Chapter 01: Nursing Today
k7 k7 k7
Potter: Fundamentals of Nursing, 11th Edition
k7 k7 k7 k7 k7
MULTIPLE CHOICE k7
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
a. Florence Nightingale k7
b. Mary Nutting k7
c. Clara Barton k7
d. Lillian Wald k7
ANS: A k 7
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
came after Nightingale, each contributing to the nursing profession in her own way. Mary
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
DIF:Understand (comprehension) k7
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
TOP: Evaluation MSC: Health Promotion and Maintenance k 7 k7 k7 k7
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
k7 nursing practice is the nurse following? k7 k7 k7 k7 k7
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C k 7
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
attain expected outcomes. During assessment, the registered nurse collects comprehensive
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
k data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
registered nurse implements (carries out) the identified plan.
k7 k7 k7 k7 k7 k7 k7 k7
DIF:Understand (comprehension) k7
OBJ:Discuss the development of professional nursing roles. k7 k7 k7 k7 k7 k7 TOP:Planning k7
MSC: Management of Care
k7 k 7 k7 k7
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
k7 proficiency is the nurse upon initial transition to the obstetrical floor?
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
a. Novice
b. Proficient
c. Competent
d. Advanced beginner k7
ANS: A k 7
, A beginning nursing student or any nurse entering a situation in which there is no previous
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
level of experience (e.g., an experienced operating room nurse chooses to now practice in
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
gained from multiple previous experiences to a situation. A competent nurse understands the
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
organization and specific care required by the type of patients (e.g., surgical, oncology, or
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
care and establish long-range goals. A nurse who has had some level of experience with the
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
situation is an advanced beginner. This experience may only be observational in nature, but the
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
nurse is able to identify meaningful aspects or principles of nursing care.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
DIF:Apply (application) k7
OBJ:Discuss the development of professional nursing roles. k7 k7 k7 k7 k7 k7 TOP:Evaluation k7
MSC: Management of Care
k7 k 7 k7 k7
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
demonstrating?
k7
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B k 7
Autonomy is an essential element of professional nursing that involves the initiation of
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
independent nursing interventions without medical orders. To obtain licensure in the United
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
may choose to work toward certification in a specific area of nursing practice. Accountability
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
means that you are responsible, professionally and legally, for the type and quality of nursing
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
care provided.
k7 k7
DIF:Apply (application) k7
OBJ:Discuss the roles and career opportunities for nurses. k7 k7 k7 k7 k7 k7 k7 TOP: Implementation k7
MSC: Management of Care
k7 k 7 k7 k7
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
implementing?
k7
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B k 7
, A manager coordinates the activities of members of the nursing staff in delivering nursing care
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
and has personnel, policy, and budgetary responsibility for a specific nursing unit or facility.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
As an educator, you explain concepts and facts about health, describe the reason for routine
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
care activities, demonstrate procedures such as self-care activities, reinforce learning or patient
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
your patient’s human and legal rights and provide assistance in asserting these rights if the need
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
arises. As a caregiver, you help patients maintain and regain health, manage disease and
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
symptoms, and attain a maximal level function and independence through the healing process.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
DIF:Apply (application) k7
OBJ:Discuss the roles and career opportunities for nurses. k7 k7 k7 k7 k7 k7 k7 TOP: Implementation k7
MSC: Management of Care
k7 k 7 k7 k7
6. The nurse has been working in the clinical setting for several years as an advanced practice
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
nurse. However, the nurse has a strong desire to pursue research and theory development. To
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
fulfill this desire, which program should the nurse attend?
k7 k7 k7 k7 k7 k7 k7 k7 k7
a. Doctor of Nursing Science degree (DNSc) k7 k7 k7 k7 k7
b. Doctor of Philosophy degree (PhD) k7 k7 k7 k7
c. Doctor of Nursing Practice degree (DNP) k7 k7 k7 k7 k7
d. Doctor in the Science of Nursing degree (DSN) k7 k7 k7 k7 k7 k7 k7
ANS: B k 7
Some doctoral programs prepare nurses for more rigorous research and theory development
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
practitioners.
k7
DIF:Understand (comprehension) k7
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
education.
k7 TOP: Teaching/Learning MSC: Management of Care k 7 k 7 k7 k7
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
Association. Which type of education did the nurse receive?
k7 k7 k7 k7 k7 k7 k7 k7 k7
a. Graduate education k7
b. Inservice education k7
c. Continuing education k7
d. Registered nurse education k7 k7
ANS: C k 7
Continuing education involves formal, organized educational programs offered by universities,
k7 k7 k7 k7 k7 k7 k7 k7 k7
hospitals, state nurses associations, professional nursing organizations, and educational and
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
health care institutions. After obtaining a baccalaureate degree in nursing, you can pursue
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
graduate education leading to a master’s or doctoral degree in any number of graduate fields,
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
including nursing. Inservice education programs are instruction or training provided by a
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
health care facility or institution. Registered nurse education is the education preparation for an
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
individual intending to be an RN.
k7 k7 k7 k7 k7 k7
DIF:Apply (application) k7
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
, education. TOP: k 7 Teaching/Learning MSC: Management of Care k 7 k7 k7
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
k7for Nurses (QSEN) competency is the nurse demonstrating?
k7 k7 k7 k7 k7 k7 k7
a. Safety
b. Patient-centered care k7
c. Quality improvement k7
d. Teamwork and collaboration k7 k7
ANS: C k 7
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
of harm to patients and providers through both system effectiveness and individual
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
performance. Patient-centered care recognizes the patient or designee as the source of control
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
and full partner in providing compassionate and coordinated care based on respect for
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
patient’s preferences, values, and needs. Teamwork and collaboration allows effective
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
functioning within nursing and interprofessional teams, fostering open communication,
k7 k7 k7 k7 k7 k7 k7 k7 k7
mutual respect, and shared decision making.
k7 k7 k7 k7 k7 k7
DIF:Understand (comprehension) k7
OBJ:Discuss the roles and career opportunities for nurses. k7 k7 k7 k7 k7 k7 k7 TOP:Evaluation k7
MSC: Management of Care
k7 k 7 k7 k7
9. A nurse has compassion fatigue. What is the nurse experiencing?
k7 k7 k7 k7 k7 k7 k7 k7 k7
a. Lateral violence and intrapersonal conflict k7 k7 k7 k7
b. Burnout and secondary traumatic stress k7 k7 k7 k7
c. Short-term grief and single stressor k7 k7 k7 k7
d. Physical and mental exhaustion k7 k7 k7
ANS: B k 7
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic stress.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
Compassion fatigue may contribute to what is described as lateral violence
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
only.
k7
DIF:Understand (comprehension) k7
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
TOP: Assessment MSC: Health Promotion and Maintenance k 7 k7 k7 k7
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
The nurse does not allow the patient to sign the permit and notifies the health care provider of
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
the situation. Which role is the nurse displaying?
k7 k7 k7 k7 k7 k7 k7 k7
a. Manager
b. Patient educator k7
c. Patient advocate k7
d. Clinical nurse specialist k7 k7
ANS: C k 7
k7 k7 k7
Potter: Fundamentals of Nursing, 11th Edition
k7 k7 k7 k7 k7
MULTIPLE CHOICE k7
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
a. Florence Nightingale k7
b. Mary Nutting k7
c. Clara Barton k7
d. Lillian Wald k7
ANS: A k 7
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
came after Nightingale, each contributing to the nursing profession in her own way. Mary
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
DIF:Understand (comprehension) k7
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
TOP: Evaluation MSC: Health Promotion and Maintenance k 7 k7 k7 k7
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
k7 nursing practice is the nurse following? k7 k7 k7 k7 k7
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C k 7
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
attain expected outcomes. During assessment, the registered nurse collects comprehensive
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
k data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
registered nurse implements (carries out) the identified plan.
k7 k7 k7 k7 k7 k7 k7 k7
DIF:Understand (comprehension) k7
OBJ:Discuss the development of professional nursing roles. k7 k7 k7 k7 k7 k7 TOP:Planning k7
MSC: Management of Care
k7 k 7 k7 k7
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
k7 proficiency is the nurse upon initial transition to the obstetrical floor?
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
a. Novice
b. Proficient
c. Competent
d. Advanced beginner k7
ANS: A k 7
, A beginning nursing student or any nurse entering a situation in which there is no previous
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
level of experience (e.g., an experienced operating room nurse chooses to now practice in
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
gained from multiple previous experiences to a situation. A competent nurse understands the
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
organization and specific care required by the type of patients (e.g., surgical, oncology, or
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
care and establish long-range goals. A nurse who has had some level of experience with the
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
situation is an advanced beginner. This experience may only be observational in nature, but the
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
nurse is able to identify meaningful aspects or principles of nursing care.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
DIF:Apply (application) k7
OBJ:Discuss the development of professional nursing roles. k7 k7 k7 k7 k7 k7 TOP:Evaluation k7
MSC: Management of Care
k7 k 7 k7 k7
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
demonstrating?
k7
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B k 7
Autonomy is an essential element of professional nursing that involves the initiation of
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
independent nursing interventions without medical orders. To obtain licensure in the United
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
may choose to work toward certification in a specific area of nursing practice. Accountability
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
means that you are responsible, professionally and legally, for the type and quality of nursing
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
care provided.
k7 k7
DIF:Apply (application) k7
OBJ:Discuss the roles and career opportunities for nurses. k7 k7 k7 k7 k7 k7 k7 TOP: Implementation k7
MSC: Management of Care
k7 k 7 k7 k7
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
implementing?
k7
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B k 7
, A manager coordinates the activities of members of the nursing staff in delivering nursing care
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
and has personnel, policy, and budgetary responsibility for a specific nursing unit or facility.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
As an educator, you explain concepts and facts about health, describe the reason for routine
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
care activities, demonstrate procedures such as self-care activities, reinforce learning or patient
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
your patient’s human and legal rights and provide assistance in asserting these rights if the need
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
arises. As a caregiver, you help patients maintain and regain health, manage disease and
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
symptoms, and attain a maximal level function and independence through the healing process.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
DIF:Apply (application) k7
OBJ:Discuss the roles and career opportunities for nurses. k7 k7 k7 k7 k7 k7 k7 TOP: Implementation k7
MSC: Management of Care
k7 k 7 k7 k7
6. The nurse has been working in the clinical setting for several years as an advanced practice
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
nurse. However, the nurse has a strong desire to pursue research and theory development. To
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
fulfill this desire, which program should the nurse attend?
k7 k7 k7 k7 k7 k7 k7 k7 k7
a. Doctor of Nursing Science degree (DNSc) k7 k7 k7 k7 k7
b. Doctor of Philosophy degree (PhD) k7 k7 k7 k7
c. Doctor of Nursing Practice degree (DNP) k7 k7 k7 k7 k7
d. Doctor in the Science of Nursing degree (DSN) k7 k7 k7 k7 k7 k7 k7
ANS: B k 7
Some doctoral programs prepare nurses for more rigorous research and theory development
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
practitioners.
k7
DIF:Understand (comprehension) k7
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
education.
k7 TOP: Teaching/Learning MSC: Management of Care k 7 k 7 k7 k7
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
Association. Which type of education did the nurse receive?
k7 k7 k7 k7 k7 k7 k7 k7 k7
a. Graduate education k7
b. Inservice education k7
c. Continuing education k7
d. Registered nurse education k7 k7
ANS: C k 7
Continuing education involves formal, organized educational programs offered by universities,
k7 k7 k7 k7 k7 k7 k7 k7 k7
hospitals, state nurses associations, professional nursing organizations, and educational and
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
health care institutions. After obtaining a baccalaureate degree in nursing, you can pursue
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
graduate education leading to a master’s or doctoral degree in any number of graduate fields,
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
including nursing. Inservice education programs are instruction or training provided by a
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
health care facility or institution. Registered nurse education is the education preparation for an
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
individual intending to be an RN.
k7 k7 k7 k7 k7 k7
DIF:Apply (application) k7
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
, education. TOP: k 7 Teaching/Learning MSC: Management of Care k 7 k7 k7
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
k7for Nurses (QSEN) competency is the nurse demonstrating?
k7 k7 k7 k7 k7 k7 k7
a. Safety
b. Patient-centered care k7
c. Quality improvement k7
d. Teamwork and collaboration k7 k7
ANS: C k 7
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
of harm to patients and providers through both system effectiveness and individual
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
performance. Patient-centered care recognizes the patient or designee as the source of control
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
and full partner in providing compassionate and coordinated care based on respect for
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
patient’s preferences, values, and needs. Teamwork and collaboration allows effective
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
functioning within nursing and interprofessional teams, fostering open communication,
k7 k7 k7 k7 k7 k7 k7 k7 k7
mutual respect, and shared decision making.
k7 k7 k7 k7 k7 k7
DIF:Understand (comprehension) k7
OBJ:Discuss the roles and career opportunities for nurses. k7 k7 k7 k7 k7 k7 k7 TOP:Evaluation k7
MSC: Management of Care
k7 k 7 k7 k7
9. A nurse has compassion fatigue. What is the nurse experiencing?
k7 k7 k7 k7 k7 k7 k7 k7 k7
a. Lateral violence and intrapersonal conflict k7 k7 k7 k7
b. Burnout and secondary traumatic stress k7 k7 k7 k7
c. Short-term grief and single stressor k7 k7 k7 k7
d. Physical and mental exhaustion k7 k7 k7
ANS: B k 7
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic stress.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
Compassion fatigue may contribute to what is described as lateral violence
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
only.
k7
DIF:Understand (comprehension) k7
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
TOP: Assessment MSC: Health Promotion and Maintenance k 7 k7 k7 k7
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
The nurse does not allow the patient to sign the permit and notifies the health care provider of
k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7 k7
the situation. Which role is the nurse displaying?
k7 k7 k7 k7 k7 k7 k7 k7
a. Manager
b. Patient educator k7
c. Patient advocate k7
d. Clinical nurse specialist k7 k7
ANS: C k 7
