TEST BANK
,Chapter`1`Evolution`of`Nursing`Thought`&`Action
Multiple` Choice
Identify` the` choice` that` best` completes` the` statement` or` answers` the` question.
1. What` is` the` most`influential` factor` that` has` shaped` the` nursing`
profession?`1)
Physicians` need` for` handmaidens`
2)
Societal` need` for` healthcare` outside` the`home`
3)
Military`demand`for`nurses`in`the`field`4)`
Germ`theory`influence`on`sanitation`ANS
:`3
Throughout` the` centuries,` stability` of` the` government` has` been` related` to` the` success` of` the`
military`to`protect`or`extend`its`domain.`As`the`survival`and`well-
being`of`soldiers`is`critical,` nurses` provided` healthcare` to` the` sick` and` injured` at` the` battle` s
ite.`The` physicians`handmaiden` was/is` a` nursing` stereotype` rather` than` an` influence` on` nur
sing.`Although`there`has`been`need`for`healthcare`outside`the`home`throughout`history,`this`
has`more`influence`on` the`development` of`hospitals` than`on` nursing;`this` need`provided` one
` more`setting` for` nursing` work.` Germ` theory` and` sanitation` helped` to` improve` healthcare` bu
t` did`not`shape`nursing.
PTS:`1`DIF:`Moderate`REF:`dm`910`KEY:`Nursing` process:`N/A`Client`need:`N/A`|`Cog
nitive`level:`Recall
2. Which` of` the` following` is` an` example` of` an` illness` prevention` activity?` Select`
all`that`apply.
1)
Encouraging`the`use`of`a`food`diary`
2)
Joining` a` cancer` support`group`
3)
Administering` immunization` for` HPV`
4)
Teaching`a`diabetic`patient`about`his`diet`ANS
:`3
Administering` immunization` for` HPV`is` an` example` of` illness` prevention.`Although` cancerì
s`a`disease,`it`is`assumed`that`a`person`joining`a`support`group`would`already`have`the`disea
se;` therefore,` this` is` not` disease` prevention` but` treatment.` Illness-
prevention` activities`focus` on` avoiding` a` specific` disease.`A`food` diary` is` a` health-
promotion` activity.`Teaching`a` diabetic` patient` about` diet` is` a` treatment` for` diabetes;` the` pat
ient` already` has` diabetes,` so`it`cannot`prevent`diabetes.
PTS:`1`DIF:` Moderate`REF:`p.`18;` high-
level`question,`not` directly`stated`in` text`KEY:`Nursing`process:`N/A`|`Client`need:`HPM`|`Cogn
itive`level:`Application
3. Which` of` the` following` contributions` of` Florence` Nightingale` had` an`
immediate`impact`on`improving`patients`health?
1)
Providing` a` clean`environment`
2)
,Improving`nursing`education`
3)
Changing`the`delivery`of`care`in`hospitals`
4)
Establishing` nursing` as` a` distinct` profession`A
NS:`1
Improved` sanitation` (a` clean` environment)` greatly` and` immediately` reduced` the` rate` ofì
nfection` and` mortality` in`hospitals.`The` other` responses` are` all` activities` of` Florence`Ni
ghtingale`that`improved`healthcare`or`nursing,`but`the`impact`is`long`range,`not`immedi
ate.
PTS:`1`DIF:`Easy`REF:`V1,`p.`3;`student`must`infer`from`content`|`V1,`p.`10;` student`mu
st`infer`from`content
KEY:`Nursing` process:`N/A`|` Client`need:` SECE` |`Cognitive` level:`Application
4. All` of` the` following` are` aspects` of` the` full-
spectrum` nursing` role.`Which` oneìs`essential`for`the`nurse`to`do`in`order`to`successfully
`carry`out`all`the`others?
1)
Thinking`and`reasoning` about`the`clients`care`
2)
Providing` hands-
on` client` care3̀)
Carrying`out`physician`orders4̀
)
Delegating` to` assistive` personnel`
ANS:`1
A`substantial`portion`of`the`nursing`role`involves`using`clinical`judgment,`critical`thinkin
g,`and`problem`solving,`which`directly`affect`the`care`the`client`will`actually`receive.`Pro
viding`hands-
on`care`is`important;`however,`clinical`judgment,`critical`thinking,`and` problem` solving` a
re` essential`to` do` it` successfully.` Carrying` out` physician`orders`is`a`small`part`of`a`nurses`
role;`it,`too,`requires`nursing`assessment,`planning,`intervention,` and` evaluation.` Many` si
mple` nursing` tasks` are` being` delegated` to` nursing`assistive`personnel;`delegation`requires
` careful`analysis` of` patient` status` and` the`appropriateness` of` support` personnel`to` deliver`
care.`Another`way`to`analyze`this`question` is` that` none` of` the` options` of` providing` hands-
on` care,` carrying` out` physician`orders,` and` delegating` to` assistive` personnel` is` required` f
or` the` nurse` to` think` and` reasonàbout`a`clients`care;`so`the`answer`must`be`1.
PTS:1DIFifficultREF:`p.`11
KEY:`Nursing`process:`N/A`|`Client` need:`N/A`|`Cognitive`level:`Analysis
5. Which` statement` pertaining` to` Benners` practice` model` for` clinical` competence
is`true?
1)
Progression` through` the` stages` is` constant,` with` most` nurses` reaching` the` proficient` stage.
2)
Progression` through` the` stages` involves` continual` development` of` thinking` and` technicals̀kills
.
3)
The` nurse` must` have` experience` in` many` areas` before` being` considered` an` expert.`
4)
The` nurses` progress` through` the` stages` is` determined` by` years` of` experience` and` skills.`A
NS:`2
Movement` through` the` stages` is` not` constant.` Benners` model` is` based` on` integration` of
, knowledge,`technical`skill,` and`intuition`in`the` development`of` clinical`wisdom.`The`mod
el` does` not` mention` experience` in` many` areas.`The` model` does` not` mention` years` ofèxper
ience.
PTS:1DIF:ModerateREF:p.` 15
KEY:`Nursing`process:` N/A`|`Client` need:`N/A`|`Cognitive` level:`Recall
6. Which`of` the` following` best` explains` why` it` is` difficult` for`the` professiont̀
o`develop`a`definition`of`nursing?
1)
There` are` too` many` different` and` conflicting` images` of` nurses.`
2)
There` are` constant` changes` in` healthcare` and` the` activities` of`nurses.3̀)
There` is` disagreement` among` the` different` nursing`organizations.`
4)
There` are` different` education` pathways` and` levels` of` practice.`
ANS:`2
The`conflicting` images` of` nursing` make` it`more` important` to` develop`a` definition;` they`
may`also`make`it`more`difficult,`but`not`to`the`extent`that`constant`change`does.
Healthcare`is`constantly`changing`and`with`it`come`changes`in`where,`how,`and`what`nurs
ing`care`is`delivered.`Constant`changes`make`it`difficult`to`develop`a`definition.`Although`
different`nursing` organizations`have`different` definitions,`they`are` similar`in`most` ways.`T
he` different` education` pathways` affect` entry` into` practice,` not` the` definitionòf`nursing.
PTS:`1`DIF:`Moderate`REF:`p.`11;`How`Is`Nursing`Defined?
KEY:`Nursing`process:`N/A`|`Client` need:`N/A`|`Cognitive`level:`Analysis
7. Nurses` have` the` potential`to` be` very` influential` in` shaping` healthcare`
policy.`Which`of`the`following` factors`contributes`most`to`nurses`influence?
1)
Nurses` are` the` largest` health` professional` group.`
2)
Nurses` have` a` long` history` of` serving` the` public.`
3)
Nurses` have` achieved` some` independence` from` physicians` in` recent` years.`
4)
Political` involvement` has` helped` refute` negative` images` portrayed` in` the` media.`
ANS:`1
Nurses` are` trusted` professionals` and` the` largest` health` professional` group.`As` such,` they`
have`political`power`to`effect`changes.`If`nursing`were`a`small`group,`there`would`be`littl
e`potential`for`power`in`shaping`policies,`even`if`all`the`other`answers`were`true.
Serving` the` public,` while`positive,` does` not` necessarily` help` nurses` to` be` influential`in`e
stablishing` health` policy.` Independence` from` physicians,` although` positive,` does` not`ne
cessarily` make` nurses` influential` in` establishing` healthcare` policy.` Refuting` negative`me
dia,` although` positive,` does` not` necessarily` make` nurses` influential` in` establishing`healt
hcare`policy.
PTS:`1`DIF:`Moderate`REF:`p.`21
KEY:` Nursing` process:` N/A`|` Client` need:` N/A`|` Cognitive` level:`Analysis
8. Nursing` was` described` as` a` distinct` occupation` in` the` sacred` books` of`
which`faith?
1)
,Chapter`1`Evolution`of`Nursing`Thought`&`Action
Multiple` Choice
Identify` the` choice` that` best` completes` the` statement` or` answers` the` question.
1. What` is` the` most`influential` factor` that` has` shaped` the` nursing`
profession?`1)
Physicians` need` for` handmaidens`
2)
Societal` need` for` healthcare` outside` the`home`
3)
Military`demand`for`nurses`in`the`field`4)`
Germ`theory`influence`on`sanitation`ANS
:`3
Throughout` the` centuries,` stability` of` the` government` has` been` related` to` the` success` of` the`
military`to`protect`or`extend`its`domain.`As`the`survival`and`well-
being`of`soldiers`is`critical,` nurses` provided` healthcare` to` the` sick` and` injured` at` the` battle` s
ite.`The` physicians`handmaiden` was/is` a` nursing` stereotype` rather` than` an` influence` on` nur
sing.`Although`there`has`been`need`for`healthcare`outside`the`home`throughout`history,`this`
has`more`influence`on` the`development` of`hospitals` than`on` nursing;`this` need`provided` one
` more`setting` for` nursing` work.` Germ` theory` and` sanitation` helped` to` improve` healthcare` bu
t` did`not`shape`nursing.
PTS:`1`DIF:`Moderate`REF:`dm`910`KEY:`Nursing` process:`N/A`Client`need:`N/A`|`Cog
nitive`level:`Recall
2. Which` of` the` following` is` an` example` of` an` illness` prevention` activity?` Select`
all`that`apply.
1)
Encouraging`the`use`of`a`food`diary`
2)
Joining` a` cancer` support`group`
3)
Administering` immunization` for` HPV`
4)
Teaching`a`diabetic`patient`about`his`diet`ANS
:`3
Administering` immunization` for` HPV`is` an` example` of` illness` prevention.`Although` cancerì
s`a`disease,`it`is`assumed`that`a`person`joining`a`support`group`would`already`have`the`disea
se;` therefore,` this` is` not` disease` prevention` but` treatment.` Illness-
prevention` activities`focus` on` avoiding` a` specific` disease.`A`food` diary` is` a` health-
promotion` activity.`Teaching`a` diabetic` patient` about` diet` is` a` treatment` for` diabetes;` the` pat
ient` already` has` diabetes,` so`it`cannot`prevent`diabetes.
PTS:`1`DIF:` Moderate`REF:`p.`18;` high-
level`question,`not` directly`stated`in` text`KEY:`Nursing`process:`N/A`|`Client`need:`HPM`|`Cogn
itive`level:`Application
3. Which` of` the` following` contributions` of` Florence` Nightingale` had` an`
immediate`impact`on`improving`patients`health?
1)
Providing` a` clean`environment`
2)
,Improving`nursing`education`
3)
Changing`the`delivery`of`care`in`hospitals`
4)
Establishing` nursing` as` a` distinct` profession`A
NS:`1
Improved` sanitation` (a` clean` environment)` greatly` and` immediately` reduced` the` rate` ofì
nfection` and` mortality` in`hospitals.`The` other` responses` are` all` activities` of` Florence`Ni
ghtingale`that`improved`healthcare`or`nursing,`but`the`impact`is`long`range,`not`immedi
ate.
PTS:`1`DIF:`Easy`REF:`V1,`p.`3;`student`must`infer`from`content`|`V1,`p.`10;` student`mu
st`infer`from`content
KEY:`Nursing` process:`N/A`|` Client`need:` SECE` |`Cognitive` level:`Application
4. All` of` the` following` are` aspects` of` the` full-
spectrum` nursing` role.`Which` oneìs`essential`for`the`nurse`to`do`in`order`to`successfully
`carry`out`all`the`others?
1)
Thinking`and`reasoning` about`the`clients`care`
2)
Providing` hands-
on` client` care3̀)
Carrying`out`physician`orders4̀
)
Delegating` to` assistive` personnel`
ANS:`1
A`substantial`portion`of`the`nursing`role`involves`using`clinical`judgment,`critical`thinkin
g,`and`problem`solving,`which`directly`affect`the`care`the`client`will`actually`receive.`Pro
viding`hands-
on`care`is`important;`however,`clinical`judgment,`critical`thinking,`and` problem` solving` a
re` essential`to` do` it` successfully.` Carrying` out` physician`orders`is`a`small`part`of`a`nurses`
role;`it,`too,`requires`nursing`assessment,`planning,`intervention,` and` evaluation.` Many` si
mple` nursing` tasks` are` being` delegated` to` nursing`assistive`personnel;`delegation`requires
` careful`analysis` of` patient` status` and` the`appropriateness` of` support` personnel`to` deliver`
care.`Another`way`to`analyze`this`question` is` that` none` of` the` options` of` providing` hands-
on` care,` carrying` out` physician`orders,` and` delegating` to` assistive` personnel` is` required` f
or` the` nurse` to` think` and` reasonàbout`a`clients`care;`so`the`answer`must`be`1.
PTS:1DIFifficultREF:`p.`11
KEY:`Nursing`process:`N/A`|`Client` need:`N/A`|`Cognitive`level:`Analysis
5. Which` statement` pertaining` to` Benners` practice` model` for` clinical` competence
is`true?
1)
Progression` through` the` stages` is` constant,` with` most` nurses` reaching` the` proficient` stage.
2)
Progression` through` the` stages` involves` continual` development` of` thinking` and` technicals̀kills
.
3)
The` nurse` must` have` experience` in` many` areas` before` being` considered` an` expert.`
4)
The` nurses` progress` through` the` stages` is` determined` by` years` of` experience` and` skills.`A
NS:`2
Movement` through` the` stages` is` not` constant.` Benners` model` is` based` on` integration` of
, knowledge,`technical`skill,` and`intuition`in`the` development`of` clinical`wisdom.`The`mod
el` does` not` mention` experience` in` many` areas.`The` model` does` not` mention` years` ofèxper
ience.
PTS:1DIF:ModerateREF:p.` 15
KEY:`Nursing`process:` N/A`|`Client` need:`N/A`|`Cognitive` level:`Recall
6. Which`of` the` following` best` explains` why` it` is` difficult` for`the` professiont̀
o`develop`a`definition`of`nursing?
1)
There` are` too` many` different` and` conflicting` images` of` nurses.`
2)
There` are` constant` changes` in` healthcare` and` the` activities` of`nurses.3̀)
There` is` disagreement` among` the` different` nursing`organizations.`
4)
There` are` different` education` pathways` and` levels` of` practice.`
ANS:`2
The`conflicting` images` of` nursing` make` it`more` important` to` develop`a` definition;` they`
may`also`make`it`more`difficult,`but`not`to`the`extent`that`constant`change`does.
Healthcare`is`constantly`changing`and`with`it`come`changes`in`where,`how,`and`what`nurs
ing`care`is`delivered.`Constant`changes`make`it`difficult`to`develop`a`definition.`Although`
different`nursing` organizations`have`different` definitions,`they`are` similar`in`most` ways.`T
he` different` education` pathways` affect` entry` into` practice,` not` the` definitionòf`nursing.
PTS:`1`DIF:`Moderate`REF:`p.`11;`How`Is`Nursing`Defined?
KEY:`Nursing`process:`N/A`|`Client` need:`N/A`|`Cognitive`level:`Analysis
7. Nurses` have` the` potential`to` be` very` influential` in` shaping` healthcare`
policy.`Which`of`the`following` factors`contributes`most`to`nurses`influence?
1)
Nurses` are` the` largest` health` professional` group.`
2)
Nurses` have` a` long` history` of` serving` the` public.`
3)
Nurses` have` achieved` some` independence` from` physicians` in` recent` years.`
4)
Political` involvement` has` helped` refute` negative` images` portrayed` in` the` media.`
ANS:`1
Nurses` are` trusted` professionals` and` the` largest` health` professional` group.`As` such,` they`
have`political`power`to`effect`changes.`If`nursing`were`a`small`group,`there`would`be`littl
e`potential`for`power`in`shaping`policies,`even`if`all`the`other`answers`were`true.
Serving` the` public,` while`positive,` does` not` necessarily` help` nurses` to` be` influential`in`e
stablishing` health` policy.` Independence` from` physicians,` although` positive,` does` not`ne
cessarily` make` nurses` influential` in` establishing` healthcare` policy.` Refuting` negative`me
dia,` although` positive,` does` not` necessarily` make` nurses` influential` in` establishing`healt
hcare`policy.
PTS:`1`DIF:`Moderate`REF:`p.`21
KEY:` Nursing` process:` N/A`|` Client` need:` N/A`|` Cognitive` level:`Analysis
8. Nursing` was` described` as` a` distinct` occupation` in` the` sacred` books` of`
which`faith?
1)
