Deck 1: Nursing Today

Question 1

Nursing education programs in the United States may seek voluntary accreditation by the appropriate accrediting commission council of the:
1) National League for Nursing
2) American Nurses Association
3) Congress for Nursing Practice
4) International Council of Nurses

Answer 1

1
The National League for Nursing (NLN)is the professional nursing organization concerned with nursing education.The NLN provides accreditation to nursing programs that seek and meet the NLN accreditation requirements.
The American Nurses Association (ANA)is concerned with the nursing profession and issues affecting health care,including standards of care.
The Congress for Nursing Practice is the part of the ANA concerned with determining the legal aspects of nursing practice,the public recognition of the importance of nursing,and the impact of trends in health care on nursing practice.
The International Council of Nurses (ICN)is concerned about issues of health care and the nursing profession,including the provision of an international power base for nurses.

Question 2

The Goldmark Report concluded that:
1) Nursing roles and responsibilities required clarification
2) A theory-based curriculum was necessary for accreditation
3) Nursing education programs must be affiliated with universities
4) Increased financial support should be provided for nursing education

Answer 2

4
In 1923 the Goldmark Report identified the need for increased financial support to university-based schools of nursing.
The National Commission on Nursing and Nursing Education Report of 1965 recommended that nursing roles and responsibilities be clarified in relation to other health care professionals.
In 1975 the National League for Nursing required theory-based curriculum for accreditation.
The Brown Report of 1948 concluded that all nursing education programs should be affiliated with universities and should have their own budgets.

Question 3

In looking at the nineteenth century,the growth of professional nursing was stimulated by:
1) The Civil War
2) Federal legislation
3) Florence Nightingale
4) The women's suffrage movement

Answer 3

1
The Civil War stimulated the growth of nursing in the United States.Nurses were in demand to tend to the soldiers of the battlefield.
Throughout history,nurses and their professional organizations have lobbied for health care legislation to meet the needs of clients.However,legislation was not responsible for the growth of nursing in the nineteenth century.
Although Florence Nightingale had great impact on the practice of nursing,she was not the cause for the growth of nursing in the United States during the nineteenth century.
The women's movement has encouraged nurses to seek greater autonomy and responsibility in providing care,and has caused female clients to seek more control of their health and lives.The women's movement was not responsible for the growth of nursing in the nineteenth century.

Question 4

Nurses need to be aware of current trends in the health care delivery system in order to respond in educational preparation and practice.A major trend that is influencing nursing practice today is:
1) Decreased client acuity
2) Increased hospital stays
3) Decreased emphasis on health promotion
4) Increased incidence of chronic disease processes

Question 5

In the ANA Standards of Professional Performance,which one of the following is a specific measurement criterion for "The nurse's decisions and actions on behalf of clients are determined in an ethical manner"?
1) Acts as client advocate
2) Participates in the collection of client data
3) Seeks experiences to maintain clinical skills
4) Consults with appropriate health care providers

Question 6

The twentieth century is recognized for which of the following nursing concepts?
1) Code of Nursing Ethics
2) Hospital-based nursing care
3) Specialized nursing textbooks were adopted.
4) Formalized university-based nursing education

Question 7

A nurse moves from Seattle to Boston and begins working in a hospital.The most important factor for the nurse to consider when moving to another state is the:
1) Massachusetts Nurse Practice Act
2) Standard for nursing practice in Boston
3) Clinical ladder of mobility in the new hospital
4) Requirement for continuing education units (CEU)in Massachusetts

Question 8

In 1893 Lillian Wald and Mary Brewster made significant contributions to the nursing profession through their work involving the:
1) Henry Street Settlement in New York
2) First training school in Toronto,Canada
3) Training school at Johns Hopkins in Baltimore
4) Development of the American Journal of Nursing

Question 9

To obtain a certification in a specialty area,the nurse will have to complete:
1) A request for state approval
2) A graduate degree in nursing
3) An examination and the minimum practice requirements
4) A general examination given to all nurses seeking certification

Question 10

Which of the following statements best reflects Nightingales' nursing philosophy on health maintenance and restoration?
1) "Did all the clients eat a good breakfast?"
2) "What is the client rating his pain level after his medication?"
3) "Have any clients developed a nosocomial infection last month?"
4) "Is anyone interested in volunteering to mentor our new graduates?"

Question 11

Nurses have the opportunity to work in a wide variety of health care agencies around the world.The practice setting where the majority of nurses continue to work is:
1) Acute care
2) Home care
3) Long-term care
4) Ambulatory care

Question 12

A nurse is caring for a client who has chronic renal failure.The nurse states,"We will do everything possible to return you to the optimum level of self-care possible." In coordinating an approach to best meet the needs of this client,the nurse is fulfilling the role of:
1) Manager
2) Educator
3) Counselor
4) Communicator

Question 13

The nurse is best able to provide quality care that benefits both client and family by:
1) Incorporating caring into the practice
2) Making the client the center of the practice
3) Integrating the science and art of nursing into the practice
4) Being knowledgeable of the institution's standards of practice

Question 14

A group that lobbies at the state and federal level for advancement of nursing's role,economic interest,and health care is the:
1) State Board of Nursing
2) American Nurses Association
3) American Hospital Association
4) National Student Nurses Association

Question 15

The best example of the impact of the women's movement on health care is:
1) Improvement in breast cancer survival rates
2) Insurance coverage for well-woman check-ups
3) Women subjects to be included in all appropriate health research projects
4) A single,teenage mother receiving Women,Infants,and Children (WIC)benefits

Question 16

Which of the following educational activities is an example of in-service education?
1) A workshop given at a nursing convention on malpractice
2) A program on new cardiac medications provided at a local hospital
3) Credit courses in communication offered at the community college
4) Noncredit courses on nursing issues available through the internet

Question 17

A client is receiving Dilantin to prevent seizure activity.To which allied health care professional should the nurse refer this client in order to minimize the challenges this condition creates?
1) Physical therapist
2) Physician's assistant
3) Respiratory therapist
4) Occupational therapist

Question 18

The minimum educational requirement for a nurse practitioner is:
1) Diploma in nursing
2) Master's in nursing
3) Doctorate in nursing
4) Baccalaureate in nursing

Question 19

Contemporary nursing practice is based on knowledge generated through nursing theories.Florence Nightingale's theory introduced the concept that nursing care focuses on:
1) Psychological needs
2) A maximal level of wellness
3) Health maintenance and restoration
4) Interpersonal interactions with the client

Question 20

The nurse assists the client in a health promotion activity that also reduces the cost of health care delivery when:
1) Administering medication
2) Treating a diabetic foot ulcer
3) Obtaining an operative consent
4) Discussing exercise and nutrition

Question 21

Risk for injury during client transfer is minimized most effectively by:
1) Implementation of lift teams
2) Yearly personnel training sessions
3) Using mechanical lifts when possible
4) Use of evidence-based techniques

Question 22

Nurses are caring for clients from a variety of cultures primarily as a result of:
1) Increased ease of travel and mobility
2) Political unrest in many foreign countries
3) Increased incidence of contagious diseases
4) Poor health care in underdeveloped countries

Question 23

The human rights movement most directly impacts nursing practice because:
1) Nurses act as advocates for all clients
2) Clients require someone to focus on their needs
3) Caring for clients is the focus of nursing practice
4) Everyone deserves to be treated fairly and with respect