Davis Advantage Basic Nursing: Thinking, Doing, and Caring 3rd
Edition Treas Wilkinson Test Bank
Chapter 1 Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that 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: dm 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
Movement through the stages is not constant. Benners model is based on integration of
Edition Treas Wilkinson Test Bank
Chapter 1 Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that 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: dm 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
Movement through the stages is not constant. Benners model is based on integration of
