FundamentalsofNursing 2nd Edition Yoos Tes Bank Y. Y. Y. Y. Y. J Y. J Y.
Chapter01:Nursing, Theory, andProfessional Practice
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2nd Edition
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MULTIPLE CHOICE Y.
1. A group of nursing students are discussing the impact of nonnursing theories in clinical
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.practice. The students would be correct if they chose which theoryto prioritize patient care? J Y. J Y. J
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a. Erikson’s Psychosocial Theory J Y. J Y.
b. Paul’s Critical-Thinking Theory JY. J Y.
c. Maslow’s Hierarchyo f Needs J Y. J
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d. Rosenstock’s Health Belief Model J Y. J Y. J Y.
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Maslow’s hierarchy of needs specifies the psychological and physiologic factors that affect J Y. J
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each person’s physical and mental health. The nurse’s understanding of these factors helps
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with formulating Nursing diagnoses that address the patient’s needs and values to prioritize
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care. Erikson’s Psychosocial Theory of Development and Socialization is based on
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individuals’ interacting and learning about their world. Nurses use concepts of developmental
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theory to critically think in providing care for their patients at various stages of their lives.
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Rosenstock (1974) developed the psychological Health Belief Model. The model addresses possible J
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reasons for why a patient may not comply with recommended health promotion behaviors. This
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model is especially useful to nurses as they educate patients.
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MSC: NCLEX Client Needs CN
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NOT: Concepts: Care CoordinatiU
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2. A nursing student is preparing study notes from a recent lecture in nursing history. The
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student would credit Florence Nightingale for which definition of nursing?
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a. The imbalance between the patient and the environment decreases the capacity for J
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health. .
b. The nurse needs to focus on interpersonal processes between nurse and patient. J
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c. The nurse assists the patient with essential functions toward independence. J
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d. Human beings are interacting in continuous motion as energy fields. J Y. J Y. J Y. J Y. J Y. J Y. JY. J Y. J.
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ANS: A J Y .
Florence Nightingale’s (1860) concept of the environment emphasized prevention and clean J Y. J Y. JY. J Y. JY. J Y. J Y. J
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air, water, and housing. This theory states that the imbalance between the patient and the
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environment decreases the capacity for health and does not allow for conservation o f energy.
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Hildegard Peplau (1952) focused on the roles played by the nurse and the interpersonal process
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between a nurse and a patient. Virginia Henderson described the nurse’s role as substitutive
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(doing for the person), supplementary (helping the person), or complementary (working with
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the person), with the goal of independence for the patient. Martha Rogers (1970) developed the
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Science of Unitary Human Beings. She stated that human beings and their environments are
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interacting in continuous motion as infinite energy fields.
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DIF: Understanding OBJ: 1.4 TOP: Planning J Y . J
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MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Health Promotion
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3. The nurse identifies which nurse established the American Red Cross during the Civil War?
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a. Dorothea Dix J Y.
b. Linda Richards J Y.
c. Lena Higbee J
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d. Clara Barton J
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Clara Barton practiced nursing in the Civil War and established the American Red Cross.
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Dorothea Dix was the head of the U.S. Sanitary Commission, which was a forerunner of the
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Army Nurse Corps. Linda Richards was America’s first trained nurse, graduating from
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Boston’s Women’s Hospital in 1873, and Lena Higbee, superintendent of the U.S. Navy Nurse
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Corps, was awarded the Navy Cross in 1918.
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MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: ProfessionalismJ Y. J Y.
4. The nursing instructor is researching the five proficiencies regarded as essential for students
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and professionals. The nursing instructor identifies which organization would be found to
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have added safety as a sixth competency?
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a. Quality and Safety Education for Nurses (QSEN) J
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b. Institute of Medicine (IOM) J .
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c. American Association of Colleges of Nursing (AACN) J Y. J Y. J Y. J Y. J
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d. National League for Nursing (NLN) J Y. J Y. JY. J Y.
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The Institute of Medicine r epNo r t ,RHe I h GP roBf e.ssCi o nM
outlines five core competencies.UThese
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SNal tinclude s Education: A Bridge to Quality (2003),
patient-centered care, interdisciplinary
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teamwork, use of evidence-based medicine, quality improvement, and use of information J Y. J Y. JY. J Y. J Y. J Y. J Y. J Y. J Y. J
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technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
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Education for Professional Nursing Practice are provided and updated by the American
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Association o f Colleges of Nursing (AACN) (2008). The document o ffers a framework for the
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education of professional nurses with outcomes for students to meet. The National League for
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Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate, and
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graduate nursing education programs.
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DIF: Remembering OBJ: 1.1 TOP: Planning J Y . J Y . J Y .
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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5. The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When
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hiring graduate nurses, the nurse manager realizes that they will probably not be considered
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“competent” until they complete which task?
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a. They graduate and pass NCLEX. J Y. J
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b. They have worked 2 to 3 years. J
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c. Their last year of nursing school. J Y. J Y . J Y. JY. J Y.
d. They are actually hired. J Y. J Y. JY.
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PRIMEXAM.COM
, Fundamentals of Nursing 2nd Edition Yoos Tes Bank Y. Y. Y. Y. Y. J Y. J Y.
Benner’s model identifies five levels of proficiency: novice, advanced beginner, competent,
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proficient, and expert. The student nurse progresses from novice to advanced beginner during
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nursing school and attains the competent level after approximately 2 to 3 years of work
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experience after graduation. To obtain the RN credential, a person must graduate from an
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approved school of nursing and pass a state licensing examination called the National Council
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Licensure Examination for Registered Nurses (NCLEX-RN) usually taken soon after
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completion of an approved nursing program.
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DIF: Remembering OBJ: 1.7 TOP: Planning J Y . J Y . J Y .
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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6. The prospective student is considering options for beginning a career in nursing. Which
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degree would best match the student’s desire to conduct research at the university level?
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a. Associate Degree in Nursing (ADN) J Y. J Y. J Y. J
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b. Bachelor o f Science in Nursing (BSN) JY. J Y. J Y. J Y. J Y.
c. Doctor of Nursing Practice (DNP) J Y. J Y. J Y. J Y.
d. Doctor of Philosophy in Nursing (PhD) J Y. J Y. J
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Doctoral nursing education can result in a Doctor of Philosophy (PhD) degree. This degree
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prepares nurses for leadership roles in research, teaching, and administration that are essential to
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advancing nursing as a profession. Associate Degree in Nursing (ADN) programs usually are
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conducted in a community college setting. The nursing curriculum focuses on adult acute and
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chronic disease; maternal/child health; pediatrics; and psychiatric/mental health nursing.
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ADN RNs may return to school to earn a bachelor’s degree or higher in an RN-to-BSN or RN-
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to-MSN program. Bachelor’s degree programs include community health and management
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courses beyond t hUo s eSp r oNv iNdR
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Oassociate degree program. A newer J Y.
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practice-focused doctoral degree is the Doctor of Nursing practice (DNP), which concentrates on J Y. J Y. J Y. J Y. J
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the clinical aspects of nursing. DNP specialties include the four advanced practice roles of
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NP, CNS, CNM, and CRNA.
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DIF: Remembering OBJ: 1.9 TOP: Assessment J Y . J Y . J Y .
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NOT: Concepts: Care Coordination
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7. During a staff meeting, the nurse manager announces that the hospital will be seeking Magnet
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status. To explain the requirements for this award, the nurse manager will contact which
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organization?
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a. American Nurses Association (ANA) J Y. J Y. J
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b. American Nurses Credentialing Center (ANCC) J Y. J Y. J Y. J
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c. National League for Nursing (NLN) J
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d. Joint Commission J Y.
ANS: B J Y .
The American Nurses Credentialing Center (ANCC) awards Magnet Recognition to hospitals
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that have shown excellence and innovation in nursing. The ANA is a professional organization
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that provides standards of nursing practice. The National League for Nursing (NLN) outlines
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and updates competencies for practical, associate, baccalaureate, and graduate nursing education
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programs. The Joint Commission is the accrediting organization for health care facilities in the
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United States.
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PRIMEXAM.COM
, Fundamentals of Nursing 2nd Edition Yoos Tes Bank Y. Y. Y. Y. Y. J Y. J
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DIF: Remembering OBJ: 1.1 TOP: Assessment J Y . J Y . J Y .
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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8. The nurse is caring for a patient who refuses two units of packed red blood cells. When the
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nurse notifies the health care provider of the patient’s decision, the nurse is acting in which
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role?
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a. Manager
b. Change agent J
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c. Advocate
d. Educator
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As the patient’s advocate, the nurse interprets information and provides the necessary
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education. The nurse then accepts and respects the patient’s decisions even if they are different
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from the nurse’s own beliefs. The nurse supports the patient’s wishes and communicates them
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to other health care providers. A nurse manages all of the activities and treatments for patients.
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In the role of change agent, the nurse works with patients to address their health concerns and
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with staff members to address change in an organization or within a community. The nurse
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ensures that the patient receives sufficient information on which to base consent for care and
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related treatment. Education becomes a major focus of discharge planning so that patients will
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be prepared to handle their own needs at home.
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DIF: Applying OBJ: 1.2 TOP: Implementation J Y . J Y . J Y .
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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9. The nursing student develops a plan of care based on a recentlypublished article describing
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the effects of bed rest on a patient’s calcium blood levels. When creating the plan o f care, the nursing
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student has the obligation to consider which action?
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a. Criticallyappraise the evidence and determine validity. J
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b. Ensure that the plan of care does not alter current practice. J Y. JY. J
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c. Change the process even when there is no problem identified. J
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d. Maintain the plan of care regardless of initial outcome. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J
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Evidence-based practice (EBP) is an integration of the best-available research evidence with J Y. J Y. J Y. J
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clinical judgment about a specific patient situation. The nurse assesses current and past
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research, clinical guidelines, and other resources to identifyrelevant literature. The application of
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EBP includes critically appraising the evidence to assess its validity, designing a change for
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practice, assessing the need for change and identifying a problem, and integrating and
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maintaining change while monitoring process and outcomes by reevaluating the application of
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evidence and assessing areas for improvement.
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DIF: Applying OBJ: 1.2 TOP: Implementation J Y . J Y . J Y .
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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