Chapter 01: Nursing Today
xv xv xv
Potter: Fundamentals of Nursing, 12th Edition
xv xv xv xv xv
MULTIPLE CHOICE xv
,1. Which nurse most likely kept records on sanitation techniques and the effects on health?
xv xv xv xv xv xv xv xv xv xv xv xv xv
a. Florence Nightingale xv
b. Mary Nutting xv
c. Clara Barton xv
d. Lillian Wald xv
ANS: A xv
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses
xv xv xv xv xv xv xv xv xv
connected poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and
xv xv xv xv xv xv xv xv xv xv xv xv
Lillian Wald came after Nightingale, each contributing to the nursing profession in her
xv xv xv xv xv xv xv xv xv xv xv xv xv
own way. Mary Nutting was instrumental in moving nursing education into universities.
xv xv xv xv xv xv xv xv xv xv xv xv
Clara Barton founded the American Red Cross. Lillian Wald helped open the Henry
xv xv xv xv xv xv xv xv xv xv xv xv xv
Street Settlement.
xv xv
DIF:Understand (comprehension) xv
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
xv xv xv xv xv xv xv xv xv xv xv xv
TOP: Evaluation MSC: Health Promotion and Maintenance x v xv xv xv
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which
xv xv xv xv xv xv xv xv xv xv
standard of nursing practice is the nurse following?
xv xv xv xv xv xv xv xv
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C xv
In planning, the registered nurse develops a plan that prescribes strategies and
xv xv xv xv xv xv xv xv xv xv xv
alternatives to attain expected outcomes. During assessment, the registered nurse collects
xv xv xv xv xv xv xv xv xv xv xv
comprehensive data pertinent to the patient’s health and/or the situation. In diagnosis,
xv xv xv xv xv xv xv xv xv xv xv xv
the registered nurse analyzes the assessment data to determine the diagnoses or issues.
xv xv xv xv xv xv xv xv xv xv xv xv xv
During implementation, the registered nurse implements (carries out) the identified plan.
xv xv xv xv xv xv xv xv xv xv xv
DIF:Understand (comprehension) xv
OBJ:Discuss the development of professional nursing roles.
xv xv xv xv xv xv TOP: Planning xv
MSC: Management of Care
xv x v xv xv
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which
xv xv xv xv xv xv xv xv xv
level of proficiency is the nurse upon initial transition to the obstetrical floor?
xv xv xv xv xv xv xv xv xv xv xv xv xv
a. Novice
b. Proficient
c. Competent
d. Advanced beginner xv
ANS: A xv
, A beginning nursing student or any nurse entering a situation in which there is no
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
previous level of experience (e.g., an experienced operating room nurse chooses to now
xv xv xv xv xv xv xv xv xv xv xv xv xv
practice in home health) is an example of a novice nurse. A proficient nurse perceives a
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
patient’s clinical situation as a whole, is able to assess an entire situation, and can
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
readily transfer knowledge gained from multiple previous experiences to a situation. A
xv xv xv xv xv xv xv xv xv xv xv xv
competent nurse understands the organization and specific care required by the type of
xv xv xv xv xv xv xv xv xv xv xv xv xv
patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent
xv xv xv xv xv xv xv xv xv xv xv xv
practitioner who is able to anticipate nursing care and establish long-range goals. A
xv xv xv xv xv xv xv xv xv xv xv xv xv
nurse who has had some level of experience with the situation is an advanced beginner.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
This experience may only be observational in nature, but the nurse is able to identify
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
meaningful aspects or principles of nursing care.
xv xv xv xv xv xv xv
DIF:Apply (application) xv
OBJ:Discuss the development of professional nursing roles.
xv xv xv xv xv xv TOP:
Evaluation MSC: Management of Care
xv xv x v xv xv
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
fluids. The nurse then encourages the patient to drink more fluids. Which concept is the
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
nurse demonstrating?
xv xv
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B xv
Autonomy is an essential element of professional nursing that involves the initiation of
xv xv xv xv xv xv xv xv xv xv xv xv
independent nursing interventions without medical orders. To obtain licensure in the
xv xv xv xv xv xv xv xv xv xv xv
United States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-
xv xv xv xv xv xv xv xv xv xv xv xv
RN, the nurse may choose to work toward certification in a specific area of nursing
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
practice. Accountability means that you are responsible, professionally and legally, for the
xv xv xv xv xv xv xv xv xv xv xv xv
type and quality of nursing care provided.
xv xv xv xv xv xv xv
DIF:Apply (application) xv
OBJ:Discuss the roles and career opportunities for nurses.
xv xv xv xv xv xv xv TOP:
Implementation MSC: Management of Care
xv xv x v xv xv
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
nurse implementing?
xv xv
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B xv
, A manager coordinates the activities of members of the nursing staff in delivering
xv xv xv xv xv xv xv xv xv xv xv xv
nursing care and has personnel, policy, and budgetary responsibility for a specific
xv xv xv xv xv xv xv xv xv xv xv xv
nursing unit or facility. As an educator, you explain concepts and facts about health,
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
describe the reason for routine care activities, demonstrate procedures such as self-care
xv xv xv xv xv xv xv xv xv xv xv xv
activities, reinforce learning or patient behavior, and evaluate the patient’s progress in
xv xv xv xv xv xv xv xv xv xv xv xv
learning. As a patient advocate, you protect your patient’s human and legal rights and
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
provide assistance in asserting these rights if the need arises. As a caregiver, you help
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
patients maintain and regain health, manage disease and symptoms, and attain a
xv xv xv xv xv xv xv xv xv xv xv xv
maximal level function and independence through the healing process.
xv xv xv xv xv xv xv xv xv
DIF:Apply (application) xv
OBJ:Discuss the roles and career opportunities for nurses.
xv xv xv xv xv xv xv TOP:
Implementation MSC: Management of Care
xv xv x v xv xv
6. The nurse has been working in the clinical setting for several years as an advanced
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
practice nurse. However, the nurse has a strong desire to pursue research and theory
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
development. To fulfill this desire, which program should the nurse attend?
xv xv xv xv xv xv xv xv xv xv xv
a. Doctor of Nursing Science degree (DNSc)
xv xv xv xv xv
b. Doctor of Philosophy degree (PhD)xv xv xv xv
c. Doctor of Nursing Practice degree (DNP)
xv xv xv xv xv
d. Doctor in the Science of Nursing degree (DSN)
xv xv xv xv xv xv xv
ANS: B xv
Some doctoral programs prepare nurses for more rigorous research and theory
xv xv xv xv xv xv xv xv xv xv
development and award the research-oriented Doctor of Philosophy (PhD) in nursing.
xv xv xv xv xv xv xv xv xv xv xv
Professional doctoral programs in nursing (DSN or DNSc) prepare graduates to apply
xv xv xv xv xv xv xv xv xv xv xv xv
research findings to clinical nursing. The DNP is a practice doctorate that prepares
xv xv xv xv xv xv xv xv xv xv xv xv xv
advanced practice nurses such as nurse practitioners.
xv xv xv xv xv xv xv
DIF:Understand (comprehension) xv
OBJ:Compare and contrast the educational programs available for professional registered nurse
xv xv xv xv xv xv xv xv xv xv
(RN) education.
xv xv TOP: Teaching/Learning MSC: Management of Care x v x v xv xv
7. A nurse attends a workshop on current nursing issues provided by the American
xv xv xv xv xv xv xv xv xv xv xv xv
Nurses Association. Which type of education did the nurse receive?
xv xv xv xv xv xv xv xv xv xv
a. Graduate education xv
b. Inservice education xv
c. Continuing education xv
d. Registered nurse education xv xv
ANS: C xv
Continuing education involves formal, organized educational programs offered by
xv xv xv xv xv xv xv xv
universities, hospitals, state nurses associations, professional nursing organizations, and
xv xv xv xv xv xv xv xv xv
educational and health care institutions. After obtaining a baccalaureate degree in nursing,
xv xv xv xv xv xv xv xv xv xv xv xv
you can pursue graduate education leading to a master’s or doctoral degree in any
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
number of graduate fields, including nursing. Inservice education programs are
xv xv xv xv xv xv xv xv xv xv
instruction or training provided by a health care facility or institution. Registered nurse
xv xv xv xv xv xv xv xv xv xv xv xv xv
education is the education preparation for an individual intending to be an RN.
xv xv xv xv xv xv xv xv xv xv xv xv xv
DIF:Apply (application) xv
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
xv xv xv xv xv xv xv xv xv xv xv
xv xv xv
Potter: Fundamentals of Nursing, 12th Edition
xv xv xv xv xv
MULTIPLE CHOICE xv
,1. Which nurse most likely kept records on sanitation techniques and the effects on health?
xv xv xv xv xv xv xv xv xv xv xv xv xv
a. Florence Nightingale xv
b. Mary Nutting xv
c. Clara Barton xv
d. Lillian Wald xv
ANS: A xv
Nightingale was the first practicing nurse epidemiologist. Her statistical analyses
xv xv xv xv xv xv xv xv xv
connected poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and
xv xv xv xv xv xv xv xv xv xv xv xv
Lillian Wald came after Nightingale, each contributing to the nursing profession in her
xv xv xv xv xv xv xv xv xv xv xv xv xv
own way. Mary Nutting was instrumental in moving nursing education into universities.
xv xv xv xv xv xv xv xv xv xv xv xv
Clara Barton founded the American Red Cross. Lillian Wald helped open the Henry
xv xv xv xv xv xv xv xv xv xv xv xv xv
Street Settlement.
xv xv
DIF:Understand (comprehension) xv
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
xv xv xv xv xv xv xv xv xv xv xv xv
TOP: Evaluation MSC: Health Promotion and Maintenance x v xv xv xv
2. The nurse prescribes strategies and alternatives to attain expected outcome. Which
xv xv xv xv xv xv xv xv xv xv
standard of nursing practice is the nurse following?
xv xv xv xv xv xv xv xv
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C xv
In planning, the registered nurse develops a plan that prescribes strategies and
xv xv xv xv xv xv xv xv xv xv xv
alternatives to attain expected outcomes. During assessment, the registered nurse collects
xv xv xv xv xv xv xv xv xv xv xv
comprehensive data pertinent to the patient’s health and/or the situation. In diagnosis,
xv xv xv xv xv xv xv xv xv xv xv xv
the registered nurse analyzes the assessment data to determine the diagnoses or issues.
xv xv xv xv xv xv xv xv xv xv xv xv xv
During implementation, the registered nurse implements (carries out) the identified plan.
xv xv xv xv xv xv xv xv xv xv xv
DIF:Understand (comprehension) xv
OBJ:Discuss the development of professional nursing roles.
xv xv xv xv xv xv TOP: Planning xv
MSC: Management of Care
xv x v xv xv
3. An experienced medical-surgical nurse chooses to work in obstetrics. Which
xv xv xv xv xv xv xv xv xv
level of proficiency is the nurse upon initial transition to the obstetrical floor?
xv xv xv xv xv xv xv xv xv xv xv xv xv
a. Novice
b. Proficient
c. Competent
d. Advanced beginner xv
ANS: A xv
, A beginning nursing student or any nurse entering a situation in which there is no
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
previous level of experience (e.g., an experienced operating room nurse chooses to now
xv xv xv xv xv xv xv xv xv xv xv xv xv
practice in home health) is an example of a novice nurse. A proficient nurse perceives a
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
patient’s clinical situation as a whole, is able to assess an entire situation, and can
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
readily transfer knowledge gained from multiple previous experiences to a situation. A
xv xv xv xv xv xv xv xv xv xv xv xv
competent nurse understands the organization and specific care required by the type of
xv xv xv xv xv xv xv xv xv xv xv xv xv
patients (e.g., surgical, oncology, or orthopedic patients). This nurse is a competent
xv xv xv xv xv xv xv xv xv xv xv xv
practitioner who is able to anticipate nursing care and establish long-range goals. A
xv xv xv xv xv xv xv xv xv xv xv xv xv
nurse who has had some level of experience with the situation is an advanced beginner.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
This experience may only be observational in nature, but the nurse is able to identify
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
meaningful aspects or principles of nursing care.
xv xv xv xv xv xv xv
DIF:Apply (application) xv
OBJ:Discuss the development of professional nursing roles.
xv xv xv xv xv xv TOP:
Evaluation MSC: Management of Care
xv xv x v xv xv
4. A nurse assesses a patient’s fluid status and decides that the patient needs to drink more
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
fluids. The nurse then encourages the patient to drink more fluids. Which concept is the
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
nurse demonstrating?
xv xv
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: B xv
Autonomy is an essential element of professional nursing that involves the initiation of
xv xv xv xv xv xv xv xv xv xv xv xv
independent nursing interventions without medical orders. To obtain licensure in the
xv xv xv xv xv xv xv xv xv xv xv
United States, the RN candidate must pass the NCLEX-RN. Beyond the NCLEX-
xv xv xv xv xv xv xv xv xv xv xv xv
RN, the nurse may choose to work toward certification in a specific area of nursing
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
practice. Accountability means that you are responsible, professionally and legally, for the
xv xv xv xv xv xv xv xv xv xv xv xv
type and quality of nursing care provided.
xv xv xv xv xv xv xv
DIF:Apply (application) xv
OBJ:Discuss the roles and career opportunities for nurses.
xv xv xv xv xv xv xv TOP:
Implementation MSC: Management of Care
xv xv x v xv xv
5. A nurse prepares the budget and policies for an intensive care unit. Which role is the
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
nurse implementing?
xv xv
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: B xv
, A manager coordinates the activities of members of the nursing staff in delivering
xv xv xv xv xv xv xv xv xv xv xv xv
nursing care and has personnel, policy, and budgetary responsibility for a specific
xv xv xv xv xv xv xv xv xv xv xv xv
nursing unit or facility. As an educator, you explain concepts and facts about health,
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
describe the reason for routine care activities, demonstrate procedures such as self-care
xv xv xv xv xv xv xv xv xv xv xv xv
activities, reinforce learning or patient behavior, and evaluate the patient’s progress in
xv xv xv xv xv xv xv xv xv xv xv xv
learning. As a patient advocate, you protect your patient’s human and legal rights and
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
provide assistance in asserting these rights if the need arises. As a caregiver, you help
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
patients maintain and regain health, manage disease and symptoms, and attain a
xv xv xv xv xv xv xv xv xv xv xv xv
maximal level function and independence through the healing process.
xv xv xv xv xv xv xv xv xv
DIF:Apply (application) xv
OBJ:Discuss the roles and career opportunities for nurses.
xv xv xv xv xv xv xv TOP:
Implementation MSC: Management of Care
xv xv x v xv xv
6. The nurse has been working in the clinical setting for several years as an advanced
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
practice nurse. However, the nurse has a strong desire to pursue research and theory
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
development. To fulfill this desire, which program should the nurse attend?
xv xv xv xv xv xv xv xv xv xv xv
a. Doctor of Nursing Science degree (DNSc)
xv xv xv xv xv
b. Doctor of Philosophy degree (PhD)xv xv xv xv
c. Doctor of Nursing Practice degree (DNP)
xv xv xv xv xv
d. Doctor in the Science of Nursing degree (DSN)
xv xv xv xv xv xv xv
ANS: B xv
Some doctoral programs prepare nurses for more rigorous research and theory
xv xv xv xv xv xv xv xv xv xv
development and award the research-oriented Doctor of Philosophy (PhD) in nursing.
xv xv xv xv xv xv xv xv xv xv xv
Professional doctoral programs in nursing (DSN or DNSc) prepare graduates to apply
xv xv xv xv xv xv xv xv xv xv xv xv
research findings to clinical nursing. The DNP is a practice doctorate that prepares
xv xv xv xv xv xv xv xv xv xv xv xv xv
advanced practice nurses such as nurse practitioners.
xv xv xv xv xv xv xv
DIF:Understand (comprehension) xv
OBJ:Compare and contrast the educational programs available for professional registered nurse
xv xv xv xv xv xv xv xv xv xv
(RN) education.
xv xv TOP: Teaching/Learning MSC: Management of Care x v x v xv xv
7. A nurse attends a workshop on current nursing issues provided by the American
xv xv xv xv xv xv xv xv xv xv xv xv
Nurses Association. Which type of education did the nurse receive?
xv xv xv xv xv xv xv xv xv xv
a. Graduate education xv
b. Inservice education xv
c. Continuing education xv
d. Registered nurse education xv xv
ANS: C xv
Continuing education involves formal, organized educational programs offered by
xv xv xv xv xv xv xv xv
universities, hospitals, state nurses associations, professional nursing organizations, and
xv xv xv xv xv xv xv xv xv
educational and health care institutions. After obtaining a baccalaureate degree in nursing,
xv xv xv xv xv xv xv xv xv xv xv xv
you can pursue graduate education leading to a master’s or doctoral degree in any
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
number of graduate fields, including nursing. Inservice education programs are
xv xv xv xv xv xv xv xv xv xv
instruction or training provided by a health care facility or institution. Registered nurse
xv xv xv xv xv xv xv xv xv xv xv xv xv
education is the education preparation for an individual intending to be an RN.
xv xv xv xv xv xv xv xv xv xv xv xv xv
DIF:Apply (application) xv
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
xv xv xv xv xv xv xv xv xv xv xv