Basic Nursing: Thinking, Doing, and Caring
(2nd Edition): Nursing Past and Present and
the Evolution of Professional Nursing
Practice in Modern Healthcare
Chapter 1. Nursing Past &
Present
Chapter 1. Nursing Past & Present
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. What is the most influential factor that has shaped the nursing profession?
1)
Physicians need for handmaidens
2)
Societal need for healthcare outside the home
3)
Military demand for nurses in the field
4)
Germ theory influence on sanitation
ANS: 3
Throughout the centuries, stability of the government has been related to the success of
the military to protect or extend its domain. As the survival and well-being of soldiers is
critical, nurses provided healthcare to the sick and injured at the battle site. The physicians
handmaiden was/is a nursing stereotype rather than an influence on nursing. Although
there has been need for healthcare outside the home throughout history, this has more
influence on the development of hospitals than on nursing; this need provided one more
,setting for nursing work. Germ theory and sanitation helped to improve healthcare but did
not shape nursing.
PTS: 1 DIF: Moderate REF: pp. 910 KEY: Nursing process: N/A Client need: N/A | Cognitive
level: Recall
____ 2. Which of the following is an example of an illness prevention activity? Select all that
apply.
1)
Encouraging the use of a food diary
2)
Joining a cancer support group
3)
Administering immunization for HPV
4)
Teaching a diabetic patient about his diet
ANS: 3
Administering immunization for HPV is an example of illness prevention. Although cancer is
a disease, it is assumed that a person joining a support group would already have the
disease; therefore, this is not disease prevention but treatment. Illness-prevention activities
focus on avoiding a specific disease. A food diary is a health-promotion activity. Teaching a
diabetic patient about diet is a treatment for diabetes; the patient already has diabetes, so
it cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text KEY:
Nursing process: N/A | Client need: HPM | Cognitive level: Application
____ 3. Which of the following contributions of Florence Nightingale had an immediate
impact on improving patients health?
1)
,Providing a clean environment
2)
Improving nursing education
3)
Changing the delivery of care in hospitals
4)
Establishing nursing as a distinct profession
ANS: 1
Improved sanitation (a clean environment) greatly and immediately reduced the rate of
infection and mortality in hospitals. The other responses are all activities of Florence
Nightingale that improved healthcare or nursing, but the impact is long range, not
immediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student must
infer from content
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
____ 4. All of the following are aspects of the full-spectrum nursing role. Which one is
essential for the nurse to do in order to successfully carry out all the others?
1)
Thinking and reasoning about the clients care
2)
Providing hands-on client care
3)
Carrying out physician orders
4)
, Delegating to assistive personnel
ANS: 1
A substantial portion of the nursing role involves using clinical judgment, critical thinking,
and problem solving, which directly affect the care the client will actually receive. Providing
hands-on care is important; however, clinical judgment, critical thinking, and problem
solving are essential to do it successfully. Carrying out physician orders is a small part of a
nurses role; it, too, requires nursing assessment, planning, intervention, and evaluation.
Many simple nursing tasks are being delegated to nursing assistive personnel; delegation
requires careful analysis of patient status and the appropriateness of support personnel to
deliver care. Another way to analyze this question is that none of the options of providing
hands-on care, carrying out physician orders, and delegating to assistive personnel is
required for the nurse to think and reason about a clients care; so the answer must be 1.
PTS:1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
____ 5. Which statement pertaining to Benners practice model for clinical competence is
true?
1)
Progression through the stages is constant, with most nurses reaching the proficient stage.
2)
Progression through the stages involves continual development of thinking and technical
skills.
3)
The nurse must have experience in many areas before being considered an expert.
4)
The nurses progress through the stages is determined by years of experience and skills.
ANS: 2
(2nd Edition): Nursing Past and Present and
the Evolution of Professional Nursing
Practice in Modern Healthcare
Chapter 1. Nursing Past &
Present
Chapter 1. Nursing Past & Present
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. What is the most influential factor that has shaped the nursing profession?
1)
Physicians need for handmaidens
2)
Societal need for healthcare outside the home
3)
Military demand for nurses in the field
4)
Germ theory influence on sanitation
ANS: 3
Throughout the centuries, stability of the government has been related to the success of
the military to protect or extend its domain. As the survival and well-being of soldiers is
critical, nurses provided healthcare to the sick and injured at the battle site. The physicians
handmaiden was/is a nursing stereotype rather than an influence on nursing. Although
there has been need for healthcare outside the home throughout history, this has more
influence on the development of hospitals than on nursing; this need provided one more
,setting for nursing work. Germ theory and sanitation helped to improve healthcare but did
not shape nursing.
PTS: 1 DIF: Moderate REF: pp. 910 KEY: Nursing process: N/A Client need: N/A | Cognitive
level: Recall
____ 2. Which of the following is an example of an illness prevention activity? Select all that
apply.
1)
Encouraging the use of a food diary
2)
Joining a cancer support group
3)
Administering immunization for HPV
4)
Teaching a diabetic patient about his diet
ANS: 3
Administering immunization for HPV is an example of illness prevention. Although cancer is
a disease, it is assumed that a person joining a support group would already have the
disease; therefore, this is not disease prevention but treatment. Illness-prevention activities
focus on avoiding a specific disease. A food diary is a health-promotion activity. Teaching a
diabetic patient about diet is a treatment for diabetes; the patient already has diabetes, so
it cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text KEY:
Nursing process: N/A | Client need: HPM | Cognitive level: Application
____ 3. Which of the following contributions of Florence Nightingale had an immediate
impact on improving patients health?
1)
,Providing a clean environment
2)
Improving nursing education
3)
Changing the delivery of care in hospitals
4)
Establishing nursing as a distinct profession
ANS: 1
Improved sanitation (a clean environment) greatly and immediately reduced the rate of
infection and mortality in hospitals. The other responses are all activities of Florence
Nightingale that improved healthcare or nursing, but the impact is long range, not
immediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student must
infer from content
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
____ 4. All of the following are aspects of the full-spectrum nursing role. Which one is
essential for the nurse to do in order to successfully carry out all the others?
1)
Thinking and reasoning about the clients care
2)
Providing hands-on client care
3)
Carrying out physician orders
4)
, Delegating to assistive personnel
ANS: 1
A substantial portion of the nursing role involves using clinical judgment, critical thinking,
and problem solving, which directly affect the care the client will actually receive. Providing
hands-on care is important; however, clinical judgment, critical thinking, and problem
solving are essential to do it successfully. Carrying out physician orders is a small part of a
nurses role; it, too, requires nursing assessment, planning, intervention, and evaluation.
Many simple nursing tasks are being delegated to nursing assistive personnel; delegation
requires careful analysis of patient status and the appropriateness of support personnel to
deliver care. Another way to analyze this question is that none of the options of providing
hands-on care, carrying out physician orders, and delegating to assistive personnel is
required for the nurse to think and reason about a clients care; so the answer must be 1.
PTS:1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
____ 5. Which statement pertaining to Benners practice model for clinical competence is
true?
1)
Progression through the stages is constant, with most nurses reaching the proficient stage.
2)
Progression through the stages involves continual development of thinking and technical
skills.
3)
The nurse must have experience in many areas before being considered an expert.
4)
The nurses progress through the stages is determined by years of experience and skills.
ANS: 2
