Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
TEST BANK
Nursing in Today's World
Trends, Issues, and Management
Amy J Stegen, Holli Sowerby
11th Edition
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
Table of Contents
Chapter 1 Exploring the Growth of Nursing as a Profession
Chapter 2 Educational Preparation for Nursing
Chapter 3 Credentials for Healthcare Providers
Chapter 4 Making Professional Goals a Reality
Chapter 5 The World of Healthcare Employment
Chapter 6 Understanding the Healthcare Environment and Its Financing
Chapter 7 Legal Responsibilities for Practice
Chapter 8 Ethical Concerns in Nursing Practice
Chapter 9 Safety Concerns in Healthcare
Chapter 10 The Nursing Profession and the Community
Chapter 11 Initiating the Leadership and Management Role
Chapter 12 Working with Others in a Leadership Role
Chapter 13 Facing the Challenges of Today’s Workplace
Chapter 14 Valuing the Political Process
Chapter 15 Applying Research and Technology to Nursing Practice
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
Chapter: Chapter 1: Exploring the Growth of Nursing as a Profession
Multiple Choice
1. Which of the following statements most accurately describes the practice of medicine in Greece
from 800 BC to 300 BC?
A) Greek culture stressed natural causes for disease, a patient-centered approach, and the necessity
of accurate observations and record keeping.
B) Greek culture borrowed medical practices from the countries it conquered, and physicians were
often slaves.
C) Major and minor surgery, childrens diseases, and diseases of the nervous and urinary systems
were described in Greek culture.
D) Medicine men (known first as shamans and later as priests) were responsible for curing ills of
body and mind.
Ans: A
Client Needs: B
Cognitive Level: Comprehension Difficulty: Moderate
Integrated Process: Nursing Process Objective: 1
Feedback: Hippocrates, born about 400 BC, was a Greek citizen who became known as the Father
of Modern Medicine. He emphasized natural causes for disease, a patient-centered approach, and
the necessity of accurate observations and record keeping. These priorities influenced the practice
of medicine both in Greece and beyond. Persia was known to utilize slaves as physicians, and Rome
borrowed medical practices from the countries it conquered. Ancient India emphasized hygiene and
prevention of sickness and described major and minor surgery, childrens diseases, and diseases of
the nervous and urinary systems. Medicine men were characteristic of the Mayan and Aztec
civilizations.
2. Florence Nightingale fostered the development of nursing as a profession. What was the
basis of her nursing theory?
A) The nurses role is to assist individuals (sick or well) to carry out those activities that they would
perform unaided if they had the necessary strength, will, or knowledge.
B) The goal of nursing is to put the patient in the best condition for nature to act upon him,
primarily by altering the environment.
C) The focus of nursing is the spiritual subjective aspects of both the nurse and the patient and the
caring moment relating to the time when the nurse and the patient first come together.
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
D) The focus of nursing is the care of human beings who are viewed as open systems in constant
interaction with their environments.
Ans: B
Client Needs: A-1 Cognitive Level: Analysis Difficulty: Difficult
Integrated Process: Nursing Process Objective: 2
Feedback: Florence Nightingale, in her Notes on Nursing: What It Is and What It Is Not, described
the nurses role as one that would put the patient in the best condition for nature to act upon him
(Nightingale, 1954, p. 133), a definition that often is quoted today. This action was prioritized over
physically assisting the patient. Watson emphasized the spiritual subjective aspects of the nurse
and the patient, and the open systems concept is central to Kings theory of nursing.
3. Which one of the following statements accurately describes an element of the process of
providing a definition of nursing?
A) Researchers can pinpoint the period in history when nursing first evolved.
B) Nurses agree on a single definition of nursing, partly because of the history of nursing.
C) There is an obvious distinction between nursing and medicine.
D) Nursing theorists developed definitions of nursing consistent with their conceptual frameworks.
Ans: D
Client Needs: A-1 Cognitive Level: Analysis Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 7, 8
Feedback: As nursing has grown into a true profession, many nursing theorists have developed
definitions of nursing consistent with their conceptual frameworks; these frameworks provide the
foundation for any given definition of nursing. The historical emergence of nursing did not take
place at one particular time, and there are multiple definitions of nursing. While nursing and
medicine indeed differ, the distinctions between the two professions are not always clear.
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
4. A nurse wishes to document nursing actions using a standardized language. Which of the
following systems might the nurse use?
A) NANDA International (NANDA-I)
B) Nursing Outcomes Classification (NOC)
C) Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS)
D) Nursing Interventions Classification (NIC)
Ans: D
Client Needs: A-1
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 12
Nursing Interventions Classification
Feedback: Started in 1996 at the University of Iowa, the Nursing Interventions Classification (NIC)
is a comprehensive, standardized language that describes actions that nurses perform in all settings
and in all specialties and includes both physiologic and psychosocial interventions. NANDA and
NOC provide standardized language for nursing diagnoses and outcomes. The MDS is an
assessment tool specific to long-term care settings.
5. An RN who practices in a community clinic recognizes the need for a standardized classification
and documentation system. Which of the following systems of nursing care classification and
documentation would best fit the RNs needs?
A) NANDA International (NANDA-I)
B) Nursing Outcomes Classification (NOC)
C) The Omaha System
D) Patient Care Data Set (PCDS)
Ans: C
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Communication and Documentation
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
Objective: 13
dm and Header: 41, The Omaha System
Feedback: The Omaha System is a research-based comprehensive practice documentation
standardized taxonomy designed to document client care from admission to discharge. It was
designed as a three-part, comprehensive yet brief approach to documentation and information
management for multidisciplinary healthcare professionals who practice in community settings.
NANDA and NOC provide frameworks only for nursing diagnoses and outcomes, while the PCDS
is specific to hospital settings.
6. The number and size of nursing schools in the United States grew significantly in the years of the
early 20th century. Which of the following characteristics was emphasized in these schools?
A) A thorough knowledge of anatomy, physiology, and epidemiology
B) Critical thinking, assertiveness, and autonomy
C) An understanding of the relationship among mind, body, and spirit
D) Religious devotion and subservience to authority
Ans: D
Client Needs: A-1
Cognitive Level: Comprehension Difficulty: Easy
Integrated Process: Nursing Process
Objective: 3
Characteristics of the Early Schools
Feedback: In early nursing schools, the nurse in training was expected to yield to her superiors and
demonstrate the obedience characteristics of a good soldier with actions governed by the dedication
to duty derived from religious devotion. These expectations superseded the importance of critical
thinking, scientific knowledge, or the holistic nature of health.
7. Florence Nightingale is acknowledged as one of the individuals who contributed most
significantly to the development of nursing as a profession. What other phenomenon contributed
most to this development?
A) Labor-saving technology that freed many women from working in the home
B) The social recognition of the importance of public funding for the treatment of disease
C) Increased understanding of the pathophysiology of illness and the importance of infection
control
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
D) The high mortality rates that existed during times of war
Ans: D
Client Needs: A-1
Cognitive Level: Comprehension Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
The Nightingale Influence
Feedback: The death and disease that accompanied conflicts such as the Crimean War and the Civil
War provided the impetus for much of the development of the nursing profession. Nursing did not
primarily grow out of the availability of a female workforce, public funding for health, or increased
scientific knowledge.
8. Nurses have historically had difficulty identifying a single, comprehensive definition of nursing.
What factor most accounts for this
difficulty in agreeing on a definition for nursing?
A) It can be challenging to reconcile the theoretical and practical aspects of nursing.
B) Nursing exists in the psychomotor (hands-on) domain rather than in the cognitive domain.
C) Compared with medicine, nursing has a relatively short history.
D) Nurses have traditionally been reluctant to acknowledge the outcomes of their practice.
Ans: A
Client Needs: A-1
Cognitive Level: Comprehension Difficulty: Moderate
Integrated Process: Nursing Process Objective: 5
Developing a Definition for Nursing
Feedback: A major factor that has made it difficult to define nursing is that it is taught as
encompassing both theoretic and practical aspects, but it is pursued (and continues to be defined)
primarily through practice, until recently a little-studied area. Nursing spans psychomotor and
cognitive domains, and it has a very long history. Nurses have often failed to document and publish
the results of their practice, but there is no indication that nurses tended not to acknowledge their
influence on health.
9. One of the challenges that nurses have faced in the past, and which continues to the present, is
the need to distinguish the practice of nursing from that of medicine. Which of the following
statements best conveys a defining characteristic of nursing?
TEST BANK
Nursing in Today's World
Trends, Issues, and Management
Amy J Stegen, Holli Sowerby
11th Edition
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
Table of Contents
Chapter 1 Exploring the Growth of Nursing as a Profession
Chapter 2 Educational Preparation for Nursing
Chapter 3 Credentials for Healthcare Providers
Chapter 4 Making Professional Goals a Reality
Chapter 5 The World of Healthcare Employment
Chapter 6 Understanding the Healthcare Environment and Its Financing
Chapter 7 Legal Responsibilities for Practice
Chapter 8 Ethical Concerns in Nursing Practice
Chapter 9 Safety Concerns in Healthcare
Chapter 10 The Nursing Profession and the Community
Chapter 11 Initiating the Leadership and Management Role
Chapter 12 Working with Others in a Leadership Role
Chapter 13 Facing the Challenges of Today’s Workplace
Chapter 14 Valuing the Political Process
Chapter 15 Applying Research and Technology to Nursing Practice
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
Chapter: Chapter 1: Exploring the Growth of Nursing as a Profession
Multiple Choice
1. Which of the following statements most accurately describes the practice of medicine in Greece
from 800 BC to 300 BC?
A) Greek culture stressed natural causes for disease, a patient-centered approach, and the necessity
of accurate observations and record keeping.
B) Greek culture borrowed medical practices from the countries it conquered, and physicians were
often slaves.
C) Major and minor surgery, childrens diseases, and diseases of the nervous and urinary systems
were described in Greek culture.
D) Medicine men (known first as shamans and later as priests) were responsible for curing ills of
body and mind.
Ans: A
Client Needs: B
Cognitive Level: Comprehension Difficulty: Moderate
Integrated Process: Nursing Process Objective: 1
Feedback: Hippocrates, born about 400 BC, was a Greek citizen who became known as the Father
of Modern Medicine. He emphasized natural causes for disease, a patient-centered approach, and
the necessity of accurate observations and record keeping. These priorities influenced the practice
of medicine both in Greece and beyond. Persia was known to utilize slaves as physicians, and Rome
borrowed medical practices from the countries it conquered. Ancient India emphasized hygiene and
prevention of sickness and described major and minor surgery, childrens diseases, and diseases of
the nervous and urinary systems. Medicine men were characteristic of the Mayan and Aztec
civilizations.
2. Florence Nightingale fostered the development of nursing as a profession. What was the
basis of her nursing theory?
A) The nurses role is to assist individuals (sick or well) to carry out those activities that they would
perform unaided if they had the necessary strength, will, or knowledge.
B) The goal of nursing is to put the patient in the best condition for nature to act upon him,
primarily by altering the environment.
C) The focus of nursing is the spiritual subjective aspects of both the nurse and the patient and the
caring moment relating to the time when the nurse and the patient first come together.
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
D) The focus of nursing is the care of human beings who are viewed as open systems in constant
interaction with their environments.
Ans: B
Client Needs: A-1 Cognitive Level: Analysis Difficulty: Difficult
Integrated Process: Nursing Process Objective: 2
Feedback: Florence Nightingale, in her Notes on Nursing: What It Is and What It Is Not, described
the nurses role as one that would put the patient in the best condition for nature to act upon him
(Nightingale, 1954, p. 133), a definition that often is quoted today. This action was prioritized over
physically assisting the patient. Watson emphasized the spiritual subjective aspects of the nurse
and the patient, and the open systems concept is central to Kings theory of nursing.
3. Which one of the following statements accurately describes an element of the process of
providing a definition of nursing?
A) Researchers can pinpoint the period in history when nursing first evolved.
B) Nurses agree on a single definition of nursing, partly because of the history of nursing.
C) There is an obvious distinction between nursing and medicine.
D) Nursing theorists developed definitions of nursing consistent with their conceptual frameworks.
Ans: D
Client Needs: A-1 Cognitive Level: Analysis Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 7, 8
Feedback: As nursing has grown into a true profession, many nursing theorists have developed
definitions of nursing consistent with their conceptual frameworks; these frameworks provide the
foundation for any given definition of nursing. The historical emergence of nursing did not take
place at one particular time, and there are multiple definitions of nursing. While nursing and
medicine indeed differ, the distinctions between the two professions are not always clear.
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
4. A nurse wishes to document nursing actions using a standardized language. Which of the
following systems might the nurse use?
A) NANDA International (NANDA-I)
B) Nursing Outcomes Classification (NOC)
C) Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS)
D) Nursing Interventions Classification (NIC)
Ans: D
Client Needs: A-1
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 12
Nursing Interventions Classification
Feedback: Started in 1996 at the University of Iowa, the Nursing Interventions Classification (NIC)
is a comprehensive, standardized language that describes actions that nurses perform in all settings
and in all specialties and includes both physiologic and psychosocial interventions. NANDA and
NOC provide standardized language for nursing diagnoses and outcomes. The MDS is an
assessment tool specific to long-term care settings.
5. An RN who practices in a community clinic recognizes the need for a standardized classification
and documentation system. Which of the following systems of nursing care classification and
documentation would best fit the RNs needs?
A) NANDA International (NANDA-I)
B) Nursing Outcomes Classification (NOC)
C) The Omaha System
D) Patient Care Data Set (PCDS)
Ans: C
Client Needs: A-1
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Communication and Documentation
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
Objective: 13
dm and Header: 41, The Omaha System
Feedback: The Omaha System is a research-based comprehensive practice documentation
standardized taxonomy designed to document client care from admission to discharge. It was
designed as a three-part, comprehensive yet brief approach to documentation and information
management for multidisciplinary healthcare professionals who practice in community settings.
NANDA and NOC provide frameworks only for nursing diagnoses and outcomes, while the PCDS
is specific to hospital settings.
6. The number and size of nursing schools in the United States grew significantly in the years of the
early 20th century. Which of the following characteristics was emphasized in these schools?
A) A thorough knowledge of anatomy, physiology, and epidemiology
B) Critical thinking, assertiveness, and autonomy
C) An understanding of the relationship among mind, body, and spirit
D) Religious devotion and subservience to authority
Ans: D
Client Needs: A-1
Cognitive Level: Comprehension Difficulty: Easy
Integrated Process: Nursing Process
Objective: 3
Characteristics of the Early Schools
Feedback: In early nursing schools, the nurse in training was expected to yield to her superiors and
demonstrate the obedience characteristics of a good soldier with actions governed by the dedication
to duty derived from religious devotion. These expectations superseded the importance of critical
thinking, scientific knowledge, or the holistic nature of health.
7. Florence Nightingale is acknowledged as one of the individuals who contributed most
significantly to the development of nursing as a profession. What other phenomenon contributed
most to this development?
A) Labor-saving technology that freed many women from working in the home
B) The social recognition of the importance of public funding for the treatment of disease
C) Increased understanding of the pathophysiology of illness and the importance of infection
control
, Test Bank - Nursing in Today's World Trends, Issues, and Management 11th Edition (Stegen, 2019)
D) The high mortality rates that existed during times of war
Ans: D
Client Needs: A-1
Cognitive Level: Comprehension Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
The Nightingale Influence
Feedback: The death and disease that accompanied conflicts such as the Crimean War and the Civil
War provided the impetus for much of the development of the nursing profession. Nursing did not
primarily grow out of the availability of a female workforce, public funding for health, or increased
scientific knowledge.
8. Nurses have historically had difficulty identifying a single, comprehensive definition of nursing.
What factor most accounts for this
difficulty in agreeing on a definition for nursing?
A) It can be challenging to reconcile the theoretical and practical aspects of nursing.
B) Nursing exists in the psychomotor (hands-on) domain rather than in the cognitive domain.
C) Compared with medicine, nursing has a relatively short history.
D) Nurses have traditionally been reluctant to acknowledge the outcomes of their practice.
Ans: A
Client Needs: A-1
Cognitive Level: Comprehension Difficulty: Moderate
Integrated Process: Nursing Process Objective: 5
Developing a Definition for Nursing
Feedback: A major factor that has made it difficult to define nursing is that it is taught as
encompassing both theoretic and practical aspects, but it is pursued (and continues to be defined)
primarily through practice, until recently a little-studied area. Nursing spans psychomotor and
cognitive domains, and it has a very long history. Nurses have often failed to document and publish
the results of their practice, but there is no indication that nurses tended not to acknowledge their
influence on health.
9. One of the challenges that nurses have faced in the past, and which continues to the present, is
the need to distinguish the practice of nursing from that of medicine. Which of the following
statements best conveys a defining characteristic of nursing?
