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Perry Stockert & Hall Isbn: 9780323810340 Newest Version
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Chapter 01: Nursing Today
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Potter: Fundamentals of Nursing, 11th Edition
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MULTIPLE CHOICE x
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
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a. Florence Nightingale x
b. Mary Nutting x
c. Clara Barton x
d. Lillian Wald x
ANS: A x
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
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sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
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Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was
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instrumental in moving nursing education into universities. Clara Barton founded the American
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Red Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension) x
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
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TOP: Evaluation MSC: Health Promotion and Maintenance x x x x
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
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nursing practice is the nurse following?
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a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C x
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
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attain expected outcomes. During assessment, the registered nurse collects comprehensive data
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pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes the
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assessment data to determine the diagnoses or issues. During implementation, the registered nurse
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implements (carries out) the identified plan.
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DIF:Understand (comprehension) x
OBJ:Discuss the development of professional nursing roles. x x x x x x TOP: Planning x
MSC: Management of Care
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3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
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proficiency is the nurse upon initial transition to the obstetrical floor?
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a. Novice
b. Proficient
c. Competent
d. Advanced beginner x
ANS: A x
, A beginning nursing student or any nurse entering a situation in which there is no previous level of
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experience (e.g., an experienced operating room nurse chooses to now practice in home health) is
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an example of a novice nurse. A proficient nurse perceives a patient’s clinical situation as a whole,
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is able to assess an entire situation, and can readily transfer knowledge gained from multiple
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previous experiences to a situation. A competent nurse understands the organization and specific
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care required by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse is
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a competent practitioner who is able to anticipate nursing care and establish long-range goals. A
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nurse who has had some level of experience with the situation is an advanced beginner. This
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experience may only be observational in nature, but the nurse is able to identify meaningful
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aspects or principles of nursing care.
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DIF:Apply (application) x
OBJ:Discuss the development of professional nursing roles. x x x x x x TOP: Evaluation x
MSC: Management of Care
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4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids. The
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nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
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a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B x
Autonomy is an essential element of professional nursing that involves the initiation of independent
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nursing interventions without medical orders. To obtain licensure in the United States, the RN
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candidate must pass the NCLEX-RN . Beyond the NCLEX-RN , the nurse may choose to work
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toward certification in a specific area of nursing practice. Accountability
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means that you are responsible, professionally and legally, for the type and quality of nursing care
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provided.
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DIF:Apply (application) x
OBJ:Discuss the roles and career opportunities for nurses. x x x x x x x TOP: Implementation x
MSC: Management of Care
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5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
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x implementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B x
, A manager coordinates the activities of members of the nursing staff in delivering nursing care
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and has personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As
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an educator, you explain concepts and facts about health, describe the reason for routine care
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activities, demonstrate procedures such as self-care activities, reinforce learning or patient
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behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect your
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patient’s human and legal rights and provide assistance in asserting these rights if the need arises.
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As a caregiver, you help patients maintain and regain health, manage disease and symptoms, and
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attain a maximal level function and independence through the healing process.
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DIF:Apply (application) x
OBJ:Discuss the roles and career opportunities for nurses. x x x x x x x TOP: Implementation x
MSC: Management of Care
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6. The nurse has been working in the clinical setting for several years as an advanced practice nurse.
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However, the nurse has a strong desire to pursue research and theory development. To fulfill this
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desire, which program should the nurse attend?
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a. Doctor of Nursing Science degree (DNSc) x x x x x
b. Doctor of Philosophy degree (PhD) x x x x
c. Doctor of Nursing Practice degree (DNP) x x x x x
d. Doctor in the Science of Nursing degree (DSN) x x x x x x x
ANS: B x
Some doctoral programs prepare nurses for more rigorous research and theory development and
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award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
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programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
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nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
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practitioners.
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DIF:Understand (comprehension) x
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN) x x x x x x x x x x x
education.
x TOP: Teaching/Learning MSC: Management of Care x x x x
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
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Association. Which type of education did the nurse receive?
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a. Graduate education x
b. Inservice education x
c. Continuing education x
d. Registered nurse education x x
ANS: C x
Continuing education involves formal, organized educational programs offered by universities,
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hospitals, state nurses associations, professional nursing organizations, and educational and
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health care institutions. After obtaining a baccalaureate degree in nursing, you can pursue graduate
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education leading to a master’s or doctoral degree in any number of graduate fields, including
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nursing. Inservice education programs are instruction or training provided by a health care facility
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or institution. Registered nurse education is the education preparation for an individual intending
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to be an RN.
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DIF:Apply (application) x
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN) x x x x x x x x x x x
, education. TOP: Teaching/Learning x MSC: Management of Care x x x
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education for
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Nurses (QSEN) competency is the nurse demonstrating?
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a. Safety
b. Patient-centered care x
c. Quality improvement x
d. Teamwork and collaboration x x
ANS: C x
Quality improvement identifies gaps between local and best practices. Safety minimizes risk of
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harm to patients and providers through both system effectiveness and individual performance.
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Patient-centered care recognizes the patient or designee as the source of control and full partner in
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providing compassionate and coordinated care based on respect for patient’s preferences, values,
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and needs. Teamwork and collaboration allows effective functioning within nursing and
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interprofessional teams, fostering open communication, mutual respect, and shared decision
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making.
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DIF:Understand (comprehension) x
OBJ:Discuss the roles and career opportunities for nurses. x x x x x x x TOP: Evaluation x
MSC: Management of Care
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9. A nurse has compassion fatigue. What is the nurse experiencing?
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a. Lateral violence and intrapersonal conflict x x x x
b. Burnout and secondary traumatic stress x x x x
c. Short-term grief and single stressor x x x x
d. Physical and mental exhaustion x x x
ANS: B x
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic stress.
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Compassion fatigue may contribute to what is described as lateral violence
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(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief and
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loss places nurses at risk for developing compassion fatigue. Stressors, not a single stressor,
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contribute to compassion fatigue. Physical and mental exhaustion describes burnout only.
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DIF:Understand (comprehension) x
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
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TOP: Assessment MSC: Health Promotion and Maintenance x x x x
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient
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tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖ The nurse
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does not allow the patient to sign the permit and notifies the health care provider of the situation.
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Which role is the nurse displaying?
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a. Manager
b. Patient educator x
c. Patient advocate x
d. Clinical nurse specialist x x
ANS: C x