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Chapter 1- Nursing Today

Terms in this set (33)

The nurse conducts health awareness training programs at a community center. What kind of action is this?
Primary prevention.
A patient in labor has been brought to the certified nurse midwife (CNM). Which interventions should the CNM undertake in this situation? Select all that apply.
Conduct the labor.
Care for the newborn.
What is true about the general practice of advance practice registered nurses?
Function independently.
The nurse is working with a young childbearing family who has one child with a congenital heart disease. The parents are trying to determine the risks of a second child being born with congenital heart disease. Which information is important in assisting the parents in this decision?
Genomics.
A 50-year-old patient is admitted with acute exacerbation of asthma. The patient is treated with bronchodilators and oxygen therapy. The patient is clinically stable and is planned for discharge. The nurse teaches the patient about deep breathing exercises. The nurse has initiated these exercises to improve the patient's lung capacity. Which professional behavior is the nurse showing?
Autonomy.
A pregnant patient is diagnosed with a minor vaginal infection. Which nursing domain involves providing independent care for women during normal pregnancy, including labor, delivery, and care for the newborn?
Certified Nurse Midwife (CNM)
What did Mary Adelaide Nutting contribute to the development of nursing as a profession? Select all that apply.
Ensured affiliation of nursing education with universities.
Was the first professor of nursing at Columbia University Teachers College.
A 50-year-old patient is admitted with acute exacerbation of asthma. The patient is treated with bronchodilators and oxygen therapy. The patient is clinically stable and is planned for discharge. Who is responsible for teaching the patient about managing asthma at home?
The nurse educator.
The nurse is teaching a patient with diabetes how to self-administer subcutaneous insulin. Which key element should the nurse keep in mind before teaching the patient about health care principles?
Match the teaching with the patient's capabilities.
A patient with lung cancer is emotionally, economically, and socially disturbed. What is the role of the nurse as a caregiver? Select all that apply.
Manage the disease and symptoms.
Help the patient establish and achieve goals.
Implement measures to restore emotional and social well-being.
Which roles and responsibilities should every nurse be expected to fill? Select all that apply.
Caregiver.
Autonomy and Accountability.
Patient Advocate.
Health Promotion.
The nurse is caring for an older-adult couple in a community-based assisted living facility. During the family assessment, the nurse notes that the couple has many expired medications and multiple medications for their respective chronic illnesses. They indicate that they go to two different health care providers. The nurse begins to work with the couple to determine what they know about their medications and helps them decide on one care provider rather than two. This is an example of which competency for QSEN?
Safety.
The nurse with specialized nursing skills is capable of identifying both patient-centered problems and problems related to the health care system. According to Benner, which specialist nurse possesses such skills?
Expert nurse
The nurse is planning to obtain a master's degree in nursing. Which role can the nurse with a master's degree in nursing fulfill? Select all that apply.
Nurse educator.
Nurse administrator.
Advanced practice registered nurse.
Nurse researcher.
Certain cultural groups in the United States are disproportionately affected by infectious diseases such as human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). Which factors increase the risk for HIV and AIDS? Select all that apply.
Expectations about behavior by men or women in the culture.
Communication patterns and language practiced by the culture.
Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. What are the responsibilities of the nurse as a patient educator? Select all that apply.
Explain concepts and facts about health to patients.
Teach the patient to self-administer insulin injections.
The nurse is learning about the global nursing shortage that has led to fewer nurses in the workplace. Which essential skills should the nurse learn to ensure professional and efficient patient management? Select all that apply.
Patient education.
Time management.
Compassionate care.
Therapeutic communication.
The nurse is learning about the effects of health care reform. Which type of actions should the nurse perform in response to health care reform? Select all that apply.
Revise practice standards.
Change nursing education.
Explore new methods of providing care.
The nurse is learning about the standards of nursing practice. Which activities are part of the practice of implementation? Select all that apply.
Educating patients for health awareness.
Using therapeutic procedures for patient care.
Providing consultation to enhance patient care.
A patient with asthma approaches a primary care center for management of the illness. What is the role of the nurse practitioner during the patient's visit for primary care? Select all that apply.
Provide direct medical care.
Provide comprehensive care.
Establish a collaborative provider-patient relationship.
The nurse has many roles to perform. Which activities are included in the direct caregiving role? Select all that apply.
Implements postoperative exercises for a patient who recently had surgery.
Provides measures that restore a patient's emotional, spiritual, and social well-being.
Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for bed sores. This is an example of which type of education?
Inservice education.
An elderly patient has been put on a potentially toxic drug for treatment of arthritis. The patient and family have expressed concern about the drug. What is the role of the nurse in this particular situation?
Provide information so the patient can decide whether to accept the treatment or refuse.
A patient sprained her ankle. The nurse instructs the patient to keep the leg elevated and applies cold compresses on the affected ankle. Which standard of practice is the nurse performing?
Implementation
Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. What are the responsibilities of the nurse as a patient educator? Select all that apply.
Explain concepts and facts about health to patients.
Teach the patient to self-administer insulin injections.
Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for bed sores. This is an example of which type of education?
Inservice education
Nursing is important in providing safe, patient-centered health care to the global community. Which statements are true about the nursing practice? Select all that apply.
Nursing practice helps shape health policy and health systems management.
Nursing practice involves collaborative care of sick individuals of all ages, families, groups, and communities.
Nursing practice involves helping a dying patient find relief from pain.
Nursing practice involves interpreting clinical situations and making complex decisions based on knowledge and experience.
The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. The nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Which career does the nurse consultant exemplify?
nurse researcher
The nurse educator is preparing to teach a group of nursing students about nursing interventions for managing bioterrorism. Which topics should the nurse include in the teaching plan? Select all that apply.
Decontamination methods.
Evidence-based research on vaccines.
The nurse educator is delivering a lecture on nursing as a profession to a group of nursing students who have recently joined the baccalaureate nursing degree course. The nurse is explaining the nursing processes by giving examples. Which examples should the nurse give while explaining nursing assessment? Select all that apply.
Recording body temperature two hours after administering antipyretic medication.
Asking the patient about hygiene and sanitation in the patient's community.
Identifying the signs of respiratory distress in a hospitalized patient.
The nurse practitioner is assessing a patient who has been admitted for congestive cardiac failure. The nurse suspects a pulmonary pathology and asks for a chest x-ray to confirm the findings. Which standard of practice is the nurse performing?
Prescriptive authority
The nurse is caring for a patient whose daughter wishes to pursue a career in nursing. She wants to enroll in a program that is of short duration and makes her eligible to take the nursing licensure exam. Which educational program should the nurse recommend to this student?
Associate degree program in nursing
The senior nurse is explaining to the nurse who holds an associate degree in nursing about next steps in advanced nursing education. Which educational options should be included? Select all that apply.
Bachelor of Science in Nursing
Bachelor of Nursing
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