Fundamentals of Nursing 12th Edition
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,Chapter vv01: vvNursing vvToday
Potter et al.: Fundamentals of Nursing, 12th Edition
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MULTIPLE CHOICE vv
1. Which nurse most likely kept records on sanitation techniques and the effects on health?
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a. Florence vvNightingale vv
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b. Mary vvNutting vv
c. Clara vvBarton vv
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d. Lillian vvWald vv
ANS: A vv vv
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected
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poor
vv sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald
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came after Nightingale, each contributing to the nursing profession in her own way. Mary
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Nutting was instrumental in moving nursing education into universities. Clara Barton founded
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the American Red Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand (comprehension)REF:5 vv vv
OBJ: Discuss the influence of social, historical, political, and economic changes on nursing
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v practices. TOP: Evaluation MSC: Health Promotion and Maintenance
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2. The nurse prescribes strategies and alternatives to attain expected outcome. Which
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standard of nursing practice is the nurse following?
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a. Assessment vv
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b. Diagnosis vv
c. Planning vv
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d. Implementation vv
ANS: C vv vv
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to
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attain expected outcomes. During assessment, the registered nurse collects comprehensive
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data pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse
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analyzes the
vv assessment data to determine the diagnoses or issues. During
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implementation, the registered nurse implements (carries out) the identified plan.
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DIF:Understand (comprehension)REF:2 vv vv
OBJ: Discuss the development of professional nursing roles. TOP: Planning
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,MSC:Management of Care vv vv
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which level of
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proficiency is
vv the nurse upon initial transition to the obstetrical floor?
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a. Novice vv
b. Proficient vv
c. Competent vv
d. Advanced vvbeginner vv
ANS: A vv vv
A beginning nursing student or any nurse entering a situation in which there is no previous
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level of experience (e.g., an experienced operating room nurse chooses to now practice in
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home health) is
vv vvan example of a novice nurse. A proficient nurse perceives a patient’s
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clinical situation as a whole, is
vv vv able to assess an entire situation, and can readily transfer
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knowledge gained from multiple previous experiences to a situation. A competent nurse
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understands the organization and specific care required by the type of patients (e.g.,
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surgical, oncology, or orthopedic patients). This nurse is a
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competent practitioner who is able to anticipate nursing care and establish long-range goals. A
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nurse who has had some level of experience with the situation is an advanced beginner.
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This experience may only be observational in nature, but the nurse is able to identify
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meaningful aspects or principles of nursing care.
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DIF:Apply (application)REF:2 vv vv
OBJ: Discuss the development of professional nursing roles. TOP: Evaluation
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v v MSC:Management of Care vv vv vv
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
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fluids.
vv The nurse then encourages the patient to drink more fluids. Which concept is the
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nurse demonstrating?
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a. Licensure vv
b. Autonomy vv
c. Certification vv
d. Accountability vv
ANS: B vv vv
Autonomy is an essential element of professional nursing that involves the initiation of
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independent
vv nursing interventions without medical orders. To obtain licensure in the United
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States, the RN
vv candidate must pass the NCLEX-RN®. Beyond the NCLEX-RN®, the nurse
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may choose to work toward certification in a specific area of nursing practice. Accountability
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means that you are responsible, professionally and legally, for the type and quality of
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nursing care provided.
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, DIF:Apply (application)REF:3 vv
OBJ: Discuss the roles and career opportunities for nurses. TOP: Implementation
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v v MSC:Management of Care vv vv vv
5. A nurse prepares the budget and policies for an intensive care unit. Which role is
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the nurse implementing?
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a. Educator vv
b. Manager vv
c. Advocate vv
d. Caregiver vv
ANS: B vv vv
A manager coordinates the activities of members of the nursing staff in delivering nursing
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care and
vv has personnel, policy, and budgetary responsibility for a specific nursing unit or
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facility. As an
vv educator, you explain concepts and facts about health, describe the reason
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for routine care
vv vv activities, demonstrate procedures such as self-care activities, reinforce
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learning or patient behavior,
vv vvand evaluate the patient’s progress in learning. As a patient
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advocate, you protect your patient’s
vv vv human and legal rights and provide assistance in
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asserting these rights if the need arises. As a caregiver, you help patients maintain and
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regain health, manage disease and symptoms, and attain
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independence through the healing process.
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DIF:Apply (application)REF:4 vv vv
OBJ: Describe the roles and career opportunities for nurses. TOP: Implementation
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v v MSC:Management of Care vv vv vv
6. The nurse has been working in the clinical setting for several years as an advanced
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practice
vv nurse. However, the nurse has a strong desire to pursue research and theory
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development. To fulfill this desire, which program should the nurse attend?
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a. Doctor vvof vvNursing vvScience vvdegree vv(DNSc) vv
b. Doctor vvof vvPhilosophy vvdegree vv(PhD) vv
c. Doctor vvof vvNursing vvPractice vvdegree vv(DNP) vv
d. Doctor vvin vvthe vvScience vvof vvNursing vvdegree vv(DSN) vv
ANS: B vv vv
Some doctoral programs prepare nurses for more rigorous research and theory development
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and award the research-oriented Doctor of Philosophy (PhD) in nursing. Professional
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doctoral programs
vv in nursing (DSN or DNSc) prepare graduates to apply research
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findings to clinical nursing. The DNP is a practice doctorate that prepares advanced
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practice nurses such as nurse practitioners.
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