d d d d d dd
nd Caring 3rd Edition TreasWilkinson Test Bank
d d d d d d d
,Chapterd1d Evolutiond ofdNursingd Thoughtd &dAction
Multipled Choice
Identifyd thedchoiced thatd bestd completesd thed statementd ord answersd thed question.
1. Whatdisdthedmostdinfluentialdfactordthatdhasdshapeddthednursingdp
rofession?d1)
Physiciansdneeddfordhandmaidensd
2)
Societaldneeddfordhealthcaredoutsidedthedhomed
3)
Militaryddemanddfordnursesdindthedfieldd4)d
GermdtheorydinfluencedondsanitationdANS
: d3
Throughoutdthedcenturies,dstabilitydofdthedgovernmentdhasdbeendrelateddtodthedsuccessdofdthed
militarydtodprotectdordextendditsddomain.dAsdthedsurvivaldanddwell-
beingdofdsoldiersdisd critical,dnursesdprovideddhealthcaredtodthedsickdanddinjureddatdthedbattledsi
te.dThedphysiciansdhandmaidend was/isd ad nursingd stereotyped ratherd thand and influenced ond nu
rsing.dAlthoughdtheredhasdbeendneeddfordhealthcaredoutsidedthedhomedthroughoutdhistory,dthis
dhasdmoredinfluencedondtheddevelopmentdofdhospitalsdthandondnursing;dthisdneeddprovideddone
dmoredsettingdfordnursingdwork.dGermdtheorydanddsanitationdhelpeddtodimprovedhealthcaredbut
ddiddnotdshapednursing.
PTS:d1dDIF:dModeratedREF:ddmd910dKEY:dNursingdprocess:dN/AdClientdneed:dN/Ad|dCogniti
vedlevel:dRecall
2. Whichdofdthedfollowingdisdandexampledofdandillnessdpreventiondactivity?dSelectdal
ldthatdapply.
1)
Encouragingdthedusedofdadfoodddiaryd
2)
Joiningdadcancerdsupportdgroupd
3)
AdministeringdimmunizationdfordHPVd4
)
TeachingdaddiabeticdpatientdaboutdhisddietdAN
S:d3
AdministeringdimmunizationdfordHPVdisdandexampledofdillnessdprevention.dAlthoughdcancerdi
sdaddisease,ditdisdassumeddthatdadpersondjoiningdadsupportdgroupdwoulddalreadydhavedtheddiseas
e;dtherefore,dthisdisdnotddiseasedpreventiondbutdtreatment.dIllness-
preventiondactivitiesdfocusd ond avoidingdad specificd disease.dAdfoodd diarydisd ad health-
promotiondactivity.dTeachingdad diabeticd patientdaboutd dietd isdad treatmentd ford diabetes;d thed pat
ientdalreadydhasd diabetes,d soditdcannotdpreventddiabetes.
PTS:d1dDIF:dModeratedREF:dp.d18;dhigh-
leveldquestion,dnotddirectlydstateddindtextdKEY:dNursingdprocess:dN/Ad|dClientdneed:dHPMd|dCog
nitivedlevel:dApplication
3. WhichdofdthedfollowingdcontributionsdofdFlorencedNightingaledhaddandi
mmediatedimpactdondimprovingdpatientsdhealth?
1)
Providingdadcleandenvironmentd
2)
,Improvingdnursingdeducationd
3)
Changingdtheddeliverydofdcaredindhospitalsd4
)
EstablishingdnursingdasdaddistinctdprofessiondA
NS:d1
Improveddsanitationd(adcleandenvironment)dgreatlydanddimmediatelydreduceddthedratedofdin
fectiondanddmortalitydindhospitals.dThedotherdresponsesdaredalldactivitiesdofdFlorencedNighti
ngaledthatdimproveddhealthcaredordnursing,dbutdthedimpactdisdlongdrange,dnotdimmediate.
PTS:d1dDIF:dEasydREF:dV1,dp.d3;dstudentdmustdinferdfromdcontentd|dV1,dp.d10;dstudentdmust
dinferdfromdcontent
KEY:dNursingdprocess:d N/Ad|dClientd need:d SECEd |dCognitived level:dApplication
4. Alldofdthedfollowingdaredaspectsdofdthedfull-
spectrumdnursingdrole.dWhichdonedisdessentialdfordthednursedtoddodindorderdtodsuccessfullyd
carrydoutdalldthedothers?
1)
Thinkingdanddreasoningdaboutdthedclientsdcared
2)
Providingdhands-
ondclientdcared3)
Carryingdoutdphysiciandordersd4
)
Delegatingdtodassistivedpersonneld
ANS:d1
Adsubstantialdportiondofdthednursingdroledinvolvesdusingdclinicaldjudgment,dcriticaldthinking
,danddproblemdsolving,dwhichddirectlydaffectdthedcaredthedclientdwilldactuallydreceive.dProvi
dingdhands-
ondcaredisdimportant;dhowever,dclinicaldjudgment,dcriticaldthinking,danddproblemdsolvingdar
edessentialdtoddoditdsuccessfully.dCarryingdoutdphysiciandordersdisdadsmalldpartdofdadnursesdro
le;dit,dtoo,drequiresdnursingdassessment,dplanning,dintervention,danddevaluation.dManydsimp
lednursingdtasksdaredbeingddelegateddtodnursingdassistivedpersonnel;ddelegationdrequiresdcar
efuldanalysisdofdpatientdstatusdanddthedappropriatenessdofdsupportdpersonneldtoddeliverdcare.d
Anotherdwaydtodanalyzedthisd questiondisdthatdnonedofdthedoptionsdofdprovidingdhands-
ondcare,dcarryingdoutdphysiciandorders,dandddelegatingdtodassistivedpersonneldisdrequireddfor
dthednursedtodthinkdanddreasondaboutdadclientsdcare;dsodthedanswerdmustdbed1.
PTS:1DIFifficultREF:dp.d11
KEY:dNursingdprocess:d N/Ad|dClientd need:d N/Ad|dCognitived level:dAnalysis
5. Whichd statementd pertainingd tod Bennersd practiced modeld ford clinicald competence
isdtrue?
d1)
Progressiondthroughd thed stagesd isdconstant,d withdmostd nursesd reachingdthed proficientd stage.
2)
Progressiondthroughdthedstagesdinvolvesdcontinualddevelopmentdofdthinkingdanddtechnicaldskills
.
3)
Thednursedmustdhavedexperiencedindmanydareasdbeforedbeingdconsidereddandexpert.d
4)
Thednursesdprogressdthroughdthedstagesdisddetermineddbydyearsdofdexperiencedanddskills.dANS
: d2
Movementd throughd thed stagesd isdnotd constant.d Bennersd modeld isd basedd ondintegrationd of
, knowledge,dtechnicaldskill,danddintuitiondindtheddevelopmentdofdclinicaldwisdom.dThedmode
lddoesdnotdmentiondexperiencedindmanydareas.dThedmodelddoesdnotdmentiondyearsdofdexperi
ence.
PTS:1DIF:ModerateREF:p.d15
KEY:dNursingdprocess:d N/Ad|dClientd need:d N/Ad|dCognitived level:d Recall
6. Whichdofdthedfollowingdbestdexplainsdwhyditdisddifficultdfordthedprofessiondt
oddevelopdaddefinitiondofdnursing?
1)
Theredaredtoodmanyddifferentdanddconflictingdimagesdofdnurses.d
2)
Theredaredconstantdchangesdindhealthcaredanddthedactivitiesdofdnurses.d3)
Theredisddisagreementdamongdtheddifferentdnursingdorganizations.d
4)
Theredareddifferentdeducationdpathwaysdanddlevelsdofdpractice.d
ANS:d2
Thedconflictingdimagesdofdnursingdmakeditdmoredimportantdtoddevelopdaddefinition;dtheydma
ydalsodmakeditdmoreddifficult,dbutdnotdtodthedextentdthatdconstantdchangeddoes.
Healthcaredisdconstantlydchangingdanddwithditdcomedchangesdindwhere,dhow,danddwhatdnurs
ingdcaredisddelivered.dConstantdchangesdmakeditddifficultdtoddevelopdaddefinition.dAlthoughd
differentdnursingdorganizationsdhaveddifferentddefinitions,dtheydaredsimilardindmostdways.dT
heddifferentdeducationdpathwaysdaffectdentrydintodpractice,dnotdtheddefinitiondofdnursing.
PTS:d1dDIF:dModeratedREF:d p.d11;dHowdIsdNursingd Defined?
KEY:dNursingdprocess:d N/Ad|dClientd need:d N/Ad|dCognitived level:dAnalysis
7. Nursesdhavedthedpotentialdtodbedverydinfluentialdindshapingdhealthcaredp
olicy.dWhichdofdthedfollowingdfactorsdcontributesdmostdtodnursesdinfluence?
1)
Nursesdaredthedlargestdhealthdprofessionaldgroup.d2
)
Nursesdhavedadlongdhistorydofdservingdthedpublic.d
3)
Nursesdhavedachieveddsomedindependencedfromdphysiciansdindrecentdyears.d4
)
Politicaldinvolvementdhasdhelpeddrefutednegativedimagesdportrayeddindthedmedia.dA
NS:d1
Nursesdaredtrusteddprofessionalsdanddthedlargestdhealthdprofessionaldgroup.dAsdsuch,dtheyd
havedpoliticaldpowerdtodeffectdchanges.dIfdnursingdweredadsmalldgroup,dtheredwoulddbedlittl
edpotentialdfordpowerdindshapingdpolicies,devendifdalldthedotherdanswersdweredtrue.
Servingdthedpublic,dwhiledpositive,ddoesdnotdnecessarilydhelpdnursesdtodbedinfluentialdindestabl
ishingdhealthdpolicy.dIndependencedfromdphysicians,dalthoughdpositive,ddoesdnotdnecessarilyd
makednursesdinfluentialdindestablishingdhealthcaredpolicy.dRefutingdnegativedmedia,dalthough
dpositive,ddoesdnotdnecessarilydmakednursesdinfluentialdindestablishingdhealthcaredpolicy.
PTS:d1dDIF:dModeratedREF:dp.d21
KEY:d Nursingdprocess:d N/Ad|dClientd need:d N/Ad|dCognitived level:dAnalysis
8. Nursingdwasddescribeddasdaddistinctdoccupationdindthedsacreddbooksdofd
whichdfaith?
1)