TODAY'S WORLD TRENDS, ISSUES,
AND MANAGEMENT 12TH EDITION
BY AMY J. BUCKWAY, HOLLI
SOWERBY
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Chapter 1 Exploring the Growth of Nursing as a Profession
Multiple Choice
1. Which of the following statements most accurately describes the practice of medicine in
Greece from 800 BC to 300 BC?
A) Greek culture stressed natural causes for disease, a patient-centered approach, and the
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necessity of accurate observations and record keeping.
B) Greek culture borrowed medical practices from the countries it conquered, and physicians
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were often slaves.
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C) Major and minor surgery, childrens diseases, and diseases of the nervous and urinary systems
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were described in Greek culture.
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D) Medicine men (known first as shamans and later as priests) were responsible for curing ills of
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body and mind.
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Ans: A
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Client Needs: B
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Cognitive Level: Comprehension
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Difficulty: Moderate
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Integrated Process: Nursing Process
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Objective: 1
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dm and Header: 4, Table 1.1
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Feedback: Hippocrates, born about 400 BC, was a Greek citizen who became known as the
Father of Modern Medicine. He emphasized natural causes for disease, a patient-centered
approach, and the necessity of accurate observations and record keeping. These priorities
influenced the practice of medicine both in Greece and beyond. Persia was known to utilize
slaves as physicians, and Rome borrowed medical practices from the countries it conquered.
Ancient India emphasized hygiene and prevention of sickness and described major and minor
surgery, childrens diseases, and diseases of the nervous and urinary systems. Medicine men were
characteristic of the Mayan and Aztec civilizations.
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2. Florence Nightingale fostered the development of nursing as a profession. What was the basis
of her nursing theory?
A) The nurses role is to assist individuals (sick or well) to carry out those activities that they
would perform unaided if they had the necessary strength, will, or knowledge.
B) The goal of nursing is to put the patient in the best condition for nature to act upon him,
primarily by altering the environment.
C) The focus of nursing is the spiritual subjective aspects of both the nurse and the patient and
the caring moment relating to the time when the nurse and the patient first come together.
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D) The focus of nursing is the care of human beings who are viewed as open systems in constant
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interaction with their environments.
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Ans: B
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Client Needs: A-1
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Cognitive Level: Analysis st
Difficulty: Difficult
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Integrated Process: Nursing Process
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Objective: 2
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dm and Header: 21, Early Definitions of Nursing
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Feedback: Florence Nightingale, in her Notes on Nursing: What It Is and What It Is Not,
described the nurses role as one that would put the patient in the best condition for nature to act
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upon him (Nightingale, 1954, p. 133), a definition that often is quoted today. This action was
prioritized over physically assisting the patient. Watson emphasized the spiritual subjective
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aspects of the nurse and the patient, and the open systems concept is central to Kings theory of
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nursing.
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3. Which one of the following statements accurately describes an element of the process of
providing a definition of nursing?
A) Researchers can pinpoint the period in history when nursing first evolved.
B) Nurses agree on a single definition of nursing, partly because of the history of nursing.
C) There is an obvious distinction between nursing and medicine.
D) Nursing theorists developed definitions of nursing consistent with their conceptual
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frameworks.
Ans: D
Client Needs: A-1
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 7, 8
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dm and Header: 23, Influences on the Definition of Nursing
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Feedback: As nursing has grown into a true profession, many nursing theorists have developed
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definitions of nursing consistent with their conceptual frameworks; these frameworks provide the
foundation for any given definition of nursing. The historical emergence of nursing did not take
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place at one particular time, and there are multiple definitions of nursing. While nursing and
medicine indeed differ, the distinctions between the two professions are not always clear.
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4. A nurse wishes to document nursing actions using a standardized language. Which of the
following systems might the nurse use?
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A) NANDA International (NANDA-I)
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B) Nursing Outcomes Classification (NOC)
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C) Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS)
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D) Nursing Interventions Classification (NIC)
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Ans: D
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Client Needs: A-1
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Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 12
dm and Header: 40, Nursing Interventions Classification
Feedback: Started in 1996 at the University of Iowa, the Nursing Interventions Classification