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ch1 Nursing.

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Exam of 19 pages for the course Final Community NCLEX questiosn. at Final Community NCLEX questiosn. (ch1 Nursing.)

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ch1 Nursing
A nurse must possess several characteristics to be successful in this profession. Secondary
to critical thinking skills, which is of great value?
-delegation of responsibilities
-advocating for the client at all times
-good teamwork and team-building skills
-educational attainment such as Master's of Nursing - correct answer-- advocating for the
client at all times
Explanation:
Nursing is caring, commitment, and dedication to meeting the health needs of all people.
Nurses direct care to promote, maintain, and restore health in various settings. They are
prepared to identify and to assist with the health care needs of individuals, families,
communities, and populations. Advocating for the client is an essential skill needed. A RN
does not need to have a masters degree to advocate. Any healthcare provider can delegate
responsibilities. A nurse can learn to work with teams and team build as necessary.
Reference:
Chapter 1: Introduction to Nursing - Page 8-17

A nurse is planning to pursue further education in the hopes of becoming an expert in
geriatric nursing who carries out direct care. For which expanded career role is the nurse
preparing?
-Clinical nurse specialist
-Physician assistant
-Nurse manager
-Nurse-midwife - correct answer-- Clinical nurse specialist
Explanation:
Clinical nurse specialists are nurses with an advanced degree who are considered experts in
a specialized area of care. They also provide direct care, consultation, and education of
clients, families, and staff. Nurse managers do not normally provide direct care.
Nurse-midwives specialize in obstetrical care. Physician assistants are not nurses.
Reference:
Chapter 1: Introduction to Nursing - Page 16

A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse
researchers?
-They usually have a baccalaureate degree in nursing.
-They are responsible for the continued development and advancement of nursing.
-They tend to work in community health centers and long-term care units.
-They serve as liaisons between staff members and directors of nursing. - correct answer--
They are responsible for the continued development and advancement of nursing.
Explanation:
Nursing research requires extensive education and is a uniquely specialized field. Nurse
researchers are responsible for the continued development and refinement of nursing. They
usually have advanced education post baccalaureate degree in nursing and most often work
in large teaching hospitals or research centers. Nurse administrators, not nurse researchers,

,serve as liaisons between staff members and directors of nursing, Nurse researchers may
be found with a school of nursing at academic institutions, but not at community health
centers and long-term care units.
Reference:
Chapter 1: Introduction to Nursing - Page 16

A nurse is providing care for clients in a long-term care facility. What should be the central
focus of this care?
-The nurse as the caregiver
-Nursing as a profession
-The client receiving the care
-The nurse's actions - correct answer-- The client receiving the care
Explanation:
The client receiving the care is always the central focus of the nursing care provided. The
central focus is not the nurse, the nursing actions, or nursing as a profession.
Reference:
Chapter 1: Introduction to Nursing - Page 11

The nursing process includes step(s)? Select all that apply.
-Implement
-Evaluate
-Assess
-Prescribe
-Plan - correct answer-- Implement
- assess
- Evaluate
- plan
The nursing process consists of assessing the client, planning the client's care,
implementing the planned interventions, and evaluating the effectiveness of those
interventions. Prescribing is not a part of the nursing process.
Reference:
Chapter 1: Introduction to Nursing - Page 11-18

Which nursing group provides a definition and scope of practice for nursing?
-International Council of Nurses (ICN)
-American Academy of Neurology (AAN)
-American Nurses Association (ANA)
-The Joint Commission - correct answer--American Nurses Association (ANA)
Explanation:
The ANA is a professional organization to advance and protect the profession of nursing.
The ANA describes the values and social responsibility of nursing, provides a definition and
scope of practice for nursing, discusses nursing's knowledge base, and describes the
methods by which nursing is regulated within its Nursing's Social Policy Statement (2003).
The Joint Commission is a United States-based nonprofit tax-exempt 501 organization that
accredits more than 21,000 U.S. health care organizations and programs. The AAN is a
professional society representing over 34,000 neurologists and neuroscientists. The ICN is
an international federation of nursing organizations that works to ensure quality nursing care
for all, sound health policies globally, the advancement of nursing knowledge, and the

, presence worldwide of a respected nursing profession and a competent and satisfied
nursing workforce.
Reference:
Chapter 1: Introduction to Nursing - Page 10

The RN is working with hospital administrators to transform care at their facility. Which
nursing competency will be critical for the nurse to utilize?
-Do things the way they have always been done
-Work effectively in interdisciplinary teams
-Navigate the electronic medical records system
-Correctly utilize and troubleshoot high-tech equipment - correct answer--Work effectively in
interdisciplinary teams
Explanation:
The RN working with administrators to transform care will need to be able to work effectively
as part of an interdisciplinary team. The nurse will need to work as a team member with
members of the administration, as well as representatives from other health disciplines
involved in the project. The ability to use and troubleshoot equipment and to navigate the
electronic medical records are important to the nurse, but will not necessarily help when
working with administration to transform care. Doing things the way they have always been
done is a barrier to transformation of care.
Reference:
Chapter 1: Introduction to Nursing - Page 6

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?
-Educator
-Caregiver
-Decision-maker
-Client advocate - correct answer--Educator
Explanation:
Under the overall umbrella of nursing process, the nurse in this situation is performing the
implementation of the care plan interventions. The nurse is acting in the role of educator by
explaining each step at a level, and to a degree that the client can process, ask questions if
necessary, and understand. The act of changing the dressing is an aspect of the caregiver
role. Once the nurse moves beyond the care plan interventions, it may become necessary to
make a decision or advocate for the client as a result of the assessment of wound and client
learning during the teaching of wound care occurring.
Reference:
Chapter 1: Introduction to Nursing - Page 11-16

Which standards are monitored by the Quality and Safety Education for Nurses (QSEN)?
Select all that apply.
-Client-centered care
-Evidence-based practice
-Quality improvement
-Nursing certification
-Informatics - correct answer-- all exept Nursing Cetification

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