Chapter 01: Nursing Today
d4 d4 d4
Potter: Fundamentals of Nursing, 11th Edition
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MULTIPLE CHOICE d4
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
a. Florence Nightingale d4
b. Mary Nutting d4
c. Clara Barton d4
d. Lillian Wald d4
ANS: A d 4
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
came after Nightingale, each contributing to the nursing profession in her own way. Mary
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
DIF:Understand (comprehension) d4
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
TOP: Evaluation MSC: Health Promotion and Maintenance d 4 d4 d4 d4
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
d4 nursing practice is the nurse following? d4 d4 d4 d4 d4
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C d 4
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
attain expected outcomes. During assessment, the registered nurse collects comprehensive
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
d data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
registered nurse implements (carries out) the identified plan.
d4 d4 d4 d4 d4 d4 d4 d4
DIF:Understand (comprehension) d4
OBJ:Discuss the development of professional nursing roles. d4 d4 d4 d4 d4 d4 TOP:Planning d4
MSC: Management of Care
d4 d 4 d4 d4
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
d4 proficiency is the nurse upon initial transition to the obstetrical floor?
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
a. Novice
b. Proficient
c. Competent
d. Advanced beginner d4
ANS: A d 4
, A beginning nursing student or any nurse entering a situation in which there is no previous
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
level of experience (e.g., an experienced operating room nurse chooses to now practice in
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
gained from multiple previous experiences to a situation. A competent nurse understands the
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
organization and specific care required by the type of patients (e.g., surgical, oncology, or
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
care and establish long-range goals. A nurse who has had some level of experience with the
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
situation is an advanced beginner. This experience may only be observational in nature, but the
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
nurse is able to identify meaningful aspects or principles of nursing care.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
DIF:Apply (application) d4
OBJ:Discuss the development of professional nursing roles. d4 d4 d4 d4 d4 d4 TOP:Evaluation d4
MSC: Management of Care
d4 d 4 d4 d4
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
demonstrating?
d4
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B d 4
Autonomy is an essential element of professional nursing that involves the initiation of
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
independent nursing interventions without medical orders. To obtain licensure in the United
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
may choose to work toward certification in a specific area of nursing practice. Accountability
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
means that you are responsible, professionally and legally, for the type and quality of nursing
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
care provided.
d4 d4
DIF:Apply (application) d4
OBJ:Discuss the roles and career opportunities for nurses. d4 d4 d4 d4 d4 d4 d4 TOP: Implementation d4
MSC: Management of Care
d4 d 4 d4 d4
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
implementing?
d4
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B d 4
, A manager coordinates the activities of members of the nursing staff in delivering nursing care
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
and has personnel, policy, and budgetary responsibility for a specific nursing unit or facility.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
As an educator, you explain concepts and facts about health, describe the reason for routine
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
care activities, demonstrate procedures such as self-care activities, reinforce learning or patient
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
your patient’s human and legal rights and provide assistance in asserting these rights if the need
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
arises. As a caregiver, you help patients maintain and regain health, manage disease and
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
symptoms, and attain a maximal level function and independence through the healing process.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
DIF:Apply (application) d4
OBJ:Discuss the roles and career opportunities for nurses. d4 d4 d4 d4 d4 d4 d4 TOP: Implementation d4
MSC: Management of Care
d4 d 4 d4 d4
6. The nurse has been working in the clinical setting for several years as an advanced practice
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
nurse. However, the nurse has a strong desire to pursue research and theory development. To
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
fulfill this desire, which program should the nurse attend?
d4 d4 d4 d4 d4 d4 d4 d4 d4
a. Doctor of Nursing Science degree (DNSc) d4 d4 d4 d4 d4
b. Doctor of Philosophy degree (PhD) d4 d4 d4 d4
c. Doctor of Nursing Practice degree (DNP) d4 d4 d4 d4 d4
d. Doctor in the Science of Nursing degree (DSN) d4 d4 d4 d4 d4 d4 d4
ANS: B d 4
Some doctoral programs prepare nurses for more rigorous research and theory development
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
practitioners.
d4
DIF:Understand (comprehension) d4
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
education.
d4 TOP: Teaching/Learning MSC: Management of Care d 4 d 4 d4 d4
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
Association. Which type of education did the nurse receive?
d4 d4 d4 d4 d4 d4 d4 d4 d4
a. Graduate education d4
b. Inservice education d4
c. Continuing education d4
d. Registered nurse education d4 d4
ANS: C d 4
Continuing education involves formal, organized educational programs offered by universities,
d4 d4 d4 d4 d4 d4 d4 d4 d4
hospitals, state nurses associations, professional nursing organizations, and educational and
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
health care institutions. After obtaining a baccalaureate degree in nursing, you can pursue
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
graduate education leading to a master’s or doctoral degree in any number of graduate fields,
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
including nursing. Inservice education programs are instruction or training provided by a
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
health care facility or institution. Registered nurse education is the education preparation for an
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
individual intending to be an RN.
d4 d4 d4 d4 d4 d4
DIF:Apply (application) d4
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
, education. TOP: d 4 Teaching/Learning MSC: Management of Care d 4 d4 d4
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
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d4for Nurses (QSEN) competency is the nurse demonstrating?
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a. Safety
b. Patient-centered care d4
c. Quality improvement d4
d. Teamwork and collaboration d4 d4
ANS: C d 4
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
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of harm to patients and providers through both system effectiveness and individual
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performance. Patient-centered care recognizes the patient or designee as the source of control
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and full partner in providing compassionate and coordinated care based on respect for
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patient’s preferences, values, and needs. Teamwork and collaboration allows effective
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functioning within nursing and interprofessional teams, fostering open communication,
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mutual respect, and shared decision making.
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DIF:Understand (comprehension) d4
OBJ:Discuss the roles and career opportunities for nurses. d4 d4 d4 d4 d4 d4 d4 TOP:Evaluation d4
MSC: Management of Care
d4 d 4 d4 d4
9. A nurse has compassion fatigue. What is the nurse experiencing?
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a. Lateral violence and intrapersonal conflict d4 d4 d4 d4
b. Burnout and secondary traumatic stress d4 d4 d4 d4
c. Short-term grief and single stressor d4 d4 d4 d4
d. Physical and mental exhaustion d4 d4 d4
ANS: B d 4
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
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and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
only.
d4
DIF:Understand (comprehension) d4
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
TOP: Assessment MSC: Health Promotion and Maintenance d 4 d4 d4 d4
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
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patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖
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The nurse does not allow the patient to sign the permit and notifies the health care provider of
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the situation. Which role is the nurse displaying?
d4 d4 d4 d4 d4 d4 d4 d4
a. Manager
b. Patient educator d4
c. Patient advocate d4
d. Clinical nurse specialist d4 d4
ANS: C d 4
d4 d4 d4
Potter: Fundamentals of Nursing, 11th Edition
d4 d4 d4 d4 d4
MULTIPLE CHOICE d4
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
a. Florence Nightingale d4
b. Mary Nutting d4
c. Clara Barton d4
d. Lillian Wald d4
ANS: A d 4
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
came after Nightingale, each contributing to the nursing profession in her own way. Mary
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
Nutting was instrumental in moving nursing education into universities. Clara Barton founded
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
DIF:Understand (comprehension) d4
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
TOP: Evaluation MSC: Health Promotion and Maintenance d 4 d4 d4 d4
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
d4 nursing practice is the nurse following? d4 d4 d4 d4 d4
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C d 4
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
attain expected outcomes. During assessment, the registered nurse collects comprehensive
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
d data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
analyzes the assessment data to determine the diagnoses or issues. During implementation, the
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
registered nurse implements (carries out) the identified plan.
d4 d4 d4 d4 d4 d4 d4 d4
DIF:Understand (comprehension) d4
OBJ:Discuss the development of professional nursing roles. d4 d4 d4 d4 d4 d4 TOP:Planning d4
MSC: Management of Care
d4 d 4 d4 d4
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
d4 proficiency is the nurse upon initial transition to the obstetrical floor?
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
a. Novice
b. Proficient
c. Competent
d. Advanced beginner d4
ANS: A d 4
, A beginning nursing student or any nurse entering a situation in which there is no previous
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
level of experience (e.g., an experienced operating room nurse chooses to now practice in
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
home health) is an example of a novice nurse. A proficient nurse perceives a patient’s clinical
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
situation as a whole, is able to assess an entire situation, and can readily transfer knowledge
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
gained from multiple previous experiences to a situation. A competent nurse understands the
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
organization and specific care required by the type of patients (e.g., surgical, oncology, or
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
orthopedic patients). This nurse is a competent practitioner who is able to anticipate nursing
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
care and establish long-range goals. A nurse who has had some level of experience with the
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
situation is an advanced beginner. This experience may only be observational in nature, but the
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
nurse is able to identify meaningful aspects or principles of nursing care.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
DIF:Apply (application) d4
OBJ:Discuss the development of professional nursing roles. d4 d4 d4 d4 d4 d4 TOP:Evaluation d4
MSC: Management of Care
d4 d 4 d4 d4
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
The nurse then encourages the patient to drink more fluids. Which concept is the nurse
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
demonstrating?
d4
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B d 4
Autonomy is an essential element of professional nursing that involves the initiation of
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
independent nursing interventions without medical orders. To obtain licensure in the United
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
may choose to work toward certification in a specific area of nursing practice. Accountability
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
means that you are responsible, professionally and legally, for the type and quality of nursing
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
care provided.
d4 d4
DIF:Apply (application) d4
OBJ:Discuss the roles and career opportunities for nurses. d4 d4 d4 d4 d4 d4 d4 TOP: Implementation d4
MSC: Management of Care
d4 d 4 d4 d4
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
implementing?
d4
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B d 4
, A manager coordinates the activities of members of the nursing staff in delivering nursing care
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
and has personnel, policy, and budgetary responsibility for a specific nursing unit or facility.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
As an educator, you explain concepts and facts about health, describe the reason for routine
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
care activities, demonstrate procedures such as self-care activities, reinforce learning or patient
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
your patient’s human and legal rights and provide assistance in asserting these rights if the need
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
arises. As a caregiver, you help patients maintain and regain health, manage disease and
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
symptoms, and attain a maximal level function and independence through the healing process.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
DIF:Apply (application) d4
OBJ:Discuss the roles and career opportunities for nurses. d4 d4 d4 d4 d4 d4 d4 TOP: Implementation d4
MSC: Management of Care
d4 d 4 d4 d4
6. The nurse has been working in the clinical setting for several years as an advanced practice
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
nurse. However, the nurse has a strong desire to pursue research and theory development. To
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
fulfill this desire, which program should the nurse attend?
d4 d4 d4 d4 d4 d4 d4 d4 d4
a. Doctor of Nursing Science degree (DNSc) d4 d4 d4 d4 d4
b. Doctor of Philosophy degree (PhD) d4 d4 d4 d4
c. Doctor of Nursing Practice degree (DNP) d4 d4 d4 d4 d4
d. Doctor in the Science of Nursing degree (DSN) d4 d4 d4 d4 d4 d4 d4
ANS: B d 4
Some doctoral programs prepare nurses for more rigorous research and theory development
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional doctoral
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
programs in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
nursing. The DNP is a practice doctorate that prepares advanced practice nurses such as nurse
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
practitioners.
d4
DIF:Understand (comprehension) d4
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
education.
d4 TOP: Teaching/Learning MSC: Management of Care d 4 d 4 d4 d4
7. A nurse attends a workshop on current nursing issues provided by the American Nurses
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
Association. Which type of education did the nurse receive?
d4 d4 d4 d4 d4 d4 d4 d4 d4
a. Graduate education d4
b. Inservice education d4
c. Continuing education d4
d. Registered nurse education d4 d4
ANS: C d 4
Continuing education involves formal, organized educational programs offered by universities,
d4 d4 d4 d4 d4 d4 d4 d4 d4
hospitals, state nurses associations, professional nursing organizations, and educational and
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
health care institutions. After obtaining a baccalaureate degree in nursing, you can pursue
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
graduate education leading to a master’s or doctoral degree in any number of graduate fields,
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
including nursing. Inservice education programs are instruction or training provided by a
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
health care facility or institution. Registered nurse education is the education preparation for an
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
individual intending to be an RN.
d4 d4 d4 d4 d4 d4
DIF:Apply (application) d4
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
, education. TOP: d 4 Teaching/Learning MSC: Management of Care d 4 d4 d4
8. A nurse identifies gaps between local and best practices. Which Quality and Safety Education
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
d4for Nurses (QSEN) competency is the nurse demonstrating?
d4 d4 d4 d4 d4 d4 d4
a. Safety
b. Patient-centered care d4
c. Quality improvement d4
d. Teamwork and collaboration d4 d4
ANS: C d 4
Quality improvement identifies gaps between local and best practices. Safety minimizes risk
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
of harm to patients and providers through both system effectiveness and individual
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
performance. Patient-centered care recognizes the patient or designee as the source of control
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
and full partner in providing compassionate and coordinated care based on respect for
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
patient’s preferences, values, and needs. Teamwork and collaboration allows effective
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
functioning within nursing and interprofessional teams, fostering open communication,
d4 d4 d4 d4 d4 d4 d4 d4 d4
mutual respect, and shared decision making.
d4 d4 d4 d4 d4 d4
DIF:Understand (comprehension) d4
OBJ:Discuss the roles and career opportunities for nurses. d4 d4 d4 d4 d4 d4 d4 TOP:Evaluation d4
MSC: Management of Care
d4 d 4 d4 d4
9. A nurse has compassion fatigue. What is the nurse experiencing?
d4 d4 d4 d4 d4 d4 d4 d4 d4
a. Lateral violence and intrapersonal conflict d4 d4 d4 d4
b. Burnout and secondary traumatic stress d4 d4 d4 d4
c. Short-term grief and single stressor d4 d4 d4 d4
d. Physical and mental exhaustion d4 d4 d4
ANS: B d 4
Compassion fatigue is a term used to describe a state of burnout and secondary traumatic stress.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
Compassion fatigue may contribute to what is described as lateral violence
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
(nurse-nurse interactions, not intrapersonal). Frequent, intense, or prolonged exposure to grief
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
and loss places nurses at risk for developing compassion fatigue. Stressors, not a single
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
stressor, contribute to compassion fatigue. Physical and mental exhaustion describes burnout
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
only.
d4
DIF:Understand (comprehension) d4
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
TOP: Assessment MSC: Health Promotion and Maintenance d 4 d4 d4 d4
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions.‖
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
The nurse does not allow the patient to sign the permit and notifies the health care provider of
d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4 d4
the situation. Which role is the nurse displaying?
d4 d4 d4 d4 d4 d4 d4 d4
a. Manager
b. Patient educator d4
c. Patient advocate d4
d. Clinical nurse specialist d4 d4
ANS: C d 4
