,
,
,The nurse may include patient teaching in the clients care, but more is required to meet the needs of
this client.
The nurse is not performing in the role of counselor.
Clear communication will be necessary for the client to understand self-care measures regarding
dialysis. The role of communicator does not, however, entirely meet the clients physical needs at this
time.
DIF: A REF: 10 OBJ: Comprehension TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
7. Nurses have the opportunity to work in a wide variety of health care agencies around the world.
The practice setting where the majority of nurses continue to work is:
1 Acute care
2 Home care
3 Long-term care
4 Ambulatory care
ANS: 1
Most nurses provide direct client care in the hospital setting.
,Although opportunities for providing patient care in the clients home are increasing, the majority of
nurses are not employed in this setting.
The majority of nurses do not work in nursing homes or extended care settings. Significantly fewer
nurses work in an ambulatory care setting.
DIF: A REF: 10 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
8. A client is receiving Dilantin to prevent seizure activity. To which allied health care professional
should the nurse refer this client in order to minimize the challenges this condition creates?
1 Physical therapist
2 Physicians assistant
3 Respiratory therapist
4 Occupational therapist
ANS: 4
An occupational therapist is a person who provides assessment and intervention to ameliorate physical
and psychological deficits that interfere with the performance of activities and tasks of living, including
ones employment.
A physical therapist is responsible for the patients musculoskeletal system. A physical therapist may use
exercises as an intervention to improve a clients mobility.
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,A respiratory therapist provides treatment to preserve or improve pulmonary function.
A physicians assistant performs tasks usually done by physicians and works under the direction of a
supervising physician.
DIF: C OBJ: Analysis TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
9. The Goldmark Report concluded that:
1 Nursing roles and responsibilities required clarification
2 A theory-based curriculum was necessary for accreditation
3 Nursing education programs must be affiliated with universities
4 Increased financial support should be provided for nursing education
ANS: 4
In 1923 the Goldmark Report identified the need for increased financial support to university- based
schools of nursing.
The National Commission on Nursing and Nursing Education Report of 1965 recommended that nursing
roles and responsibilities be clarified in relation to other health care professionals.
In 1975 the National League for Nursing required theory-based curriculum for accreditation. The Brown
Report of 1948 concluded that all nursing education programs should be affiliated with universities and
should have their own budgets.
DIF: A REF: 3 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
10. In 1893 Lillian Wald and Mary Brewster made significant contributions to the nursing profession
through their work involving the:
1 Henry Street Settlement in New York
2 First training school in Toronto, Canada
3 Training school at Johns Hopkins in Baltimore
,4 Development of the American Journal of Nursing
ANS: 1
In 1893 Lillian Wald and Mary Brewster opened the Henry Street Settlement, which was the first
community health service for the poor.
The first nurses training school in Canada was founded in St. Catherines, Ontario, in 1874.
In 1894 Isabel Hampton Robb was the first superintendent of the Johns Hopkins Training School in
Baltimore, Maryland.
Isabel Hampton Robb was one of the original founders of the American Journal of Nursing. DIF: A REF: 3
OBJ: Comprehension
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TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
11. To obtain a certification in a specialty area, the nurse will have to complete:
1 A request for state approval
2 A graduate degree in nursing
3 An examination and the minimum practice requirements
,4 A general examination given to all nurses seeking certification
ANS: 3
Set minimum practice requirements are based on the certification the nurse is seeking. After passing the
initial examination, the nurse maintains certification by ongoing continuing education and clinical or
administrative practice.
Individual states do not grant certification by request. Certification in a specialty area requires passing
the examination for certification in that area and meeting minimum practice requirements.
A masters degree in nursing is not required for certification in a specialty area.
A specialized examination is given according to the specific area of nursing practice in which certification
is being sought.
DIF: A REF: 9 OBJ: Knowledge TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
12. In the ANA Standards of Professional Performance, which one of the following is a specific
measurement criterion for The nurses decisions and actions on behalf of clients are determined in an
ethical manner?
1 Acts as client advocate
2 Participates in the collection of client data
3 Seeks experiences to maintain clinical skills
4 Consults with appropriate health care providers
ANS: 1
As a client advocate, the nurse protects the clients human and legal rights and provides assistance in
asserting those rights if the need arises. Performing in the role of patient advocate fulfills a
measurement criterion for the professional performance standard of ethics.
Participating in data collection is a measurement criterion for the professional performance standard of
quality of practice.
The nurse who seeks experiences to maintain clinical skills is fulfilling a measurement criterion for the
professional performance standard of education.
Consulting with health care providers is a measurement criterion for the professional performance
standard of collaboration.
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DIF: A REF: 7 OBJ: Comprehension TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
13. In looking at the nineteenth century, the growth of professional nursing was stimulated by:
1 The Civil War
2 Federal legislation
3 Florence Nightingale
4 The womens suffrage movement
ANS: 1
The Civil War stimulated the growth of nursing in the United States. Nurses were in demand to tend to
the soldiers of the battlefield.
Throughout history, nurses and their professional organizations have lobbied for health care legislation
to meet the needs of clients. However, legislation was not responsible for the growth of nursing in the
nineteenth century.
Although Florence Nightingale had great impact on the practice of nursing, she was not the cause for the
growth of nursing in the United States during the nineteenth century.