Chapter 1 Flashcards

1
Q

Using the nursing process to carefully consider a client’s condition is an example of which skill?
A - Clinical judgement
B - Critical thinking
C - Problem-solving
D - Functional Nursing

A

A

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2
Q

A client is concerned a bout the cost of ongoing treatment and has asked about treatments that may be more affordable. What resources and information can the nurse provide to this client? Select all that apply.
A - Education on collective bargaining
B - Listing of nurse practitioners ners who can produce equal care
C - Directions on how to utilize tele-health nursing
D - information on complementary and alternative medicine (CAM)
E - Eligibility criteria fro Medicaid

A

B
D
E

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3
Q

What is the most effective way for a new nurse to influence health-care policy and become involved in legislation on the local, state, and national levels?
A - Joining and becoming involved in a professional nursing organization
B - Running for political office
C - Creating a social media forum for political activism
D - voting in the presidential elections

A

A

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4
Q

While conducting research on weight management among Native Americas, what information would be integral in developing a theory?
A - Beginning weight and eating habits, family history, and career or job type
B - Previous medical history (such as diabetes and heart disease) and compliance with physician recommendations
C - Client preferences regarding weight management (timing, location, and costs) and how meeting these preferences will influence success
D - Familial support, desire for behavioral modification, level of obesity, and client ability to keep appointments

A

C

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5
Q

Which characteristics of registered nursing are identified by the American Nurses Associated (ANA)? Select all that apply.
A - Nursing practice is individualized.
B - Nurses coordinate care by establishing partnerships.
C - Diagnosis and treatment of human response to potential health problems is fundamental to nursing
D - Professional work environment is directly correlated to stress and burnout.
E - Nurses prescribe the appropriate medications for their clients

A

A
B

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6
Q

What is meant by full spectrum nursing?
A - Clients are treated by nurses who use well-rounded skills such as critical thinking and communication in addition to technical skills and safe and effective care.
B - quality and safety competence are in place for all health-care professionals to demonstrate complete understanding in nursing education
C - Nurses consider an issue and attempt to find a satisfactory solution to achieve the best outcomes
D - Nurses observe, compare, contrast, and evaluate a client’s condition to determine if change has occurred ured

A

A

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7
Q

A nursing student recognized that a client’s laboratory results are abnormal but does not know the reason why. In which stage of informal learning is this student?
A - Novice
B - Advanced beginner
C - Competence
D - Proficient

A

B

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8
Q

Which nursing degrees are research-focused? Select all that apply.
A - Doctor of nursing practice - DNP
B - Doctor of nursing science - DSN
C - Doctor of philosophy - PhD
D - Doctor of public health - DPH
E - Associate degree in nursing - ADN
F - Bachelor of science degree in nursing - BSN

A

B
C

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9
Q

How has the vast amount of information available on the internet affected client-nurse relationships?
A - clients actively participate in discussions about health issues and treatment options more often than in the past.
B - Nurses have a more difficult time educations clients due to the research already conducted by the client.
C - Clients are more easily confused when talking to the nurse due to conflicting information
D - Nurses often struggle in conveying the importance of client compliance, as clients often feel they can treat themselves at thome

A

A

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10
Q

What is the difference between skilled care and custodial care?
A - Skilled care focuses on short-term rehabilitation, while custodial care focuses on activities of daily living and other daily needs clients would typically do themselves.
B - Skilled care designed to bridge the gap between independence and institutionalization for older adults and custodial care is temporary care.
C - Skilled care allows for focused care on an outpatient basis, while custodial care provides in-home care.
D - Skilled care provides services to at-risk populations, infection, and other comorbidities.

A

A

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11
Q

Which are primary purposes of nursing care? Select all that apply.
A - Health promotion
B - Illness prevention
C - End-of-life care
D - Family planning
E - Medication Prescription

A

A
B
C

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12
Q

A nurse assesses the client and developes a plan of care in which type of model of care?
A - Primary nursing
B - Team nursing
C - Case method
D - Functional nursing

A

A

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13
Q

A client has been referred to hospice for end-of-life care. What type of care is this considered?
A - Primary care
B - Secondary care
C - tertiary care
D - Home health care

A

C

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14
Q

Clients with private insurance pay for services in the form of deductibles, premiums, and co-payments in which method of financing health care?
A - Cost-sharing
B - Public financing
C - Categorical programs
D - Direct payment

A

A

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15
Q

An impoverished 55-year old client has accrued a large hospital charge after emergency surgery and is unable to pay the bill. What insurance can the nurse recommend to the client to help with the cost? Select all that apply.
A - Medicare
B - Medicaid
C - A specialty program
D - A charitable organization
E - Health maintenance organization (HMO)

A

B
D

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16
Q

Which recommendations to redesign the health-care system does the American Nurses Association’s Health System Reform Agenda include? Select all that apply.
A - Shift the priority from illness care to health promotion.
B - establish health policies that support safe, effective, patient-centered care.
C - Establish a dual-payer system for financing health care.
D - Provide universal access to essential health-care services for all citizens and residents.
E - Shift health-care law-making from the federal government to the state governments.

A

A
B
D

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17
Q

An experienced nurse signs up for a class on a new electronic health record system. Which of the American Nurses Associated Standards of professional Performance does this most exemplify?
A - Education
B - Communication
C - Collaboration
D - Ethics

A

A

18
Q

A nurse visits a high school to give a presentation on HIV prevention. In what roles is this nurse acting?
A - Direct care provider
B - Educator
C - Client advocate
D - Leader

A

B

19
Q

In which capacity would a clinical nurse specialist best service a health-care facility?
A - Providing direct client care
B - Diagnosing and treating diseases
C - Conducting preoperative client screening
D - Educating clients and families on disease management

A

D

20
Q

Which professional nursing organization would a nurse seek to join if interested in nursing research and scholarship?
A - American Nurses Association (ANA)
B - Sigma Theta Tau International (STTI)
C - National League for Nursing (NLN)
D - International Council of Nursing (ICN)

A

B

21
Q

Which nurse would fall into Benner’s stage of being an expert nurse?
A - A nurse who reviews laboratory results and notices a client has an elevated potassium level
B - A nurse who assesses a client and believes that something is not right and notifies the heath-care provider
C - A nurse who manages the care of four couples clients, but becomes upset when making an incorrect clinical decision
D - A nurse who asks for multidisciplinary client care conference to coordinate services and determine needs to due to an ability to see the big picture of the clients needs

A

B

22
Q

Which are common responsibilities of the state boards of nursing? Select all that apply.
A - Describing a level of competency for nursing care.
B - Providing approval for nursing education programs
C - Funding research for nursing education
D - Enforcing rules that govern nursing practice
E - Developing criteria that permits someone to be licensed as a registered nurse (RN) or as a licensed practical or vocational nurse (LPN/LVN)

A

A
B
C
D
E

23
Q

A registered nurse (RN) is interviewing for a new staff position at a hospital and asks about staffing and client assignments. the interviewer explains nurses work in a functional nursing role. Which statement best explains this approach?
A - RNs provide all care to only one client during the shift
B - RNs provide care to a high-acuity clients and work with nursing assistants.
C - RNs provide are to a group of clients and develop a plan of care for all clients
D.- RNs provide compartmentalized care, perform complex treatments, and are in charge

A

D

24
Q

Which health-care setting would the registered nurse (RN) recommend for a client who needs further inpatient therapy after sustaining a stroke?
A - Nursing home
B - Rehabilitation center
C - Assisted living center
D - Ambulatory care center

A

B

25
Q

Madge graduated from a hospital-based diploma nursing program in 1947. During her 3-year education, she lived in a dorm next to the hospital where she cared for patients in the wards. She proudly wore her starched white uniform and nursing cap on the day of her pinning ceremony.

Madge’s daughter, Kathy, graduated from a 2-year associate degree nursing (ADN) program at the local community college in 1974. She worked as a “new grad” nurse in the hospital for 4 months after graduation, awaiting the results of her NCLEX-RN® examination.

Bryan, Kathy’s son, graduated with his bachelor of science in nursing (BSN) degree from the state university in 2011 after a 4-week preceptorship at the end of his program.

As a new grad on the acute-care floor, Madge worked diligently to obtain patient information and supplies in preparation for the healthcare provider’s rounds. She cared for each of her patients and knew them well. How did Madge’s actions meet the ANA standards of nursing? Select all that apply.
A - Caring is central to practice.
B - Nursing practice is individualized.
C - She coordinates the care of the team members.
D - Madge works with the families of her patients.
E - She plans care for each of her patients.

A

A
B
E

26
Q

When comparing the roles of Madge and Bryan as new nursing grads, which roles and functions would they have in common? Select all that apply.
A - Direct care provider
B - Communicator
C - Client/family educator
D - Counselor
E - Leader

A

A
B
C
D
E

27
Q

At the time of Bryan’s graduation with his BSN degree, Kathy decides to enroll in an RN to BSN program to obtain her degree. What new opportunities will be available for Kathy with this additional education? Select all that apply.
A - Applying for graduate school
B - Providing direct client care
C - Becoming a charge nurse
D - Working as a nurse practitioner
E - Applying research findings

A

A
B
E

28
Q

Bryan finds himself feeling unprepared and frustrated in his new grad role. He tells his mom, “I do fine when I’ve done something before, but every day there seems to be a new skill that I haven’t performed yet.” His mom reassures him that things will get easier as he becomes exposed to more experiences. Which stage of Benner’s model is Bryan demonstrating?
A - Novice
B - Advanced beginner
C - Competence
D - Proficient
E - Expert

A

B

29
Q

Over dinner one evening, Bryan asks his grandmother whether she was ever a member of the American Nurses Association (ANA). She responds by saying, “I’m not sure what that is.” What is Bryan’s best response?
A - “The ANA represents nurses around the world to ensure quality nursing care for all.”
B - “The ANA is the national honor society for nursing.”
C - “The ANA supports nursing specialties such as emergency room nursing.”
D - “The ANA focuses on the political process as a way of improving healthcare legislation.”
E - “The ANA maintains nursing educational standards.”

A

D

30
Q

After a year as a medical–surgical nurse in an acute care facility, Bryan tells his mom that he’s more passionate about preventive care than he is about health restoration. To which care location should Kathy direct him?
A - Ambulatory care
B - Home care
C - Community health
D - Extended care facility
E - Hospitals

A

C

31
Q

Bryan decides to advance his practice and begins applying to nurse practitioner education programs. During an interview, he is asked which factors are most influential in changing the face of healthcare. Which of the following answers is correct?
A - “When the economy is poor, the healthcare industry thrives.”
B - “The population growth rate for older adults is decreasing, requiring fewer healthcare services.”
C - “Consumers are becoming more educated and demanding more choices.”
D - “Men are migrating away from nursing because the salary is not stable.”
E - “Collective bargaining is creating lower wages for the bedside nurse.”

A

C

32
Q

What are the components of safe, effective care? Select all that apply.
A - Informatics
B - Evidence-based practice
C - Quality improvement
D - High patient to RN ratios
E - Patient-centered care

A

A
B
C
E

33
Q

The nurse is explaining that she works with homebound clients who cannot get to ambulatory care for treatment. Which health care setting is the nurse working in?
A - Home care
B - Ambulatory care
C - Community health
D- Extended care

A

A

34
Q

Which roles are commonly used by nurses during a given shift? Select all that apply.
A - Advocate
B - Educator
C - Organizer
D - Leader
E - Case manager

A

A
B
D
E

35
Q

A nurse who is able to identify and achieve objectives is demonstrating which aspect of Benner’s model?
A - Expert
B - Competence
C - Proficient
D - Advanced beginner

A

A

36
Q

Which organization represents nurses around the world to ensure quality nursing care for all?
A - The National League for Nursing
B - The International Council of Nursing
C - The American Nurses Association
D - The World Health Organization

A

B

37
Q

Which circumstances would qualify a client for a move into an independent living center? Select all that apply.
A - The client must be over the age of 55
B - The client must be autonomous in all activities of daily living
C - The client must have a desire to live with other seniors
D - The client must need assistance with medicaiton administration.
E - The client must need continued physical and occupational therapies after an injury

A

A
B
C

38
Q

The health-care team is determining discharge plans for a client admitted after involvement in a motor vehicle accident. The client requires intravenous antibiotics as well as physical and occupational therapy and wants to receive these services in the home. Which factors determine if this is appropriate? Select all that apply.
A - The presence of help in the client’s home
B - The coverage provided by the client’s insurance carrier
C - The complexity of the care required by the client
D - The availability of a home healthcare agency to provide the required services
E - The ability of the client to be transported to and from health-care provider appointments

A

A
B
C
D
E

39
Q

A nurse is working at a clinic and wants to focus on primary health care in the community. Which interventions would be included in the nurse’s plan? Select all that apply.
A - Educating children on appropriate hand hygiene
B - Providing nursing care to ill clients in their homes
C - Administering flu shots to elderly clients in an independent living center
D - Delivering end of life care to a client with terminal cancer in the home
E - Presenting information at a senior center regarding ways to prevent diabetes mellitus

A

A
C
E

40
Q

A registered nurse (RN) is developing a plan of care for a client admitted with pneumonia. Which tasks can the RN delegate to the nursing assistive personnel (NAP)? Select all that apply.
A - Bathing the client
B - Shaving the client
C - Providing oral care
D - Administering lubricating eye drops
E - Performing a sterile dressing change

A

A
B
C
D
E

41
Q

According to the Institute of Medicine, which competency best promotes the concept of providing safe, quality client care?
A - Quality improvement
B - Interprofessional teams
C - Evidence-based practice
D - Information technology integration

A

A

42
Q

A client is given a diagnosis of terminal cancer, and the health-care provider suggests hospice services for the family. The family is hesitant and asks the nurse what hospice can provide. Which responses given by the nurse are appropriate? Select all that apply.
A - “Hospice services assist the family with funeral planning”
B - “Hospice services ensures the client is comfortable and the pain is controlled”
C - “Hospice services allow the client to preserve dignity during the dying process”
D - “Hospice services provide spiritual care for the client within the client’s culture”
E - “Hospice services can provide chemotherapeutic medications for treatment”

A

A
B
C
D
E