Chapter1.NursingToday MULTIPLE b b b b
CHOICE
b
1. Contemporary nursing practice is based on knowledge generated through nursing theories. b b b b b b b b b b
Florence Nightingales theory introduced the concept that nursing care focuses on:
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1 Psychological needs b
2 Amaximal level of wellness
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3 Health maintenance and restoration b b b
4 Interpersonal interactions with the client b b b b
ANS: 3 b
Florence Nightingale believed the role of the nurse was to put the clients body in the best state in order to
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remain free of disease or to recover from disease.
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Although Florence Nightingale may have addressed meeting the psychological needs of her clients,
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it is not the focus of her theory. The goal of Nightingales theory is to facilitate the bodys reparative
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processes by manipulating the clients environment.
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Florence Nightingale thought the human body had reparative properties of its own if it was cared for in
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a way to recover from disease. Her theory did not focus on achieving a maximal level of wellness.
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Florence Nightingale believed the nurse was in charge of the clients health. Although she interacted
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with her clients by reading to them, her theory of nursing care did not focus upon interpersonal
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interactions.
b
DIF: A REF: 2 OBJ: Knowledge TOP:
b b b b b b
NursingProcess: Assessment
b b b
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
b b b b b b b b b
2. Nursing education programs in the United States may seek voluntary accreditation by the
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appropriate accrediting commission council of the:
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1 National League for Nursing b b b
2 American NursesAssociation b b
3 Congress for Nursing Practice b b b
4 International Council of Nurses b b b
ANS: 1 b
The National League for Nursing (NLN) is the professional nursing organization concerned with
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nursing education. The NLN provides accreditation to nursing programs that seek and meet the NLN
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accreditation requirements.
b b
TheAmerican Nurses Association (ANA) is concerned with the nursing profession and issues affecting
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health care, including standards of care.
b b b b b b
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,The Congress for Nursing Practice is the part of the ANA concerned with determining the legal
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aspects of nursing practice, the public recognition of the importance of nursing, and the impact of
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trends in health care on nursing practice.
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The International Council of Nurses (ICN) is concerned about issues of health care and the
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nursing profession, including the provision of an international power base for nurses.
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DIF: A REF: 8 OBJ: Knowledge TOP:
b b b b b b
NursingProcess: Assessment
b b b
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
b b b b b b b b b
3. The minimum educational requirement for a nurse practitioner is:
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1 Diploma in nursing b b
2 Masters in nursing b b
3 Doctorate in nursing b b
4 Baccalaureate in nursing b b
ANS: 2 b
Amasters degree is nursing is required to become a nurse practitioner.
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Diploma programs in nursing require 3 years of education after which the graduate may become a
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registered nurse, but not a nurse practitioner.
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Doctoral programs focus on the application of research findings to clinical practice. The doctoral degree is
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beyond the masters degree.
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The baccalaureate degree program generally requires 4 years of study in a college or university, after
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which the graduate may become a registered nurse, not a nurse practitioner.
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DIF: A REF: 8 OBJ: Knowledge TOP:
b b b b b b
NursingProcess: Assessment
b b b
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
b b b b b b b b b
4. Agroup that lobbies at the state and federal level for advancement of nursings role, economic
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interest, and health care is the:
b b b b b b
1 State Board of Nursing b b b
2 American NursesAssociation b b
3 American HospitalAssociation b b
4 National Student NursesAssociation b b b
ANS: 2 b
The American Nurses Association (ANA) hires lobbyists at the state and federal level to promote the
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advancement of health care and the economic and general welfare of nurses.
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State Boards of Nursing primarily focus on licensure of nurses within their own state. The
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American Hospital Association does not focus on nurses economic issues and the
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advancement of the role of nurses.
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The National Student Nurses Association focuses on issues of importance for nursing students.
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,DIF: AREF: 8 OBJ: Comprehension
b b b b b
TOP: Nursing Process: Assessment
b b b b
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
b b b b b b b b b
5. Anurse moves from Seattle to Boston and begins working in a hospital. The most important
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factor for the nurse to consider when moving to another state is the:
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1 Massachusetts Nurse PracticeAct b b b
2 Standard for nursing practice in Boston b b b b b
3 Clinical ladder of mobility in the new hospital b b b b b b b
4 Requirement for continuing education units (CEU) in Massachusetts b b b b b b bb
ANS: 1 b
Although most states have similar practice acts, each individual state has its own Nurse Practice Act
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that regulates the licensure and practice of nursing within that state. Knowledge of the Nurse Practice
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Act is necessary to provide safe and legal nursing care.
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Standards of nursing practice are not specific to a city, but rather to the profession itself. Although the
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clinical ladder of mobility may be of interest in regard to professional advancement, it is not the most
b b b b b b b b b b b b b b b b b b
important factor when practicing nursing in another state. Knowledge of the Nurse PracticeAct in
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order to provide safe and legal nursing care is of higher importance.
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Regardless of where a nurse practices, the nurse should strive to remain current. DIF:
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C REF: 8 OBJ: Analysis
b b b b b
TOP: Nursing Process: Assessment
b b b
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
b b b b b b b b b
6. A nurse is caring for a client who has chronic renal failure. The nurse states, We will do
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everything possible to return you to the optimum level of self-care possible. In coordinating an
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approach to best meet the needs of this client, the nurse is fulfilling the role of:
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1 Manager
2 Educator
3 Counselor
4 Communicator
ANS: 1 b
The nurse, in caring for this client, will coordinate the activities of other members of the health care
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team. This client may require the assistance of a nursing assistant to provide personal care until the
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client is less fatigued. Anutritionist may be necessary for diet evaluation, planning, and teaching. A
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nurse may provide education on the dialysis therapy and perform the skill necessary until the client is
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able to do so independently.
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, The nurse may include patient teaching in the clients care, but more is required to meet the needs of this
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client.
b
The nurse is not performing in the role of counselor.
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Clear communication will be necessary for the client to understand self-care measures regarding
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dialysis. The role of communicator does not, however, entirely meet the clients physical needs at this
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time.
b
DIF: AREF: 10 OBJ: Comprehension TOP:
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Nursing Process: Planning
b b b
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
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7. Nurses have the opportunity to work in a wide variety of health care agencies around the
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world. The practice setting where the majority of nurses continue to work is:
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1 Acute care b
2 Home care b
3 Long-term care b
4 Ambulatory care b
ANS: 1 b
Most nurses provide direct client care in the hospital setting.
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Although opportunities for providing patient care in the clients home are increasing, the majority of
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nurses are not employed in this setting.
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The majority of nurses do not work in nursing homes or extended care settings.
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Significantly fewer nurses work in an ambulatory care setting.
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DIF: A REF: 10 OBJ: Knowledge
b b b b b
TOP:NursingProcess: Assessment
b b b b
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care
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8. A client is receiving Dilantin to prevent seizure activity. To which allied health care professional
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should the nurse refer this client in order to minimize the challenges this condition creates?
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1 Physical therapist b
2 Physicians assistant b
3 Respiratory therapist b
4 Occupational therapist b
ANS: 4 b
An occupational therapist is a person who provides assessment and intervention to ameliorate physical
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and psychological deficits that interfere with the performance of activities and tasks of living, including
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ones employment.
b b
Aphysical therapist is responsible for the patients musculoskeletal system.Aphysical therapist may
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use exercises as an intervention to improve a clients mobility.
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