Test 1 Review Flashcards

1
Q

Which of the following organizations is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?

A

American Nurses Association (ANA)

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2
Q

What guidelines do nurses to follow to identify the patient’s health care needs and strengths, to establish and carry out a plan of care to meet those needs, and evaluate the effectiveness of the plan to meet established outcomes?

A

Nursing process

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3
Q

A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role?

A

Counselor

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4
Q

A nurse is caring for a client who is a chronic alcoholic. The nurse educates the client about the harmful effects of alcohol and educates the family on how to cope with the client and his alcohol addiction. Which of the following role is the nurse using?

A

Counseling

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5
Q

A licensed practice nurse (LPN) is working as a staff nurse. What role do the LPNs working as a staff nurse do?

A

Provide direct nursing care to the clients in the healthcare facility.

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6
Q

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

A

Nursing process

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7
Q

Which of the following theories emphasizes the relationships between the whole and the parts, and how the parts function and behave?

A

General systems theory

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8
Q

A staff nurse asks a student, “Why in the world are you studying nursing theory?” How would the student best response?

A

“It helps explain how nursing is different from medicine.”

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9
Q

A group of students is reviewing information about evidence-based practice in preparation for an exam. The students demonstrate understanding of the information when they identify which of the following as associated with the evidence-based practice?

A

Clinical expertise is integrated in external evidence.

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10
Q

A middle-aged woman is 40 pounds over her ideal weight. Which of the following statements bets illustrates the effect of her self-concept on heath and illness?

A

“Why should I lose weight? I’ll still be fat.”

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11
Q

A client is admitted to the hospital with abrupt symptoms of increasing shortness of breath, fever, and a productive cough with green sputum. Upon further exam the client is diagnosed with chronic obstructive pulmonary disease (COPD) exacerbation. The nurse identifies this as which type of illness?

A

Chronic

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12
Q

A woman 80 years of age has had a cerebrovascular accident. She has flaccidity of her right side with aplasia. For this client, which of the following activities constitutes tertiary prevention?

A

Gait training and speech therapy

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13
Q

According to Maslow’s basic human needs hierarchy, which needs are the most basic?

A

Physiologic

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14
Q

What is one method by which a nurse can be a role model to promote health in the community?

A

Demonstrating a healthy lifestyle.

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15
Q

Five functions have been identified as being essential to growth of individuals and families. One of these is education and support. How is support manifested in the context of coping with crisis and illness situation?

A

Actions that tell family members they are cared about and loved.

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16
Q

Which of the following aspects of nursing would be most likely defined by legislation at a state level?

A

The difference in the scope of practice between registered nurses (RNs) and licensed practical nurses (LPNs).

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17
Q

A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity?

A

Criminal

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18
Q

What is the legal source of rules of conduct for nurses?

A

Nurse Practice Acts

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19
Q

A baccalaureate-prepared nurse is applying for a nurse practitioner position. The nurse is:

A

Practicing beyond his scope according to licensure

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20
Q

Which of the following is the most frequent reason for revocation or suspension of a nurse’s license?

A

Alcohol or drug abuse

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21
Q

A nurse is caring for a woman 28 years of age who has delivered by a baby by cesarean section. She describes her pain a 9. The nurse medicates her for pain. This is an example of which of the following ethical frameworks?

A

Benificence

22
Q

The nurse is providing home care for a client who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea?

A

Let me check with the doctor to make sure it is okay to drink the tea with your medicines.

23
Q

A father, mother, grandmother, and three school-aged children have immigrated to the United States from Thailand. Which member(s) of the family are likely to learn to speak English more rapidly?

A

Children

24
Q

The focal point of nursing the nurse-client interaction. What must nurses consider when conducting the necessary assessment of their clients and significant others.

A

Their own cultural orientation

25
Q

The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. What cultural group would require an alternative meal choice?

A

Muslim

26
Q

Which of the following statements accurately describes a characteristics of a community?

A

Communities are formed by the characteristics of people and other factors.

27
Q

When providing nursing car to a client, the nurse provides family-centered nursing care. The is one rationale for this nursing action?

A

Illness in one family member affects all family members.

28
Q

The nurse conducting a community emergency preparedness education class includes which of the following as an example of a natural disaster?

A

Earthquake

29
Q

After teaching the students about health and wellness, the nursing instructor identifies a need for further instruction when one of the students makes which of the following statements?

A

“Health means the same for every person.”

30
Q

Which of the following models of health promotion and illness prevention was developed to illustrate how people interact with their environment as they pursue health?

A

The health promotion model

31
Q

Which of the following activities related to respiratory health is an example of tertiary health promotion and prevention?

A

Administering a nebulized bronchodilator to a client who is short of breath.

32
Q

The nursing instructor has given an assignment to a group of nurse practitioner students. They are break into groups of four and complete a health-promotion teaching project, then present a report back to their fellow students. What project is the best example of health-promotion teaching?

A

Discussing the importance or preventing sexually transmitted disease to a group of 12th-grade students.

33
Q

Which of the following most accurately defines “illness”?

A

The response of a person to a disease.

34
Q

What may happen to the family when one of the family members suffers an illness?

A

Changes in roles for the client and family

35
Q

A camp nurse is teaching a group of adolescent girls about the importance of monthly breast self-examination. What level of preventative care does this activity represent?

A

Primary

36
Q

A nurse receives an x-ray report on a newly admitted patient suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in?

A

Communicator

37
Q

Which nursing role is the nurse exhibiting when collecting data about the number of urinary tract infections on the nursing unit?

A

Researcher

38
Q

A nurse using the principle-based approach client care seeks to avoid causing harm to client in all situations. What is this principle known as?

A

Nonmaleficence

39
Q

A nursing instructor is teaching a class about ethical principles to a group of nursing students. The instructor determines that the teaching was successful when the students give which of the following as an example of nonmaleficence?

A

Protecting clients from a chemically impaired practitioner.

40
Q

A nurse states to the client that she will keep her free of pain. However, her family wishes to try a treatment to prolong her life that may necessitate withholding pain medication. This factor will cause an ethical dilemma for the nurse in relation to which ethical principle?

A

Fidelity

41
Q

A nurse walks by a client’s room and observes a Shaman performing a healing ritual for the client. The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other clients on the floor. What feelings this nurse displaying?

A

Culture conflict

42
Q

Despite the presence of a large number of elderly residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold meal planning. Which of the following should the nurse at the facility recognize as an example of?

A

Cultural blindness

43
Q

Nursing research is linked most closely to what?

A

Nursing process

44
Q

Which of the following accurately describes Florence Nightingale’s influence on nursing knowledge>

A

She differentiated between health nursing and illness nursing.

45
Q

A nurse researcher is studying perceptions of vocational rehabilitation for clients after a spinal cord injury. What type of research method will be used to study the perceptions of this group of individuals?

A

Qualitative research

46
Q

A client, unsure of the need fro the surgery, asks the nurse, “What should I do?” What answer by the nurse is based on advocacy?

A

“Tell me more about what makes you think you dont want surgery?”

47
Q

Which of the following are examples of a nurse demonstrating the professional value of altruism?

A

multi

48
Q

Which of the following examples represents the type of knowledge known as process?

A

multi

49
Q

A nurse explains the informed consent form to a client who is scheduled for heart bypass surgery. Which of the following are elements of this consent form?

A

multi

50
Q

On which of the following components is Rosenstock’s health belief model based?

A

multi