TEST 1 - UNIT A - EF - NURSING FOUNDATIONS

Question 1

Health literacy encompasses

Answer 1

clients’ knowledge of their health and their ability to take action to maintain and improve their health

Question 2

Nursing competencies include

Answer 2

advocacy, change management, communication, and collaboration.

Question 3

advanced practice registered nurses (APRN)

Answer 3

A nurse who has earned educational degrees and nursing specialties and certifications beyond the MSN level.

Question 4

advocacy

Answer 4

Speaking up for clients’ needs when the clients are unable to speak for themselves, and supporting clients to make choices for their own health.

Question 5

Defending the rights, interests, and safety of someone who is vulnerable.

Answer 5

The act of defending the interests, rights, and safety of those who cannot do it for themselves.

Question 6

American Nurses Association

Answer 6

A widely respected organization that supports nurses health and wellness, fosters high standards, promotes environments that are safe, ensures ethical behavior, and advocates for nurses and the public regarding health care issues.

Question 7

change agent

Answer 7

A nurse who brings innovation for improvement through knowledge, critical thinking, objectivity, and practice.

Question 8

change management

Answer 8

The goal of nurse managers who help to bring about change with a goal to constantly improve the staff workflow and the client outcomes.

Question 9

Code of Ethics for Nurses

Answer 9

Developed by the ANA, this document outlines rules for nurses about client privacy, nursing conduct, and nursing behaviors to protect clients and the profession.

Question 10

collaboration

Answer 10

Working together with the interprofessional team to address the various aspects of the client s health. The interprofessional team consists of professionals from multiple disciplines (e.g., physical, occupational and speech therapy, health providers, dietitians, respiratory therapists) who coordinate care, make plans, and set goals for the best client outcome.

Question 11

evidence-based practice

Answer 11

The process of using evidence from credible scientific research to guide nursing interventions and clinical judgment.

Question 12

Nursing: Scope and Standards of Practice, a document that provides a f

Answer 12

ramework for all nurses and clarifies what nursing involves and the responsibilities of the nurse as a professional.

Question 13

The scope of practice describes the following.

Answer 13

What the nurse does
What the nurse’s responsibilities are
Where and when client care is to be performed
Why and how client care is achieved

Question 14

SELF DETERMINATION

Answer 14

RESPONSIBILITY OF EACH INDIVIDUAL TO ACT PROFESSIONALY WITHIN THEIR ROLE AS A NURSE

Question 15

POLICIES AND PROCEDURES

Answer 15

GOVERINING RULES / REGULATIONS ESTABLISHED BY INSTITUTIONS / ORGANIZATIONS WHICH EDIRECT NURSING PRACTICE

Question 16

NURSE PRACTICE ACT

Answer 16

RULES / REGULATION WHICH ARE DETERMINED BY EACH STATE TO GUIDE DELIVERY OF NURSING CARE TO CLIENTS

Question 17

SCOPE AND STANDARDS OF PRACTICE

Answer 17

EXPLANATORY STATEMENTS THAT DESCRBIE COMPETEN LEVEL OF NURSING CARE AND PROFESSIONALISM

Question 18

Code of Ethics

Answer 18

INTERPRETIVE STATEMENTS THAT ADDRESS VALUES / CLIENT OBLIGATIONS / IDEALS OF NURSING PROGESSION

Question 19

A Nurse Practice Act

Answer 19

is a legal and regulatory body that is created by, and applicable in, each individual state. It establishes common definitions, rules, and regulations to guide the practice of a licensed nurse and thereby promote quality of care and safety when caring for a client.

Question 20

The ANA’sScope of Nursing Practiceprovides the nurse with

Answer 20

a clear definition of the complex and dynamic role of the nurse and the expectations of the nurse in that role. The ANA’sStandards of Nursing Practiceare explanatory statements that describe a competent level of care and professionalism that all nurses should achieve.

Question 21

Code of Ethics for Nursesassists a nurse w/

Answer 21

ethical decision making, by incorporating the nurse’s value system, duty, obligation to the client, and call to uphold professional ideals.

Question 22

A nurse is obligated to practice not only within state rules and regulations, but also by following

Answer 22

specific policies and procedures within the direction of the facility where the nurse is working.

Question 23

A nurse through acquired knowledge, skills, and critical thinking determines the

Answer 23

appropriate nursing response based on the scope and standard of practice, rules, laws, regulations, and facility policies and procedures.

Question 24

Based on this self-determination and nursing identity, each individual nurseis responsible for

Answer 24

his or her own practice—for making these decisions and acting professionally within the role as a nurse.

Question 25

Interwoven throughout all levels of these regulations, laws, standards, and facility policies and procedures are principles of

Answer 25

quality,evidence-based practice, and safety, which are critical elements of every decision and action a nurse takes in practice.

Question 26

Nightingale

Answer 26

DOCUMENTATION
HAND HYGIENE
EVIDENCE BASED PRACTICE
DATA COLLECTION
STARTED NURSING SCHOOLS

Question 27

Barton

Answer 27

served in the battlefields/ bringing necessary supplies / comfort / food to wounded
created center to locate missing soldiers
started the American Red Cross.
FORMALIZED NURSING EDUCATION

Question 28

DIX

Answer 28

not a nurse, but rather a teacher
volunteered to care for soldiers during the Civil War
appointed Superintendent of Army Nurses for the Union Army
pushed for formal training for nurses.
mental health AWARENESS
indigenous rights

Question 29

Ildaura Murillo-Rohde

Answer 29

doctorate in nursing in the 1970s
founded the National Association of Hispanic Nurses (NAHA).

Question 30

Eddie Bernice Johnson

Answer 30

faced segregation as a student,
CREATED OPPORTUNITIES FOR MINORS
U.S. Congress, as a representative from Texas
introduced the STEM (science, technology, engineering, and mathematics) - provide grant awards to minority students.

Question 31

LPN: .

Answer 31

A licensed practical nurse (LPN) or licensed vocational nurse (LVN) degree can be obtained in one year

Question 32

RN:

Answer 32

A registered nurse (RN) degree can be achieved in two to four years, depending on which of the following educational programs is chosen:

Question 33

THREE WAYS TO GET AN RN DEGREE

Answer 33

Diploma nurse: Hospital-based, non-degree
ADN: Associate degree in nursing
BSN: Bachelor’s degree in nursing

Question 34

Patricia Benner (1982) has described the

Answer 34

transition from novice to expert.

Question 35

LPNs and LVNs practice nursing under the supervision of

Answer 35

an RN.

Question 36

Each nursing degree has different lengths of study and difficulty, but all candidates for degrees are required to take the same

Answer 36

National Council Licensure Examination (NCLEX)

Question 37

Upon passing the licensure exam, nurses are expected to follow the

Answer 37

Nurse Practice Act for the state in which they practice.

Question 38

One advanced degree option FOR RNS IS is the

Answer 38

(Dcotorate of Nursing) DNP degree.
PhD

Question 39

DNP:

Answer 39

Doctor of nursing practice—a clinical practice degree

Question 40

PhD:

Answer 40

Doctor of philosophy in nursing—a research-based degree

Question 41

DNP degree recommended by American Association of Colleges of Nursing to become the

Answer 41

next step for APRNs (Advanced practice nurses)

Question 42

Three roles of APRN’s

Answer 42

nurse practitioners, nurse anesthetists, clinical nurse specialists.

Question 43

APRN was designed to be the terminal degree instead of

Answer 43

MSN

Question 44

Benners firve stages

Answer 44

Stage 1: Novice
Stage 2: Advanced Beginner
Stage 3: Competent
Stage 4: Proficient
Stage 5: Expert

Question 45

Novice

Answer 45

nursing students / new nurses - no previous experience.
cannot yet draw on own judgment.
struggles to decide which tasks most relevant in real-life situations.

Question 46

Advanced Beginner

Answer 46

recognize patterns / recurrent situations.
focus is on remembering / following rules / guidelines
needs clinical support to set priorities

Question 47

Competent

Answer 47

able to prioritize tasks by drawing on past experiences.
may not function w/ same speed / ease as proficient nurses
recognize patterns in clinical situations more quickly / accurately than advanced beginners

Question 48

Proficient

Answer 48

able to understand bigger picture / desired outcome of situations - facilitates improved decision making.
able to respond to changing situations / modify plans in face of different events.

Question 49

Expert

Answer 49

extensive experience / knowledge
can handle complex client conditions.
have self-confidence / trust their intuitive sense
knows what needs to be done / able to perform it well.

Question 50

Roles a nurse may assume

Answer 50

care provider
case manager
researcher
educator
leader
manager
change agent

Question 51

A nurse is most often identified as a

Answer 51

care provider

Question 52

Nursing focuses on care of the whole person this includes

Answer 52

physical, mental, emotional, and spiritual health

Question 53

nurse has a unique role as an

Answer 53

advocate for the client.

Question 54

Nurses must be able to provide professional empathy to all clients, regardless of their

Answer 54

race, illness, socioeconomic status, ethnicity, religion, and level of education.

Question 55

A critical part of caring for the whole person is practicing what type of care

Answer 55

culturally competent care.

Question 56

practicing culturally competent care.

Answer 56

being senstive to individual cultural preferences, also referred to as

Question 57

Increased number of health problems (also known as comorbidities) may lead to

Answer 57

fragmentation of the care services clients receive.

Question 58

nurse works as a case manager by

Answer 58

by communicating w/ appropriate interprofessional team members to create a plan of care that will meet the needs of the whole client, including the need for interdisciplinary services, as well as coordinating the client’s educational needs as they relate to the disease process, medications, and discharge instructions.

Question 59

interdisciplinary services

Answer 59

physical therapy occupational therapy, enterostomal therapy, home health nursing, speech therapy

Question 60

nurse works as a researcher

Answer 60

practice - nurses utilize research to provide evidence-based care.
Formal role of reasearcher - develops nursing knowledge by conducting research and publishing the results

Question 61

evidence-based practice

Answer 61

delivery of care (e.g., procedures, assessments, interventions) that is supported by scientific research showing its factual accuracy and effectiveness.

Question 62

An EX of evidenced based practice

Answer 62

A nurse searches the recent research literature to revise a nursing procedure.

Question 63

Nurses keep informed on evidence-based practice by

Answer 63

reading scholarly resources to find the most valid and current information about new medications, procedures, or technology.

Question 64

Nurse works as an educator by

Answer 64

educating clients
teaching new nurses / staff

Question 65

Educating clients serves to

Answer 65

increase their knowledge, which empowers them to employ appropriate self-care management skills and to make informed care decisions, and can improve the client’s quality of life.

Question 66

In addition to teaching clients, nurses are also resonsible for helping to teaching

Answer 66

student nurses and serving as preceptors for newly hired nurses.

Question 67

The preceptor helps the newly hired nurse to

Answer 67

transition to a new role (from student nurse to staff nurse, or from staff nurse at another facility/unit to the current position).

Question 68

Preceptor (5) things they do

Answer 68

provides clinically appropriate experiences
assists w/ development of new nursing skills / knowledge
readily available resource for new staff member
role model
gives feedback on progress.

Question 69

CNE

Answer 69

Clinical Nurse Educator

Question 70

Clinical Nurse Educator (CNE) primarilty responsible for

Answer 70

providing education to the nurses who work in the facility

Question 71

Nurse as a manager is formally responsible for

Answer 71

team of nurses and have a significant impact on their team’s job satisfaction.

Question 72

Nurse as a manager has overall responsibilities for

Answer 72

the assigned clinical area(s), including managing the staff and ensuring the quality of care being delivered.

Question 73

Nurse managers help problem-solve for

Answer 73

staff, clients, and agencies.

Question 74

Some of other itemts nurse managers handles

Answer 74

Managing supply and equipment availability
maintaining budgets
creating goals / objectives for the unit

Question 75

Nurse leaders at the executive level are responsible for

Answer 75

seeing that the Nurse Practice Act and theStandards of Careare being followed in the clinical setting, thereby enforcing safety for all clients and staff

Question 76

Nurse as a Change Agent

Answer 76

ecognize the need for and take steps to make a change; to do so

Question 77

Nurse change agents are required to be both

Answer 77

credible and reliable.

Question 78

A nurse who is a change agent has the power to

Answer 78

facilitate change and the responsibility to assist others in making the transition.

Question 79

Change agents know that change typically triggers

Answer 79

stress and resistance, so they help other nurses see that the change is for the better and is based on research. T

Question 80

the change agent’s goal is to change

Answer 80

attitudes, values, or norms related to the relationship between the nurse, client, and organizational system.

Question 81

Nursing competencies

Answer 81

knowledge, attitudes, values, skills that nurses are expected to know to provide safe care.

Question 82

advocacy

Answer 82

one of the pillars of nursing

Question 83

as client advocates,

Answer 83

nurses support, protect, and promote the rights, health, and safety of the client(nvolves giving the client a voice).

Question 84

exs client advocacy

Answer 84

A client can voice to the nurse who is preparing the client for a surgical procedure that they do not want to have the surgery. The nurse needs to act as the client’s advocate by immediately contacting the surgeon so the client, surgeon, and nurse can discuss the client’s concerns.
Another example of client advocacy can be seen when a nurse becomes aware of a potential safety or privacy issue (e.g., malfunctioning equipment, a peer who is talking about a client in the elevator) and corrects or reports this concern.

Question 85

Advocacy also applies to championing nursing interests directly with

Answer 85

decision and policy makers.

Question 86

Nurses can be involved in this process by becoming active in

Answer 86

facility committees (e.g., staffing, quality improvement); local, state, or national nursing associations; or other nonprofit organizations that impact the health of clients who have an illness (e.g., mental health, cancer, substance use disorder, Crohn’s disease).

Question 87

An example of advocacy at a local level might be

Answer 87

the nurse who is a member of a local nonprofit organization focusing on suicide prevention.

Question 88

Effective change managers work on four levels to achieve these objectives:

Answer 88

believe in and support staff ideas,
have short-term and long-term shared unit goals,
respect the rules and culture of the unit or facility,
anticipate the need for change by being proactive.

Question 89

Institute of Medicine has identified what constitutes an effective workplace for nurses—

Answer 89

enough staff and resources, managers who are approachable and offer support, teamwork and collaboration with staff, a voice for change, and the ability to advance in their career

Question 90

Communication in nursing is the one truly personal way that nurses can convey

Answer 90

trust, empathy, understanding, cultural consideration, and interest—all without even speaking a word.

Question 91

Nurses can achieve effective communication by

Answer 91

beginning with intentional listening, showing compassion, and demonstrating respect for the individual client.

Question 92

calm, nonverbal presence through

Answer 92

listening and presenting a physical posture of openness and calmness.

Question 93

Verbal communication is addressed through

Answer 93

acknowledging cultural considerations; displaying awareness of any difficulties of speech, hearing, or language; and recognizing the need for a translator.

Question 94

Effective communication among health care professionals is called

Answer 94

interprofessional communication.

Question 95

Client outcomes improve when an

Answer 95

interprofessional team communicates effectively about the plan of care, implements the plan, problem solves, evaluates the care, and makes necessary adjustments as a team.

Question 96

Collaborationin health care refers to

Answer 96

the respectful communication and sharing of ideas, policy, practices, and research with peers and interprofessional team members so as to provide quality professional care.

Question 97

Ex of collaboration

Answer 97

client who reports difficulty walking will need nurses, a physical therapist, and perhaps an occupational therapist to successfully plan and manage his or her care. If interprofessional collaboration is lacking, care may become fragmented and may even lead to untoward client outcomes.

Question 98

To ensure effective collaboration, the ANArecommends

Answer 98

recognizing the strengths and expertise of each team member, identifying the resources available to the nurse and the client, respecting the input of each team member, identifying clear roles and responsibilities of the nurse, and involving the client as appropriate to establish cooperation and success in achieving goals.

Question 99

Nursing practice is regulated at

Answer 99

the state and national levels, as well as through partnerships with various nursing organizations that provide standards of care for nursing practice.

Question 100

Some of the agencies that form the framework of the nursing profession are summarized in the following sections.

Answer 100

National Academy of Medicine
National Student Nurses Association
American Nurses Association

Question 101

Professional organizations provide the foundation for

Answer 101

regulation of nursing practice as well as pathways for becoming certified in specialty nursing areas.

Question 102

Professional certification in specialty areas is

Answer 102

offered to nurses based on their expertise in their individual area of practice.

Question 103

credential is the title

Answer 103

listed after the nurse’s name, which recognizes the specialized knowledge and experience that the nurse has obtained through education and in a specialty practice.

Question 104

The National Academy of Medicine

Answer 104

nonprofit private business that
provides objective data intended to improve the health of society.
utilizes a global multiprofessional partnership to address crises.
emphasizes a scientific, evidence-based approach to issues that affect the world, working collaboratively to discover solutions to health problems.

Question 105

National Student Nurses Association

Answer 105

nonprofit organization created for nursing students to
provide an introduction to professional development through national conventions, networking, and career development activities.

Question 106

National Student Nurses Association mission

Answer 106

prepare nursing students, across all program levels, for initial licensure, and to educate students about standards of nursing practice and professionalism.

Question 107

The NSNA’s Code of Ethics identifies six core values important to the development of nursing students

Answer 107

Advocacy
leaderhsip
professionalism
care
diversity
quality education

Question 108

Advocacy:

Answer 108

An activity or process to work on behalf of self and/or others to raise awareness of a concern and to promote solution to the issue.

Question 109

Leadership and autonomy:

Answer 109

A process of social influence that promotes innovative problem solving to move an autonomous, independent organization forward by providing a clear vision, maximizing the efforts of others, respecting each individual, and working in collaboration with other appropriate resources.

Question 110

Professionalism:

Answer 110

Characteristics that describe an individual striving to maintain the highest standards for his or her chosen path—honesty, integrity, responsibility and conducting oneself with responsibility, integrity, accountability, and excellence.

Question 111

Care:

Answer 111

A feeling of exhibiting concern and empathy for others while showing or having compassion for others.

Question 112

Diversity:

Answer 112

Differences that can be along the dimensions of race, ethnicity, gender, sexual orientation, socioeconomic status, age, physical abilities, religious beliefs, political beliefs, nationality, or other ideologies.

Question 113

Quality education:

Answer 113

An act or process of imparting or acquiring general knowledge, developing the powers of reasoning and judgment, and generally preparing oneself or others intellectually for a profession.

Question 114

American Nurses Association

Answer 114

enhance the nursing profession by encouraging elevated standards of nursing practice, promoting a work environment that is secure and ethical, improving the health and well-being of nurses, and being a voice for health care issues that impact health care workers and the community.

Question 115

ANA provides nurses with a voice at the national level through

Answer 115

lobbying for major issues in nursing, including changes in the health care system, broadening the role of registered nurses and advanced practice nurses, speaking on the importance of safe nurse staffing, providing whistleblower protection, and improving safety in the workplace.

Question 116

American Nurses Association provides standards / guidelines that promote nursing practice, clearly outlining values / priorities for nurses through the following:

Answer 116

Code of Ethics for Nurses,
Nursing: Scope and Standards of Practice,
ANA position statements,
Principles for Nursing Practice.

Question 117

Code of Ethics for Nurses:

Answer 117

Outlines behaviors and practices that nurses should abide by to provide responsible and ethical care

Question 118

Ex’s of ethics

Answer 118

maintaining human dignity, and protecting clients’ rights to privacy and confidentiality.

Question 119

Nursing: Scope and Standards of Practice: The Nursing Scope and Standards of Practice identify

Answer 119

art and science of nursing
The art of nursing requires the nurse to maintain client dignity, provide competent client care, and collaborate with other health care providers
the science of nursing encompasses the evidence-based practices that guide policies, practice, and the use of the nursing process as a critical thinking framework.
“where, when, why, and how nursing occurs and the actions that all registered nurses are expected to perform competently”.

Question 120

ANA position statements:

Answer 120

Provided by ANA when issues arise that are important to the health care industry and nurses need recommendations for the course of action, explanation, or justification.

Question 121

Principles for Nursing Practice:

Answer 121

Provides guidance to nurses on issues such as pay, staffing, and use of social media in an effort to help enhance professional practice.

Question 122

ANA initiated a program called Healthy Nurse, Healthy Nation (HNHN) to promote

Answer 122

healthy lifestyles for nurses and improve the health of the United States’ nearly 4 million nurses. HNHN identifies five health initiatives related to changes in lifestyles to improve health.

Question 123

Healthy Nurse, Healthy Nation (HNHN) includes (5)

Answer 123

Increase physical activity
Improve quality of life
Obtain adequate rest
Improve nutrition and healthy eating
Increase nurses’ safety in both their professional and personal lives

Question 124

Collaboration in health care occurs when

Answer 124

health professionals involved in the client’s care communicate, create plans, and work together to achieve client goals

Question 125

WHO established five strategies to address health promotion that remain relevant today.

Answer 125

Establish health policies that support healthy lifestyles.
Provide education to empower personal health skills.
Build a culture of support.
Build strong community actions, resources, and support.
Build a holistic health care system.

Question 126

ANA’sCode of Ethics for Nursesstates that all nurses have the duty to

Answer 126

protect their clients and also to advocate for the impaired nurse to receive treatment.

Question 127

failure to report SUD does what

Answer 127

not only enables the impaired nurse but also continues to place clients at risk. Early identification of the nurse who has SUD is therefore critical for all involved.

Question 128

General indicators that a nurse may have SUD include

Answer 128

disheveled appearance, mood swings, and isolation (not going to lunch or taking breaks with other nurses).

Question 129

If alcohol is the substance the nurse is using, signs may include

Answer 129

an excessive use of chewing gum or mouth mints to hide the odor of alcohol, increased incidence of arriving late for a shift, or being absent.

Question 130

nurse who is abusing opioid medications

Answer 130

rarely will call off from work, because doing so would cut off access to the medication.
Opid diversion will increase as the problem worsens

Question 131

Health literacy is thecapacity to

Answer 131

obtain, communicate, and understand basic health information and services so as to make appropriate health decisions.

Question 132

Nurses can empower clients to improve their health literacy by

Answer 132

carefully listening to their clients, understanding and accepting their concerns, and providing them with clear and correct information and resources.

Question 133

The Nurse Practice Act for each state outlines care that focuses on

Answer 133

client safety and the competence of a nurse when working with clients.

Question 134

Evidence-based practice is one way nurses can continue

Answer 134

their quest for understanding and knowledge in the present, as well as establish a pattern of lifelong learning.

Question 135

1. A nurse is caring for a client who tells the nurse they want to quit smoking. The nurse provides the client with information about smoking cessation and other
   ways to improve their health. Which of the following nursing roles is the nurse demonstrating? (Select all that apply)
   advocate
   - collaborator
   - change manager
   - health promotor
   - nurse educator

Answer 135

• health promotor
• nurse educator

Question 136

2. A nurse is explaining to a newly licensed nurse that caring for clients involves lifelong learning by the nurse. The nurse should include which of the following as examples of learning opportunities for nurses?
   (select all that apply).
   - nursing blogs or opinions
   - online continuing education journal articles
   - nursing skill refresher opportunities
   - continuing education presentations
   - participating in healthcare research

Answer 136

• online continuing education journal articles
• nursing skill refresher opportunities
• continuing education presentations
• participating in healthcare research

Question 137

3. A nurse is reviewing the contributions made by various nursing organizations that have impacted the nursing profession. The nurse should identify that which of the following are contributions made by the American Nurses Association (ANA)? (select all that apply).
   - providing a definition of nursing
   - lobbying for whistle blower protection
   - providing objective data to improve the health of society
   - providing all RN’s w/ competency expectations
   - providing the nursing magazine imprint

Answer 137

• providing a definition of nursing
• lobbying for whistle blower protection
• providing all RN’s w/ competency expectations

Question 138

4. A nurse is discussing culturally competent care w/ another nurse. Which of the following statements should the nurse include?
   -“use a medical interpreter for a client who does not speak the same language”
   - “provide the client w/ information in print only so they can have it as a resource”
   - “provide standard educational materials to all clients for continuity”
   - “limit communication with the client if there is a language barrier”

Answer 138

use a medical interpreter for a client who does not speak the same language

Question 139

5. A newly licensed nurse is reviewing Benner’s Novice to Expert Model for nursing competence. At which of the following stages does the nurse first develop the ability to prioritize tasks by drawing on experience?
   - advanced beginner
   - proficient
   -competent
   - novice

Answer 139

competent

Question 140

6. A nurse is reviewing the health history of a client during a routine office visit. Which of the following observations by the nurse is an example of the client demonstrating health literacy?
   - client states they want to improve their current knowledge about their health
   - client asks for information that will help them improve their eating habits
   - client states they understand their health care information and treatment
   - client requests a meeting w/ nurse, physical therapist and provier

Answer 140

client states they understand their health care information and treatment

Question 141

7. A nurse is caring for a client who asks about healthy choices to lose weight. The nurse shares information from Healthy People 2030 to address the client’s questions. Which of the following describes the Healthy People Initiative?
   - program for health care practitioners to get healthy
   - social media platform for nurses
   - set of objectives for improving the health of Americans
   - rehabilitation program for clients who have substance use disorders

Answer 141

set of objectives for improving the health of Americans

Question 142

8. A nurse educator is planning a presentation for nurses about the opioid epidemic. Which of the following is a strategy promoted by the U.S. Department of Health and Human Services to address this epidemic?
   - continue to evaluate to determine if the use of opioids improves on its own - educate nurses and other health care personnel about naloxone
   - keep the issue private to avoid embarrassment
   - reduce efforts to explore alternative pain management practices until the opioid epidemic is over

Answer 142

educate nurses and other health care personnel about naloxone

Question 143

9. A nurse is describing to another nurse how to use social media in client care. Which of the following examples should the nurse include as an acceptable use of social media?
   - posting a comment on social media about facility staffing shortage
   - reviewing the use of a fitness application w/ a client
   - accepting a social media friend request from a client
   - sharing client information w/ a coworker in a private social media message

Answer 143

reviewing the use of a fitness application w/ a client

Question 144

10. A nurse is reviewing historical nursing data & how it has impacted nursing care. The nurse should identify that which of the following nurse pioneers is credited w/ first using evidence based practice in caring for clients?
    - Clara Barton
    - Dorthea Dix
    - Eddie Bernice Johnson
    - Florence Nightingale

Answer 144

Florence Nightingale

Question 145

11. A nurse is reviewing the Institute of Medicine (IOM) Future of Nursing report to better understand proposed educational requirements of nurses. Which of the following organizations is responsible for publishing this report?
    - American Nurses Association
    - National Academy of Medicine
    - State Board of Nursing
    - American Association of Colleges of Nursing

Answer 145

National Academy of Medicine

Question 146

12. A nurse is performing the role of case manager for a client. Which of the following actions demonstrates this nursing role?
    - coordinating & overseeing the care the client is receiving
    - helping to develop nursing knowledge for clinical interventions
    - providing knowledgeable & compassionate care to promote health & address illness
    - instructing the client on specialized topics such as diabetes care

Answer 146

coordinating & overseeing the care the client is receiving

Question 147

13. A nurse is reviewing the contributions of various nursing organizations that provide support in caring for clients. The nurse should identify that which of the following agencies provides The Nursing Scope and Standards of Practice?
    - American Nurses Association (ANA)
    - American Academy of Nursing
    - National StudentNurses Association (NSNA)
    - National Academy of Medicine

Answer 147

American Nurses Association (ANA)

Question 148

14. A nurse in a long-term care facility took a picture of a client and posted it on the internet. This action by the nurse is an example of which of the following?
    - serving as an advocate for the client
    - violating the code of ethics for nurses
    - participating in the Healthy People 2030
    - demonstrating collaboration

Answer 148

violating the code of ethics for nurses

Question 149

15. A nurse is talking w/ a client who arrived at the clinic over an hour ago and states, “doesn’t anyone care that I am sick? Why do I have to wait so long?” The nurse listens to the needs of the client. In which of the following roles is the nurse performing?
    - educator
    - case manager
    - advocate
    - leader

Answer 149

advocate

Question 150

16. A nurse has accepted a position at a hospital in the state where they live. The nurse should identify that which of the following regulates the nurse’s actions when they begin working?
    - American Nurses Association (ANA) code of ethics for nurses with interpretive statements
    - state nurse practice act
    - national student nurses association (NSNA)
    - national league for nursing

Answer 150

state nurse practice act

Question 151

17. A nurse who completed their shift realized they forgot to take a client’s vital signs as frequently as prescribed. Which of the following actions should the nurse take to uphold the American Nurses Associations Code of Ethics for nurses w/ interpretive statements?
    - take the clients vital signs now & document them as being completed 8 hr earlier
    - document vital signs that are the same as those obtained
    - make reminder note to be more diligent next day
    - report this omission to charge nurse and the nurse on the next shift

Answer 151

report this omission to charge nurse and the nurse on the next shift

Question 152

18. A nursing student expresses a desire to become more involved w/ the nursing profession on a national level. Which of the following organizations should the student join? .
    - National League for Nursing
    - National Student Nurses’ Association
    - National Academy of Medicine
    - International Council of Nurses

Answer 152

National Student
Nurses’ Association

Question 153

19. A nurse is caring for a client who reports experiencing chills ad not well. The nurse informs the client that they will need to have their temp taken to monitor the manifestations. Which of the following terms describes that the nurse’s action is grounded in research?
    - evidence based practice
    - competencies
    - lifelong learing
    - change agent

Answer 153

evidence based practice

Question 154

20. A nurse manager is providing education to a group of newly licensed nurses about various nursing organizations. Which of the following information should the nurse manager include?
    - American Nurses Associations The code of ethics
    -National Academy of Medicine
    - American Academy of Nursing
    - National Student Nurses Association

Answer 154

American Nurses Associations The code of ethics

Question 155

The ANA (American Nurses Association) is an organization responsible for

Answer 155

establishing a set of nursing standards that are contained within The Nursing Scope and Standards of Practice. This document provides a clear definition of what nursing involves and the responsibilities of the nurse as a professional.

Question 156

The Nursing Scope and Standards of Practice. This document provides a clear definition of what

Answer 156

nursing involves and the responsibilities of the nurse as a professional.

Question 157

The American Academy of Nursing is an organization whose goals include

Answer 157

advocating for local, state, and national health care reform.

Question 158

The NSNA (National Student Nurses Association) supports nursing students by providing

Answer 158

scholarships, leadership opportunities, and networking among other nursing professionals.

Question 159

The National Academy of Medicine is a

Answer 159

non-profit private business that provides objective data to improve the overall health of society.

Question 160

Promoting the use and administration techniques of overdose-reversing medications is one of the

Answer 160

five priority strategies for the opioid epidemic. Naloxone is a medication that is promoted because it is widely available and can be administered by laypersons with minimal training.

Question 161

The nurse in the advanced beginner stage requires

Answer 161

the support of more advanced nurses to set priorities for optimal delivery of client care.

Question 162

The nurse in the proficient stage can understand the

Answer 162

desired outcomes of a situation and can respond to changing situations. This nurse has already developed the ability to prioritize tasks.

Question 163

The nurse in the competent stage is able to

Answer 163

prioritize tasks by drawing on past experience. The competent nurse does not prioritize as quickly as a proficient nurse, but they do have mastery in multiple areas.

Question 164

The nurse in the novice stage is a

Answer 164

nursing student or a new nurse who does not have previous experience, so they are not able to draw on their own judgement.

Question 165

The ANA Code of Ethics for Nurses with Interpretive Statements guides

Answer 165

all nurses regarding professionalism, regardless of where they live. It demonstrates the ability to provide quality care responsibly and ethically. Code of Ethics for Nurses with Interpretive Statements also outlines behaviors and practices nurses should abide by.

Question 166

Upon licensure, a nurse will follow the

Answer 166

Nurse Practice Act for the state in which they choose to practice.

Question 167

Nurse Practice Act states the

Answer 167

This document states the rules and regulations surrounding the practice of nursing set forth by each state’s board of nursing.

Question 168

The NSNA (National Student Nurses Association) was created for nursing students and provides a platform for

Answer 168

students to gather information, connect with other students, and learn about scholarship and leadership opportunities.

Question 169

The National League for Nursing is a governing organization that

Answer 169

sets standards and monitors and regulates nursing practice and nursing education that applies to all nurses.

Question 170

The NLN (National League for Nursing) does not set standards for

Answer 170

This organization does not provide standards for each individual state.

Question 171

An educator

Answer 171

supplies information for someone that has a desire or need to learn that information.

Question 172

A case manager coordinates the

Answer 172

interprofessional team to work toward achieving mutual goals for the client. In this role, the nurse works with the client, their family, and the health care team, usually when a client needs a variety of services.

Question 173

A client advocate acts on

Answer 173

behalf of the needs of the client. In this example, the nurse is voicing the concerns for the client when their needs are not being met.

Question 174

A leader takes the

Answer 174

initiative to act for a group of people to coordinate efforts for a common goal.

Question 175

A case manager is an RN who

Answer 175

coordinates and oversees client care, working with their family and the health care team, usually when clients need a variety of services.

Question 176

The nurse researcher

Answer 176

plans and implements research studies involving the collection and analysis of data which may involve trials of a new procedure, medication, or diagnostic test.

Question 177

Ex of a nurse researcher

Answer 177

helping to devleop nursing knowledge for clinical interventions

Question 178

Providing a definition of nursing is correct is done by which organization

Answer 178

The ANA defined nursing through The Nursing Scope and Standards of Practice, which provides a clear definition of what nursing involves and the responsibilities of the professional nurse.

Question 179

Lobbying for whistle blower protection is correct is done by which organization.

Answer 179

The ANA provides support to registered nurses through lobbying for major issues including whistle blower protection and improving safety in the workplace.

Question 180

Providing objective data to improve the health of society done by which organization.

Answer 180

National Academy of Medicine to provide objective data to improve the health of society.

Question 181

Providing all registered nurses with competency expectations is done by which organization

Answer 181

the ANA provides the nursing profession with The Nursing Scope and Standards of Practice, which defines the actions RNs are expected to perform competently.

Question 182

Providing the nursing magazine Imprint is provided by w hich organization.

Answer 182

NSNA produces the nursing magazine Imprint for nursing students to keep current on trends and issues.

Question 183

Clara Barton is credited w/

Answer 183

the founding of the American Red Cross, as well as a center for locating missing soldiers.

Question 184

Dorthea Dix is credited with

Answer 184

advocating for mental health reform and indigenous rights.

Question 185

Eddie Bernice Johnson is credited with

Answer 185

being the first registered nurse elected to Congress as a Texas state senator.

Question 186

Florence Nightingale is credited with

Answer 186

first using evidence-based practice. She collected data and was able to connect the unclean conditions to wound infections during the Crimean War. She reported that overall cleanliness and handwashing reduced the infection rates.

Question 187

Posting a client’s picture on the internet is a violation of

Answer 187

the client’s right to privacy, which is included in the code of ethics for nurses. Provision 3 of the American Nurses Association Code of Ethics for Nurses with Interpretive Statements states that the nurse should promote, advocate for, and protect the rights, health, and safety of the client.

Question 188

The National Academy of Medicine works collaboratively with other organizations to find the answers to

Answer 188

global health problems; however, the

Question 189

National Academy of Medicine did not develop the Healthy People campaign. The Healthy People campaign was developed by

Answer 189

the U.S. Office of Disease Prevention and Health Promotion.

Question 190

Although most of the members of the American Academy of Nursing do hold a doctorate degree, it is not a requirement for membership.
TRUE OR FALSE

Answer 190

TRUE

Question 191

The National Student Nurses’ Association is an organization created for

Answer 191

undergraduate nursing students to provide them with a voice and introduce them to leadership and networking within nursing practice.

Question 192

The National Academy of Medicine, formerly known as the Institute of Medicine, and the Robert Woods Johnson Foundation published the

Answer 192

IOM Future of Nursing report in 2011

Question 193

IOM Future of Nursing report in 2011, which includes how

Answer 193

nursing education should evolve from 2010 to 2020.

Question 194

Each state has a board of nursing which is responsible for the

Answer 194

Nurse Practice Act governing the education, licensure, regulation, and the scope of practice for nurses within that state.

Question 195

The Nurse Practice Act defines the

Answer 195

rules and regulations governing nursing.

Question 196

Limiting communication with a client is

Answer 196

detrimental to the client’s health and to the nurse-client relationship.

Question 197

Learning about a client’s personal and culturally sensitive preferences is a first step in

Answer 197

establishing trust and is a part of effective communication for that client.

Question 198

The nurse should provide individualized information to each client that is

Answer 198

culturally and spiritually sensitive.

Question 199

The National League for Nursing is a professional nursing organization that promotes nursing education through

Answer 199

education of nurse faculty, and the promotion of policies and nursing education research. Individual memberships are available to nurse educators, graduate students and nurses who are interested in nursing education. However, it is not an organization for nursing students to join.

Question 200

The National Student Nurses’ Association is an organization for

Answer 200

students to join to become involved with initiatives and issues, and to connect with other student nurses across the nation.

Question 201

The National Academy of Medicine works to

Answer 201

develop and integrate scientific, evidence-based approaches to health and is not an organization for nursing students to join.

Question 202

The world’s first and most far-reaching nursing organization is the

Answer 202

International Council of Nurses (ICN). Since 1899, this organization for nurses, run by nurses, is committed to the excellence of nursing care and the advancement of the profession globally. However, it is not an organization for nursing students to join.

Question 203

The role of advocate is to

Answer 203

provide a voice for clients who are unable to do so for themselves. This client is asking for health information and does not require an advocate.

Question 204

Collaboration in health care refers to the

Answer 204

respectful communication and sharing of ideas, policy, practices, and research with peers and interprofessional team members. The nurse does not need to collaborate with other team members to provide the client with the requested health information.

Question 205

A change manager is a

Answer 205

nurse manager or leader who has the goal of improving staff workflow and client outcomes through change.

Question 206

The nurse is serving as a health promotor by

Answer 206

providing the client with information about smoking cessation and health improvement. The concept of educating clients to promote health is a priority to support individuals taking care and control of their own physical and mental health.

Question 207

The nurse is serving as a nurse educator by providing

Answer 207

educational information to the client regarding smoking cessation and other health information. Providing information on selected topics such as such as smoking cessation empowers the client and helps the client improve their overall health and quality of life.

Question 208

Healthy People 2030 is a campaign developed by the

Answer 208

U.S. Office of Disease Prevention and Health Promotion. It is science based upon past data providing objectives to improve upon the health of Americans.

Question 209

A nurse should not accept a friend request from a client on social media. Establishing an online relationship with a client can

Answer 209

make it difficult to distinguish between a personal and a professional relationship.

Question 210

A client stating they want to improve their current knowledge about their health status is an example of

Answer 210

This is an example of the client participating in lifelong learning. Nurses also participate in lifelong learning by obtaining continuing education hours and staying abreast of evidence-based practices.

Question 211

a client asking for information that will help them improve their eating habits is an example of

Answer 211

This is an example of the client desiring information about health promotion information. Health promotion is a way that nurses can empower clients to address and improve their health, such as educating themselves about healthy choices, regular exercise, and making dietary changes.

Question 212

the client requesting a meeting w/ the nurse, physcial therapist and provider is an example of what

Answer 212

This is an example of collaborative health care. With collaborative health care, all members of the client’s health care team work together to obtain positive outcomes for the client.

Question 213

Health literacy can be described as the

Answer 213

capacity to obtain, communicate, and understand basic health information and services in order to make appropriate health decisions. This client is demonstrating health literacy by being knowledgeable about and understanding their health care information and treatments.

Question 214

Competencies are

Answer 214

nursing skills that require demonstrated proficiency to indicate the nurse can provide safe care.

Question 215

Lifelong learning is a commitment nurses make to demonstrate a

Answer 215

dedication to the profession and toward maintaining licensure as a nurse. It involves continuing education that the nurse can obtain through independent learning, attendance at workshops or seminars, and through the workplace.

Question 216

A change agent is a nursing role in which a

Answer 216

nurse recognizes the need for a change in practice and takes the steps necessary to integrate credible and reliable changes into nursing practice.