Fundamentals of Nursing
Active Learning for Collaborative Practice
3rd Edition
By
Barbara. L.. Yoost,. Lynne. R.. Crawford
,Chapter.01:.Nursing,.Theory,.and.Professional.Practice
Yoost.&.Crawford:.Fundamentals.of.Nursing:.Active.Learning.for.Collaborative.Practice,.
3rd.Edition
MULTIPLE.CHOICE
1. A.group.of.nursing.students.are.discussing.the.impact.of.nonnursing.theories.in.clinical.practi
ce..The.students.would.be.correct.if.they.chose.which.theory.to.prioritize.patient.care?
a. Erikson‗s.Psychosocial. Theory
b. Paul‗s.Critical-Thinking.Theory
c. Maslow‗s.Hierarchy.of.Needs
d. Rosenstock‗s.Health.Belief.Model
ANS;. C
Maslow‗s.hierarchy.of.needs.specifies.the.psychological.and.physiologic.factors.that.affect.each
.person‗s.physical.and.mental.health..The.nurse‗s.understanding.of.these.factors.helps.with.form
ulating.Nursing.diagnoses.that.address.the.patient‗s.needs.and.values.to.prioritize.care..Erikson‗
s.Psychosocial.Theory.of.Development.and.Socialization.is.based.on.individuals‗.interacting.an
d.learning.about.their.world..Nurses.use.concepts.of.developmental.theory.to.critically.think.in.pr
oviding.care.for.their.patients.at.various.stages.of.their.lives.
Rosenstock.(1974).developed.the.psychological.Health.Belief.Model..The.model.addresses.possib
le.reasons.for.why.a.patient.may.not.comply.with.recommended.health.promotion.behaviors..Thi
s.model.is.especially.useful.to.nurses.as.they.educate.patients.
DIF: Remembering OBJ:. . 1.5 TOP:. Planning
MSC:.NCLEX.Client.Needs.C N
a .t.e g R
o .r.y : IS.a.f.G
e. a.n.B .C M
d. Effective . Care.Environment:.Management.of.Care.NOT:. C
U
oncepts:.Care.Coordinati on
2. A.nursing.student.is.preparing.study.notes.from.a.recent.lecture.in.nursing.history..The.stu
dent.would.credit.Florence.Nightingale.for.which.definition.of.nursing?
a. The.imbalance.between.the.patient.and.the.environment.decreases.the.capacity.for.he
alth.
b. The.nurse.needs.to.focus.on.interpersonal.processes.between.nurse.and.patient.
c. The.nurse.assists.the.patient.with.essential.functions.toward.independence.
d. Human.beings.are.interacting.in.continuous.motion.as.energy.fields.
ANS;. A
Florence.Nightingale‗s.(1860).concept.of.the.environment.emphasized.prevention.and.clean.air,.
water,.and.housing..This.theory.states.that.the.imbalance.between.the.patient.and.the.environme
nt.decreases.the.capacity.for.health.and.does.not.allow.for.conservation.of.energy..Hildegard.Pepl
au.(1952).focused.on.the.roles.played.by.the.nurse.and.the.interpersonal.process.between.a.nurse.
and.a.patient..Virginia.Henderson.described.the.nurse‗s.role.as.substitutive.(doing.for.the.person
),.supplementary.(helping.the.person),.or.complementary.(working.with.the.person),.with.the.go
al.of.independence.for.the.patient..Martha.Rogers.(1970).developed.the.Science.of.Unitary.Hum
an.Beings..She.stated.that.human.beings.and.their.environments.are.interacting.in.continuous.mo
tion.as.infinite.energy.fields.
DIF: Understanding OBJ:. 1.4
TOP:.Planning.MSC:. NCLEX.Client.Needs.Category:.Health.Promotion.a
nd.Maintenance.NOT:.Concepts:.Health.Promotion
,3. The.nurse.identifies.which.nurse.established.the.American.Red.Cross.during.the.Civil.War?
a. Dorothea.Dix
b. Linda.Richards
c. Lena.Higbee
d. Clara.Barton
ANS;. D
Clara.Barton.practiced.nursing.in.the.Civil.War.and.established.the.American.Red.Cross..Doroth
ea.Dix.was.the.head.of.the.U.S..Sanitary.Commission,.which.was.a.forerunner.of.the.Army.Nurse.
Corps..Linda.Richards.was.America‗s.first.trained.nurse,.graduating.from.Boston‗s.Women‗s.H
ospital.in.1873,.and.Lena.Higbee,.superintendent.of.the.U.S..Navy.Nurse.Corps,.was.awarded.th
e.Navy.Cross.in.1918.
DIF: Remembering OBJ:. 1.3
TOP:.Assessment.MSC:. NCLEX.Client.Needs.Category:.Health.Promotion.a
nd.Maintenance
NOT:.Concepts:.Professionalism
4. The.nursing.instructor.is.researching.the.five.proficiencies.regarded.as.essential.for.students.an
d.professionals..The.nursing.instructor.identifies.which.organization.would.be.found.to.have.
added.safety.as.a.sixth.competency?
a. Quality.and.Safety.Education.for.Nurses.(QSEN)
b. Institute.of.Medicine.(IOM)
c. American.Association.of.Colleges.of.Nursing.(AACN)
d. National.League.for.Nursing.(NLN)
ANS;. A
The.Institute.of.Medicine.r e pNo.r.t.,RH.e I
ive.core.competencies..These.include Ua .l.t h.Gpatient-centered
P.r.oBf.e.s.sCi.o n Ms . Education:.A.Bridge.to.Quality.(2003),.outlines.f
.care,.interdisciplinary
teamwork,.use.of.evidence-
based.medicine,.quality.improvement,.and.use.of.information.technology..QSEN.added.safety.as.
a.sixth.competency..The.Essentials.of.Baccalaureate.Education.for.Professional.Nursing.Practic
e.are.provided.and.updated.by.the.American.Association.of.Colleges.of.Nursing.(AACN).(2008)..
The.document.offers.a.framework.for.the.education.of.professional.nurses.with.outcomes.for.stud
ents.to.meet..The.National.League.for.Nursing.(NLN).outlines.and.updates.competencies.for.prac
tical,.associate,.baccalaureate,.and.graduate.nursing.education.programs.
DIF: Remembering OBJ:. . 1.1 TOP:. Planning
MSC:.NCLEX.Client.Needs.Category:.Safe.and.Effective.Care.Environment:.Management.of.Care.NOT:.
Concepts:.Care.Coordination
5. The.nurse.manager.is.interviewing.graduate.nurses.to.fill.existing.staffing.vacancies..When.hi
ring.graduate.nurses,.the.nurse.manager.realizes.that.they.will.probably.not.be.considered
―competentǁ.until.they.complete.which.task?
a. They.graduate.and.pass.NCLEX.
b. They.have.worked.2.to.3.years.
c. Their.last.year.of.nursing.school.
d. They.are.actually.hired.
ANS;. B
, DIF: Remembering OBJ:. . 1.1 TOP:. Assessment
MSC:. NCLEX.Client.Needs.Category:.Safe.and.Effective.Care.Environment:.Management.of.Care.NOT:.
Concepts:.Care.Coordination
8. The.nurse.is.caring.for.a.patient.who.refuses.two.units.of.packed.red.blood.cells..When.the.nur
se.notifies.the.health.care.provider.of.the.patient‘s.decision,.the.nurse.is.acting.in.which.role?
a. Manager
b. Change.agent
c. Advocate
d. Educator
ANS;. C
As.the.patient‘s.advocate,.the.nurse.interprets.information.and.provides.the.necessary.educatio
n..The.nurse.then.accepts.and.respects.the.patient‘s.decisions.even.if.they.are.different.from.the.
nurse‘s.own.beliefs..The.nurse.supports.the.patient‘s.wishes.and.communicates.them.to.other.h
ealth.care.providers..A.nurse.manages.all.of.the.activities.and.treatments.for.patients..In.the.role
.of.change.agent,.the.nurse.works.with.patients.to.address.their.health.concerns.and.with.staff.m
embers.to.address.change.in.an.organization.or.within.a.community..The.nurse.ensures.that.the.
patient.receives.sufficient.information.on.which.to.base.consent.for.care.and.related.treatment..
Education.becomes.a.major.focus.of.discharge.planning.so.that.patients.will.be.prepared.to.han
dle.their.own.needs.at.home.
DIF: Applying OBJ:. . 1.2 TOP:. Implementation
MSC:. NCLEX.Client.Needs.Category:.Safe.and.Effective.Care.Environment:.Management.of.Care.NOT:.
Concepts:.Care.Coordination
9. The.nursing.student.develops.a.plan.of.care.based.on.a.recently.published.article.describing.the.
effects.of.bed.rest.on.a.patient‘s.calcium.blood.levels..When.creating.the.plan.of.care,.the.nursin
g.student.has.the.obligation.to.consider.which.action?
a. Critically.appraise.the.evidence.and.determine.validity.
b. Ensure.that.the.plan.of.care.does.not.alter.current.practice.
c. Change.the.process.even.when.there.is.no.problem.identified.
d. Maintain.the.plan.of.care.regardless.of.initial.outcome.
ANS;. A
Evidence-based.practice.(EBP).is.an.integration.of.the.best-
available.research.evidence.with.clinical.judgment.about.a.specific.patient.situation..The.nurse.a
ssesses.current.and.past.research,.clinical.guidelines,.and.other.resources.to.identify.relevant.liter
ature..The.application.of.EBP.includes.critically.appraising.the.evidence.to.assess.its.validity,.des
igning.a.change.for.practice,.assessing.the.need.for.change.and.identifying.a.problem,.and.integr
ating.and.maintaining.change.while.monitoring.process.and.outcomes.by.reevaluating.the.applic
ation.of.evidence.and.assessing.areas.for.improvement.
DIF: Applying OBJ:. . 1.2 TOP:. Implementation
MSC:. NCLEX.Client.Needs.Category:.Safe.and.Effective.Care.Environment:.Management.of.Care.NOT:.
Concepts:.Care.Coordination