(Test Bank) Fundamentals of Nursing, The Art and Science of Person-Centered Care

Taylor, 9

Nursing

Test Bank

9th Edition

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Test Bank for Fundamentals of Nursing, The Art and Science of Person-Centered Care, The downloadable file consists of 667 pages, and the total size of the file is 6.03 MB. Purchase now only for highly discounted price.

Author(s): Taylor

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Chapter 1: Introduction to Nursing 1. An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master's degree is considered to be an expert in her area of practice. She works on an oncology unit in a large teaching hospital. Based upon this description, which of the following career roles best describes this nurse's role, taking into account her qualifications and experience? A) Clinical nurse specialist B) Nurse entrepreneur C) Nurse practitioner D) Nurse educator ANS: A Feedback: A clinical nurse specialist is a nurse with an advanced degree, education, or experience who is considered to be an expert in a specialized area of nursing. The clinical nurse specialist carries out direct client care; consultation; educating clients, families, and staff; and research. A nurse practitioner has an advanced degree and works in a variety of settings to deliver primary care. A nurse educator usually has an advanced degree and teaches in the educational or clinical setting. A nurse entrepreneur may manage a clinic or health-related business. PTS: 1 REF: 16 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 2. What guidelines do nurses follow to identify the client's health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes? A) Nursing process B) ANA Standards of Professional Performance C) Evidence-based practice guidelines D) Nurse Practice Acts ANS: A Feedback: The nursing process is one of the major guidelines for nursing practice. Nurses implement their roles through the nursing process. The nursing process is used by the nurse to identify the client's health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes. PTS: 1 REF: 19 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Choice 3. Which organization is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice? A) American Nurses Association (ANA) B) American Association of Colleges in Nursing (AACN) C) National League for Nursing (NLN) D) International Council of Nurses (ICN) ANS: A Feedback: The ANA produced the 2015 Nursing: Scope and Standards of Practice, which defines the activities specific and unique to nursing. The AACN addresses educational standards, while the NLN promotes and fosters various aspects of nursing. The ICN provides a venue for national nursing organizations to collaborate, but does not define standards and scope of practice. PTS: 1 REF: 17 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Choice 4. Which set of terms best describes nursing at the end of the Middle Ages? A) continuity, caring, critical thinking B) purpose, direction, leadership C) assessment, interventions, outcomes D) advocacy, research, education ANS: B Feedback: During the Middle Ages, nursing began to have a more clearly defined role. Members of religious orders gave nursing care, nursing orders were founded, and nursing became a respected vocation. Although the Middle Ages ended in chaos, nursing had developed purpose, direction, and leadership. PTS: 1 REF: 7 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Choice 5. Who is considered to be the founder of professional nursing? A) Dorothea Dix B) Lillian Wald C) Florence Nightingale D) Clara Barton ANS: C Feedback: Florence Nightingale is considered to be the founder of professional nursing. She elevated the status of nursing to a respected occupation, improved the quality of nursing care, and founded modern nursing education. Although the other choices are women who were important to the development of nursing, none of them is considered the founder. Dorothea Dix was an American activist on behalf of the indigent mentally ill who, through a vigorous program of lobbying state legislatures and the United States Congress, created the first generation of American mental asylums. During the Civil War, she served as a Superintendent of Army Nurses. Lillian Wald founded the Henry Street Settlement in New York City and was an early advocate to have nurses in public schools. Clara Barton was a pioneering nurse who founded the American Red Cross. PTS: 1 REF: 9 NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Choice 6. Which of the following nursing pioneers established the Red Cross in the United States in 1882? A) Florence Nightingale B) Clara Barton C) Dorothea Dix D) Jane Addams ANS: B Feedback: Clara Barton volunteered to care for wounds and feed union soldiers during the civil war, served as the supervisor of nurses for the Army of the James, organized hospitals and nurses, and established the Red Cross in the United States in 1882. PTS: 1 REF: 9 NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Choice 7. Teaching a woman about breast self-examination is an example of what broad aim of nursing? A) Treating illness B) Preventing illness C) Restoring health D) Facilitating coping ANS: B Feedback: Nurses primarily prevent illness by teaching and personal example. Illness- prevention activities focus on avoiding illness or achieving early detection of an illness, such as breast cancer. Treating illness involves nursing interventions for people who have surgery or are ill. Facilitating coping is involved with easing transitions to new states of being. PTS: 1 REF: 12-13 NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 8. A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role? A) Teacher/Educator B) Leader C) Counselor D) Collaborator ANS: C Feedback: Counseling skills involve the use of therapeutic interpersonal communication skills to provide information, make appropriate referrals, and facilitate the client's problem-solving and decision-making skills. The teacher/educator uses communication skills to assess, implement, and evaluate individualized teaching plans to meet learning needs of clients and their families. A leader displays an assertive, self-confident practice of nursing when providing care, effecting change, and functioning with groups. The collaborator uses skills in organization, communication, and advocacy to facilitate the functions of all members of the health care team as they provide client care. PTS: 1 REF: 11 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 9. A nurse is providing nursing care in a neighborhood clinic to single, pregnant teens. Which action is the best example of using the counselor role as a nurse? A) discussing the legal aspects of adoption for teens wishing to place their infants with a family B) searching the Internet for information on child care for the teens who wish to return to school C) conducting a client interview and documenting the information on the client's chart D) referring a teen who admits having suicidal thoughts to a mental health care specialist ANS: D Feedback: The role of the counselor includes making appropriate referrals. Discussing legal issues is the role of the advocate. Searching for information on the Internet is the role of a researcher. Conducting a client interview would fall under the role of the caregiver. PTS: 1 REF: 11 NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 10. A nurse instructor explains the concept of health to the students. Which statement accurately describes this state of being? A) Health is a state of optimal functioning. B) Health is an absence of illness. C) Health is always an objective state. D) Health is not determined by the client. ANS: A Feedback: Health is a state of optimal functioning or well-being. As defined by the World Health Organization, one's health includes physical, social, and mental components and is not merely the absence of disease or infirmity. Health is often a subjective state; a person may be medically diagnosed with an illness but still consider himself or herself healthy. PTS: 1 REF: 11 NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Choice 11. Which of the following is a criteria that defines nursing as profession? A) an undefined body of knowledge B) a dependence on the medical profession C) an ability to diagnose medical problems D) a strong service orientation ANS: D Feedback: Nursing is recognized increasingly as a profession based on the following defining criteria: well-defined body of specific and unique knowledge; strong service orientation; recognized authority by a professional group; code of ethics; professional organization that sets standards; ongoing research; and autonomy. PTS: 1 REF: 13 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Choice 12. What is the primary purpose of standards of nursing practice? A) to provide a method by which nurses perform skills safely B) to ensure knowledgeable, safe, comprehensive nursing care C) to establish nursing as a profession and a discipline D) to enable nurses to have a voice in health care policy ANS: B Feedback: Each nurse is accountable for her own quality of practice and is responsible for using standards to ensure knowledgeable, safe, comprehensive care. Standards of practice do not provide the ability to safely perform skills, establish nursing as a profession and discipline, or enable nurses to have a voice in health care policy. PTS: 1 REF: 17 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Understand NOT: Multiple Choice 13. After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice? A) Enrolling in an advanced degree program B) Filing NCLEX results in the county of residence C) Being licensed by the State Board of Nursing D) Having a signed letter confirming graduation ANS: C Feedback: The Board of Nursing in each state has the legal authority to allow graduates of approved schools of nursing to take the licensing examination. Those who successfully meet the requirements for licensure are given a license to practice nursing in the state. It is illegal to practice nursing without a license issued by the State Board of Nursing. A nurse does not have the legal right to practice nursing by enrolling in an advanced degree program, filing NCLEX results, or having a letter confirming graduation. PTS: 1 REF: 14 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 14. A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported the action to the State Board of Nursing. How might this affect the nurse's license to practice nursing? A) It will have no effect on the ability to practice nursing. B) The nurse can practice nursing at a less-skilled level. C) The nurse's license may be revoked or suspended. D) The nurse's license will permanently carry a felony conviction. ANS: C Feedback: The license and the right to practice nursing can be denied, revoked, or suspended for professional misconduct, such as a crime. Other areas of professional misconduct which can be charged as committing a felony include incompetence, negligence, and chemical impairment. Committing a felony does affect the legal right to practice nursing, does not allow the nurse to practice at a lower level, and is not attached to the license but the licensee. PTS: 1 REF: 18 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Analyze NOT: Multiple Choice 15. A nurse is caring for a client who is a chronic alcoholic. The nurse educates the client about the harmful effects of alcohol and educates the family on how to cope with the client and his alcohol addiction. Which type of skill is the nurse using? A) Caring B) Comforting C) Counseling D) Assessment ANS: C Feedback: The nurse is using counseling skills to educate the client about the harmful effects of alcohol. The nurse can also suggest rehabilitative care for the client. The nurse uses therapeutic communication techniques to encourage verbal expression and to understand the client's perspective. Caring, comforting, and assessment may require active listening, but counseling is based upon the active listening and interaction between the client and the counselor. PTS: 1 REF: 11 NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Understand NOT: Multiple Choice 16. A nurse is caring for a client with quadriplegia who is fully conscious and able to communicate. What skills of the nurse would be the most important for this client? A) Comforting B) Assessment C) Counseling D) Caring ANS: D Feedback: The client needs assistance in performing activities of daily life. This would require implementation of caring skills from the nurse. Comforting, counseling, and assessment skills are also required, but the priority is the caring skill. Comforting skills involve providing safety and security to the client, whereas counseling skills are implemented while providing health education and emotional support. Assessment skills would be required when collecting data from the client. PTS: 1 REF: 11 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Understand NOT: Multiple Choice 17. A nurse is assigned the care of a client who has been admitted to the health care facility with high fever. Which nursing skill should be put into practice at the first contact with the client? A) Assessment B) Caring C) Comforting D) Counseling ANS: A Feedback: On admission of the client to a health care facility, the nurse would be required to conduct an initial assessment of the client. Therefore, the nurse would implement her nursing skills in this case. This can be done by interviewing, observing, and examining the client. Caring skills are put into practice once the nursing needs are determined. Comforting and counseling skills may not have a major role in assessing client problems. PTS: 1 REF: 17-18 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Understand NOT: Multiple Choice 18. A nurse is caring for a client with a hernia. Which statement should the nurse use while counseling the client about his condition? A) "Open hernioplasty is the best surgery for you." B) "Open and laparoscopic hernioplasty are available." C) "You are not a suitable candidate for hernioplasty." D) "I had a bad experience when I underwent hernioplasty." ANS: B Feedback: A counselor should provide the client with unbiased information from which to choose. Therefore, the statement that "Open and laparoscopic hernioplasty are available" should be used by the nurse when counseling a client with hernia. The nurse should, however, refrain from giving a personal opinion, so it should not be mentioned which surgery is best for the client; likewise, the nurse should not bring up his or her own past experiences. By reserving personal opinions, a nurse promotes the right of every person to make his or her own decisions and choices on matters affecting health and illness care. Telling the client about his suitability to surgery or the best surgery for him may be biased from the experiences of the past. PTS: 1 REF: 11 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 19. A registered nurse assigns the task of tracheostomy suctioning of a client to the LPN. The LPN informs the nurse that she has never performed the procedure practically on a client. What should be the most appropriate response from the registered nurse? A) "You are through with your theory class, so you should know." B) "Take the help of a nurse who knows to perform the procedure." C) "Follow the procedure manual and act accordingly." D) "I will help you in performing the procedure on the client." ANS: D Feedback: Although the registered nurse has assigned the task to the LPN, the overall responsibility lies with the registered nurse. The registered nurse is answerable for the client's care, not the LPN. Telling the LPN that she should know the procedure because it is taught in class is inappropriate; putting theory into application would require supervision. Asking the LPN to refer to the manual and perform the procedure is incorrect because the LPN may commit mistakes. The LPN is not confident about the procedure and therefore should not be asked to do the task alone or with another nurse who knows the procedure. PTS: 1 REF: 17-18 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Analyze NOT: Multiple Choice 20. A nurse at a health care facility provides information, assistance, and encouragement to clients during the various phases of nursing care. In which activity does the nurse use counseling skills? A) educating a group of young girls about AIDS B) telling a client to localize the pain in his abdomen C) encouraging a client to walk without support D) assisting a lactating mother in feeding her child ANS: A Feedback: The activity of educating a group of young girls about AIDS is based on the nurse using counseling skills. Telling a client to localize his pain is an assessment skill. Encouraging a client to walk without support can be both a comforting skill and a caring skill. Assisting a lactating mother in feeding her baby is an example of a caring skill. PTS: 1 REF: 11 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 21. A student wants to join a nursing program that provides flexibility in working at both staff and managerial positions. Which nursing program should the nurse suggest for this student? A) Hospital-based diplomas B) Baccalaureate nursing programs C) Associate degree programs D) Continuing nursing programs ANS: B Feedback: The student could opt for a baccalaureate nursing program. Baccalaureate-prepared nurses have the greatest flexibility in qualifying for nursing positions at both staff and managerial levels. Hospital-based diploma programs are three-year courses and provide maximum exposure to clinical nursing. Students becoming nurses through the associate degree program would not be expected to work in a management position. Continuing nursing programs are on-the-job educational programs. PTS: 1 REF: 14 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Choice 22. A registered nurse adheres to the American Nurses Association's standard of professional performance by engaging in: A) assessment. B) diagnosis. C) evaluation. D) collaboration. ANS: D Feedback: Collaboration is designated in ANA's standard of professional performance. Assessment, diagnosis, and evaluation are not designated in ANA's standard of professional performance. They are professional nursing responsibilities designated in ANA's standard of care list. PTS: 1 REF: 18 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Choice 23. During the clinical rotation, a nurse documents the vital signs of a client on the bedside chart. What role is the nurse playing in such a situation? A) Decision-maker B) Communicator C) Coordinator D) Client advocate ANS: B Feedback: The nurse is providing, in written form, the client's vital signs to the health care provider checking the bedside chart during clinical rounds, so the nurse acts as a communicator. The nurse is not making any decisions here, so the role is not that of a decision-maker. The nurse is not playing the role of a coordinator or a client advocate. When the nurse coordinates services offered by a variety of health care professionals, the nurse acts as a coordinator. As a client advocate, the nurse should protect the client, understanding the client's needs and concerns. PTS: 1 REF: 11 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 24. The Nurse Corps of the United States Army was established by whom? A) Dorothea Dix B) Lillian Wald C) Florence Nightingale D) Isabel Hampton Robb ANS: A Feedback: Dorothea Dix established the Nurse Corps of the United States Army. PTS: 1 REF: 9 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Choice 25. The director of nursing (DON) of a major hospital is seeking to hire a nurse with a strong technical background to care for clients on a busy surgical unit. The DON is most likely going to hire a nurse prepared at which level of nursing? A) Doctoral level B) Master's level C) Baccalaureate level D) Associate level ANS: D Feedback: The ANA's 1965 resolution prompted the 1985 ANA statement adopting the titles of associate nurse (a nurse prepared in an associate degree program with an emphasis on technical practice) and professional nurse (a nurse possessing the baccalaureate degree in nursing) for these two levels. Master's and doctoral prepared nurses possess higher degrees and expertise. PTS: 1 REF: 14 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 26. A student is choosing her educational path and desires a nursing degree with a track that contains community nursing and leadership, as well as liberal arts. The student would best be suited in which type of program? A) Licensed practical nursing program B) Certification in a nursing specialty C) Diploma nursing program D) Baccalaureate program ANS: D Feedback: The baccalaureate degree in nursing offers students a full college or university education with a background in the liberal arts. PTS: 1 REF: 14 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Understand NOT: Multiple Choice 27. A nurse is caring for a young victim of a terrorist attack. During the rehabilitative process, the nurse assists the client in bathing and dressing. What role is the nurse engaged in? A) Advocate B) Caregiver C) Counselor D) Educator ANS: B Feedback: As providers of care, nurses assume responsibility for helping clients promote, restore, and maintain health and wellness. Communicating the client's needs and concerns, and protecting the client's rights, are components of the advocacy role of nursing. The nurse is simply assisting in hygiene measures; no education or counseling is being provided. PTS: 1 REF: 11 NAT: Client Needs: Physiological Integrity: Basic Care and Comfort TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 28. A nurse receives an x-ray report on a newly admitted client suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in? A) Communicator B) Advocate C) Caregiver D) Researcher ANS: A Feedback: Nurses are communicators when they report findings to the health care team. Advocacy involves actions such as protecting the client's safety or rights. Administering care measures directly to the client demonstrates the caregiver role. Research involves collecting and analyzing data. PTS: 1 REF: 11 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 29. The client's plan of care is created by the nurse using which guideline for nursing practice? A) Nursing process B) Nursing's Social Policy Statement C) Nurse practice act D) ANA Standards of Nursing Practice ANS: A Feedback: Nursing process is used by nurses to identify the client's strengths, limitations, and health care needs; to formulate a plan of care to address the health care needs; to plan and implement a plan of care to meet those health care needs; and to evaluate the effectiveness of the plan to achieve established outcomes. The ANA Standards of Nursing Practice defines the activities of nurses that are specific and unique to nursing. Nurse practice acts are laws established by each state to regulate the practice of nursing. Nursing's Social Policy Statement describes the values and social responsibility of nursing, provides a definition and scope of practice for nursing and nursing's knowledge base, including the methods by which nursing is regulated. PTS: 1 REF: 19 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Understand NOT: Multiple Choice 30. Organize these events in chronological order, beginning with the earliest (1) and ending with the most recent (5). A. During the Crusades, religious orders provided nursing care to the sick. B. Florence Nightingale administered care to British soldiers during the Crimean War. C. Mary Elizabeth Mahoney graduated from the New England Hospital for Women and Children as America's first African American nurse. D. Clara Barton organized the American Red Cross. E. Margaret Sanger advocated for contraception and family planning in the United States. ANS: A, B, C, D, E Feedback: These events took place (C) During the Crusades, religious orders provided nursing care to the sick; (B) Florence Nightingale administered care to British soldiers during the Crimean War; (A) Mary Elizabeth Mahoney graduated from the New England Hospital for Women and Children as America's first African American nurse; (E) Clara Barton organized the American Red Cross; and (D) Margaret Sanger advocated for contraception and family planning in the United States. PTS: 1 REF: 12 NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Choice 31. The nurse is administering immunizations to a group of teens in a county health clinic. The nurse correctly identifies this action as: A) illness prevention. B) restorative care. C) treatment of disease. D) supportive nursing care. ANS: A Feedback: The aim of illness prevention activities is to reduce the risk for illness, to promote good health habits, and to maintain optimal functioning. Immunization administration is an example of illness prevention. Assisting with crutch walking and teaching medication administration would be examples of health restoration activities. Administering antibiotics to a client to treat an infection would be an example of treatment of disease. Hospice care is an example of supportive care. PTS: 1 REF: 19 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Short Answer 32. Which nursing role is the nurse exhibiting when collecting data about the number of urinary tract infections on the nursing unit? A) Advocate B) Leader C) Counselor D) Researcher ANS: D Feedback: Data collection is part of the research process and the nurse is acting like a researcher. As an advocate, the nurse would implement actions to protect the rights of the client. Counseling involves the use of therapeutic, interpersonal communication skills to provide information, make appropriate referrals, and facilitate client problem-solving and decision-making skills. A nurse leader is assertive and self-confident when providing care, effecting change, and functioning within groups. PTS: 1 REF: 11 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Understand NOT: Multiple Choice 33. A client reports to the emergency department with ankle pain from a minor road accident. The nurse asks the client to fully describe the circumstances of the accident. Which ANA standard of nursing practice is best demonstrated by the nurse's action? A) Assessment B) Diagnosis C) Ethics D) Caring ANS: A Feedback: According to the ANA Standard I, the registered nurse collects comprehensive data pertinent to the client's health or the situation. Standard 2 - Diagnosis is Standard 2, which occurs when the registered nurse analyzes the assessment data to determine the diagnoses or issues pertaining to the client. Standard 7 - Ethics pertains to the ethical guidelines of nursing practice. Caring, although an essential part of nursing practice, is not considered an ANA Standard. PTS: 1 REF: 18 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Understand NOT: Multiple Choice 34. What are the values of the caring, professional nurse identified by the American Association of Colleges of Nursing (AACN)? Select all that apply. A) Sympathy B) Integrity C) Human dignity D) Self-sacrifice E) Autonomy ANS: B, C, E Feedback: In 1998, the American Association of Colleges of Nursing (AACN) identified five values of the caring, professional nurse. The five values are altruism, autonomy, human dignity, integrity, and social justice. Sympathy and self-sacrifice are not identified as any of the five values. In fact, sympathy and self-sacrifice have negative connotations. PTS: 1 REF: 19 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Selection 35. What are healthy self-care practices that the nurse can utilize for herself? Select all that apply. A) Take a sleeping pill nightly to obtain at least 6 hours of sleep. B) Engage in an activity, such as painting, that she enjoys. C) Practice meditation for 5 minutes on a regular basis. D) Attend a continuing education class on assertiveness. E) Schedule adequate time for hygiene and eating before attendance at work. ANS: B, C, D, E Feedback: Healthy self-care practices include work-life balance measures, such as an enjoyable activity; meditation; assertiveness training; and time management. Taking a sleep pill is not a healthy self-care practice. PTS: 1 REF: 20-21 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Apply NOT: Multiple Selection 36. Which client is an example of "medically homeless"? A) The client who sees a family medical doctor as well as an oncologist and a neurologist B) The client who visits the public health department C) The client who goes to the emergency department for minor issues D) The client who sees the nurse practitioner in a nearby clinic ANS: C Feedback: The "medically homeless" person is one who does not have a primary care provider for health care or advice. Going to the emergency department is not the appropriate entrance into the health care system for minor issues. The person who is a client of several physicians of different specialties, the public health department, or a nurse practitioner has access to the health care system. PTS: 1 REF: 19 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Understand NOT: Multiple Choice 37. What are common elements in a state's nurse practice act? Select all that apply. A) Definition of legal scope of nursing practice B) Skills allowed for the Certified Nursing Assistant C) Creation of a state board of nursing D) Criteria for the education of a Licensed Practical Nurse E) Requirements for the licensure of the Registered Nurse ANS: A, C, D, E Feedback: Nurse practice acts are established in each state that regulates nursing. Common elements of states' nurse practice acts include defining nursing practice, creating a state board of nursing or regulatory body, criteria for the education and licensure of nurses (RNs and LPNs), and activities in nursing. Certified Nursing Assistants are not nurses and are usually regulated by a different regulatory board. PTS: 1 REF: 16-17 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter Number: 1 Introduction to Nursing BLM: Cognitive Level Remember NOT: Multiple Selection 38. The client is admitted to the hospital. The nurse is using the nursing process to plan care for this client. Place in order the steps of the nursing process that the nurse would use for this client? Use all options. A. The nurse assesses the client is short of breath, coughing, and expectorating thick, yellow sputum. B. The nurse analyzes the data and determines the client is experiencing an oxygenation problem.