FUNDAMENTALS OF NURSING SMS|TESTBANKS
Test Bank for Fundamentals of Nursing
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Chapter 01: Nursing, Theory, and Professional Practice
MULTIPLE CHOICE
1. A group of students are discussing the impact of non-nursing theories in clinical practice.
Thestudents 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 developmentaltheory 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.
2. A nursing student is preparing study notes from a recent lecture in nursing history. The
studentwould credit Florence Nightingale for which definition of nursing?
a. The imbalance between the patient and the environment decreases the capacity
forhealth.
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
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substitutive (doing for the person), supplementary (helping the person), or complementary
(working with the person), with the ultimate goal of independence for the patient. Martha
Rogers (1970) developed the Science of Unitary Human Beings. She stated that human
beingsand their environments are interacting in continuous motion as infinite energy fields.
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3. 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.
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4. The nursing instructor is researching the five proficiencies regarded as essential for
students and professionals. Which organization, if explored by the instructor, would
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be found to haveadded safety as a sixth competency?
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a. Quality and Safety Education for Nurses (QSEN)
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b. Institute of Medicine (IOM)
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c. American Association of Colleges of Nursing (AACN)
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d. National League for Nursing (NLN)
ANS: A
The Institute of Medicine report, Health Professions 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
forNursing (NLN) outlines and updates competencies for practical, associate, baccalaureate,
and graduate nursing education programs.
The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When