Deck 1: Nursing Past Present

Question 1

Which 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

Which aspect of the full-spectrum nursing role is essential for the nurse to do in order to successfully carry out all the others?

A) Thinking and reasoning about the client's care
B) Providing hands-on client care
C) Carrying out physician orders
D) Delegating to assistive personnel

Answer 2

Thinking and reasoning about the client's care

Question 3

A patient who underwent a total abdominal hysterectomy is assisted out of bed as soon as her vital signs are stable.Which item is directing this intervention?

A) Critical pathway
B) Nursing care plan
C) Case manager
D) Traditional care model

Answer 3

Critical pathway

Question 4

Which is the most influential factor that has shaped the nursing profession?

A) Physicians' need for handmaidens
B) Societal need for healthcare outside the home
C) Military demand for nurses in the field
D) Germ theory influence on sanitation

Question 5

Which contribution of Florence Nightingale had an immediate impact on improving patients' health?

A) Providing a clean environment
B) Improving nursing education
C) Changing the delivery of care in hospitals
D) Establishing nursing as a distinct profession

Question 6

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

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

Question 7

Which is considered a primary care service?

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

Question 8

Which 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 9

Nurses have the potential to be very influential in shaping healthcare policy.Which factor contributes most to nurses' influence?

A) Nurses are the largest health professional group.
B) Nurses have a long history of serving the public.
C) Nurses have achieved some independence from physicians in recent years.
D) Political involvement has helped refute negative images portrayed in the media.

Question 10

An older adult patient is diagnosed with type 1 diabetes mellitus (DM).The patient 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 this patient?

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

Question 11

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 is the nurse implementing?

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

Question 12

Nursing was described as a distinct occupation in the sacred books of which faith?

A) Buddhism
B) Christianity
C) Hinduism
D) Judaism

Question 13

Which is an example of what traditional medicine and complementary and alternative medicine therapies have in common?

A) Both can produce adverse effects in some patients.
B) Both use prescription medications.
C) Both are usually reimbursed by insurance programs.
D) Both are regulated by the FDA.

Question 14

Which 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 alternative therapies

Question 15

Which best explains why it is difficult for the profession to develop a definition of nursing?

A) There are too many different and conflicting images of nurses.
B) There are constant changes in healthcare and the activities of nurses.
C) There is disagreement among the different nursing organizations.
D) There are different education pathways and levels of practice.

Question 16

Which is the biggest disadvantage of having nursing assistive personnel (NAP)assist nurses in practice?

A) Nurses must know what aspects of care can legally and safely be delegated to the NAP.
B) Nurses may rely too heavily on information gathered by the NAP when making patient care decisions.
C) Nurses are removed from many components of direct patient care that have been delegated to the NAP.
D) Nurses still maintain responsibility for the patient care given by the NAP.

Question 17

Which statement pertaining to Benner's practice model for clinical competence is true?

A) Progression through the stages is constant,with most nurses reaching the proficient stage.
B) Progression through the stages involves continual development of thinking and technical skills.
C) The nurse must have experience in many areas before being considered an expert.
D) The nurse's progress through the stages is determined by years of experience and skills.

Question 18

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 19

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 20

Which individual established the American Red Cross?

A) Louisa May Alcott
B) Clara Barton
C) Dorothea Dix
D) Harriet Tubman

Question 21

The nurse manager prepares information on the regulations of nursing practice for a group of new nursing employees.Which information should the manager include in this presentation?

A) Laws
B) Standards of practice
C) Facility policies and procedures
D) The Joint Commission regulations
E) Professional organization guidelines

Question 22

A high school graduate desires to become a registered nurse in order to work in a community setting.In which type of program should this student enroll?

A) RN-BSN
B) Associate degree
C) Diploma program
D) Baccalaureate degree

Question 23

In preparation for relocating to another state the nurse contacts the state board of nursing to obtain the necessary transfer of nursing license.Where will the nurse learn about continuing education requirements for the new state of practice?

A) State board of nursing
B) The Joint Commission
C) School of original nursing education
D) Human resource department at new place of employment

Question 24

Which are examples of a health-promotion activity?

A) Helping a client develop a plan for a low-fat,low-cholesterol diet
B) Disinfecting an abraded knee after a child falls off a bicycle
C) Administering a tetanus vaccination after an injury from a car accident
D) Distributing educational brochures about the benefits of exercise
E) Administering a measles,mumps,rubella (MMR)immunization to a toddler at 15 months of age

Question 25

The nurse registers to attend an in-service education program.What should the nurse expect this program to provide?

A) Review of new policies
B) Introduction to new equipment
C) Credit toward a professional nursing degree
D) Continuing education hours for license renewal
E) Enhancement of competency in knowledge,skills,and attitudes

Question 26

An 80-year-old patient fell and fractured her hip and is in the hospital.Before the fall,the patient lived at home with her spouse and managed their activities of daily living (ADLs)very well.The hospital is ready to discharge the patient because the recommended length of stay in a hospital has been exceeded.However,she cannot walk or perform ADLs independently.She requires lengthy physical therapy and further monitoring of medications and both physical and mental status.To which type of facility should the patient be transferred?

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

Question 27

A practicing registered nurse wants to become a staff development educator.Which type of education should this nurse investigate?

A) Master's degree
B) Doctoral degree
C) Baccalaureate degree
D) Continuing education

Question 28

The nursing instructor provides a program on the state board of nursing for students preparing to graduate from a school of nursing.What should the instructor emphasize about the role of the state boards of nursing?

A) Approve nursing education programs
B) Define the scope of practice for nursing
C) Develop rules and regulations for nursing practice
D) Provide guidance on knowledge,skills,and attitudes
E) Publish statements of duties for competent performance

Question 29

Which nursing activities represent direct care?

A) Administering a medication
B) Documenting an assessment
C) Participating in a care conference
D) Making work assignments for the shift

Question 30

The nurse reviews standards of professional practice every 3 to 4 months.Why does the nurse complete this review?

A) Judge own performance
B) Develop an improvement plan
C) Incorporate into evaluation tools
D) Educate the public about nursing
E) Understand employer expectations