Nursing 115: Exam 1 50 Questions & Answers

A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply) A. Home health care B. Rehabilitation centers C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers - A, B, and D. A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms should the nurse include as federally funded? (Select all that apply) A. Preferred provider organization (PPO) B. Medicare C. Long-term care insurance D. Exclusive provider organization (EPO) E. Medicaid - B and E A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy? A. Collaborating with providers to perform obesity screenings during routine office visits. B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity. C. Providing specialized intraoperative training in surgical treatments for obesity. D. Educating acute care nurses about postoperative complications related to obesity. - A. Collaborating with providers to perform obesity screenings during routine office visits. A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? A. Monitoring EBP for clients who have a specific diagnosis B. Ensuring that health care providers comply with regulations C. Setting quality standards for accreditation of health care facilities D. Determining whether medications are safe for administration to clients. - B. Ensuring that health care providers comply with regulations A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care of care setting should the nurse classify as tertiary care? (Select all that apply) A. Intensive care unit B. Oncology treatment center C. Burn center D. Cardiac rehabilitation E. Home health care - A, B, and C A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral aneurysm following a loss of consciousness in the emergency department. The nurse anticipates preparing the patient for ordered diagnostic tests. What aspect of nursing does this nurse's knowledge of the diagnostic procedures reflect? A. The art of nursing. B. The science of nursing. C. The caring aspect of nursing. D. The holistic approach to nursing. - B - The science of nursing Nurse's today complete a nursing education program and practice nursing that identifies the personal needs of the patient and the role of the nurse in meeting those needs. Which nursing pioneer is MOST instrumental in this birth of modern nursing? A. Clara Barton. B. Lilian Wald C. Lavinia Dock D. Florence Nightingale - D - Florence Nightingale The role of nurses in today's society was influenced by the nurse's role in early civilization. Which statement best portrays this earlier role? A. Women who committed cries were recruited into nursing the sick in lieu of serving jail sentences. B. Nurses identified the personal needs of the patient and their role in meeting those needs. C. Women called deaconesses made the first visits to the sick, and male religious orders cared for the sick and buried the dead. D. The nurse was the mother who cared for her family during sickness by using herbal remedies. - D - The nurse was the women who cared for her family during sickness by using herbal remedies Nurses today work in a wide variety of health care settings. What trend occurred during WWII that had a tremendous effect on this development of the nursing profession? A. There was a shortage of nurses and an increased emphasis on education. B. Emphasis on the war slowed development of knowledge in medicine and technology. C. The role of the nurse focused on acute technical skills used in hospital settings. D. Nursing was dependent on the medical profession to define its priorities. - A - There was a shortage of nurses and an increased emphasis on education. A nurse practicing in a primary care center uses the ANA's Nursing's Social Policy Statement as a guideline for practice. Which purposes of nursing are outlined in this document? Select all that apply. A. A description of the nurse as a dependent caregiver. B. The provision of standards for nursing educational programs. C. A definition of the scope of nursing practice. D. The establishment of a knowledge base for nursing practice. E. A description of nursing's social responsibility F. The regulation of nursing research. - C, D, E A nurse working in a rehabilitation facility focuses on the goal of restoring health for patients. Which examples of nursing interventions reflect this goal? Select all that apply. A. A nurse counsels adolescents in a drug rehab program. B. A nurse performs range-of-motion exercises for a patient on bedrest. C. A nurse shows a diabetic patient how to inject insulin. D. A nurse recommends a yoga class for a busy executive. E. A nurse provides hospice care for a patient with end-stage cancer. F. A nurse teaches a nutrition class at a local high school. - A, B, C A nurse instructor outlines the criteria establishing nursing as a profession. What teaching point correctly describes this criteria? Select all that apply. A. Nursing is composed of a well-defined body of general knowledge. B. Nursing interventions are dependent upon medical practice. C. Nursing is a recognized authority by a professional group. D. Nursing is regulated by the medical industry. E. Nursing has a code of ethics. F. Nursing is influenced by ongoing research. - C, E, F A nurse is practicing as a nurse-midwife in a busy OB-GYN office. Which degree in nursing is necessary to practice at this level? a. LPN b. ADN c. BSN d. MSN - D. MSN Nursing in the United States is regulated by the state nurse practice act. What is a common element of each state's nursing practice act? A. Defining the legal scope of a nursing practice. B. Providing continuing education programs. C. Determining the content covered in the NCLEX examination. D. Creating institutional policies for health care practices. - A. Defining the legal scope of a nursing practice. According to the National Advisory Council on Nurse Education and Practice, what is a current health care trend contributing to 21st century challenges to nursing practice? A. Decreased numbers of hospitalized patients. B. Older and more acutely ill patients. C. Decreasing health care costs owing to managed care. D. Slowed advances in medical knowledge and technology. - B. Older and more acutely ill patients. A student nurse asks an experienced nurse why it is necessary to change the patient's bed every day. The nurse answers: "I guess we have just always done it that way." This answer is an example of what type of knowledge? A. Instinctive knowledge B. Scientific knowledge C. Authoritative knowledge D. Traditional knowledge - D. Traditional knowledge A nurse is using the Johns Hopkins Nursing Evidence-Based Practice model PET as a clinical decision-making tool when delivering care to patients. Which steps reflect the intended use of this tool? Select all that apply. A. A nurse recruits an inter professional team to develop and refine an EBP question. B. A nurse draws from personal experiences of being a patients to establish a therapeutic relationship with a patient. C. A nurse searches the internet to find the latest treatments for type 2 diabetes. D. A nurse uses spiritual training to draw strength when counseling a patient who is in hospice for an inoperable brain tumor. E. A nurse questions the protocol for assessing postoperative patients in the ICU. F. A nursing student studies anatomy and physiology of the body systems to understand the disease states of assigned patients. - A, C, E A charge nurse meets with staff to outline a plan to provide transcultural nursing care for patients in their heath care facility. Which theorist promoted this type of caring as the central theme of nursing care, knowledge, and practice? A. Madeline Leininger B. Jean Watson C. Dorothy E. Johnson D. Betty Newman - A - Madeline Leininger A student nurse interacting with patients on a cardiac unit recognizes the four concepts in nursing theory that determine nursing practice. Of these four, which is the most important? A. Person. B. Environment C. Health D. Nursing - A - Person A nurse manager schedules a clinic for the staff to address common nursing interventions used in the facility and to explore how they can be performed more efficiently and effectively. The nurse manager's actions to change clinical practice are an example of a situation described by which nursing theory? A. Prescriptive theory B. Descriptive theory C. Developmental theory D. General systems theory - A - prescriptive theory When conducting quantitative research, the researcher collects information to support a hypothesis. The information would be identified as: A. The subject B. Variables C. Data D. The instrument - C - Data A nurse is conducting quantitative research to examine the effects of following nursing protocols in the emergency department on patient outcomes. This is also known as what type of research? A. Descriptive B. Correlational C. Quasi-experimental D. Experimental - C - Quasi-experimental A nurse studies the culture of Native Alaskans to determine how their diet affects their overall state of health. Which method of quantitative research is the nurse using? A. Historical B. Ethnography C. Grounded theory D. Phenomenology - B - ethnology A nurse is formulating a clinical question in PICO format. What does the letter P represent? A. Comparison to another similar protocol B. Clearly defined, focused literature review of procedures C. Specific identification of the purpose of the study D. Explicit descriptions of the population of interest - D - explicit descriptions of the population of interest. A nurse is caring for a client who states, "I have to check with my partner and see if they think I am ready to go home." The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client? A. Pacing B. Reflecting C. Paraphrasing D. Restating - B. Reflecting Which of the following actions should the nurse take when demonstrating an empathic presence to a client? (Select all that apply) A. Use an open posture B. Write down what the client says, to avoid forgetting details C. Establish and maintain eye contact D. Nod in agreement with the client throughout the conversation E. Sit facing the client - A. Use an open posture C. Establish and maintain eye contact E. Sit facing the client A nurse is caring for a client who is concerned about being discharged to home with a new colostomy because of being an avid swimmer. Which of the following statements should the nurse make? (Select all that apply) A. "You will do great! You just have to get used to it." B. "Why are you so worried about going home?" C. "Your daily routines will be different when you get home." D. "Tell me about the support system you'll have after you leave the hospital." E. "It sounds like you are not sure how having a colostomy will affect swimming." - C, D, and E