Chapter 01: Nursing Today
n7 n7 n7
Potter: Fundamentals of Nursing, 11th Edition
n7 n7 n7 n7 n7
MULTIPLE CHOICE n7
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Florence Nightingale n7
b. Mary Nutting n7
c. Clara Barton n7
d. Lillian Wald n7
ANS: A n 7
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
came after Nightingale, each contributing to the nursing profession in her own way. Mary
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF:Understand (comprehension) n7
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
TOP: Evaluation MSC: Health Promotion and Maintenance n 7 n7 n7 n7
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 nursing practice is the nurse following? n7 n7 n7 n7 n7
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C n 7
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
attain expected outcomes. During assessment, the registered nurse collects comprehensive
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
registered nurse implements (carries out) the identified plan.
n7 n7 n7 n7 n7 n7 n7 n7
DIF:Understand (comprehension) n7
OBJ:Discuss the development of professional nursing roles. n7 n7 n7 n7 n7 n7 TOP:Planning n7
MSC: Management of Care
n7 n 7 n7 n7
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 proficiency is the nurse upon initial transition to the obstetrical floor?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Novice
b. Proficient
c. Competent
d. Advanced beginner n7
ANS: A n 7
, A beginning nursing student or any nurse entering a situation in which there is no previous
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
level of experience (e.g., an experienced operating room nurse chooses to now practice in
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
gained from multiple previous experiences to a situation. A competent nurse understands the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
organization and specific care required by the type of patients (e.g., surgical, oncology, or
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
care and establish long-range goals. A nurse who has had some level of experience with the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
situation is an advanced beginner. This experience may only be observational in nature, but the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nurse is able to identify meaningful aspects or principles of nursing care.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF:Apply (application) n7
OBJ:Discuss the development of professional nursing roles. n7 n7 n7 n7 n7 n7 TOP:Evaluation n7
MSC: Management of Care
n7 n 7 n7 n7
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
demonstrating?
n7
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B n 7
Autonomy is an essential element of professional nursing that involves the initiation of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
independent nursing interventions without medical orders. To obtain licensure in the United
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
may choose to work toward certification in a specific area of nursing practice. Accountability
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
means that you are responsible, professionally and legally, for the type and quality of nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
care provided.
n7 n7
DIF:Apply (application) n7
OBJ:Discuss the roles and career opportunities for nurses. n7 n7 n7 n7 n7 n7 n7 TOP: Implementation n7
MSC: Management of Care
n7 n 7 n7 n7
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
implementing?
n7
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B n 7
, A manager coordinates the activities of members of the nursing staff in delivering nursing care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and has personnel, policy, and budgetary responsibility for a specific nursing unit or facility.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
As an educator, you explain concepts and facts about health, describe the reason for routine
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
care activities, demonstrate procedures such as self-care activities, reinforce learning or patient
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
your patient’s human and legal rights and provide assistance in asserting these rights if the need
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
arises. As a caregiver, you help patients maintain and regain health, manage disease and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
symptoms, and attain a maximal level function and independence through the healing process.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF:Apply (application) n7
OBJ:Discuss the roles and career opportunities for nurses. n7 n7 n7 n7 n7 n7 n7 TOP: Implementation n7
MSC: Management of Care
n7 n 7 n7 n7
6. The nurse has been working in the clinical setting for several years as an advanced practice
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nurse. However, the nurse has a strong desire to pursue research and theory development. To
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
fulfill this desire, which program should the nurse attend?
n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Doctor of Nursing Science degree (DNSc) n7 n7 n7 n7 n7
b. Doctor of Philosophy degree (PhD) n7 n7 n7 n7
c. Doctor of Nursing Practice degree (DNP) n7 n7 n7 n7 n7
d. Doctor in the Science of Nursing degree (DSN) n7 n7 n7 n7 n7 n7 n7
ANS: B n 7
Some doctoral programs prepare nurses for more rigorous research and theory development
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
practitioners.
n7
DIF:Understand (comprehension) n7
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
education.
n7 TOP: Teaching/Learning MSC: Management of Care n 7 n 7 n7 n7
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Association. Which type of education did the nurse receive?
n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Graduate education n7
b. Inservice education n7
c. Continuing education n7
d. Registered nurse education n7 n7
ANS: C n 7
Continuing education involves formal, organized educational programs offered by universities,
n7 n7 n7 n7 n7 n7 n7 n7 n7
hospitals, state nurses associations, professional nursing organizations, and educational and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
health care institutions. After obtaining a baccalaureate degree in nursing, you can pursue
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
graduate education leading to a master’s or doctoral degree in any number of graduate fields,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
including nursing. Inservice education programs are instruction or training provided by a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
health care facility or institution. Registered nurse education is the education preparation for an
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
individual intending to be an RN.
n7 n7 n7 n7 n7 n7
DIF:Apply (application) n7
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
, education. TOP: n 7 Teaching/Learning MSC: Management of Care n 7 n7 n7
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7for Nurses (QSEN) competency is the nurse demonstrating?
n7 n7 n7 n7 n7 n7 n7
a. Safety
b. Patient-centered care n7
c. Quality improvement n7
d. Teamwork and collaboration n7 n7
ANS: C n 7
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
of harm to patients and providers through both system effectiveness and individual
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
performance. Patient-centered care recognizes the patient or designee as the source of control
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and full partner in providing compassionate and coordinated care based on respect for
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
patient’s preferences, values, and needs. Teamwork and collaboration allows effective
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
functioning within nursing and interprofessional teams, fostering open communication,
n7 n7 n7 n7 n7 n7 n7 n7 n7
mutual respect, and shared decision making.
n7 n7 n7 n7 n7 n7
DIF:Understand (comprehension) n7
OBJ:Discuss the roles and career opportunities for nurses. n7 n7 n7 n7 n7 n7 n7 TOP:Evaluation n7
MSC: Management of Care
n7 n 7 n7 n7
9. A nurse has compassion fatigue. What is the nurse experiencing?
n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Lateral violence and intrapersonal conflict n7 n7 n7 n7
b. Burnout and secondary traumatic stress n7 n7 n7 n7
c. Short-term grief and single stressor n7 n7 n7 n7
d. Physical and mental exhaustion n7 n7 n7
ANS: B n 7
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic stress.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Compassion fatigue may contribute to what is described as lateral violence
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
only.
n7
DIF:Understand (comprehension) n7
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
TOP: Assessment MSC: Health Promotion and Maintenance n 7 n7 n7 n7
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
The nurse does not allow the patient to sign the permit and notifies the health care provider of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the situation. Which role is the nurse displaying?
n7 n7 n7 n7 n7 n7 n7 n7
a. Manager
b. Patient educator n7
c. Patient advocate n7
d. Clinical nurse specialist n7 n7
ANS: C n 7
n7 n7 n7
Potter: Fundamentals of Nursing, 11th Edition
n7 n7 n7 n7 n7
MULTIPLE CHOICE n7
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Florence Nightingale n7
b. Mary Nutting n7
c. Clara Barton n7
d. Lillian Wald n7
ANS: A n 7
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
came after Nightingale, each contributing to the nursing profession in her own way. Mary
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF:Understand (comprehension) n7
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
TOP: Evaluation MSC: Health Promotion and Maintenance n 7 n7 n7 n7
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 nursing practice is the nurse following? n7 n7 n7 n7 n7
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C n 7
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
attain expected outcomes. During assessment, the registered nurse collects comprehensive
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
registered nurse implements (carries out) the identified plan.
n7 n7 n7 n7 n7 n7 n7 n7
DIF:Understand (comprehension) n7
OBJ:Discuss the development of professional nursing roles. n7 n7 n7 n7 n7 n7 TOP:Planning n7
MSC: Management of Care
n7 n 7 n7 n7
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 proficiency is the nurse upon initial transition to the obstetrical floor?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Novice
b. Proficient
c. Competent
d. Advanced beginner n7
ANS: A n 7
, A beginning nursing student or any nurse entering a situation in which there is no previous
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
level of experience (e.g., an experienced operating room nurse chooses to now practice in
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
gained from multiple previous experiences to a situation. A competent nurse understands the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
organization and specific care required by the type of patients (e.g., surgical, oncology, or
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
care and establish long-range goals. A nurse who has had some level of experience with the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
situation is an advanced beginner. This experience may only be observational in nature, but the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nurse is able to identify meaningful aspects or principles of nursing care.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF:Apply (application) n7
OBJ:Discuss the development of professional nursing roles. n7 n7 n7 n7 n7 n7 TOP:Evaluation n7
MSC: Management of Care
n7 n 7 n7 n7
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
demonstrating?
n7
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B n 7
Autonomy is an essential element of professional nursing that involves the initiation of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
independent nursing interventions without medical orders. To obtain licensure in the United
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
may choose to work toward certification in a specific area of nursing practice. Accountability
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
means that you are responsible, professionally and legally, for the type and quality of nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
care provided.
n7 n7
DIF:Apply (application) n7
OBJ:Discuss the roles and career opportunities for nurses. n7 n7 n7 n7 n7 n7 n7 TOP: Implementation n7
MSC: Management of Care
n7 n 7 n7 n7
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
implementing?
n7
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B n 7
, A manager coordinates the activities of members of the nursing staff in delivering nursing care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and has personnel, policy, and budgetary responsibility for a specific nursing unit or facility.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
As an educator, you explain concepts and facts about health, describe the reason for routine
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
care activities, demonstrate procedures such as self-care activities, reinforce learning or patient
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
your patient’s human and legal rights and provide assistance in asserting these rights if the need
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
arises. As a caregiver, you help patients maintain and regain health, manage disease and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
symptoms, and attain a maximal level function and independence through the healing process.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF:Apply (application) n7
OBJ:Discuss the roles and career opportunities for nurses. n7 n7 n7 n7 n7 n7 n7 TOP: Implementation n7
MSC: Management of Care
n7 n 7 n7 n7
6. The nurse has been working in the clinical setting for several years as an advanced practice
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nurse. However, the nurse has a strong desire to pursue research and theory development. To
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
fulfill this desire, which program should the nurse attend?
n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Doctor of Nursing Science degree (DNSc) n7 n7 n7 n7 n7
b. Doctor of Philosophy degree (PhD) n7 n7 n7 n7
c. Doctor of Nursing Practice degree (DNP) n7 n7 n7 n7 n7
d. Doctor in the Science of Nursing degree (DSN) n7 n7 n7 n7 n7 n7 n7
ANS: B n 7
Some doctoral programs prepare nurses for more rigorous research and theory development
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
practitioners.
n7
DIF:Understand (comprehension) n7
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
education.
n7 TOP: Teaching/Learning MSC: Management of Care n 7 n 7 n7 n7
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Association. Which type of education did the nurse receive?
n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Graduate education n7
b. Inservice education n7
c. Continuing education n7
d. Registered nurse education n7 n7
ANS: C n 7
Continuing education involves formal, organized educational programs offered by universities,
n7 n7 n7 n7 n7 n7 n7 n7 n7
hospitals, state nurses associations, professional nursing organizations, and educational and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
health care institutions. After obtaining a baccalaureate degree in nursing, you can pursue
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
graduate education leading to a master’s or doctoral degree in any number of graduate fields,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
including nursing. Inservice education programs are instruction or training provided by a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
health care facility or institution. Registered nurse education is the education preparation for an
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
individual intending to be an RN.
n7 n7 n7 n7 n7 n7
DIF:Apply (application) n7
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
, education. TOP: n 7 Teaching/Learning MSC: Management of Care n 7 n7 n7
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
n7for Nurses (QSEN) competency is the nurse demonstrating?
n7 n7 n7 n7 n7 n7 n7
a. Safety
b. Patient-centered care n7
c. Quality improvement n7
d. Teamwork and collaboration n7 n7
ANS: C n 7
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
of harm to patients and providers through both system effectiveness and individual
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
performance. Patient-centered care recognizes the patient or designee as the source of control
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and full partner in providing compassionate and coordinated care based on respect for
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
patient’s preferences, values, and needs. Teamwork and collaboration allows effective
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
functioning within nursing and interprofessional teams, fostering open communication,
n7 n7 n7 n7 n7 n7 n7 n7 n7
mutual respect, and shared decision making.
n7 n7 n7 n7 n7 n7
DIF:Understand (comprehension) n7
OBJ:Discuss the roles and career opportunities for nurses. n7 n7 n7 n7 n7 n7 n7 TOP:Evaluation n7
MSC: Management of Care
n7 n 7 n7 n7
9. A nurse has compassion fatigue. What is the nurse experiencing?
n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Lateral violence and intrapersonal conflict n7 n7 n7 n7
b. Burnout and secondary traumatic stress n7 n7 n7 n7
c. Short-term grief and single stressor n7 n7 n7 n7
d. Physical and mental exhaustion n7 n7 n7
ANS: B n 7
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic stress.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Compassion fatigue may contribute to what is described as lateral violence
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
only.
n7
DIF:Understand (comprehension) n7
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
TOP: Assessment MSC: Health Promotion and Maintenance n 7 n7 n7 n7
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
The nurse does not allow the patient to sign the permit and notifies the health care provider of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the situation. Which role is the nurse displaying?
n7 n7 n7 n7 n7 n7 n7 n7
a. Manager
b. Patient educator n7
c. Patient advocate n7
d. Clinical nurse specialist n7 n7
ANS: C n 7
