Ch 1. Show
Which women made significant contributions to the care of soldiers during the civil war? Select all that apply a) Harriet Tubman b) Florence Nightingale c) Fabiola d) Dorothea Dix e) Sojourner Truth a) Harriet Tubman d) Dorothea
Dix Ch. 1 Curricula for nursing education are strongly influenced by which of the following? Select all that apply. a) physician groups b) professional nursing organizations c) individual state boards of nursing d) hospital administration e) national council of state boards of nursing b) professional nursing organizations c) individual state boards of nursing e) national council of state boards of nursing Ch. 1 Which is an example of continuing education for nurses? a) Attending hospital orientation b) Completing a workshop on ethical aspects of nursing c) Obtaining info on hospitals new charting system d) Talking with a rep about a new piece of equip. b) completing a workshop on ethical aspects of nursing Ch. 1 Health promotion is best represented by which activity? a) administering immunizations b) giving a bath c) preventing accidents in the home d) performing diagnostic procedures c) preventing accidents in the home Ch. 1 Who are Americans first two trained nurses? a) Barton and Wald b) Dock and Sanger c) Richards and Mahoney d) Henderson and Breckinrich Ch. 1 A nurse with two to three years of experience who has the ability to coordinate multiple complex demands is at which state of Benners stages of nursing expertise? a) Advanced Beginner b) competent c) Proficient d) Expert Ch. 1 Which professional organization developed a code for nursing students? a) ANA b) NLN c) AACN d) NSNA Ch. 1 Which of the following social forces is most likely to significantly impact the future supply and demand of nursing? a) aging b) economics c) science and technology d) telecommunications Ch. 1 A registered nurse is interested in functioning as a health care advocate for individuals whose lives are affected by violence, This nurse will be investigating which expanded career role? a) clinical nurse specialist b) forensic nurse c) nurse practitioner d) nurse educator Ch. 1 The registered nurse is providing nursing care for a client in pain. The nurse administered pain medications, repositioned the client, and dimmed the lights. Twenty minutes later, the nurse returns to check on the client’s level of pain. The nurse is performing which standard of practice? a) assessment b) planning c) implementation d) evaluation Ch. 10 Ch. 10 A client reports feeling hungry, but doesn't eat when food is served. Using critical thinking skills, the nurse should perform which? a) Assess why the client is not eating the food b) continue to leave the food at the bedside until the client is hungry enough to eat c) Notify the primary care provider that tube feeding may be indicated soon d) Believe the client is not really hungry a) Assess why the client is not eating the food Ch. 10 A nurse says the holiday work schedule was made unfairly. The manager states that it is the same used in the past and other nurses have no problems with it. Which indicates the nurse is displaying an attitude of critical thinking? a) Accepting the preferences of the other nurses b) realizing they reached a false conclusion c) Considering going to a higher authority d) Continuing to query the manager until the nurse understands the explanation d) Continuing to query the manager until the nurse understands the explanation Ch. 10 The client who is short of breath benefits from the head of the bed being elevated. Because this position can result in skin breakdown in the sacral area, the nurse decides to study the amount of sacral pressure occuring in other positions. This decision is an example of a) the research method b) the trial-and-error method c) intuition d) the nursing process Ch. 10 In the decision-making process, the nurse weights the criteria, examines alternatives, and performs which before implementing? a) reexamines the purpose for making the decision b) consults the client and family members to determine their view of the criteria c) identifies and considers various means for reaching the outcomes d) determines the logical course of action should intervening problems arise d) determines the logical course of action should intervening problems arise Ch. 10 The nurse is concerned about a client who begins to breathe very rapidly. Which action by the nurse reflects critical thinking? a) Notify the primary care provider b) Obtain vital signs and oxygen saturation c) request a chest x-ray d) Call the rapid response team b) Obtain vital signs and oxygen saturation Ch. 10 Ch.10 a) creating environments that support critical thinkin Ch. 10 b) What do you think is so difficult about following a low sodium die Ch. 10 Which reasoning process describes the nurse's actions when the nurse evaluates possible solutions for care of an infected wound for optimal client outcomes? a) Intuition b) Research process c) Trial and Error d) Problem solving Ch. 11 Which of the following behaviors is most representative of the nursing diagnosis phase of the nursing process? a) Identifying major problems or needs b) Organizing data in the client's family history c) Establishing short-term and long-term goals d) Administering an antibiotic a) Identifying major problems or needs Ch. 11 Which of the following behaviors would indicate that the nurse was utilizing the assessment phase of the nursing process to provide nursing care? a) Proposes hypotheses b) Generates desired outcomes c) Reviews results of laboratory results d) Documents care c) Reviews results of laboratory results Ch. 11 Which of the following elements is best categorized as secondary subjective data? a) The nurse measures a weight loss of 10 pounds since the last clinic visit b) Spouse states the client has lost all appetite c) The nurse palpates edema in lower extremities d) Client states severe pain when walking up stairs b) Spouse states the client has lost all appetite Ch. 11 The nurse wishes to determine the client's feelings about a recent diagnosis. Which interview question is most likely to elicit this information? a) "What did the doctor tell you about your diagnosis?" b) "Are you worried about how the diagnosis will affect you in the future?" c) "Tell me about your reactions to the diagnosis" d) "How is your family responding to the diagnosis?" c) "Tell me about your reactions to the diagnosis" Ch. 11 The use of a conceptual or theoretical framework for collecting and organizing assessment data ensures which of the following? a) Correlation of the data with other members of the health care team b) Demonstration of cost-effective care c) Utilization of creativity and intuition in creating a plan of care d) Collecting of all necessary information for a thorough appraisal d) Collecting of all necessary information for a thorough appraisal Ch. 11 Which of the following is the purpose of assessing? a) Establish a database of client responses to his or her health status b) Identify client strengths and problems. c) Develop an individualized plan of care d) Implement care, prevent illness, and promote wellness a) Establish a database of client responses to his or her health status Ch. 11 In the validating activity of the assessing phase of the nursing process, the nurse performs which of the following? a) collects subjective data b) applies a framework to the collected data c) confirms data is complete and accurate d) Records data in the client record c) confirms data is complete and accurate Ch. 11 A major characteristic of the nursing process is which of the following? a) a focus on client needs b) its static nature c) an emphasis on physiology and illness d) its exclusive use by and with nurses a) a focus on client needs Ch. 11 Which of the following would be true regarding use of the observing method of data collection? a) when observing, nurse uses only visual sense b) observing is done only when no other nursing interventions are being performed at same time c) data should be gathered as it occurs, rather than in any particular order d) observed data should be interpreted in relation to other sources of collecting data d) observed data should be interpreted in relation to other sources of collecting data Ch. 11 Which of the following represent effective planning of the interview setting? SATA a) Keep lighting down, not to stress their eyes b) Ensure no one overhears interview conversation c) Stand near the client's head while he or she is in the bed or chair d) Keep approximately 3 feet from the client during the interview e) Use a standard form to be sure all relevant data are covered in the interview b) Ensure no one overhears interview conversation d) Keep approximately 3 feet from the client during the interview Ch. 12 The nurse conducting the diagnosing phase (nursing diagnosis) of the nursing process for a client with a seizure disorder. Which step exists between data analysis and formulating the diagnostic statement? a) assess the client's needs b) delineate the client's problems and strengths c) determine which interventions are most likely to succeed d) Estimate the cost of several different approaches b) delineate the client's problems and strengths Ch. 12 In the diagnostic statement "Excess Fluid Volume related to decreased venous return as manifested by lower extremity edema (swelling)," the etiology of the problem is which of the following? a) Excess fluid volume b) Decreased venous return c) Edema d) Unknown b) Decreased venous return Ch. 12 Which of the following nursing diagnoses contains the proper components? a) Risk for Caregiver Role Strain related to unpredictable illness course b) Risk for Falls related to tendency to collapse when having difficulty breathing c) Impaired Communication related to stroke d) Sleep Deprivation secondary to fatigue and a noisy environment a) Risk for Caregiver Role Strain related to unpredictable illness course Ch. 12 One of the primary advantages of using a three-part diagnostic statement such as the problem-etiology-signs/symptoms (PES) format includes which of the following? a) decreases the cost of health care b) improves communication between nurse and client c) helps the nurse focus on health and wellness elements d) standardizes organization of client data d) standardizes organization of client data Ch. 12 A collaborative (multidisciplinary) problem is indicated instead of a nursing or medical diagnosis a) If both medical and nursing interventions are required to treat the problem b) When independent nursing actions can be utilized to treat the problem c) In cases where nursing interventions are the primary actions required to treat the problem d) When no medical diagnosis (disease) can be determined a) If both medical and nursing interventions are required to treat the problem
Ch. 12 In the case in which a client is vulnerable to developing a heath problem, the nurse chooses which type of nursing diagnosis status? a) A risk nursing diagnosis b) A wellness nursing diagnosis c) A health promotion nursing diagnosis d) An actual nursing diagnosis a) A risk nursing diagnosis Ch. 12 Which of the following is true regarding the state of the science in regards to nursing diagnosis? a) The original taxonomy has proven to be adequate in scope b) The organizing framework of the taxonomy is based on the work of Florence Nightingale c) More research is needed to validate and refine the diagnostic labels d) New diagnostic labels are approved by means of a vote of registered nurses c) More research is needed to validate and refine the diagnostic labels Ch. 12 Which would indicate a significant cue when comparing data to standards? SATA a) The client partway met a goal (e.g. weight loss) b) The client's vision is within normal range only when wearing glasses c) A child can control bladder and bowels at 18mo d) A widow recently states she is "unable to cry" e) A 16-year-old high school student reports spending 6 hours doing homework five nights per week a) The client partway met a goal (e.g. weight loss) d) A widow recently states she is "unable to cry" e) A 16-year-old high school student reports spending 6 hours doing homework five nights per week Ch. 13 A 75yr old client who had elective surgery to replace an arthritic hip was discharged from the post anesthesia recovery unit. The client has been on the orthopedic floor for several hours. Which type of planning will be least useful during the first shift on the orthopedic unit? a) Initial b) Ongoing c) Discharge d) Strategic Ch. 13 The client with a fractured pelvis requests that the family members be allowed to stay overnight in the hospital room. Before determining whether or not this request can be honored, the nurse should consult which of the following? a) Hospital policies b) Standardized care plans c) Orthopedic protocols d) Standards of care Ch. 13 A nurse assesses client with an abd wound and finds them drowsy when not aroused. The client's pain is ranked 2/10, vital signs are within range, extremities are warm with good pulses but very dry skin. The client declines oral fluids due to nausea, and reports no BM in the past 2 days. Dressing is dry, drains intact. Which is most likely of high priority for a change in care plan? a) Pain b) Nausea c) Constipation d) Potential for wound infection Ch. 13 The nurse selects the nursing diagnosis of Risk for Impaired Skin Integrity related to immobility, dry skin, and surgical incision. Which of the following represents a properly stated outcome/goal? The client will a) Turn in bed q2h b) Report the importance of applying lotion to skin daily c) Have intact skin during hospitalization d) Use a pressure-reducing mattress c) Have intact skin during hospitalization Ch. 13 The care plan includes a nursing intervention "4/2/11 Measure client's fluid intake and output, F. Jenkins, RN." What element of a proper nursing intervention has been omitted? a) Action verb b) Content c) Time d) None
Ch. 13 Place the following activities of planning in the correct order of their use a) Establish goals/outcomes b) Write the care plan c) Set priorities d) Choose interventions c) Set priorities a) Establish goals/outcomes Ch. 13 The nurse recognizes which of the following as a benefit of using a standardized care plan? a) No individualization is needed b) The nurse chooses from a list of interventions c) There are much shorter than nurse-authored care plans d) They have been approved by accrediting agencies b) The nurse chooses from a list of interventions Ch. 13 Which of the following is likely to occur if the goal statement is poorly written? a) There is no standard against which to compare outcomes b) The nursing diagnoses cannot be prioritized c) Only dependent nursing interventions can be used d) It is difficult to determine which nursing interventions can e delegated a) There is no standard against which to compare outcomes Ch. 13 a) Actions should address the etiology of the nursing diagnosis Ch. 14 When initiating the implementation phase of the nursing process, the nurse performs which of the following phases first? a) Carrying out nursing interventions b) Determining the need for assistance c) Reassessing the client d) Documenting interventions c) Reassessing the client Ch. 14 Under what circumstances is it considered acceptable practice for the nurse to document a nursing activity before it is carried out? a) When the activity is routine (e.g. raising the bed rails) b) When the activity occurs at regular intervals (e.g. turning the client in bed) c) When the activity is to be carried out immediately (e.g. a stat medication) d) It is never acceptable d) It is never acceptable Ch. 14 The primary purpose of the evaluating phase of the care planning process is to determine whether a) Desired outcomes have been met b) Nursing activities were carried out c) Nursing activities were effective d) Client's condition has changed a) Desired outcomes have been met Ch. 14 The client has a high-priority nursing diagnosis for Risk for Impaired Skin Integrity related to need for weeks of bed rest. Nurse evaluates the client after 1 week, finds skin is not impaired. When the care plan is reviewed, the nurse should perform which of the following? a) Delete the diagnosis, problem has not occurred b) Keep the diagnosis, risk factors are still present c) Change nursing diagnosis to Impaired Mobility d) Decrease the nursing diagnosis to a low priority b) Keep the diagnosis, risk factors are still present Ch. 14 If the nurse planned to evaluate the length of time clients must wait for a nurse to respond to a client need reported over the intercom system on each shift, which process does this reflect? a) Structure evaluation b) Process evaluation c) Outcome evaluation d) Audit Ch. 14 Which is true regarding the relationship of implementing to other phases of nursing process? a) The findings from the assessing phase are reconfirmed in the implementing phase b) After implementing, nurse does diagnosing phase c) The nurse's need for involvement of other health care team members in implementing occurs during the planning phase d) Once all interventions have been completed, evaluating can begin a) The findings from the assessing phase are reconfirmed in the implementing phase Ch. 14 The care plan calls for administration of a medication plus client education on diet and exercise for high blood pressure. The nurse finds the blood pressure extremely elevated. The client is very distressed with this finding. Which nursing skill of implementing would be needed most? a) Cognitive b) Intellectual c) Interpersonal d) Psychomotor Ch. 14 Which demonstrates appropriate use implementing nursing interventions? SATA a) No intervention should be carried out without the nurse having clear rationales b) Always follow the provider's orders exactly c) Encourage clients to be as dependent as desired and allow the nurse to perform care for them d) When possible, give the client options in how interventions will be implemented e) Interventions accompanied by client teaching a) No intervention should be carried out without the nurse having clear rationales Ch. 14 Which of the following represents
application of the components of evaluating? a) Goal achievement must be written as either completely met or unmet b) Data related to expected outcomes must be collected c) If the outcome was achieved, conclude that the plan was effective b) Data related to expected outcomes must be collected Ch. 14 An element of quality improvement, rather than quality assurance, is which of the following? a) Focus is on individual outcomes b) Evaluates organizational structures c) Aims to confirm that quality exists d) Plans corrective actions for problems d) Plans corrective actions for problems Which social forces is most likely to significantly affect the future supply and demand for nurses?Which of the following social forces is most likely to significantly impact the future supply and demand for nurses? Rationale: All will impact nursing but not necessarily the supply and demand issue. The aging population contributes more to elders needing specialized care (increasing the demand).
What was one barrier to the development of the nursing profession?A lack of educational standards was one barrier to the development of the nursing profession after the Civil War. Other barriers included a male dominance of health care and the pervading belief that women were dependent on men.
What were Florence Nightingale's contributions to nursing still used today quizlet?What were Florence Nightingale's contributions to nursing and nursing education? Improved sanitation and lowered death rate, record keeping and statistics, evidence based nursing, nurses teaching nurses, continuing education.
Which of the following nursing groups provide a definition and scope of practice for nursing?Rationale: The American Nurses Association (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).
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