NURSECARE STUVIA
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Chapter 1: Nursing Today MULTIPLE CHOICE
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
a. Florence Nightingale
b. Mary Nutting
c. Clara Barton
d. Lillian Wald
ACCURATE ANSWER:
A
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came
after Nightingale, each contributing to the nursing profession in her own way. Mary Nutting was
instrumental in moving nursing education into universities. Clara Barton founded the American
Red Cross. Lillian Wald helped open the Henry Street Settlement.
DIF: Understand (comprehension)
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing
practices. TOP: Evaluation MSC: Health Promotion and Maintenance
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
nursing practice is the nurse following?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ACCURATE ANSWER:
C
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
attain expected outcomes. During assessment, the registered nurse collects comprehensive data
pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse analyzes
the assessment data to determine the diagnoses or issues. During implementation, the registered
nurse implements (carries out) the identified plan.
DIF: Understand (comprehension)
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OBJ: Discuss the development of professional nursing roles. TOP: Planning MSC:
Management of Care
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
proficiency is the nurse upon initial transition to the obstetrical floor?
a. Novice
b. Proficient
c. Competent
d. Advanced
beginner ACCURATE
ANSWER: A
A beginning nursing student or any nurse entering a situation in which there is no previous level
of experience (e.g., an experienced operating room nurse chooses to now practice in home
health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical situation
as a whole, is able to assess an entire situation, and can readily transfer knowledge gained from
multiple previous experiences to a situation. A competent nurse understands the organization
and specific care required by the type of patients (e.g., surgical, oncology, or orthopedic
patients). This nurse is a competent practitioner who is able to anticipate nursing care and
establish long-range goals. A nurse who has had some level of experience with the situation is
an advanced beginner. This experience may only be observational in nature, but the nurse is
able to identify meaningful aspects or principles of nursing care.
DIF: Apply (application)
OBJ: Discuss the development of professional nursing roles. TOP: Evaluation MSC:
Management of Care
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids. The
nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
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ACCURATE ANSWER:
B
Autonomy is an essential element of professional nursing that involves the initiation of
independent nursing interventions without medical orders. To obtain licensure in the United
States, the RN candidate
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