TEST BANK
Fundamentals of Nursing 11TH Edition by Potter Perry
chapter 1-50
,Chapter 01: Nursing Today
Potter: Fundamenta1s of Nursing, 11th Edition
MU1TIP1E CHOICE
1. Which nurse most 1ike1y kept records on sanitation techniques and the effects on
hea1th?
a. F1orence Nightinga1e
b. Mary Nutting
c. C1ara Barton
d. 1i11ian Wa1d
ANS: A
Nightinga1e was the first practicing nurse epidemio1ogist. Her statistica1
ana1yses connected poor sanitation with cho1era and dysentery. Mary Nutting,
C1ara Barton, and 1i11ian Wa1d came after Nightinga1e, each contributing to the
nursing profession in her own way. Mary Nutting was instrumenta1 in moving
nursing education into universities. C1ara Barton founded the American Red
Cross. 1i11ian Wa1d he1ped open the Henry Street Sett1ement.
DIF:Understand (comprehension)
OBJ:Discuss the inf1uence of socia1, historica1, po1itica1, and economic changes on
nursing practices.
TOP: Eva1uation MSC: Hea1th Promotion and Maintenance
2. The nurse prescribes strategies and a1ternatives to attain expected outcome.
Which standard of nursing practice is the nurse fo11owing?
a. Assessment
b. Diagnosis
c. P1anning
d. Imp1ementation
ANS: C
In p1anning, the registered nurse deve1ops a p1an that prescribes strategies and
a1ternatives to attain expected outcomes. During assessment, the registered
nurse co11ects comprehensive data pertinent to the patient’s hea1th and/or the
situation. In diagnosis, the registered nurse ana1yzes the assessment data to
determine the diagnoses or issues. During imp1ementation, the registered nurse
imp1ements (carries out) the identified p1an.
DIF:Understand (comprehension)
OBJ:Discuss the deve1opment of professiona1 nursing ro1es. TOP:
P1anning MSC: Management of Care
3. An experienced medica1-surgica1 nurse chooses to work in obstetrics.
Which 1eve1 of proficiency is the nurse upon initia1 transition to the
obstetrica1 f1oor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A
, A beginning nursing student or any nurse entering a situation in which there is
no previous 1eve1 of experience (e.g., an experienced operating room nurse
chooses to now practice in home hea1th) is an examp1e of a novice nurse. A
proficient nurse perceives a patient’s c1inica1 situation as a who1e, is ab1e to
assess an entire situation, and can readi1y transfer know1edge gained from
mu1tip1e previous experiences to a situation. A competent nurse understands
the organization and specific care required by the type of patients (e.g., surgica 1,
onco1ogy, or orthopedic patients). This nurse is a competent practitioner who is
ab1e to anticipate nursing care and estab1ish 1ong-range goa1s. A nurse who has
had some 1eve1 of experience with the situation is an advanced beginner. This
experience may on1y be observationa1 in nature, but the nurse is ab1e to identify
meaningfu1 aspects or princip1es of nursing care.
DIF:App1y (app1ication)
OBJ:Discuss the deve1opment of professiona1 nursing ro1es. TOP:
Eva1uation MSC: Management of Care
4. A nurse assesses a patient’s f1uid status and decides that the patient needs to
drink more f1uids. The nurse then encourages the patient to drink more f1uids.
Which concept is the nurse demonstrating?
a. 1icensure
b. Autonomy
c. Certification
d. Accountabi1ity
ANS: B
Autonomy is an essentia1 e1ement of professiona1 nursing that invo1ves the
initiation of independent nursing interventions without medica1 orders. To obtain
1icensure in the United States, the RN candidate must pass the NC1EX-RN
Beyond the NC1EX- choose to work toward certification in a
specific area of nursing practice. Accountabi1ity means that you are responsib1e,
professiona11y and 1ega11y, for the type and qua1ity of nursing care provided.
DIF:App1y (app1ication)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Imp1ementation MSC: Management of Care
5. A nurse prepares the budget and po1icies for an intensive care unit. Which
ro1e is the nurse imp1ementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
, A manager coordinates the activities of members of the nursing staff in
de1ivering nursing care and has personne1, po1icy, and budgetary responsibi1ity
for a specific nursing unit or faci1ity. As an educator, you exp1ain concepts and
facts about hea1th, describe the reason for routine care activities, demonstrate
procedures such as se1f-care activities, reinforce 1earning or patient behavior,
and eva1uate the patient’s progress in 1earning. As a patient advocate, you
protect your patient’s human and 1ega1 rights and provide assistance in asserting
these rights if the need arises. As a caregiver, you he1p patients maintain and
regain hea1th, manage disease and symptoms, and attain a maxima1 1eve1
function and independence through the hea1ing process.
DIF:App1y (app1ication)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Imp1ementation MSC: Management of Care
6. The nurse has been working in the c1inica1 setting for severa1 years as an
advanced practice nurse. However, the nurse has a strong desire to pursue
research and theory deve1opment. To fu1fi11 this desire, which program shou1d
the nurse attend?
a. Doctor of Nursing Science degree (DNSc)
b. Doctor of Phi1osophy degree (PhD)
c. Doctor of Nursing Practice degree (DNP)
d. Doctor in the Science of Nursing degree (DSN)
ANS: B
Some doctora1 programs prepare nurses for more rigorous research and theory
deve1opment and award the research-oriented Doctor of Phi1osophy (PhD) in
nursing. Professiona1 doctora1 programs in nursing (DSN or DNSc) prepare
graduates to app1y research findings to c1inica1 nursing. The DNP is a practice
doctorate that prepares advanced practice nurses such as nurse practitioners.
DIF:Understand (comprehension)
OBJ:Compare and contrast the educationa1 programs avai1ab1e for professiona1
registered nurse (RN) education. TOP: Teaching/1earning
MSC: Management of Care
7. A nurse attends a workshop on current nursing issues provided by the
American Nurses Association. Which type of education did the nurse
receive?
a. Graduate education
b. Inservice education
c. Continuing education
d. Registered nurse education
ANS: C
Continuing education invo1ves forma1, organized educationa1 programs offered
by universities, hospita1s, state nurses associations, professiona1 nursing
organizations, and educationa1 and hea1th care institutions. After obtaining a
bacca1aureate degree in nursing, you can pursue graduate education 1eading to a
master’s or doctora1 degree in any number of graduate fie1ds, inc1uding nursing.
Inservice education programs are instruction or training provided by a hea1th
care faci1ity or institution. Registered nurse education is the education
preparation for an individua1 intending to be an RN.
DIF:App1y (app1ication)
OBJ:Compare and contrast the educationa1 programs avai1ab1e for professiona1
registered nurse (RN)
, education. TOP: Teaching/1earning MSC: Management of Care
8. A nurse identifies gaps between 1oca1 and best practices. Which Qua1ity and
Safety Education for Nurses (QSEN) competency is the nurse demonstrating?
a. Safety
b. Patient-centered care
c. Qua1ity improvement
d. Teamwork and co11aboration
ANS: C
Qua1ity improvement identifies gaps between 1oca1 and best practices. Safety
minimizes risk of harm to patients and providers through both system
effectiveness and individua1 performance. Patient-centered care recognizes the
patient or designee as the source of contro1 and fu11 partner in providing
compassionate and coordinated care based on respect for patient’s preferences,
va1ues, and needs. Teamwork and co11aboration a11ows effective functioning
within nursing and interprofessiona1 teams, fostering open communication,
mutua1 respect, and shared decision making.
DIF:Understand (comprehension)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Eva1uation MSC: Management of Care
9. A nurse has compassion fatigue. What is the nurse experiencing?
a. 1atera1 vio1ence and intrapersona1 conf1ict
b. Burnout and secondary traumatic stress
c. Short-term grief and sing1e stressor
d. Physica1 and menta1 exhaustion
ANS: B
Compassion fatigue is a term used to describe a state of burnout and secondary
traumatic stress. Compassion fatigue may contribute to what is described as
1atera1 vio1ence
(nurse-nurse interactions, not intrapersona1). Frequent, intense, or pro1onged
exposure to grief and 1oss p1aces nurses at risk for deve1oping compassion
fatigue. Stressors, not a sing1e stressor, contribute to compassion fatigue.
Physica1 and menta1 exhaustion describes burnout on1y.
DIF:Understand (comprehension)
OBJ:Discuss the inf1uence of socia1, historica1, po1itica1, and economic changes on
nursing practices.
TOP: Assessment MSC: Hea1th Promotion and Maintenance
10. A patient is schedu1ed for surgery. When getting ready to obtain the informed
consent, the patient te11s the nurse, ―I have no idea what is going to happen. I
cou1dn’t ask any questions.‖ The nurse does not a11ow the patient to sign the
permit and notifies the hea1th care provider of the situation. Which ro1e is the
nurse disp1aying?
a. Manager
b. Patient educator
c. Patient advocate
d. C1inica1 nurse specia1ist
ANS: C
, As a patient advocate, the nurse protects the patient’s human and 1ega1 rights,
inc1uding the right of the patient to understand procedures before signing
permits. A1though nurses can be educators, it is the responsibi1ity of the surgeon
to provide education for the patient in preparation for surgery, and it is the
nurse’s responsibi1ity to notify the hea1th care provider if the patient is not
proper1y educated. Managers coordinate the activities of members of the nursing
staff in de1ivering nursing care, and c1inica1 nurse specia1ists are experts in a
specia1ized area of nursing practice in a variety of settings.
DIF:App1y (app1ication)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Eva1uation MSC: Management of Care
11. The patient requires routine gyneco1ogica1 services after giving birth to her
son, and whi1e seeing the nurse-midwife, the patient asks for a referra1 to a
pediatrician for the newborn. Which action shou1d the nurse-midwife take
initia11y?
a. Provide the referra1 as requested.
b. Offer to provide the newborn care.
c. Refer the patient to the supervising provider.
d. Te11 the patient that is not a11owed to make referra1s.
ANS: B
The practice of nurse-midwifery invo1ves providing independent care for women
during norma1 pregnancy, 1abor, and de1ivery, as we11 as care for the newborn.
After being apprised of the midwifery ro1e, if the patient insists on seeing a
pediatrician, the nurse-midwife shou1d provide the referra1. The supervising
provider is an obstetric provider, not a pediatrician. A nurse-midwife can make
referra1s.
DIF:Ana1yze (ana1ysis)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Imp1ementation MSC: Management of Care
12. The nurse has a goa1 of becoming a certified registered nurse anesthetist
(CRNA). Which activity is appropriate for a CRNA?
a. Manages gyneco1ogica1 services such as PAP smears.
b. Works under the guidance of an anesthesio1ogist.
c. Obtains a PhD degree in anesthesio1ogy.
d. Coordinates acute medica1 conditions.
ANS: B
Nurse anesthetists provide surgica1 anesthesia under the guidance and
supervision of an anesthesio1ogist, who is a physician (hea1th care provider)
with advanced know1edge of surgica1 anesthesia. Nurse practitioners, not
CRNAs, manage se1f-1imiting acute and chronic stab1e medica1 conditions;
certified nurse-midwives provide gyneco1ogica1 services such as routine
Papanico1aou (Pap) smears. The CRNA is an RN with an advanced education in
a nurse anesthesia accredited program. A PhD is not a requirement.
DIF:Understand (comprehension)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Imp1ementation MSC: Management of Care
,13. A nurse teaches a group of-nursing students about nurse practice acts. Which
information is
most important to inc1ude in the teaching session about nurse practice acts?
a. Protects the nurse.
b. Protects the pub1ic.
c. Protects the provider.
d. Protects the hospita1.
ANS: B
The nurse practice acts regu1ate the scope of-nursing practice and protect
pub1ic hea1th, safety, and we1fare. They do not protect the nurse, provider,
or hospita1.
DIF:Understand (comprehension)
OBJ:Discuss the inf1uence of socia1, historica1, po1itica1, and economic changes on
nursing practices.
TOP: Teaching/1earning MSC: Management of-Care
14. A bi11 has been submitted to the State House of-Representatives that is
designed to reduce the cost of-hea1th care by increasing the patient-to-nurse
ratio from a maximum of-2:1 in intensive care units to 3:1. What shou1d the
nurse rea1ize?
a. 1egis1ation is po1itics beyond the nurse’s contro1.
b. Nationa1 programs have no bearing on state po1itics.
c. The individua1 nurse can inf1uence 1egis1ative decisions.
d. Focusing on nursing care provides the best patient benefit.
ANS: C
Nurses can inf1uence po1icy decisions at a11 governmenta1 1eve1s. One way is
to get invo1ved by participating in 1oca1 and nationa1 efforts. This effort is
critica1 in exerting nurses’ inf1uence ear1y in the po1itica1 process.
1egis1ation is not beyond the nurse’s contro1. Nationa1 program can have
bearing on state po1itics. The question is focusing on 1egis1ation and hea1th
care costs, not nursing care.
DIF:Ana1yze (ana1ysis)
OBJ:Discuss the inf1uence of-socia1, historica1, po1itica1, and economic changes on
nursing practices.
TOP: Eva1uation MSC: Management of-Care
15. A nurse is using a guide that provides princip1es of-right and wrong
to provide care to patients. Which guide is the nurse using?
a. Code of-ethics
b. Standards of-practice
c. Standards of-professiona1 performance
d. Qua1ity and safety education for-nurses
ANS: A
The code of-ethics is the phi1osophica1 idea1s of-right and wrong that define
the princip1es you wi11 use to provide care to your patients. The standards of-
practice describe a competent 1eve1 of-nursing care. The ANA Standards
of-Professiona1 Performance describe a competent 1eve1 of-behavior-in the
professiona1 ro1e. Qua1ity and safety education for nurses addresses the
cha11enge to prepare nurses with the competencies needed to continuous1y
improve the qua1ity of-care in their work environments.
DIF:Understand (comprehension)
OBJ:Discuss the inf1uence of-socia1, historica1, po1itica1, and economic changes on
nursing practices.
,TOP: Imp1ementation MSC: Management of-Care
,16. A graduate of-a bacca1aureate degree program p1ans to start working as
a registered nurse (RN) in the emergency department. Which action
must the nurse take first?
a. Obtain certification for an emergency nurse.
b. Pass the Nationa1 Counci1 1icensure Examination.
c. Take a course on genomics to provide competent emergency care.
d. Comp1ete the Hospita1 Consumer Assessment of-Hea1thcare Providers
Systems.
ANS: B
Current1y, in the United States, the most common way to become a registered
nurse (RN) is through comp1etion of-an associate degree or bacca1aureate
degree program. Graduates of-both programs are e1igib1e to take the Nationa1
Counci1 1icensure Examination for Registered Nurses (NC1EX-RN) to become
registered nurses in the state in which they wi11 practice.
Certification can be obtained after passing the NC1EX and working for the
specified amount of-time. Genomics is a newer term that describes the study
of-a11 the genes in a person and interactions of-these genes with one another
and with that person’s environment. Consumers can a1so access Hospita1
Consumer Assessment of-Hea1thcare Providers Systems (HCAHPS) to obtain
information about patients’ perspectives on hospita1 care.
DIF:Remember (know1edge)
OBJ:Compare and contrast the educationa1 programs avai1ab1e for professiona1
registered nurse (RN) education. TOP: Imp1ementation
MSC: Management of-Care
17. Whi1e providing care to a patient, the nurse is responsib1e, both professiona11y
and 1ega11y, for the appropriateness and proper execution of-the care. Which
concept does this describe?
a. Autonomy
b. Accountabi1ity
c. Patient advocacy
d. Patient education
ANS: B
Accountabi1ity means that the nurse is responsib1e, professiona11y and
1ega11y, for the type and qua1ity of-nursing care provided. Autonomy is an
essentia1 e1ement of-professiona1 nursing that invo1ves the initiation of-
independent nursing interventions without medica1 orders. As a patient
advocate, the nurse protects the patient’s human and 1ega1 rights and
provides assistance in asserting these rights if-the need arises. As an
educator, the nurse exp1ains concepts and facts about hea1th, describes the
reasons for routine care activities, demonstrates procedures such as se1f-care
activities, reinforces 1earning or patient behavior, and eva1uates the
patient’s progress in 1earning.
DIF:Remember (know1edge)
OBJ:Discuss the inf1uence of-socia1, historica1, po1itica1, and economic changes on
nursing practices.
TOP: Eva1uation MSC: Management of-Care
18. A nurse is teaching the staff-about Benner’s 1eve1s of-proficiency. In which
order shou1d the nurse p1ace the 1eve1s from beginning 1eve1 to ending
1eve1?
1. Expert
2. Novice
, 3. Proficient
4. Competent
5. Advanced beginner
Fundamentals of Nursing 11TH Edition by Potter Perry
chapter 1-50
,Chapter 01: Nursing Today
Potter: Fundamenta1s of Nursing, 11th Edition
MU1TIP1E CHOICE
1. Which nurse most 1ike1y kept records on sanitation techniques and the effects on
hea1th?
a. F1orence Nightinga1e
b. Mary Nutting
c. C1ara Barton
d. 1i11ian Wa1d
ANS: A
Nightinga1e was the first practicing nurse epidemio1ogist. Her statistica1
ana1yses connected poor sanitation with cho1era and dysentery. Mary Nutting,
C1ara Barton, and 1i11ian Wa1d came after Nightinga1e, each contributing to the
nursing profession in her own way. Mary Nutting was instrumenta1 in moving
nursing education into universities. C1ara Barton founded the American Red
Cross. 1i11ian Wa1d he1ped open the Henry Street Sett1ement.
DIF:Understand (comprehension)
OBJ:Discuss the inf1uence of socia1, historica1, po1itica1, and economic changes on
nursing practices.
TOP: Eva1uation MSC: Hea1th Promotion and Maintenance
2. The nurse prescribes strategies and a1ternatives to attain expected outcome.
Which standard of nursing practice is the nurse fo11owing?
a. Assessment
b. Diagnosis
c. P1anning
d. Imp1ementation
ANS: C
In p1anning, the registered nurse deve1ops a p1an that prescribes strategies and
a1ternatives to attain expected outcomes. During assessment, the registered
nurse co11ects comprehensive data pertinent to the patient’s hea1th and/or the
situation. In diagnosis, the registered nurse ana1yzes the assessment data to
determine the diagnoses or issues. During imp1ementation, the registered nurse
imp1ements (carries out) the identified p1an.
DIF:Understand (comprehension)
OBJ:Discuss the deve1opment of professiona1 nursing ro1es. TOP:
P1anning MSC: Management of Care
3. An experienced medica1-surgica1 nurse chooses to work in obstetrics.
Which 1eve1 of proficiency is the nurse upon initia1 transition to the
obstetrica1 f1oor?
a. Novice
b. Proficient
c. Competent
d. Advanced beginner
ANS: A
, A beginning nursing student or any nurse entering a situation in which there is
no previous 1eve1 of experience (e.g., an experienced operating room nurse
chooses to now practice in home hea1th) is an examp1e of a novice nurse. A
proficient nurse perceives a patient’s c1inica1 situation as a who1e, is ab1e to
assess an entire situation, and can readi1y transfer know1edge gained from
mu1tip1e previous experiences to a situation. A competent nurse understands
the organization and specific care required by the type of patients (e.g., surgica 1,
onco1ogy, or orthopedic patients). This nurse is a competent practitioner who is
ab1e to anticipate nursing care and estab1ish 1ong-range goa1s. A nurse who has
had some 1eve1 of experience with the situation is an advanced beginner. This
experience may on1y be observationa1 in nature, but the nurse is ab1e to identify
meaningfu1 aspects or princip1es of nursing care.
DIF:App1y (app1ication)
OBJ:Discuss the deve1opment of professiona1 nursing ro1es. TOP:
Eva1uation MSC: Management of Care
4. A nurse assesses a patient’s f1uid status and decides that the patient needs to
drink more f1uids. The nurse then encourages the patient to drink more f1uids.
Which concept is the nurse demonstrating?
a. 1icensure
b. Autonomy
c. Certification
d. Accountabi1ity
ANS: B
Autonomy is an essentia1 e1ement of professiona1 nursing that invo1ves the
initiation of independent nursing interventions without medica1 orders. To obtain
1icensure in the United States, the RN candidate must pass the NC1EX-RN
Beyond the NC1EX- choose to work toward certification in a
specific area of nursing practice. Accountabi1ity means that you are responsib1e,
professiona11y and 1ega11y, for the type and qua1ity of nursing care provided.
DIF:App1y (app1ication)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Imp1ementation MSC: Management of Care
5. A nurse prepares the budget and po1icies for an intensive care unit. Which
ro1e is the nurse imp1ementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B
, A manager coordinates the activities of members of the nursing staff in
de1ivering nursing care and has personne1, po1icy, and budgetary responsibi1ity
for a specific nursing unit or faci1ity. As an educator, you exp1ain concepts and
facts about hea1th, describe the reason for routine care activities, demonstrate
procedures such as se1f-care activities, reinforce 1earning or patient behavior,
and eva1uate the patient’s progress in 1earning. As a patient advocate, you
protect your patient’s human and 1ega1 rights and provide assistance in asserting
these rights if the need arises. As a caregiver, you he1p patients maintain and
regain hea1th, manage disease and symptoms, and attain a maxima1 1eve1
function and independence through the hea1ing process.
DIF:App1y (app1ication)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Imp1ementation MSC: Management of Care
6. The nurse has been working in the c1inica1 setting for severa1 years as an
advanced practice nurse. However, the nurse has a strong desire to pursue
research and theory deve1opment. To fu1fi11 this desire, which program shou1d
the nurse attend?
a. Doctor of Nursing Science degree (DNSc)
b. Doctor of Phi1osophy degree (PhD)
c. Doctor of Nursing Practice degree (DNP)
d. Doctor in the Science of Nursing degree (DSN)
ANS: B
Some doctora1 programs prepare nurses for more rigorous research and theory
deve1opment and award the research-oriented Doctor of Phi1osophy (PhD) in
nursing. Professiona1 doctora1 programs in nursing (DSN or DNSc) prepare
graduates to app1y research findings to c1inica1 nursing. The DNP is a practice
doctorate that prepares advanced practice nurses such as nurse practitioners.
DIF:Understand (comprehension)
OBJ:Compare and contrast the educationa1 programs avai1ab1e for professiona1
registered nurse (RN) education. TOP: Teaching/1earning
MSC: Management of Care
7. A nurse attends a workshop on current nursing issues provided by the
American Nurses Association. Which type of education did the nurse
receive?
a. Graduate education
b. Inservice education
c. Continuing education
d. Registered nurse education
ANS: C
Continuing education invo1ves forma1, organized educationa1 programs offered
by universities, hospita1s, state nurses associations, professiona1 nursing
organizations, and educationa1 and hea1th care institutions. After obtaining a
bacca1aureate degree in nursing, you can pursue graduate education 1eading to a
master’s or doctora1 degree in any number of graduate fie1ds, inc1uding nursing.
Inservice education programs are instruction or training provided by a hea1th
care faci1ity or institution. Registered nurse education is the education
preparation for an individua1 intending to be an RN.
DIF:App1y (app1ication)
OBJ:Compare and contrast the educationa1 programs avai1ab1e for professiona1
registered nurse (RN)
, education. TOP: Teaching/1earning MSC: Management of Care
8. A nurse identifies gaps between 1oca1 and best practices. Which Qua1ity and
Safety Education for Nurses (QSEN) competency is the nurse demonstrating?
a. Safety
b. Patient-centered care
c. Qua1ity improvement
d. Teamwork and co11aboration
ANS: C
Qua1ity improvement identifies gaps between 1oca1 and best practices. Safety
minimizes risk of harm to patients and providers through both system
effectiveness and individua1 performance. Patient-centered care recognizes the
patient or designee as the source of contro1 and fu11 partner in providing
compassionate and coordinated care based on respect for patient’s preferences,
va1ues, and needs. Teamwork and co11aboration a11ows effective functioning
within nursing and interprofessiona1 teams, fostering open communication,
mutua1 respect, and shared decision making.
DIF:Understand (comprehension)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Eva1uation MSC: Management of Care
9. A nurse has compassion fatigue. What is the nurse experiencing?
a. 1atera1 vio1ence and intrapersona1 conf1ict
b. Burnout and secondary traumatic stress
c. Short-term grief and sing1e stressor
d. Physica1 and menta1 exhaustion
ANS: B
Compassion fatigue is a term used to describe a state of burnout and secondary
traumatic stress. Compassion fatigue may contribute to what is described as
1atera1 vio1ence
(nurse-nurse interactions, not intrapersona1). Frequent, intense, or pro1onged
exposure to grief and 1oss p1aces nurses at risk for deve1oping compassion
fatigue. Stressors, not a sing1e stressor, contribute to compassion fatigue.
Physica1 and menta1 exhaustion describes burnout on1y.
DIF:Understand (comprehension)
OBJ:Discuss the inf1uence of socia1, historica1, po1itica1, and economic changes on
nursing practices.
TOP: Assessment MSC: Hea1th Promotion and Maintenance
10. A patient is schedu1ed for surgery. When getting ready to obtain the informed
consent, the patient te11s the nurse, ―I have no idea what is going to happen. I
cou1dn’t ask any questions.‖ The nurse does not a11ow the patient to sign the
permit and notifies the hea1th care provider of the situation. Which ro1e is the
nurse disp1aying?
a. Manager
b. Patient educator
c. Patient advocate
d. C1inica1 nurse specia1ist
ANS: C
, As a patient advocate, the nurse protects the patient’s human and 1ega1 rights,
inc1uding the right of the patient to understand procedures before signing
permits. A1though nurses can be educators, it is the responsibi1ity of the surgeon
to provide education for the patient in preparation for surgery, and it is the
nurse’s responsibi1ity to notify the hea1th care provider if the patient is not
proper1y educated. Managers coordinate the activities of members of the nursing
staff in de1ivering nursing care, and c1inica1 nurse specia1ists are experts in a
specia1ized area of nursing practice in a variety of settings.
DIF:App1y (app1ication)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Eva1uation MSC: Management of Care
11. The patient requires routine gyneco1ogica1 services after giving birth to her
son, and whi1e seeing the nurse-midwife, the patient asks for a referra1 to a
pediatrician for the newborn. Which action shou1d the nurse-midwife take
initia11y?
a. Provide the referra1 as requested.
b. Offer to provide the newborn care.
c. Refer the patient to the supervising provider.
d. Te11 the patient that is not a11owed to make referra1s.
ANS: B
The practice of nurse-midwifery invo1ves providing independent care for women
during norma1 pregnancy, 1abor, and de1ivery, as we11 as care for the newborn.
After being apprised of the midwifery ro1e, if the patient insists on seeing a
pediatrician, the nurse-midwife shou1d provide the referra1. The supervising
provider is an obstetric provider, not a pediatrician. A nurse-midwife can make
referra1s.
DIF:Ana1yze (ana1ysis)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Imp1ementation MSC: Management of Care
12. The nurse has a goa1 of becoming a certified registered nurse anesthetist
(CRNA). Which activity is appropriate for a CRNA?
a. Manages gyneco1ogica1 services such as PAP smears.
b. Works under the guidance of an anesthesio1ogist.
c. Obtains a PhD degree in anesthesio1ogy.
d. Coordinates acute medica1 conditions.
ANS: B
Nurse anesthetists provide surgica1 anesthesia under the guidance and
supervision of an anesthesio1ogist, who is a physician (hea1th care provider)
with advanced know1edge of surgica1 anesthesia. Nurse practitioners, not
CRNAs, manage se1f-1imiting acute and chronic stab1e medica1 conditions;
certified nurse-midwives provide gyneco1ogica1 services such as routine
Papanico1aou (Pap) smears. The CRNA is an RN with an advanced education in
a nurse anesthesia accredited program. A PhD is not a requirement.
DIF:Understand (comprehension)
OBJ:Discuss the ro1es and career opportunities for nurses. TOP:
Imp1ementation MSC: Management of Care
,13. A nurse teaches a group of-nursing students about nurse practice acts. Which
information is
most important to inc1ude in the teaching session about nurse practice acts?
a. Protects the nurse.
b. Protects the pub1ic.
c. Protects the provider.
d. Protects the hospita1.
ANS: B
The nurse practice acts regu1ate the scope of-nursing practice and protect
pub1ic hea1th, safety, and we1fare. They do not protect the nurse, provider,
or hospita1.
DIF:Understand (comprehension)
OBJ:Discuss the inf1uence of socia1, historica1, po1itica1, and economic changes on
nursing practices.
TOP: Teaching/1earning MSC: Management of-Care
14. A bi11 has been submitted to the State House of-Representatives that is
designed to reduce the cost of-hea1th care by increasing the patient-to-nurse
ratio from a maximum of-2:1 in intensive care units to 3:1. What shou1d the
nurse rea1ize?
a. 1egis1ation is po1itics beyond the nurse’s contro1.
b. Nationa1 programs have no bearing on state po1itics.
c. The individua1 nurse can inf1uence 1egis1ative decisions.
d. Focusing on nursing care provides the best patient benefit.
ANS: C
Nurses can inf1uence po1icy decisions at a11 governmenta1 1eve1s. One way is
to get invo1ved by participating in 1oca1 and nationa1 efforts. This effort is
critica1 in exerting nurses’ inf1uence ear1y in the po1itica1 process.
1egis1ation is not beyond the nurse’s contro1. Nationa1 program can have
bearing on state po1itics. The question is focusing on 1egis1ation and hea1th
care costs, not nursing care.
DIF:Ana1yze (ana1ysis)
OBJ:Discuss the inf1uence of-socia1, historica1, po1itica1, and economic changes on
nursing practices.
TOP: Eva1uation MSC: Management of-Care
15. A nurse is using a guide that provides princip1es of-right and wrong
to provide care to patients. Which guide is the nurse using?
a. Code of-ethics
b. Standards of-practice
c. Standards of-professiona1 performance
d. Qua1ity and safety education for-nurses
ANS: A
The code of-ethics is the phi1osophica1 idea1s of-right and wrong that define
the princip1es you wi11 use to provide care to your patients. The standards of-
practice describe a competent 1eve1 of-nursing care. The ANA Standards
of-Professiona1 Performance describe a competent 1eve1 of-behavior-in the
professiona1 ro1e. Qua1ity and safety education for nurses addresses the
cha11enge to prepare nurses with the competencies needed to continuous1y
improve the qua1ity of-care in their work environments.
DIF:Understand (comprehension)
OBJ:Discuss the inf1uence of-socia1, historica1, po1itica1, and economic changes on
nursing practices.
,TOP: Imp1ementation MSC: Management of-Care
,16. A graduate of-a bacca1aureate degree program p1ans to start working as
a registered nurse (RN) in the emergency department. Which action
must the nurse take first?
a. Obtain certification for an emergency nurse.
b. Pass the Nationa1 Counci1 1icensure Examination.
c. Take a course on genomics to provide competent emergency care.
d. Comp1ete the Hospita1 Consumer Assessment of-Hea1thcare Providers
Systems.
ANS: B
Current1y, in the United States, the most common way to become a registered
nurse (RN) is through comp1etion of-an associate degree or bacca1aureate
degree program. Graduates of-both programs are e1igib1e to take the Nationa1
Counci1 1icensure Examination for Registered Nurses (NC1EX-RN) to become
registered nurses in the state in which they wi11 practice.
Certification can be obtained after passing the NC1EX and working for the
specified amount of-time. Genomics is a newer term that describes the study
of-a11 the genes in a person and interactions of-these genes with one another
and with that person’s environment. Consumers can a1so access Hospita1
Consumer Assessment of-Hea1thcare Providers Systems (HCAHPS) to obtain
information about patients’ perspectives on hospita1 care.
DIF:Remember (know1edge)
OBJ:Compare and contrast the educationa1 programs avai1ab1e for professiona1
registered nurse (RN) education. TOP: Imp1ementation
MSC: Management of-Care
17. Whi1e providing care to a patient, the nurse is responsib1e, both professiona11y
and 1ega11y, for the appropriateness and proper execution of-the care. Which
concept does this describe?
a. Autonomy
b. Accountabi1ity
c. Patient advocacy
d. Patient education
ANS: B
Accountabi1ity means that the nurse is responsib1e, professiona11y and
1ega11y, for the type and qua1ity of-nursing care provided. Autonomy is an
essentia1 e1ement of-professiona1 nursing that invo1ves the initiation of-
independent nursing interventions without medica1 orders. As a patient
advocate, the nurse protects the patient’s human and 1ega1 rights and
provides assistance in asserting these rights if-the need arises. As an
educator, the nurse exp1ains concepts and facts about hea1th, describes the
reasons for routine care activities, demonstrates procedures such as se1f-care
activities, reinforces 1earning or patient behavior, and eva1uates the
patient’s progress in 1earning.
DIF:Remember (know1edge)
OBJ:Discuss the inf1uence of-socia1, historica1, po1itica1, and economic changes on
nursing practices.
TOP: Eva1uation MSC: Management of-Care
18. A nurse is teaching the staff-about Benner’s 1eve1s of-proficiency. In which
order shou1d the nurse p1ace the 1eve1s from beginning 1eve1 to ending
1eve1?
1. Expert
2. Novice
, 3. Proficient
4. Competent
5. Advanced beginner
