA standards of practice?

Analyzing a client's blood glucose levels
Taking a client's apical and radial pulse rates
Determining that a client is at risk for falls
Providing nutrition teaching to a client with diabetes

Providing nutrition teaching to a client with diabetes

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?

She established the fact that nursing is the same as medicine.
She promoted the addition of nursing education as part of a medical degree.
She promoted the publication of books about nursing and health care.
She established the tenets of the American Red Cross.

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

The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. Which statement on the assessment of the nursing process is accurate?

The nurse collects comprehensive data pertinent to the client's health or situation
The nurse monitors ethical conduct of authorities and clients.
The nurse dictates the plan that prescribes strategies of care.
The nurse evaluates progress towards implemented actions.

The nurse collects comprehensive data pertinent to the client's health or situation

Nursing has evolved throughout the ages. Nurses in the 21st century face a variety of challenges, and technology is in the forefront of the profession. Which force affects the current nurse most?

the identification of super bugs (such as MRSA) that potentially harm the client
client privacy issues within the social media realm
Computerized Physician Order Entry (CPOE) challenges
the use of electronics (such as a vital signs machine) to monitor clients

client privacy issues within the social media realm

Which contributed to the advancement of the nursing profession after World War II?

Advanced nursing education was established.
Care of clients in the hospital setting declined.
National standards for nursing were developed.
Government funding supported minority nurses.

Advanced nursing education was established.

Which social force significantly impacted the future supply and demand of nurses?

technology
aging
economics
science

aging

The nurse is caring for a group of clients. Which client should the nurse assess first?

Client who requires discharge education
Client who is experiencing respiratory distress after surgery
Client who needs to void
Client who requires wound care for a sacral ulcer

Client who is experiencing respiratory distress after surgery

The nurse is performing care for a client in the end stage of cancer. How can the nurse best facilitate the client and family's ability to cope? Select all that apply.

Assist the client and family with the preparation for end-of-life
Refer the client and family to hospice services
Encourage the family to leave and let the nurse take over care
Inform the family that there is nothing they can do for their loved one
Assist the client with activities of daily living (ADL)

Assist the client with activities of daily living (ADL)
Assist the client and family with the preparation for end-of-life
Refer the client and family to hospice services

One of the role's that the nurse has in practice is that of a communicator. What attributes by the nurse demonstrate that is characteristic of this role?

Effects change within a group
Facilitates clients' problem-solving and decision-making skills
Assessing, implementing, and evaluating individual teaching plans to meet learning needs
Establishing and maintaining helping relationships with clients of all ages in a variety of settings

Establishing and maintaining helping relationships with clients of all ages in a variety of settings

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

"It is important to enroll in a smoking cessation class."
"If I am injured, I will call an ambulance."
"I will take my medication for hypertension every day."
"My family will call hospice for an evaluation."

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

The nurse is caring for a client who cannot meet health needs independently. Which action made by the nurse depicts concern and attachment?

Organizing the work for the day and evaluating how the day went
Talking about diabetes and teaching the client how to do foot care
Asking the client, "How are you today? I am really worried about you."
Telling the client, "I will be back in 15 minutes to change your dressing."

Asking the client, "How are you today? I am really worried about you."

Which of these would be considered an interpersonal skill of the nurse?

Demonstrating competence with electronic equipment such as IV pumps
Selecting the proper needle for intramuscular injections
Utilizing the proper equipment for a procedure
Ability to utilize proper technique during sterile procedures
Utilizing verbal and nonverbal communication techniques

Utilizing verbal and nonverbal communication techniques

The nurse in a rehabilitative facility makes certain that her client is participating in group activities that are of interest to him. The nurse is ensuring which client need is met?

Love and belonging
Self-actualization
Self-esteem
Safety and security

Love and belonging

The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?

To restore health
To promote health
To prevent illness
To faciliate coping

To restore health

Which of the following is the best example of a nurse demonstrating the role of caregiver?

referring the client to a mental health clinic
assigning a room for a new hospital client
reporting lab values to a client's physician
starting an intravenous line in the client's arm

starting an intravenous line in the client's arm

Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting?

hospital
outpatient facility
medical centers
community health care center

outpatient facility

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

"Take one acetaminophen every 4 hours."
"No nurse can prescribe a medication."
"Only advanced practice registered nurses have prescriptive authority."
"Take two ibuprofen every 4 to 6 hours."

"Only advanced practice registered nurses have prescriptive authority."

The Nurse Corps of the United States Army was established by whom?

Dorothea Dix
Lillian Wald
Florence Nightingale
Isabel Hampton Robb

Dorothea Dix

A nurse is conducting an in-service on the early history of the education of nurses in the 19th century. Which statement made by the nurse demonstrates how far nursing has come as a profession from the 19th century?

"The focus was on promoting nursing as a profession."
"The focus was on students providing direct care to clients without pay."
"Education was founded on theoretical knowledge behind interventions."
"It occurred in the university setting."

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

A nurse must possess several characteristics in order to be successful in this profession. Secondary to critical thinking skills, which of the following is of great value?

delegation of responsibilities
educational attainment such as Master's of Nursing
advocating for the client at all times
good teamwork and team-building skills

advocating for the client at all times

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

Members include nurses, other health care providers, and lay people.
ANA aims at fostering high standards of nursing in the United States.
membership is open to all nurses in the United States.
ANA invites students showing excellence in scholarship to become members.

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

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

Early civilization to 16th century
18th to 19th century
Pre-civilization
16th to 17th century

18th to 19th century

The nurse discussing the importance of professional nursing organizations setting standards should include which statement?

It sets the standard for nursing research.
It helps identify nursing as a profession.
It helps regulate nursing licensure.
It helps to identify nurses.

It helps identify nursing as a profession.

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?

taking the new state's licensing exam
asking the current state to transfer the license
applying for a reciprocal license in the new state
No action is needed by the nurse.

applying for a reciprocal license in the new state

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

A client with depression who refuses to get out of bed
A client with diabetes who is in denial of the diabetes and refuses to take insulin
A client with a leg amputation who performs activities of daily living with a prosthesis
A client in acute emotional distress due to husband's death

A client with a leg amputation who performs activities of daily living with a prosthesis

A nurse is planning to continue their education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which of the following expanded career roles is the nurse preparing?

Physician assistant
Clinical nurse specialist
Nurse manager
Nurse-midwife

Clinical nurse specialist

The postoperative patient's plan of care contains an intervention to ambulate twice a day 200 feet with assistance of one member of the healthcare team. The intervention was not completed one morning due to his pain. Which of the following would be the appropriate way to document the missed event?

The patient was assisted to standing but reported severe pain and begged to return to bed. Patient was assisted to bed.
The patient reported his pain at a level of 8/10 at 30 minutes after dosing. The patient was returned to bed and the physician was notified of the uncontrolled pain level with the current medication order.
The patient complained of too much pain to ambulate and was returned to bed. The intervention was not completed due to patients severe pain level.
The patient was in too much pain to complete the morning ambulation.

The patient reported his pain at a level of 8/10 at 30 minutes after dosing. The patient was returned to bed and the physician was notified of the uncontrolled pain level with the current medication order.

During the Christian era, nursing care excluded which area?
Psychiatric services
Nutrition
Comfort measures
Personal counseling

Psychiatric services

Which individual provided community-based care and founded public health nursing?

Sojourner Truth
Clara Barton
Lillian Wald
Mary Adelaide Nutting

Lillian Wald

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

Master's
Diploma
Doctoral
Baccalaureate

Doctoral

The nurse graduated several years ago from a 2-year nursing program at a community college near the home city. Recently, the nurse has considered moving from providing direct client care into an administrative role, but recognizes the need for further education to be considered for such a position. The nurse most likely possesses which nursing qualification?

Graduate degree
Associate degree
Baccalaureate
Diploma

Associate degree

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?

Nurses rely on intuition to make decisions today.
Clients enter the health care system acutely ill.
Hospital stays are much longer these days.
Health care delivery systems are less controversial now.

Clients enter the health care system acutely ill.

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?

The organization is funded by the national government.
The NSNA is run by a group of registered nurses.
The NSNA contributes to the improvement of public health.
The organization provides programs of current professional interest.

The organization provides programs of current professional interest.

A nurse is thinking about pursuing a master's degree in nursing (MSN) and is reviewing information about various programs. What would the nurse expect to find about such programs?

Master's degree nursing education began in the late 18th century.
Such degrees can be attained only in a certain specific area of interest.
Students need to take the licensure examination after the course.
Nurses pursuing such programs require solid scholastic abilities.

Nurses pursuing such programs require solid scholastic abilities.

Of the following orders, which is considered to be the first to provide visiting nurses in Canada?

The Deaconesses of Kaiserwirth
The Daughters of Charity
The Grey Nuns of Montreal
The Sisters of Mercy

The Grey Nuns of Montreal

The nursing instructor is educating the students on the use of latex gloves. Which statement made by the instructor would be most important? Select all that apply.

Most hospital have eliminated the use of latex gloves due to allergies.
Hands should be washed well following the use of latex gloves.
Latex gloves are preferred when fine motor skills are necessary.
Latex gloves should be used when in contact with a patient.
Limited use of latex gloves will decrease the chances of developing latex allergy.

Latex gloves are preferred when fine motor skills are necessary.
Hands should be washed well following the use of latex gloves.
Limited use of latex gloves will decrease the chances of developing latex allergy.

The nurse is caring for a client who is on a ventilator. The nurse is bathing the client and talking to him as she is carrying out care, as well as telling the client what is going to happen next. The nurse speaks to the client in a soothing manner. The nurse is acting in which role? Select all that apply.

Caregiver
Decision-maker
Communicator Educator
Client advocate

Caregiver
Communicator
Educator

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

The RN prays with clients.
The RN provides spiritual counseling.
The RN collects comprehensive data.
The RN collaborates with spiritual healers.

The RN collects comprehensive data.

The nurse and a student are discussing entry into the profession of nursing. Which statement should the nurse use to describe a diploma program?

"It is obtained by a 24-month program at a hospital."
"It is obtained by a 36-month program at a community college."
"It is obtained through a 2-year program at a university."
"It is obtained by a 4-year program at a university."

"It is obtained by a 24-month program at a hospital."

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

assessing a client's blood pressure after teaching stress reduction techniques
educating a client on how to take his blood pressure every morning
determining that a client is at risk for a fall while in the hospital
assessing a client's blood pressure after giving him a cup of coffee

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

Which scenario is the best example of the nursing acting as an advocate?

Writing legislation for insurance coverage for screening colonoscopies
Leading implementation of electronic medical records on the unit
Testing which product is the best for healing diabetic foot ulcers
Communicating clients' test results to the physician

Writing legislation for insurance coverage for screening colonoscopies

The nurse is demonstrating traits of leadership. What actions by the nurse would be recognized as leadership behaviors? Select all that apply.

Attends a mandatory hospital in-service
Communicates an issue to a fellow colleague in the cafeteria
Serves as president of local chapter of Sigma Theta Tau International
Participates on an evidence-based practice council
Develops and implements a quality improvement project

Participates on an evidence-based practice council
Serves as president of local chapter of Sigma Theta Tau International
Develops and implements a quality improvement project

A person practicing nursing in the 1950s would most likely have been influenced by what trend?

Large numbers of women began to work outside the home, asserting their independence.
Male dominance in the health care profession slowed the progress of professionalism in the nursing practice.
Nursing practice was broadened to include practice in a wide variety of health care settings.
Hospital schools were established to provide more easily controlled and less expensive staff for the hospital.

Large numbers of women began to work outside the home, asserting their independence.

Which organization offers membership by invitation to students who demonstrate excellence in scholarship and to nurses in the community who demonstrate excellence in leadership?

National Student Nurses Association (NSNA)
Sigma Theta Tau International, Honor Society of Nursing
American Nurses Association (ANA)
Accreditation Commission for Education in Nursing (ACEN)

Sigma Theta Tau International, Honor Society of Nursing

During World War II, nurses were actively recruited and enlisted in the military. What effect did this have on the nursing profession?

caused a civilian nursing shortage
increased demand for ambulatory services
inspired the formation of home health nursing
encouraged more men to become nurses

caused a civilian nursing shortage

The nurse studies Dorthea Dix, an individual who organized women volunteers to care for the Civil War troops. For which other healthcare reforms is this individual credited? (Select all that apply.)

improved health care for the mentally ill
improved health care for the deaf
improved health care for women
improved health care for the blind
improved health care for the homeless

improved health care for the mentally ill
improved health care for the blind
improved health care for the deaf
improved health care for the homeless

A prosepective nursing student is taking medical terminology as a pre-requisite course for entry into an Associate Degree Nursing Program. What process will the student use after mastering this content?

Critical thinking
Occupational literacy
Socialization to the profession
Career evolution

Socialization to the profession

Nurses must use multiple mechanical devices in the workplace to assess their patients. The data collected from these devices supply what type of information?

subjective
sympathetic
objective
informational
educational

objective

A client is brought to the emergency department with a head injury following an all-terrain vehicle (ATV) accident. The nurse asks the family members to describe how the accident occurred. The nurse is implementing which ANA standard?

Education
Collaboration
Evaluation
Diagnosis

Collaboration

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:

"The nurse is the handmaiden of the physician."
"Everything in nature is alive with invisible forces."
"Pets can help heal clients."
"The physician is viewed as a god-like figure."

"Everything in nature is alive with invisible forces."

The nurse is considering medical-surgical certification after working in a medical-surgical floor for the past five years. Nursing specialty certification is given by which of the following groups?

American Association of Colleges of Nursing (AACN)
National League for Nursing (NLN)
American Nurses Credentialing Center (ANCC)
American Nurses Association (ANA)

American Nurses Credentialing Center (ANCC)

A new graduate is preparing to enter into nursing practice. Which factor will be the central focus for the nurse in practice?

How the nurse will further educational goals
Being protected from litigation
Concern related to illness care
Care of the client

Care of the client

One of the role's that the nurse has in practice is that of a communicator. What attributes by the nurse demonstrate that is characteristic of this role?

Assessing, implementing, and evaluating individual teaching plans to meet learning needs
Establishing and maintaining helping relationships with clients of all ages in a variety of settings

Establishing and maintaining helping relationships with clients of all ages in a variety of settings

All members of the health care team are encouraged to read and contribute to the individual plans of care for their clients. Which health care provider develops the plan of care?

The physician
The client
Any licensed member of the health care team
The RN
The LPN or RN

The RN

A 9-year-old child asks the nurse why he keeps breathing while he is asleep. The nurse knows which of the following gases stimulate normal respiration?

Carbon dioxide
Oxygen
Nitrogen
Helium
Hydrogen

Carbon dioxide

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:

nurses no longer praying for their clients.
unmarried females recruited as nurses.
female criminals recruited as nurses.
nurses caring for war victims and soldiers.

female criminals recruited as nurses.

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?

The RN collects client data.
The RN coordinates care delivery.
The RN analyzes client data.
The RN identifies outcomes.

The RN coordinates care delivery.

The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader?

Sojourner Truth
Margaret Sanger
Mary Breckinridge
Lavinia Dock

Mary Breckinridge

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

Providing physical care and herbal remedies to the mother of a family
Providing nursing care in lieu of serving a jail sentence
Making organized visits to the sick
Carrying out menial tasks based on the orders of the priest-physician

Making organized visits to the sick

A medical-surgical unit manager intends Licensed Practical Nurses (LPNs) in the unit to administer intravenous push (IVP) medications. What source would the manager contact to include this procedure in the LPNs' practice?

National League of Nursing (NLN)
State Nurse Practice Act (NPA)
American Nurses Association (ANA)
facility policies and procedures committee

State Nurse Practice Act (NPA)

Trends in managed care have resulted in an increased focus on the care of clients by nurses in which settings?

Critical care units
Long-term care settings
Hospital settings
Community-based settings

Community-based settings
Health care is increasingly provided in community-based settings such as clinics, outpatient settings, and homes. The impetus for this change has largely been the implementation of a system of managed care to control and monitor health care services to minimize costs. Clients admitted to the critical care unit may need to progress to a floor and a long term setting after hospitalization.

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

This requires at least a doctoral degree education
The nurse oversees the care coordination of a group of clients.
The nurse practices only with a private practitioner.
The nurse may teach advanced education for nurses.

The nurse may teach advanced education for nurses.

The nurse is creating a plan of care for a client and has performed a subjective and objective assessment. What is most important when forming a nursing diagnosis for the client that is a defining characteristic?

Environmental factors and physiological, psychological, genetic, or chemical elements that increase the vulnerability of the patient.
A clinical judgment about individual, family, or community responses to actual or potential health/life processes.
Diagnosing human responses to actual or potential health problems is the second phase of the nursing process.
Serves as both the label and the action of describing a patient's health problems.
Cues or inferences that cluster as observable cues or manifestations of an actual illness or wellness health state

Cues or inferences that cluster as observable cues or manifestations of an actual illness or wellness health state

The nurse is planning an educational visit with a client. Which of the following must the nurse assess to identify client's readiness to learn? Select all that apply.

Willingness to follow the health regimen Physical and psychological abilities to carry out the plan The composition of the patient's family Level of motivation Level of knowledge

Level of motivation
Level of knowledge
Willingness to follow the health regimen
Physical and psychological abilities to carry out the plan

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

"BSN is the recommended entry level by national nursing organization."
"ADN programs are the recommended entry level by national nursing organizations."
"National nursing organizations are promoting diploma nursing."
"National nursing organizations are eliminating accelerated programs."

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

The nurse preparing a lecture on the history of nursing should include which of the following as the first international organization for professional nurses?

International Council of Nurses
National League For Nurses
Sigma Theta Tau International
American Nurses Association

International Council of Nurses

The nurse understands that for nursing to be considered a profession, many things need to be in place. Which element is not part of those considerations?

Ongoing research
Well-defined body of knowlege
Multidisciplinary approach
Strong service orientation
Code of ethics

Multidisciplinary approach

Which scenario is the best example of the nurse implementing the ANA standard relating to diagnosis?

Determining a client is at risk for falls
Evaluating a client's laboratory results
Teaching a diabetic client to inject insulin
Assessing a client's apical pulse rate

Determining a client is at risk for falls

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

Advocate
Communicator
Counselor
Caregiver

Advocate

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

Undergraduate studies
Continuing education
Graduate education
In-service education

In-service education

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What is the best example of community

An example of a community-based nursing situation includes a mother who lacks medical insurance and brings her sick child to the clinic in her neighborhood. Another example is of a man experiencing homelessness who seeks help at the community clinic when he cuts his foot while walking barefoot on the street.