Deck 1: Evolution of Nursing Thought Action

Question 1

Which of the following is the most important reason to develop a definition of nursing?

A) Recruit more informed people into the nursing profession
B) Evaluate the degree of role satisfaction
C) Dispel the stereotypical images of nurses and nursing
D) Differentiate nursing activities from those of other health professionals

Answer 1

Differentiate nursing activities from those of other health professionals

Question 2

The registered nurse is discharging a patient to an assisted living facility.Which instruction below is most appropriate for the patient?

A) "Therapists will be working with you daily to ensure that you regain functional abilities."
B) "You will have 24-hour nursing care for the next 6 weeks."
C) "You will have assistance with meals and housekeeping tasks."
D) "A nurse will come to your home and provide you with nursing care."

Answer 2

"You will have assistance with meals and housekeeping tasks."

Question 3

Which of the following is an example of a complementary and alternative form of treatment or medicine?

A) Herbal medicines
B) Sterile dressing changes
C) Pain medications
D) Influenza (flu) vaccine

Answer 3

Herbal medicines

Question 4

Which organization can require nurses to take continuing education courses as a condition of licensure renewal?

A) American Nurses Association
B) National League for Nursing
C) Sigma Theta Tau
D) State Board of Nursing

Question 5

Which type of managed care allows patients the greatest choice of providers,medications,and medical devices?

A) Health maintenance organization
B) Integrated delivery network
C) Preferred provider organization
D) Employment-based private insurance

Question 6

Which of the following is considered a primary care service?

A) Providing wound care
B) Administering childhood immunizations
C) Providing drug rehabilitation
D) Providing outpatient hernia repair

Question 7

An 80-year-old patient fell and fractured her hip and is now in the hospital.Before the fall,she lived at home with her husband and managed their activities of daily living very well.The goal is for the patient to recover from the injury and return to her home.The hospital is ready to discharge her because she has exceeded the recommended length of stay in a hospital.However,she cannot walk or care for herself yet,and she will require lengthy physical therapy and further monitoring of her medications and her physical and mental status.To which type of facility should she be transferred?

A) Nursing home
B) Rehabilitation center
C) An outpatient therapy center
D) None of these; she should receive home healthcare

Question 8

Which of the following best describes the legal definition of a nurse? Assume all education programs are accredited.

A) Graduate of a nursing education program and has passed the National Council Licensure Exam
B) Person with advanced training and certified to administer medications in most healthcare settings
C) Graduate licensed to practice in an acute care setting or a home care environment
D) Graduate with advanced education licensed to practice under the direct supervision of a physician

Question 9

An older adult has type 1 diabetes.He can perform self-care activities but needs help with shopping and meal preparation as well as with blood glucose monitoring and insulin administration.Which type of healthcare facility would be most appropriate for him?

A) Acute care facility
B) Ambulatory care facility
C) Extended care facility
D) Assisted living facility

Question 10

Which healthcare worker should the nurse consult to counsel a patient about financial and family stressors impacting healthcare?

A) Social worker
B) Occupational therapist
C) Physician's assistant
D) Technologist

Question 11

What is the primary goal of the National League for Nursing?

A) Advocate for the needs of registered nurses to promote patient safety
B) Establish and maintain standards for nursing education
C) Support global health policies and improve health worldwide
D) Foster nursing scholarship, leadership, and service to improve health worldwide

Question 12

Which member of the healthcare team typically serves as the case manager?

A) Occupational therapist
B) Physician
C) Physician's assistant
D) Registered nurse

Question 13

A nurse working in a rehabilitation facility has a physician's prescription to contact other therapists as required by patient need.A patient has started to have difficulty with bathing and grooming.Which therapist should the nurse contact to assist the patient to regain these skills?

A) Physical therapist
B) Occupational therapist
C) Speech-language pathologist
D) Respiratory therapist

Question 14

An elderly patient is covered under Medicare.She is scheduled for discharge and tells the nursing student that several therapists will come to her home to help her regain functional abilities.The patient then asks,"Why can't I just stay in the hospital and receive this type of care?" What is the nursing student's best response?

A) "You should be able to stay in the hospital. I will ask the nurse to call your doctor."
B) "Once you have reached your reimbursable length of stay and your condition is stable, it is more cost effective to provide you with home healthcare."
C) "Medicare is a type of managed care, which mean that you are only allowed to stay in the hospital for a certain number of days before being discharged, regardless of your condition."
D) "You should be glad to be in your own home. You will recover in no time."

Question 15

The nurse in the intensive care unit is providing care for only one patient,who was admitted in septic shock.Based on this information,which care delivery model can you infer that this nurse is following?

A) Functional
B) Primary
C) Case method
D) Team

Question 16

Which of the following provides evidence-based support for the contribution that advanced practice nurses (APNs)make within healthcare?

A) Reduced usage of diagnostics using advanced technology
B) Decreased number of unnecessary visits to the emergency department
C) Improved patient compliance with prescribed treatments
D) Increased usage of complementary and alternative therapies

Question 17

Which of the following is an example of an illness prevention activity?

A) Encouraging the use of a food diary
B) Joining a cancer support group
C) Administering immunization for HPV
D) Teaching a diabetic patient about his diet

Question 18

Which of the following best explains the importance of standards of practice?

A) Nurses and other healthcare providers have the same standards of practice.
B) Standard of practice only apply to nurses who work in hospital settings.
C) Standards of practice identify the knowledge, skills, and attitudes nurses need to provide safe care.
D) Standards of practice differ among registered nurses because the roles are different based on the population they serve.

Question 19

A patient who requires long-term rehabilitation needs which type of care?

A) Primary care
B) Secondary care
C) Tertiary care
D) Preventive care

Question 20

An experienced seasoned nurse uses her knowledge of patient medical conditions and intuition to identify patient problems.She is often the resource for other nurses on the unit.What stage of proficiency has this nurse achieved?

A) Novice
B) Advanced beginner
C) Competent
D) Expert

Question 21

Each U.S.state has its own state board of nursing responsible for protecting the health,safety,and welfare of the general public.The state board of nursing meets these responsibilities by performing which of the following functions? Select all that apply.

A) Advocating for nursing student issues
B) Determining the nurse's scope of practice
C) Enforcing the rules that govern nursing
D) Writing the laws that regulate nursing

Question 22

A nurse is recently hired at an acute care facility.During orientation to her unit,she is given a role chart describing each person's role on the unit.The chart reflects that the registered nurses are responsible for all admission and discharge assessments and patient treatments.The licensed practical nurses are responsible for administering all medications and the certified nursing assistants obtain all vital signs and administer baths.The nurse recognizes this practice as which model of care?

A) Case method
B) Team
C) Primary
D) Functional

Question 23

Which actions by the nurse are considered "skilled nursing care"? Select all that apply.

A) Changing a wound dressing
B) Assisting with bathing and grooming
C) Monitoring an IV antibiotic
D) Teaching a patient how to use a blood glucose monitor
E) Helping a patient to get dressed

Question 24

The nursing staff on the surgical unit complains to the manager that they do not have enough time to complete all wound care and dressing changes.What is the manager's most appropriate action to take?

A) Decrease the patient-to-nurse ratio within budget limits
B) Offer an in-service session on time-management strategies
C) Suggest a continuing quality improvement committee to assess the issue
D) Report the complaints to the director of nurses at the next management meeting

Question 25

Strategies to improve the status of nursing include which of the following? Select all that apply.

A) Standardizing the educational requirements for entry into practice
B) Enacting uniform continuing education requirements
C) Guaranteeing that all nurses will obtain employment upon graduation
D) Encouraging participation in professional organizations

Question 26

The patient in the ambulatory clinic asks the nurse in the billing office,"Why do I have to pay $10.00 for this visit when I have insurance?" What is the nurse's most appropriate response?

A) "I don't know how your insurance works. You need to pay this and follow up with your insurance company."
B) "This a co-payment you are required to pay per clinic visit as described in your insurance plan."
C) "Healthcare is expensive and insurance companies can't pay all of the costs."
D) "This is part of your insurance premium that you pay monthly."

Question 27

Which of the following nursing activities represent direct care? Select all that apply.

A) Bathing a patient
B) Administering a medication
C) Teaching a patient how to change a wound dressing
D) Making work assignments for the shift

Question 28

To reflect the changes in healthcare and nurses' expanded roles,the International Council of Nurses revised the definition of nursing.Which statements are consistent with the revised definition of nursing?

A) Nursing encompasses the autonomous and collaborative care of others.
B) Nursing includes the care of ill, disabled, and dying people.
C) Participation in shaping health policy is a nursing role.
D) Registered nurses use the nursing process to plan and individualize care.

Question 29

A nurse who has been practicing for 3 years in an acute care facility is caring for a post-hip surgery patient.The nurse observes an abnormal change in vital signs and associates these changes with a postoperative bleeding problem.The nurse is demonstrating which proficiency level?

A) Advanced beginner
B) Competent
C) Proficient
D) Expert

Question 30

____________________ is a health program,administered by the state and funded by federal and state governments,to provide care for low-income people.

Question 31

The nurse is working at a hospice organization in her area.Which of the following best describes the patients for whom she will be caring?

A) Patients who are terminally ill and their family members
B) Patients who require long-term rehabilitation
C) Patients who are unable to independently meet hygiene and nutrition needs
D) Patients who have undergone a complex surgical procedure

Question 32

The nursing student is preparing a presentation on health promotion.Which of the following activities are included in the presentation? Select all that apply.

A) Teaching a group of 75-year-old adults about the influenza vaccine
B) Administering a pain medication to a patient after surgery
C) Developing a list of stress-management strategies
D) Identifying calorie counts on all food choices in restaurants

Question 33

According to the American Nurses Association (ANA),which statements best describe the characteristics of registered nursing? Select all that apply.

A) Nursing practice is individualized.
B) Nursing practice is similar to medical practice.
C) Caring is central to the practice of the registered nurse.
D) Nurses coordinate care by establishing partnerships.

Question 34

The patient post-total knee replacement is preparing to be discharged.The patient tells the case manager,"I feel pretty good,but I am having a hard time getting in and out of the bathroom." What is the case manager's most appropriate response?

A) "I'll be sure to teach your family how to help you with this."
B) "Once you are home for a while, it will get easier."
C) "I can have a recreational therapist help you take your mind off your concerns."
D) "An occupational therapist can be ordered to assist you in this area."

Question 35

The 75-year-old patient is preparing for discharge and tells the case manager,"I don't know what I am going to do when I get home.I cannot afford the medications the doctor has ordered for me." What is the case manager's most appropriate response?

A) "We can have a social worker see you when you get home."
B) "Medications are expensive, but you will need to take them."
C) "I can speak with your doctor about discontinuing some of the medications."
D) "The home health nurse will address this when she sees you."

Question 36

In the United States,each state enacts its own nurse practice acts.Which agency is responsible for nurse practice acts?

A) The American Nurses Association
B) Institute of Medicine
C) State Board of Nursing
D) National League for Nursing

Question 37

____________________ is a federal insurance program designed to fund healthcare for people aged 65 years and older,the disabled,and those with end-stage renal disease.