Role of the nurse, historical perspectives
Florence Nightingale is best known for
establishing modern nursing through sanitation reform during the crimean war
A nurse teaches a group of teens about the dangers of vaping and nicotine use. This activity demonstrates which level of prevention?
primary prevention
A nurse is giving shift report to the oncoming nurse using the ISBARR framework. What does the “R” stand for?
recommendation
A nurse collects a client’s vital signs, listens to lung sounds, and documents the client’s report of shortness of breath.
➡️ Which type(s) of data are being collected, and during which step of the nursing process?
subjective and objective data during assessment
Evidence-based practice is best defined as the integration of three things. What are they?
You notice a client’s blood pressure medication was discontinued but the client still has high blood pressure. You call the provider to clarify.
Which role of the nurse are you demonstrating?
advocate
A school nurse screens students for scoliosis using a spinal curve assessment. This is an example of which type of prevention?
secondary prevention
A nurse works with a physician, physical therapist, and dietitian to create a care plan for a client recovering from a stroke. This is an example of what type of collaboration?
interprofessional collaboration
A nurse asks a client, “Can you describe the pain you’re experiencing?”
➡️ Which phase of the nursing process is this an example of?
assessment
A nurse reviews multiple studies that have been statistically combined into one large analysis to guide best practice.
➡️ What type of research is this?
meta-analysis
A new nurse is unsure which tasks can be given to the UAP. You explain that UAPs can provide hygiene care but cannot perform assessments. Which professional responsibility are you demonstrating?
delegation and supervision
A nurse is helping a client with diabetes create a meal plan and exercise routine to prevent complications like neuropathy and kidney disease. This represents which level of prevention?
tertiary prevention
A nurse and a physician disagree about a treatment plan. The nurse respectfully presents evidence-based information and suggests an alternative. This demonstrates which key element of effective teamwork?
assertive communication
A nurse documents the problem “Impaired skin integrity related to immobility as evidenced by a stage II pressure ulcer on the coccyx.”
➡️ Which step of the nursing process is this?
diagnosis/analysis
The provider orders amoxicillin 500 mg PO every 8 hours. Available: Amoxicillin 250 mg tablets.
➡️ How many tablets will the nurse administer per dose?
2 tablets
A client asks the nurse to explain the difference between an RN and an LPN. State one responsibility that is specific to the RN role.
Performing initial assessments, developing care plans, or providing client teaching (any correct RN-only responsibility earns credit)
What is the difference between disease and illness?
disease refers to a pathological change in the structure or function of the body, while illness refers to the personal experience and response to not feeling well.
The goal of Interprofessional Education (IPE) is to prepare students from different healthcare professions to learn with, from, and about each other. What is the ultimate purpose of IPE?
Improve patient outcomes and quality of care through effective teamwork
A client has a nursing diagnosis of “Activity intolerance" and of "shortness of breath during activity".
➡️ Write one measurable goal the nurse might include in the care plan.
The client will ambulate 50 feet with a walker without shortness of breath by the end of the shift?
The nurse reads an order for: “Lasix 40 mg PO daily.”
➡️ Which part of the order tells you the route of administration?
PO or by mouth
During a busy shift, you are leading a team that includes an LPN and a UAP. The newly admitted client has pneumonia.
➡️ Identify one task you would do yourself, one task you could delegate to the LPN, and one task you could delegate to the UAP.
RN: Perform initial assessment or develop care plan
LPN: Administer oral/IM medications or monitor response
UAP: Assist with hygiene, vital signs, or ambulation
A nurse assesses a community’s needs and develops a program addressing access to safe housing, nutritious foods, and clean water. This reflects which broader determinant of health and wellness?
A client with newly diagnosed diabetes requires complex care. The nurse coordinates with a dietitian for meal planning, a pharmacist for medication teaching, and a social worker for financial support.
➡️ Which specific nursing role is being demonstrated in this interprofessional collaboration?
care coordinator
A nurse implements interventions to manage a client’s postoperative pain. After 30 minutes, the nurse reassesses and finds the client’s pain decreased from 8/10 to 4/10.
➡️ Which step of the nursing process is the nurse performing, and what should the nurse do next?
evaluation and the nurse should determine if the goal was met, continue monitoring, and modify the care plan if needed
A nurse receives an order: “Metoprolol 25 mg PO BID.”
➡️ How many times per day will this medication be given?
two times a day