n n n n n n n n
Chaptern1.nNursingnTodayn
MULTIPLEnCHOICE
1. Contemporarynnursingnpracticenisnbasednonnknowledgengeneratednthroughnnursingntheories.n
FlorencenNightingalesntheorynintroducednthenconceptnthatnnursingncarenfocusesnon:
1 Psychological needs n
2 A maximal level of wellness
n n n n
3 Health maintenance and restoration
n n n
4 Interpersonal interactions with the client
n n n n
ANS:n3
FlorencenNightingalenbelievednthenrolenofnthennursenwasntonputnthenclientsnbodyninnthenbestnstateninnor
derntonremainnfreenofndiseasenorntonrecovernfromndisease.
AlthoughnFlorencenNightingalenmaynhavenaddressednmeetingnthenpsychologicalnneedsnofnhernclien
ts,nitnisnnotnthenfocusnofnherntheory.nThengoalnofnNightingalesntheorynisntonfacilitatenthenbodysnreparat
ivenprocessesnbynmanipulatingnthenclientsnenvironment.
FlorencenNightingalenthoughtnthenhumannbodynhadnreparativenpropertiesnofnitsnownnifnitnwasncarednf
orninnanwayntonrecovernfromndisease.nHerntheoryndidnnotnfocusnonnachievingnanmaximalnlevelnofnwell
ness.
FlorencenNightingalenbelievednthennursenwasninnchargenofnthenclientsnhealth.nAlthoughnshenint
eractednwithnhernclientsnbynreadingntonthem,nherntheorynofnnursingncarendidnnotnfocusnuponninte
rpersonalninteractions.
DIF:nAnREF:n2nOBJ:nKnowledgenTO
P:nNursingnProcess:nAssessment
MSC:nNCLEXntestnplanndesignation:nSafe,nEffectivenCarenEnvironment/CoordinatednCare
2. NursingneducationnprogramsninnthenUnitednStatesnmaynseeknvoluntarynaccreditationnbynthena
ppropriatenaccreditingncommissionncouncilnofnthe:
1 National League for Nursing
n n n
2 American Nurses Association
n n
3 Congress for Nursing Practice
n n n
4 International Council of Nurses
n n n
ANS:n1
ThenNationalnLeaguenfornNursingn(NLN)nisnthenprofessionalnnursingnorganizationnconcernednwithnnur
singneducation.nThenNLNnprovidesnaccreditationntonnursingnprogramsnthatnseeknandnmeetnthenNLNna
ccreditationnrequirements.
ThenAmericannNursesnAssociationn(ANA)nisnconcernednwithnthennursingnprofessionnandnissuesna
ffectingnhealthncare,nincludingnstandardsnofncare.
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,ThenCongressnfornNursingnPracticenisnthenpartnofnthenANAnconcernednwithndeterminingnthenlegalna
spectsnofnnursingnpractice,nthenpublicnrecognitionnofnthenimportancenofnnursing,nandnthenimpactnofn
trendsninnhealthncarenonnnursingnpractice.
ThenInternationalnCouncilnofnNursesn(ICN)nisnconcernednaboutnissuesnofnhealthncarenandnthenn
ursingnprofession,nincludingnthenprovisionnofnanninternationalnpowernbasenfornnurses.
DIF:nAnREF:n8nOBJ:nKnowledgenTO
P:nNursingnProcess:nAssessment
MSC:nNCLEXntestnplanndesignation:nSafe,nEffectivenCarenEnvironment/CoordinatednCare
3. Thenminimumneducationalnrequirementnfornannursenpractitionernis:
1 Diploma in nursing
n n
2 Masters in nursing
n n
3 Doctorate in nursing
n n
4 Baccalaureate in nursing n n
ANS:n2
Anmastersndegreenisnnursingnisnrequiredntonbecomenannursenpractitioner.
Diplomanprogramsninnnursingnrequiren3nyearsnofneducationnafternwhichnthengraduatenmaynbecomenan
registerednnurse,nbutnnotnannursenpractitioner.
Doctoralnprogramsnfocusnonnthenapplicationnofnresearchnfindingsntonclinicalnpractice.nThendoctoralnd
egreenisnbeyondnthenmastersndegree.
Thenbaccalaureatendegreenprogramngenerallynrequiresn4nyearsnofnstudyninnancollegenornuniversity,na
fternwhichnthengraduatenmaynbecomenanregisterednnurse,nnotnannursenpractitioner.
DIF:nAnREF:n8nOBJ:nKnowledgenTO
P:nNursingnProcess:nAssessment
MSC:nNCLEXntestnplanndesignation:nSafe,nEffectivenCarenEnvironment/CoordinatednCare
4. Angroupnthatnlobbiesnatnthenstatenandnfederalnlevelnfornadvancementnofnnursingsnrole,neconomicni
nterest,nandnhealthncarenisnthe:
1 State Board of Nursing
n n n
2 American Nurses Association
n n
3 American Hospital Association
n n
4 National Student Nurses Association
n n n
ANS:n2
ThenAmericannNursesnAssociationn(ANA)nhiresnlobbyistsnatnthenstatenandnfederalnlevelntonpromotent
henadvancementnofnhealthncarenandntheneconomicnandngeneralnwelfarenofnnurses.
StatenBoardsnofnNursingnprimarilynfocusnonnlicensurenofnnursesnwithinntheirnownnstate.n
ThenAmericannHospitalnAssociationndoesnnotnfocusnonnnursesneconomicnissuesnandnthena
dvancementnofnthenrolenofnnurses.
ThenNationalnStudentnNursesnAssociationnfocusesnonnissuesnofnimportancenfornnursingnstudents.
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, DIF:nAnREF:n8nOBJ:nComprehensionn
TOP:nNursingnProcess:nAssessment
MSC:nNCLEXntestnplanndesignation:nSafe,nEffectivenCarenEnvironment/CoordinatednCare
5. AnnursenmovesnfromnSeattlentonBostonnandnbeginsnworkingninnanhospital.nThenmostnimportantnf
actornfornthennursentonconsidernwhennmovingntonanothernstatenisnthe:
1 Massachusetts Nurse Practice Act
n n n
2 Standard for nursing practice in Boston
n n n n n
3 Clinical ladder of mobility in the new hospital
n n n n n n n
4 Requirement for continuing education units (CEU) in Massachuset
n n n n n n n
ts
ANS:n1
Althoughnmostnstatesnhavensimilarnpracticenacts,neachnindividualnstatenhasnitsnownnNursenPracticenA
ctnthatnregulatesnthenlicensurenandnpracticenofnnursingnwithinnthatnstate.nKnowledgenofnthenNursenPra
cticenActnisnnecessaryntonprovidensafenandnlegalnnursingncare.
Standardsnofnnursingnpracticenarennotnspecificntonancity,nbutnratherntonthenprofessionnitself.nAlthoug
hnthenclinicalnladdernofnmobilitynmaynbenofninterestninnregardntonprofessionalnadvancement,nitnisnnot
nthenmostnimportantnfactornwhennpracticingnnursingninnanothernstate.nKnowledgenofnthenNursenPrac
ticenActninnorderntonprovidensafenandnlegalnnursingncarenisnofnhighernimportance.
Regardlessnofnwherenannursenpractices,nthennursenshouldnstriventonremainncurrent.n
DIF:nCnREF:n8nOBJ:nAnalysis
TOP:nNursingnProcess:nAssessment
MSC:nNCLEXntestnplanndesignation:nSafe,nEffectivenCarenEnvironment/CoordinatednCare
6. Annursenisncaringnfornanclientnwhonhasnchronicnrenalnfailure.nThennursenstates,nWenwillndonevery
thingnpossiblentonreturnnyountonthenoptimumnlevelnofnself-
carenpossible.nInncoordinatingnannapproachntonbestnmeetnthenneedsnofnthisnclient,nthennursenisnfulfil
lingnthenrolenof:
1 Manager
2 Educator
3 Counselor
4 Communicator
ANS:n1
Thennurse,ninncaringnfornthisnclient,nwillncoordinatenthenactivitiesnofnothernmembersnofnthenhealthncar
enteam.nThisnclientnmaynrequirenthenassistancenofnannursingnassistantntonprovidenpersonalncarenuntilnt
henclientnisnlessnfatigued.nAnnutritionistnmaynbennecessarynforndietnevaluation,nplanning,nandnteachin
g.nAnnursenmaynprovideneducationnonnthendialysisntherapynandnperformnthenskillnnecessarynuntilnthen
clientnisnablentondonsonindependently.
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