v
Fundamentals of Nursing 9th Edition
Chapterv01:vNursingvToday
Pottervetval.:vFundamentalsvofvNursing,v9thvEditionv MULTIP
LEvCHOICE
1. Whichvnursevmostvlikelyvkeptvrecordsvonvsanitationvtechniquesvandvtheveffectsvonvhealth?v
a. FlorencevNightingalev
v v
b. MaryvNuttingv
c. ClaravBartonv
v v
d. LillianvWaldv
ANS:vAv
Nightingalevwasvthevfirstvpracticingvnursevepidemiologist.vHervstatisticalvanalysesvconnectedvpoorv s
anitationvwithvcholeravandvdysentery.vMaryvNutting,vClaravBarton,vandvLillianvWaldvcamevafterv Night
ingale,veachvcontributingvtovthevnursingvprofessionvinvhervownvway.vMaryvNuttingvwasv instrumentalvi
nvmovingvnursingveducationvintovuniversities.vClaravBartonvfoundedvthevAmericanvRedv Cross.vLillia
nvWaldvhelpedvopenvthevHenryvStreetvSettlement.v
DIF:Understandv(comprehension)REF:5v
OBJ:vDiscussvthevinfluencevofvsocial,vhistorical,vpolitical,vandveconomicvchangesvonvnursingv practic
es.vTOP:vEvaluationvMSC:vHealthvPromotionvandvMaintenancev
2. Thevnursevprescribesvstrategiesvandvalternativesvtovattainvexpectedvoutcome.vWhichvstandardvofv
nursingvpracticevisvthevnursevfollowing?v
a. Assessmentv
v v
b. Diagnosisv
c. Planningv
v v
d. Implementationv
ANS:vCv
Invplanning,vthevregisteredvnursevdevelopsvavplanvthatvprescribesvstrategiesvandvalternativesvtovattain
v expectedvoutcomes.vDuringvassessment,vthevregisteredvnursevcollectsvcomprehensivevdatavpertine
ntv tovthevpatient’svhealthvand/orvthevsituation.vInvdiagnosis,vthevregisteredvnursevanalyzesvthevv asses
smentvdatavtovdeterminevthevdiagnosesvorvissues.vDuringvimplementation,vthevregisteredvnursev imple
mentsv(carriesvout)vthevidentifiedvplan.v
DIF:Understandv(comprehension)REF:2v
OBJ:vDiscussvthevdevelopmentvofvprofessionalvnursingvroles.vTOP:vPlanningv
,MSC:ManagementvofvCare
3. Anvexperiencedvmedical-
surgicalvnursevchoosesvtovworkvinvobstetrics.vWhichvlevelvofvproficiencyvisv thevnursevuponvinitialvtran
sitionvtovthevobstetricalvfloor?v
a. Novicev
b. Proficientv
c. Competentv
d. Advancedvbeginnerv
ANS:vAv
Avbeginningvnursingvstudentvorvanyvnurseventeringvavsituationvinvwhichvtherevisvnovpreviousvlevelvofv
experiencev(e.g.,vanvexperiencedvoperatingvroomvnursevchoosesvtovnowvpracticevinvhomevhealth)visvv
v anvexamplevofvavnovicevnurse.vAvproficientvnursevperceivesvavpatient’svclinicalvsituationvasvavwhole,vi
s v ablevtovassessvanventirevsituation,vandvcanvreadilyvtransfervknowledgevgainedvfromvmultiplevprevio
usv experiencesvtovavsituation.vAvcompetentvnursevunderstandsvthevorganizationvandvspecificvcarevv r
equiredvbyvthevtypevofvpatientsv(e.g.,vsurgical,voncology,vorvorthopedicvpatients).vThisvnursevisvav
competentvpractitionervwhovisvablevtovanticipatevnursingvcarevandvestablishvlong-
rangevgoals.vAvnursev whovhasvhadvsomevlevelvofvexperiencevwithvthevsituationvisvanvadvancedvbegin
ner.vThisvexperiencev mayvonlyvbevobservationalvinvnature,vbutvthevnursevisvablevtovidentifyvmeaningf
ulvaspectsvorvprinciplesv ofvnursingvcare.v
DIF:Applyv(application)REF:2v
OBJ:vDiscussvthevdevelopmentvofvprofessionalvnursingvroles.vTOP:vEvaluationv MSC:Manage
mentvofvCarev
4. Avnursevassessesvavpatient’svfluidvstatusvandvdecidesvthatvthevpatientvneedsvtovdrinkvmorevfluids.
v Thevnursevthenvencouragesvthevpatientvtovdrinkvmorevfluids.vWhichvconceptvisvthevnursev demonst
rating?v
a. Licensurev
b. Autonomyv
c. Certificationv
d. Accountabilityv
ANS:vBv
Autonomyvisvanvessentialvelementvofvprofessionalvnursingvthatvinvolvesvthevinitiationvofvindependentv
nursingvinterventionsvwithoutvmedicalvorders.vTovobtainvlicensurevinvthevUnitedvStates,vthevRNv candi
datevmustvpassvthevNCLEX-RN®.vBeyondvthevNCLEX-
RN®,vthevnursevmayvchoosevtovworkv towardvcertificationvinvavspecificvareavofvnursingvpractice.vAcco
untabilityvmeansvthatvyouvarev responsible,vprofessionallyvandvlegally,vforvthevtypevandvqualityvofvnurs
ingvcarevprovided.v
,DIF:Applyv(application)REF:3
OBJ:vDiscussvthevrolesvandvcareervopportunitiesvforvnurses.vTOP:vImplementationv MSC:Man
agementvofvCarev
5. Avnursevpreparesvthevbudgetvandvpoliciesvforvanvintensivevcarevunit.vWhichvrolevisvthevnurs
ev implementing?v
a. Educatorv
b. Managerv
c. Advocatev
d. Caregiverv
ANS:vBv
Avmanagervcoordinatesvthevactivitiesvofvmembersvofvthevnursingvstaffvinvdeliveringvnursingvcarevandv
hasvpersonnel,vpolicy,vandvbudgetaryvresponsibilityvforvavspecificvnursingvunitvorvfacility.vAsvanv educ
ator,vyouvexplainvconceptsvandvfactsvaboutvhealth,vdescribevthevreasonvforvroutinevcarevv v activities,v
demonstratevproceduresvsuchvasvself-
carevactivities,vreinforcevlearningvorvpatientvbehavior,v andvevaluatevthevpatient’svprogressvinvlearnin
g.vAsvavpatientvadvocate,vyouvprotectvyourvpatient’sv humanvandvlegalvrightsvandvprovidevassistancev
invassertingvthesevrightsvifvthevneedvarises.vAsvav caregiver,vyouvhelpvpatientsvmaintainvandvregainvh
ealth,vmanagevdiseasevandvsymptoms,vandvattainvv v avmaximalvlevelvfunctionvandvindependencevthro
ughvthevhealingvprocess.v
DIF:Applyv(application)REF:4v
OBJ:vDescribevthevrolesvandvcareervopportunitiesvforvnurses.vTOP:vImplementationv MSC:Ma
nagementvofvCarev
6. Thevnursevhasvbeenvworkingvinvthevclinicalvsettingvforvseveralvyearsvasvanvadvancedvpracticevv nur
se.vHowever,vthevnursevhasvavstrongvdesirevtovpursuevresearchvandvtheoryvdevelopment.vTovfulfillv th
isvdesire,vwhichvprogramvshouldvthevnursevattend?v
a. DoctorvofvNursingvSciencevdegreev(DNSc)v
b. DoctorvofvPhilosophyvdegreev(PhD)v
c. DoctorvofvNursingvPracticevdegreev(DNP)v
d. DoctorvinvthevSciencevofvNursingvdegreev(DSN)v
ANS:vBv
Somevdoctoralvprogramsvpreparevnursesvforvmorevrigorousvresearchvandvtheoryvdevelopmentvandv a
wardvthevresearch-
orientedvDoctorvofvPhilosophyv(PhD)vinvnursing.vProfessionalvdoctoralvprogramsvv invnursingv(DSNvo
rvDNSc)vpreparevgraduatesvtovapplyvresearchvfindingsvtovclinicalvnursing.vThevDNPv isvavpracticevdoc
toratevthatvpreparesvadvancedvpracticevnursesvsuchvasvnursevpractitioners.v
, DIF:Understandv(comprehension)REF:10
OBJ:vDescribeveducationalvprogramsvavailablevforvprofessionalvregisteredvnursev(RN)veducation.v T
OP:Teaching/LearningMSC:ManagementvofvCarev
7. AvnursevattendsvavworkshopvonvcurrentvnursingvissuesvprovidedvbyvthevAmericanvNurse
sv Association.vWhichvtypevofveducationvdidvthevnursevreceive?v
a. Graduateveducationv
b. Inserviceveducationv
c. Continuingveducationv
d. Registeredvnurseveducationv
ANS:vCv
Continuingveducationvinvolvesvformal,vorganizedveducationalvprogramsvofferedvbyvuniversities,v hos
pitals,vstatevnursesvassociations,vprofessionalvnursingvorganizations,vandveducationalvandvhealthv c
arevinstitutions.vAftervobtainingvavbaccalaureatevdegreevinvnursing,vyouvcanvpursuevgraduatev educat
ionvleadingvtovavmaster’svorvdoctoralvdegreevinvanyvnumbervofvgraduatevfields,vincludingv nursing.vIns
erviceveducationvprogramsvarevinstructionvorvtrainingvprovidedvbyvavhealthvcarevfacilityvorv institution.
vRegisteredvnurseveducationvisvtheveducationvpreparationvforvanvindividualvintendingvtovbev anvRN.v
DIF:Applyv(application)REF:10v
OBJ:vDescribeveducationalvprogramsvavailablevforvprofessionalvregisteredvnursev(RN)veducation.v T
OP:Teaching/LearningMSC:ManagementvofvCarev
8. Avnursevidentifiesvgapsvbetweenvlocalvandvbestvpractices.vWhichvQualityvandvSafetyvEducationvfor
v Nursesv(QSEN)vcompetencyvisvthevnursevdemonstrating?v
a. Safetyv
b. Patient-centeredvcare
c. Qualityvimprovementv
d. Teamworkvandvcollaboration
ANS:vCv
Qualityvimprovementvidentifiesvgapsvbetweenvlocalvandvbestvpractices.vSafetyvminimizesvriskvofvhar
mv tovpatientsvandvprovidersvthroughvbothvsystemveffectivenessvandvindividualvperformance.vPatient-
v centeredvcarevrecognizesvthevpatientvorvdesigneevasvthevsourcevofvcontrolvandvfullvpartnervinvv v prov
idingvcompassionatevandvcoordinatedvcarevbasedvonvrespectvforvpatient’svpreferences,vvalues,v andv
needs.vTeamworkvandvcollaborationvallowsveffectivevfunctioningvwithinvnursingvandv
Fundamentals of Nursing 9th Edition
Chapterv01:vNursingvToday
Pottervetval.:vFundamentalsvofvNursing,v9thvEditionv MULTIP
LEvCHOICE
1. Whichvnursevmostvlikelyvkeptvrecordsvonvsanitationvtechniquesvandvtheveffectsvonvhealth?v
a. FlorencevNightingalev
v v
b. MaryvNuttingv
c. ClaravBartonv
v v
d. LillianvWaldv
ANS:vAv
Nightingalevwasvthevfirstvpracticingvnursevepidemiologist.vHervstatisticalvanalysesvconnectedvpoorv s
anitationvwithvcholeravandvdysentery.vMaryvNutting,vClaravBarton,vandvLillianvWaldvcamevafterv Night
ingale,veachvcontributingvtovthevnursingvprofessionvinvhervownvway.vMaryvNuttingvwasv instrumentalvi
nvmovingvnursingveducationvintovuniversities.vClaravBartonvfoundedvthevAmericanvRedv Cross.vLillia
nvWaldvhelpedvopenvthevHenryvStreetvSettlement.v
DIF:Understandv(comprehension)REF:5v
OBJ:vDiscussvthevinfluencevofvsocial,vhistorical,vpolitical,vandveconomicvchangesvonvnursingv practic
es.vTOP:vEvaluationvMSC:vHealthvPromotionvandvMaintenancev
2. Thevnursevprescribesvstrategiesvandvalternativesvtovattainvexpectedvoutcome.vWhichvstandardvofv
nursingvpracticevisvthevnursevfollowing?v
a. Assessmentv
v v
b. Diagnosisv
c. Planningv
v v
d. Implementationv
ANS:vCv
Invplanning,vthevregisteredvnursevdevelopsvavplanvthatvprescribesvstrategiesvandvalternativesvtovattain
v expectedvoutcomes.vDuringvassessment,vthevregisteredvnursevcollectsvcomprehensivevdatavpertine
ntv tovthevpatient’svhealthvand/orvthevsituation.vInvdiagnosis,vthevregisteredvnursevanalyzesvthevv asses
smentvdatavtovdeterminevthevdiagnosesvorvissues.vDuringvimplementation,vthevregisteredvnursev imple
mentsv(carriesvout)vthevidentifiedvplan.v
DIF:Understandv(comprehension)REF:2v
OBJ:vDiscussvthevdevelopmentvofvprofessionalvnursingvroles.vTOP:vPlanningv
,MSC:ManagementvofvCare
3. Anvexperiencedvmedical-
surgicalvnursevchoosesvtovworkvinvobstetrics.vWhichvlevelvofvproficiencyvisv thevnursevuponvinitialvtran
sitionvtovthevobstetricalvfloor?v
a. Novicev
b. Proficientv
c. Competentv
d. Advancedvbeginnerv
ANS:vAv
Avbeginningvnursingvstudentvorvanyvnurseventeringvavsituationvinvwhichvtherevisvnovpreviousvlevelvofv
experiencev(e.g.,vanvexperiencedvoperatingvroomvnursevchoosesvtovnowvpracticevinvhomevhealth)visvv
v anvexamplevofvavnovicevnurse.vAvproficientvnursevperceivesvavpatient’svclinicalvsituationvasvavwhole,vi
s v ablevtovassessvanventirevsituation,vandvcanvreadilyvtransfervknowledgevgainedvfromvmultiplevprevio
usv experiencesvtovavsituation.vAvcompetentvnursevunderstandsvthevorganizationvandvspecificvcarevv r
equiredvbyvthevtypevofvpatientsv(e.g.,vsurgical,voncology,vorvorthopedicvpatients).vThisvnursevisvav
competentvpractitionervwhovisvablevtovanticipatevnursingvcarevandvestablishvlong-
rangevgoals.vAvnursev whovhasvhadvsomevlevelvofvexperiencevwithvthevsituationvisvanvadvancedvbegin
ner.vThisvexperiencev mayvonlyvbevobservationalvinvnature,vbutvthevnursevisvablevtovidentifyvmeaningf
ulvaspectsvorvprinciplesv ofvnursingvcare.v
DIF:Applyv(application)REF:2v
OBJ:vDiscussvthevdevelopmentvofvprofessionalvnursingvroles.vTOP:vEvaluationv MSC:Manage
mentvofvCarev
4. Avnursevassessesvavpatient’svfluidvstatusvandvdecidesvthatvthevpatientvneedsvtovdrinkvmorevfluids.
v Thevnursevthenvencouragesvthevpatientvtovdrinkvmorevfluids.vWhichvconceptvisvthevnursev demonst
rating?v
a. Licensurev
b. Autonomyv
c. Certificationv
d. Accountabilityv
ANS:vBv
Autonomyvisvanvessentialvelementvofvprofessionalvnursingvthatvinvolvesvthevinitiationvofvindependentv
nursingvinterventionsvwithoutvmedicalvorders.vTovobtainvlicensurevinvthevUnitedvStates,vthevRNv candi
datevmustvpassvthevNCLEX-RN®.vBeyondvthevNCLEX-
RN®,vthevnursevmayvchoosevtovworkv towardvcertificationvinvavspecificvareavofvnursingvpractice.vAcco
untabilityvmeansvthatvyouvarev responsible,vprofessionallyvandvlegally,vforvthevtypevandvqualityvofvnurs
ingvcarevprovided.v
,DIF:Applyv(application)REF:3
OBJ:vDiscussvthevrolesvandvcareervopportunitiesvforvnurses.vTOP:vImplementationv MSC:Man
agementvofvCarev
5. Avnursevpreparesvthevbudgetvandvpoliciesvforvanvintensivevcarevunit.vWhichvrolevisvthevnurs
ev implementing?v
a. Educatorv
b. Managerv
c. Advocatev
d. Caregiverv
ANS:vBv
Avmanagervcoordinatesvthevactivitiesvofvmembersvofvthevnursingvstaffvinvdeliveringvnursingvcarevandv
hasvpersonnel,vpolicy,vandvbudgetaryvresponsibilityvforvavspecificvnursingvunitvorvfacility.vAsvanv educ
ator,vyouvexplainvconceptsvandvfactsvaboutvhealth,vdescribevthevreasonvforvroutinevcarevv v activities,v
demonstratevproceduresvsuchvasvself-
carevactivities,vreinforcevlearningvorvpatientvbehavior,v andvevaluatevthevpatient’svprogressvinvlearnin
g.vAsvavpatientvadvocate,vyouvprotectvyourvpatient’sv humanvandvlegalvrightsvandvprovidevassistancev
invassertingvthesevrightsvifvthevneedvarises.vAsvav caregiver,vyouvhelpvpatientsvmaintainvandvregainvh
ealth,vmanagevdiseasevandvsymptoms,vandvattainvv v avmaximalvlevelvfunctionvandvindependencevthro
ughvthevhealingvprocess.v
DIF:Applyv(application)REF:4v
OBJ:vDescribevthevrolesvandvcareervopportunitiesvforvnurses.vTOP:vImplementationv MSC:Ma
nagementvofvCarev
6. Thevnursevhasvbeenvworkingvinvthevclinicalvsettingvforvseveralvyearsvasvanvadvancedvpracticevv nur
se.vHowever,vthevnursevhasvavstrongvdesirevtovpursuevresearchvandvtheoryvdevelopment.vTovfulfillv th
isvdesire,vwhichvprogramvshouldvthevnursevattend?v
a. DoctorvofvNursingvSciencevdegreev(DNSc)v
b. DoctorvofvPhilosophyvdegreev(PhD)v
c. DoctorvofvNursingvPracticevdegreev(DNP)v
d. DoctorvinvthevSciencevofvNursingvdegreev(DSN)v
ANS:vBv
Somevdoctoralvprogramsvpreparevnursesvforvmorevrigorousvresearchvandvtheoryvdevelopmentvandv a
wardvthevresearch-
orientedvDoctorvofvPhilosophyv(PhD)vinvnursing.vProfessionalvdoctoralvprogramsvv invnursingv(DSNvo
rvDNSc)vpreparevgraduatesvtovapplyvresearchvfindingsvtovclinicalvnursing.vThevDNPv isvavpracticevdoc
toratevthatvpreparesvadvancedvpracticevnursesvsuchvasvnursevpractitioners.v
, DIF:Understandv(comprehension)REF:10
OBJ:vDescribeveducationalvprogramsvavailablevforvprofessionalvregisteredvnursev(RN)veducation.v T
OP:Teaching/LearningMSC:ManagementvofvCarev
7. AvnursevattendsvavworkshopvonvcurrentvnursingvissuesvprovidedvbyvthevAmericanvNurse
sv Association.vWhichvtypevofveducationvdidvthevnursevreceive?v
a. Graduateveducationv
b. Inserviceveducationv
c. Continuingveducationv
d. Registeredvnurseveducationv
ANS:vCv
Continuingveducationvinvolvesvformal,vorganizedveducationalvprogramsvofferedvbyvuniversities,v hos
pitals,vstatevnursesvassociations,vprofessionalvnursingvorganizations,vandveducationalvandvhealthv c
arevinstitutions.vAftervobtainingvavbaccalaureatevdegreevinvnursing,vyouvcanvpursuevgraduatev educat
ionvleadingvtovavmaster’svorvdoctoralvdegreevinvanyvnumbervofvgraduatevfields,vincludingv nursing.vIns
erviceveducationvprogramsvarevinstructionvorvtrainingvprovidedvbyvavhealthvcarevfacilityvorv institution.
vRegisteredvnurseveducationvisvtheveducationvpreparationvforvanvindividualvintendingvtovbev anvRN.v
DIF:Applyv(application)REF:10v
OBJ:vDescribeveducationalvprogramsvavailablevforvprofessionalvregisteredvnursev(RN)veducation.v T
OP:Teaching/LearningMSC:ManagementvofvCarev
8. Avnursevidentifiesvgapsvbetweenvlocalvandvbestvpractices.vWhichvQualityvandvSafetyvEducationvfor
v Nursesv(QSEN)vcompetencyvisvthevnursevdemonstrating?v
a. Safetyv
b. Patient-centeredvcare
c. Qualityvimprovementv
d. Teamworkvandvcollaboration
ANS:vCv
Qualityvimprovementvidentifiesvgapsvbetweenvlocalvandvbestvpractices.vSafetyvminimizesvriskvofvhar
mv tovpatientsvandvprovidersvthroughvbothvsystemveffectivenessvandvindividualvperformance.vPatient-
v centeredvcarevrecognizesvthevpatientvorvdesigneevasvthevsourcevofvcontrolvandvfullvpartnervinvv v prov
idingvcompassionatevandvcoordinatedvcarevbasedvonvrespectvforvpatient’svpreferences,vvalues,v andv
needs.vTeamworkvandvcollaborationvallowsveffectivevfunctioningvwithinvnursingvandv
