NURS 131 Galen Exam 1 2025

NURS 131 Galen Exam 1 2025 Florence Nightingale - -Who developed a system of call bells, dumbwaiters to assist with carrying supplies and heavy trays, and dropped religious requirements for admission into her nursing home, especially for Catholic and Jewish people Lillian Wald - -Who Dropped out of medical school and stayed in nursing to start Henry Street Settlement in New York to help immigrants False. It was Florence nightingale - -True or False? Mary Seacole upset some of the board members where she worked because of the changes she made and ideas she had Linda Richards - -She was the first American trained nurse in 1873 and developed a format for charting and keeping patient records Mary Mahoney - -She was the first African American trained nurse in 1879 Lillian Wald - -Who pioneered public health nursing in 1893 and focused on client care in the: Slums, Schools, Industrial nursing and well baby care? Mary Seacole - -This was the Jamaican nurse who: •Built a lodging house in Crimea with her own money •Used her knowledge of herbs and natural plant medicines to treat cholera, yellow fever, malaria, and diarrhea •Was often seen helping Florence Nightingale Florence Nightingale - -What historical nurse stressed the importance of environment on patient outcomes, careful observation, critical thinking, and care of the whole person? Clara Barton - -She was the founder of the American Red Cross in 1881. Dorothea Lynde Dix - -She was an advocate for mentally ill and prisoners. Assessment - -This is the step of the nursing process where data collection occurs. Each and every patient encounter - -Data collection begins on admission and continues with Nursing Nursing assessment, diagnosis, planning, implementation, evaluation - -Name each step of the nursing process. Implementation - -During which step of the nursing process are interventions carried out by the members of the nursing and healthcare team to help the patient achieve goals developed by the nurse? specific, measurable, attainable, realistic, time-bound - -SMART goals are ones that are_______? F. It is not specific, measurable, or time bound. - -T or F. The client will tolerate chemotherapeutic medications is an example of a SMART goal. Implementation - -The nurse demonstrates to a patient how to measure her blood sugar using a glucometer. What step of the nursing process is this? Evaluation - -The nurse notes that a patient's expected outcome was fluid intake of 2000 mL in a 24 hour period, but the actual outcome was 1800 mL in a 24 hour period. Which step of the nursing process is this? diagnosis - -This is the step of the nursing process where objective and subjective data is analyzed. Planning - -This is the step of the nursing process where nurses determine how to manage the problem and set patient goals. False. Immunizations provide protection against infectious diseases - -The primary purpose of immunizations is to eradicate childhood infectious diseases. False. The nursing shortage led to PN/VN nurses practicing in hospitals and taking on more responsibilities. - -Post WWII nursing shortage led to nurses performing care anywhere they wanted to, taking on any responsibilities they were willing to take. True - -The first real school of nursing was established in Germany. True - -Hand hygiene is a primary level of disease prevention. False. The purpose of a rehab facility is to help the patient regain optimal function of the injured body part. - -The purpose of a rehabilitation facility is to provide long-term care for a patient. True - -The goal of health promotion is to help individuals achieve an optimal level of wellness. True - -The WHO (World Health Organization) defines health as a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity. Nursing Nursing False - -LVN's work independently by initiating client teaching and making decision regarding nursing diagnoses. False. Ruminative thinking is when we continue to replay events over and over in our head. - -Ruminative thinking is when we do things without even thinking about them much. They are habits. True - -Critical thinking is continued self-development in order to make improvements in client care. Mississippi - -This is the first state to pass a law about licensing nurses. CNA-certified, state approved certificate program NA-usually not certified, program is 6-12 weeks - -What are the differences between a CNA and a NA? Signs - -Objective data collected by the nurse is also known as_______? Subjective, symptoms - -The patient stated that he has a headache of a 7 on a 0-10 pain scale. The nurse recognizes this as ___________ data, also known as ____________ Knowledge - -The nurse took her patient's blood pressure and noted that it was 110/76. The nurse recalls that this range is within the normal BP range for an adult. The nurse is demonstrating which cognitive level? B - -The nurse would do which of the following during the implementation phase of the nursing process when working with a hospitalized adult? A. Formulate a nursing diagnosis of impaired gas exchange B. Record in the medical record the distance a client ambulates in the hall C. Write individualized nursing orders in the care plan D. Compare client responses to the desired outcomes for pain relief D - -While assisting a client from bed to chair, the nurse observes that the client looks pale and is beginning to perspire heavily. The nurse would then do which of the following activities as a reassessment? A. Help client into the chair but more quickly Nursing Nursing B. Document client's vital signs taken just prior to moving the client C. Help client back to bed immediately D. Observe client's skin color and take another set of vital signs Offers health insurance to Americans who are uninsured. - -What is the purpose of the affordable care act? A - -Which of these is a correctly stated outcome goal written by the nurse? A. The client will walk 2 miles daily by March 19 B. The client will understand how to give insulin by discharge C. The client will regain their former state of health by April 1 D. The client achieve desired mobility by May 7 D - -A client on the nursing unit is terminally ill but remains alert and oriented. Three days after admission, the nurse observes signs of depression. The client states, "I'm tired of being sick. I wish I could end it all." What is the most accurate and informative way to record this data in a nursing progress note? A. Client appears to be depressed, possibly suicidal B. Client reports being tired of being ill and wants to die C. Client does not want to live any longer and is tired of being ill D. Client states, "I'm tired of being sick. I wish I could end it all. Actually, goal setting takes place during the planning phase of the nursing process! - Goal setting takes place during the diagnosis phase of the nursing process. Actually, the nurse should see: SOB first Pain, second Suicide, third - -When the nurse is planning her shift, she decides to see the post-op patient who is reporting a pain level of 7 on a scale of 0-10 first, the patient who is teary eyed and says she wants to die, but does not have a plan and no prior attempts second, and the patient with new onset shortness of breath and an O2Sat of 88% third. Actually, the nurse with the highest skill mix is the DNP or PHD prepared nurse. - -The nurse with the highest skill mix is the BSN who graduated top of his class. Actually, the LPN/LVN scope of practice is in the Nurse Practice Act - -The LPN/LVN scope of practice can be found in the Texas Board of Nursing monthly circulated journal Nursing Nursing Actually, critical thinking requires continuous self-development, practice, cultivation, and experience - -Critical thinking involves increased number of certifications and inflated ego Actually, health promotion focuses on increasing one's optimal level of wellness. health promotion focuses on empowering individuals to make positive lifestyle changes and improve their overall well-being through education and environmental modifications. Health maintenance-focuses on prevention- focuses on preserving an individual's current health status by preventing disease through regular checkups, screenings, and addressing identified risks - -Health promotion and health maintenance is two different ways of saying the same thing. Actually, LPN/VN a more appropriate setting for an LPN/VN to work as a charge nurse is LTC facility after the nurse has gained some experience. - -LPN/VN's are educationally prepared and have the scope of practice to work as a charge nurse in an acute care setting. Actually, this represents the members of an interdisciplinary team. A nursing team would contain nursing personnel only - -Registered nurses, Vocational nurses, respiratory therapists, surgeons, CNA's, physical therapists, charge nurses, doctors, and nurse practitioners make up a nursing team. Actually, intuition is a part of nursing and nursing intuition grows with experience and exposure to patient circumstances. - -Intuition is the ability to understand or sense something without conscious reasoning. It's often based on emotions, instincts, or personal experience. Intuition is quick, impulsive, and can help make quick decisions. It has NO place in nursing. Actually, the nursing student is working under the assumption that the student nurse is going to be a future vocational nurse and is expected to the same safe care as a licensed nurse. - -While at the clinical site, the student LVN is working under the nursing instructors license. C - -You as the nurse are planning a lunch and learn at the local library about health promotion. As the nurse, you realize that which option is the goal of health promotion? A. Challenge current health care practices B. Provide self-actualization C. Attain an optimal level of wellness D. Teach participants tips to manage their stress levels Nursing D - -A patient has a spouse with a chronic condition and two children with different health issues. Which recommendation would you make to help the patient create a healthy meal plan for the entire family? A. Make on meal that includes a protein, carbohydrate, and fat B. Encourage the family members to eat the foods they prefer C. Use the spouse's diet as the base and alter it for the children D. Select a variety of foods from the major food groups C - -The health care worker is correct if they tell a patient that Healthy People 2030 provides which information? A. Focus on world health issues B. Framework from which Canadian health care developed C. Scientific base for disease prevention and health promotion for all Americans D. National health insurance for low-income Americans B - -The nurse is establishing health promotion goals for Larry, a client who smokes 2 packs of cigarettes per week and has done so for 30 years, weighs 230 pounds, and drinks 5 beers every Friday and Saturday night. Which of the following goals should the nurse include? A. The client will maintain a caloric intake of 1200 calories per day B. The client will walk for 30 minutes five days per week C. The client will replace cigarettes with vaping D. The client will eliminate foods that are high in protein A,B,D,E - -You are talking with colleagues about the actions the health care organization supported during the COVID-19 pandemic. Which actions would you identify as having helped to reduce the spread of the virus? Select all that apply. A. Disinfecting B. Isolation C. Taking prophylactic medications Nursing Nursing D. Use of personal protective equipment (PPE) E. Screening A - -The nurse is discussing the various levels of disease prevention with a colleague. Which of the following would the nurse identify as primary prevention? A. Routine dental examinations B. Diabetic foot care C. Pain management D. Insulin injection education D - -Empowerment is defined as which of the following? A. The intensity of feeling generated by the patient. B. A needs-based behavior C. Open interaction between the patient and the environment D. Patient-centered decision making C - -The nurse is planning a staff development luncheon and identifies the following as a goal of the Affordable Care Act? A. Insurance companies can now deny coverage to those with pre-existing health conditions. B. All companies with 10 or more employees must now provide health insurance C. Offers health insurance to Americans who are uninsured D. Families with no children are eligible for health care services at no cost D - -The nurse wants to empower her client regarding health promotion activities. To do this, the nurse would: A. Tell the client what they should do B. Act as an exercise coach for the client C. Share her personal experiences, opinions, and expertise