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ofNursing
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ActiveLearningforCollaborativePractice 3rd
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Edition
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By
Barbara L. Yoost, Lynne R. Crawford
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,Chapter01:Nursing,Theory,andProfessionalPractice
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Yoost&Crawford:FundamentalsofNursing:ActiveLearningforCollaborative Practice,
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3rd Edition
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MULTIPLECHOICE be
1. A group of nursing students are discussing the impact of nonnursing theories in clinical practice.
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Thestudents wouldbecorrectiftheychosewhichtheoryto prioritizepatientcare?
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a. Erikson‘s Psychosocial Theory be b e
b. Paul‘sCritical-ThinkingTheory be be
c. Maslow‘sHierarchyofNeeds be be be
d. Rosenstock‘sHealthBeliefModel be be be
ANS: C b e
Maslow‘s hierarchy of needs specifies the psychological and physiologic factors that affect each
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person‘s physical and mental health. The nurse‘s understanding of these factors helps with
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formulating Nursing diagnoses that address the patient‘s needs and values to prioritize care.
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Erikson‘s Psychosocial Theory of Development and Socialization is based on individuals‘
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interactingandlearningabouttheirworld.Nursesuseconcepts ofdevelopmental theory to critically
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think in providing care for their patients at various stages of their lives.
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Rosenstock(1974)developedthepsychologicalHealthBeliefModel.Themodeladdresses possible be be be be be be be be be be be
reasons for why a patient may not comply with recommended health promotion behaviors. This
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model is especially useful to nurses as they educate patients.
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DIF: Remembering OBJ: 1.5 TOP: Planning b e b e b e
MSC: NCLEXClientNeedsC Na te g R
beo ry : ISafG
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d Effective CareEnvironment:ManagementofCareNOT: be be be be be be be be be be b e be be b e be be be be be be
b e
U
Concepts: Care Coordinati on be be
2. Anursingstudentis preparingstudynotesfroma recentlectureinnursinghistory.The student
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would credit Florence Nightingale for which definition of nursing?
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a. Theimbalancebetweenthepatientandtheenvironmentdecreasesthecapacityfor
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health. be
b. Thenurseneeds to focus on interpersonalprocesses between nurseand patient.
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c. Thenurseassiststhepatientwithessential functions towardindependence.
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d. Humanbeings areinteractingin continuous motion as energyfields. be be be be be be be be be
ANS: A b e
Florence Nightingale‘s (1860) concept of the environment emphasized prevention and clean air,
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water, and housing. This theory states that the imbalance between the patient and the environment
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decreasesthecapacityforhealthanddoesnotallowforconservationofenergy. Hildegard Peplau
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(1952) focused on the roles played by the nurse and the interpersonal process between a nurse and a
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patient. Virginia Henderson described the nurse‘s role as substitutive (doing for the person),
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supplementary (helping the person), or complementary (working with the person), with the goal of
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independence for the patient. Martha Rogers (1970) developed the Science of Unitary Human
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Beings. She stated that human beings and their environments are interacting in continuous motion
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as infinite energy fields.
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DIF: Understanding OBJ: 1.4 TOP:Planning b e be
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
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Concepts: Health Promotion
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,3. Thenurseidentifies which nurseestablished theAmerican RedCross duringtheCivil War?
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a. DorotheaDix be
b. LindaRichards be
c. LenaHigbee be
d. ClaraBarton be
ANS: D b e
Clara Barton practiced nursing in the Civil War and established the American Red Cross. Dorothea
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Dix wastheheadoftheU.S. SanitaryCommission, whichwasaforerunnerofthe Army Nurse Corps.
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Linda Richards was America‘s first trained nurse, graduating from Boston‘s Women‘s Hospital in
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1873, and Lena Higbee, superintendent of the U.S. Navy Nurse Corps, was awarded the Navy
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Cross in 1918.
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DIF: Remembering OBJ: 1.3 TOP:Assessment b e be
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Professionalism
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4. Thenursinginstructorisresearchingthefiveproficienciesregardedasessentialforstudents and
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professionals. The nursing instructor identifies which organization would be found to have
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added safety as a sixth competency?
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a. QualityandSafetyEducationforNurses (QSEN) be be be be be be
b. InstituteofMedicine (IOM) be be be
c. AmericanAssociationof CollegesofNursing(AACN) be be be be be be
d. NationalLeagueforNursing(NLN) be be be be
ANS: A b e
TheInstituteofMediciner e pNo rt,RHe I hGProBfe.ssCio n M
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core competencies. These include
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Ua ltpatient-centered s Education:ABridgetoQuality(2003),outlines five
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care, interdisciplinary
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teamwork, use of evidence-based medicine, quality improvement, and use of information be be be be be be be be be be
technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate Education
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for Professional Nursing Practice are provided and updated by the American Associationof
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CollegesofNursing(AACN)(2008).Thedocumentoffersaframeworkforthe education of
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professional nurses withoutcomes for students to meet. The National League for Nursing (NLN)
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outlines and updates competencies for practical, associate, baccalaureate, and graduate nursing
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education programs.
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DIF: Remembering OBJ: 1.1 TOP: Planning b e b e b e
MSC:NCLEXClientNeeds Category:Safe andEffectiveCareEnvironment:ManagementofCare NOT:
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Concepts: Care Coordination
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5. The nurse manager is interviewinggraduate nurses to fill existingstaffingvacancies.When hiring
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graduatenurses, thenursemanager realizes that theywill probablynotbe considered
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―competentǁuntiltheycompletewhichtask? be be be be be
a. Theygraduateandpass NCLEX. be be be be
b. Theyhaveworked 2 to 3 years. be be be be be be
c. Theirlast year ofnursing school. be be be be be
d. Theyareactuallyhired. be be be
ANS: B b e
, DIF: Remembering OBJ: 1.1 TOP: Assessment b e b e b e
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:Management ofCare NOT:
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Concepts: Care Coordination
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8. The nurse is caring for a patient who refuses two units of packed red blood cells. When the nurse
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be notifies the health care provider of the patient’s decision, the nurse is acting in which role?
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a. Manager
b. Changeagent be
c. Advocate
d. Educator
ANS: C b e
As the patient’s advocate, the nurse interprets information and provides the necessary education.
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The nurse then accepts and respects the patient’s decisions even if they are different from the
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nurse’s own beliefs. The nurse supports the patient’s wishes and communicates them to other
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health care providers. A nurse manages all of the activities and treatments for patients. In the role
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of change agent, the nurse works with patients to address theirhealthconcernsand withstaff
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membersto addresschangeinanorganizationorwithina community. The nurse ensures that the
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patient receives sufficient information on which to base consent for care and related treatment.
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Education becomes a major focus of discharge planning so that patients will be prepared to
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handle their own needs at home.
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DIF: Applying OBJ: 1.2 TOP: Implementation b e b e b e
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:Management ofCare NOT:
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Concepts: Care Coordination
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9. The nursing student develops a plan of care based on a recentlypublished article describing the
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effects ofbed reston apatient’s calcium bloodlevels. Whencreatingtheplanofcare,the nursing
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student has the obligation to consider which action?
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a. Criticallyappraisetheevidence and determinevalidity. be be be be be be
b. Ensurethat the plan of caredoes not alter current practice. be be be be be be be be be be
c. Changetheprocess even when thereis no problem identified. be be be be be be be be be
d. Maintaintheplan ofcare regardless ofinitial outcome. be be be be be be be be
ANS: A b e
Evidence-based practice (EBP) is an integration of the best-available research evidence with be be be be be be be be be be be
clinical judgment about a specific patient situation. The nurse assesses current and past research,
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clinicalguidelines,andotherresourcestoidentifyrelevantliterature.Theapplication of EBP
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includescriticallyappraisingtheevidence toassess its validity,designingachangefor practice,
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assessing the need for change and identifying a problem, and integrating and maintainingchange
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whilemonitoringprocessand outcomesbyreevaluatingthe applicationof evidence and assessing
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areas for improvement.
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DIF: Applying OBJ: 1.2 TOP: Implementation b e b e b e
MSC: NCLEXClientNeedsCategory:SafeandEffectiveCareEnvironment:Management ofCare NOT:
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Concepts: Care Coordination
be be be