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,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 Practice. 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 Formulating 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 And Learning About Their World. Nurses Use Concepts
Of Developmental Theory To Critically Think In Providing Care For Their Patients At
Various Stages Of Their Lives.
Rosenstock (1974) Developed The Psychological Health Belief Model. The Model Addresses
Possible Reasons For Why a Patient May Not Comply With Recommended Health Promotion
Behaviors. This 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 gr
o r y:Is a f G
e a nB .c m
d EFfective Care Environment: Management Of Care Not:
Concepts: Care Coordinati on u
2. A Nursing Student Is Preparing Study Notes From a Recent Lecture In Nursing
History. The Student Would Credit Florence Nightingale For Which Definition Of
Nursing?
a. The Imbalance Between The Patient And The Environment Decreases The
Capacity For Health.
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 Environment Decreases The Capacity For Health And Does Not Allow For
Conservation Of Energy. Hildegard Peplau (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 Goal Of
Independence For The Patient. Martha Rogers (1970) Developed The Science Of Unitary
Human Beings. She Stated That Human Beings And Their Environments Are Interacting In
Continuous Motion As Infinite Energy Fields.
Dif: Understanding Obj: 1.4 Top: Planning
Msc: Nclex Client Needs Category: Health Promotion And 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.
Dorothea 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 Hospital In 1873, And Lena Higbee, Superintendent Of The U.S.
Navy Nurse Corps, Was Awarded The Navy Cross In 1918.
Dif: Remembering Obj: 1.3 Top: Assessment
Msc: Nclex Client Needs Category: Health Promotion And Maintenance
Not: Concepts: Professionalism
4. The Nursing Instructor Is Researching The Five Proficiencies Regarded As Essential For
Students And 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 epno r t ,RUh E i
a l Thgp r Obf e.s Sci O nm
s Education: A Bridge To Quality (2003),
Outlines Five Core Competencies. These Include Patient-Centered 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 Practice 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 Students To Meet. The National
League For Nursing (Nln) Outlines And Updates Competencies For Practical, 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 Hiring 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 Nurse 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
Education. 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 Health 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 Members 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 Handle 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 Nursing 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 Assesses Current And
Past Research, Clinical Guidelines, And Other Resources To Identify Relevant Literature. The
Application Of Ebp Includes Critically Appraising The Evidence To Assess Its Validity,
Designing a Change For Practice, Assessing The Need For Change And Identifying a
Problem, And Integrating And Maintaining Change While Monitoring Process And Outcomes
By Reevaluating The Application 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