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Potter:FundamentalsofNursing,11thEdition
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MULTIPLECHOICE .,
1. Whichnurse most likelykept recordson sanitationtechniques and the effects on health?
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a. FlorenceNightingale .,
b. MaryNutting .,
c. ClaraBarton .,
d. LillianWald .,
ANS: A . ,
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor
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sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after
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Nightingale, each contributing to the nursing profession in her own way. Mary Nuttingwas
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instrumentalin movingnursingeducationintouniversities.ClaraBartonfounded the American Red
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Cross. Lillian Wald helped open the Henry Street Settlement.
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DIF:Understand(comprehension) .,
OBJ:Discusstheinfluenceof social,historical,political,andeconomicchangesonnursingpractices.
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TOP: Evaluation MSC: HealthPromotionandMaintenance . , ., ., .,
2. Thenurseprescribesstrategiesandalternativesto attainexpectedoutcome.Whichstandardof
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., nursing practice is the nurse following?
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a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C . ,
In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain
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expected outcomes. During assessment, the registered nurse collects comprehensive data
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pertinent to the patient’s health and/or the situation. In diagnosis, the registered nurse analyzesthe
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assessment datatodeterminethediagnosesorissues. During implementation,the registered nurse
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implements (carries out) the identified plan.
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DIF:Understand(comprehension) .,
OBJ:Discuss the development of professional nursing roles. ., ., ., ., ., ., TOP:Planning .,
MSC: Management of Care
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3. Anexperiencedmedical-surgicalnurse choosesto workinobstetrics.Whichlevelof
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., proficiency is the nurse upon initial transition to the obstetrical floor?
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a. Novice
b. Proficient
c. Competent
d. Advancedbeginner .,
ANS: A . ,
, A beginning nursing student or any nurse entering a situation in which there is no previous level of
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experience (e.g., an experienced operating room nurse chooses to now practice in homehealth)isan
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exampleofanovicenurse. A proficientnurse perceivesapatient’sclinical situation as a whole, is able
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to assess an entire situation, and can readily transfer knowledge gained from multiple previous
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experiences to a situation. A competent nurse understands the organization and specific care
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required by the type of patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a
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competent practitioner who is able to anticipate nursing care and establish long-range goals. A nurse
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who has had some level of experience with the situation is an advanced beginner. This experience
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may only be observational in nature, but the nurse is able to identify meaningful aspects or principles
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of nursing care.
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DIF:Apply(application) .,
OBJ:Discuss the development of professional nursing roles. ., ., ., ., ., ., TOP:Evaluation .,
MSC: Management of Care
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4. Anurseassessesa patient’sfluid statusand decidesthatthepatientneedsto drink morefluids. The
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., nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
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a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B . ,
Autonomy is an essential element of professional nursing that involves the initiation of independent
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nursing interventions without medical orders. To obtain licensure in the United States, the RN
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candidate must pass the NCLEX-RN. Beyond the NCLEX-RN, the nurse maychoosetowork
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towardcertificationin aspecificareaofnursingpractice.Accountability meansthatyou are
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responsible, professionallyand legally,forthetype andqualityof nursing care provided.
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DIF:Apply(application) .,
OBJ:Discuss the roles and career opportunities for nurses. ., ., ., ., ., ., ., TOP:Implementation .,
MSC: Management of Care
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5. A nursepreparesthe budget andpoliciesfor anintensive careunit.Which roleis thenurse
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implementing?
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a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B . ,
, A manager coordinates the activities of members of the nursing staff in delivering nursing care and
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has personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As an
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educator, you explain concepts and facts about health, describe the reason for routine care activities,
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demonstrate procedures such as self-care activities, reinforce learning or patient behavior, and
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evaluate the patient’s progress in learning. As a patient advocate, you protectyour patient’shuman
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andlegalrightsand provideassistancein assertingtheserightsif the need arises. As a caregiver, you
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help patients maintain and regain health, manage disease and symptoms, and attain a maximal level
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function and independence through the healing process.
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DIF:Apply(application) .,
OBJ:Discuss the roles and career opportunities for nurses. ., ., ., ., ., ., ., TOP:Implementation .,
MSC: Management of Care
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6. The nurse has been working in the clinical setting for several years as an advanced practice nurse.
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However, thenursehas a strong desiretopursueresearchand theory development.To fulfill this
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desire, which program should the nurse attend?
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a. Doctorof NursingSciencedegree (DNSc) ., ., ., ., .,
b. Doctorof Philosophydegree(PhD) ., ., ., .,
c. DoctorofNursingPracticedegree (DNP) ., ., ., ., .,
d. Doctorin theScienceof Nursingdegree (DSN) ., ., ., ., ., ., .,
ANS: B . ,
Some doctoral programs prepare nurses for more rigorous research and theory development and
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awardtheresearch-orientedDoctorof Philosophy(PhD)innursing. Professionaldoctoral programs
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in nursing (DSN or DNSc) prepare graduates to apply research findings to clinical nursing. TheDNP
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is a practicedoctorate that prepares advanced practicenurses such as nurse practitioners.
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DIF:Understand(comprehension) .,
OBJ:Compareandcontrast the educational programsavailable for professionalregistered nurse(RN) ., ., ., ., ., ., ., ., ., ., .,
education.
., TOP: Teaching/Learning MSC: Management of Care . , . , ., .,
7. Anurseattends aworkshopon currentnursingissuesprovidedby theAmericanNurses
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Association. Which type of education did the nurse receive?
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a. Graduateeducation .,
b. Inserviceeducation .,
c. Continuingeducation .,
d. Registerednurseeducation ., .,
ANS: C . ,
Continuing education involves formal, organized educational programs offered by universities, ., ., ., ., ., ., ., ., .,
hospitals, state nurses associations, professional nursing organizations, and educationalandhealth
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careinstitutions.Afterobtainingabaccalaureatedegreeinnursing,you can pursue graduate
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education leading to a master’s or doctoral degree in any number of graduate fields, including
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nursing. Inservice education programs are instruction or training provided by a health care facility or
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institution. Registered nurse education is the education preparation for an individual intending to be
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an RN.
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DIF:Apply(application) .,
OBJ:Compareandcontrasttheeducationalprogramsavailableforprofessionalregisterednurse(RN) ., ., ., ., ., ., ., ., ., ., .,
, education. TOP: Teaching/Learning . , MSC: ManagementofCare . , ., .,
8. Anurseidentifiesgaps betweenlocalandbest practices.WhichQualityandSafetyEducation for
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., Nurses (QSEN) competency is the nurse demonstrating?
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a. Safety
b. Patient-centeredcare .,
c. Qualityimprovement .,
d. Teamwork andcollaboration ., .,
ANS: C . ,
Quality improvement identifies gaps between local and best practices. Safety minimizes risk of
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harm to patients and providers through both system effectiveness and individual performance.
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Patient-centeredcarerecognizesthepatientordesigneeasthe sourceof control and full partner in
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providing compassionate and coordinated care based on respect for patient’s preferences, values,
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and needs. Teamwork and collaboration allows effective functioning within nursing and
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interprofessional teams, fostering open communication, mutual respect, and shared decision
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making.
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DIF:Understand(comprehension) .,
OBJ:Discuss the roles and career opportunities for nurses. ., ., ., ., ., ., ., TOP:Evaluation .,
MSC: Management of Care
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9. Anursehas compassion fatigue. What is thenurseexperiencing?
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a. Lateralviolenceandintrapersonalconflict ., ., ., .,
b. Burnoutand secondarytraumatic stress ., ., ., .,
c. Short-termgriefand single stressor ., ., ., .,
d. Physicaland mental exhaustion ., ., .,
ANS: B . ,
Compassionfatigueisa termused to describeastateofburnout and secondarytraumatic stress. ., ., ., ., ., ., ., ., ., ., ., ., ., ., .,
Compassion fatigue may contribute to what is described as lateral violence
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(nurse-nurseinteractions,notintrapersonal).Frequent,intense,orprolonged exposuretogrief and ., ., ., ., ., ., ., ., ., ., .,
loss places nurses at risk for developing compassion fatigue. Stressors, not a single stressor,
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contribute to compassion fatigue. Physical and mental exhaustion describes burnout only.
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DIF:Understand(comprehension) .,
OBJ:Discusstheinfluenceof social,historical,political,andeconomicchangesonnursingpractices. ., ., ., ., ., ., ., ., ., ., ., .,
TOP: Assessment MSC: HealthPromotionandMaintenance . , ., ., .,
10. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient
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tellsthenurse,―Ihavenoideawhatisgoingtohappen.Icouldn’taskanyquestions.‖ Thenursedoes
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not allowthepatientto sign the permitand notifiesthehealthcareproviderof the situation. Which
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role is the nurse displaying?
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a. Manager
b. Patienteducator .,
c. Patientadvocate .,
d. Clinicalnursespecialist ., .,
ANS: C . ,