M M M M M M M M
ChapterM1.MNursingMToda
yMMULTIPLEMCHOICE
1. ContemporaryMnursingMpracticeMisMbasedMonMknowledgeMgeneratedMthroughMnursingMtheori
es.MFlorenceMNightingalesMtheoryMintroducedMtheMconceptMthatMnursingMcareMfocusesMon:
1 Psychological needs M
2 A maximal level of wellness
M M M M
3 Health maintenance and restoration
M M M
4 Interpersonal interactions with the client
M M M M
ANS:M3
FlorenceMNightingaleMbelievedMtheMroleMofMtheMnurseMwasMtoMputMtheMclientsMbodyMinMtheMbestMstateMi
nMorderMtoMremainMfreeMofMdiseaseMorMtoMrecoverMfromMdisease.
AlthoughMFlorenceMNightingaleMmayMhaveMaddressedMmeetingMtheMpsychologicalMneedsMofMherM
clients,MitMisMnotMtheMfocusMofMherMtheory.MTheMgoalMofMNightingalesMtheoryMisMtoMfacilitateMtheMb
odysMreparativeMprocessesMbyMmanipulatingMtheMclientsMenvironment.
FlorenceMNightingaleMthoughtMtheMhumanMbodyMhadMreparativeMpropertiesMofMitsMownMifMitMwasMc
aredMforMinMaMwayMtoMrecoverMfromMdisease.MHerMtheoryMdidMnotMfocusMonMachievingMaMmaximal
MlevelMofMwellness.
FlorenceMNightingaleMbelievedMtheMnurseMwasMinMchargeMofMtheMclientsMhealth.MAlthoughMsheMint
eractedMwithMherMclientsMbyMreadingMtoMthem,MherMtheoryMofMnursingMcareMdidMnotMfocusMuponMint
erpersonalMinteractions.
DIF:MAMREF:M2MOBJ:MKnowledgeMT
OP:MNursingMProcess:MAssessment
MSC:MNCLEXMtestMplanMdesignation:MSafe,MEffectiveMCareMEnvironment/CoordinatedMCare
2. NursingMeducationMprogramsMinMtheMUnitedMStatesMmayMseekMvoluntaryMaccreditationMby
MtheMappropriateMaccreditingMcommissionMcouncilMofMthe:
1 National League for Nursing
M M M
2 American Nurses Association
M M
3 Congress for Nursing Practice
M M M
4 International Council of Nurses
M M M
ANS:M1
TheMNationalMLeagueMforMNursingM(NLN)MisMtheMprofessionalMnursingMorganizationMconcernedM
withMnursingMeducation.MTheMNLNMprovidesMaccreditationMtoMnursingMprogramsMthatMseekMandM
meetMtheMNLNMaccreditationMrequirements.
TheMAmericanMNursesMAssociationM(ANA)MisMconcernedMwithMtheMnursingMprofessionMandMissuesMaff
ectingMhealthMcare,MincludingMstandardsMofMcare.
MedMC
,TheMCongressMforMNursingMPracticeMisMtheMpartMofMtheMANAMconcernedMwithMdeterminingMtheMl
egalMaspectsMofMnursingMpractice,MtheMpublicMrecognitionMofMtheMimportanceMofMnursing,MandMth
eMimpactMofMtrendsMinMhealthMcareMonMnursingMpractice.
TheMInternationalMCouncilMofMNursesM(ICN)MisMconcernedMaboutMissuesMofMhealthMcareMand
MtheMnursingMprofession,MincludingMtheMprovisionMofManMinternationalMpowerMbaseMforMnurs
es.
DIF:MAMREF:M8MOBJ:MKnowledgeMT
OP:MNursingMProcess:MAssessment
MSC:MNCLEXMtestMplanMdesignation:MSafe,MEffectiveMCareMEnvironment/CoordinatedMCare
3. TheMminimumMeducationalMrequirementMforMaMnurseMpractitionerMis:
1 Diploma in nursing
M M
2 Masters in nursing
M M
3 Doctorate in nursing
M M
4 Baccalaureate in nursing M M
ANS:M2
AMmastersMdegreeMisMnursingMisMrequiredMtoMbecomeMaMnurseMpractitioner.
DiplomaMprogramsMinMnursingMrequireM3MyearsMofMeducationMafterMwhichMtheMgraduateMmayMbec
omeMaMregisteredMnurse,MbutMnotMaMnurseMpractitioner.
DoctoralMprogramsMfocusMonMtheMapplicationMofMresearchMfindingsMtoMclinicalMpractice.MTheMdoctoralM
degreeMisMbeyondMtheMmastersMdegree.
TheMbaccalaureateMdegreeMprogramMgenerallyMrequiresM4MyearsMofMstudyMinMaMcollegeMorMuniversi
ty,MafterMwhichMtheMgraduateMmayMbecomeMaMregisteredMnurse,MnotMaMnurseMpractitioner.
DIF:MAMREF:M8MOBJ:MKnowledgeMT
OP:MNursingMProcess:MAssessment
MSC:MNCLEXMtestMplanMdesignation:MSafe,MEffectiveMCareMEnvironment/CoordinatedMCare
4. AMgroupMthatMlobbiesMatMtheMstateMandMfederalMlevelMforMadvancementMofMnursingsMrole,Mecon
omicMinterest,MandMhealthMcareMisMthe:
1 State Board of Nursing
M M M
2 American Nurses Association
M M
3 American Hospital Association
M M
4 National Student Nurses Association
M M M
ANS:M2
TheMAmericanMNursesMAssociationM(ANA)MhiresMlobbyistsMatMtheMstateMandMfederalMlevelMtoMpro
moteMtheMadvancementMofMhealthMcareMandMtheMeconomicMandMgeneralMwelfareMofMnurses.
StateMBoardsMofMNursingMprimarilyMfocusMonMlicensureMofMnursesMwithinMtheirMownMst
ate.MTheMAmericanMHospitalMAssociationMdoesMnotMfocusMonMnursesMeconomicMissues
MandMtheMadvancementMofMtheMroleMofMnurses.
TheMNationalMStudentMNursesMAssociationMfocusesMonMissuesMofMimportanceMforMnursingMstudents.
MedMC
, DIF:MAMREF:M8MOBJ:MComprehension
MTOP:MNursingMProcess:MAssessment
MSC:MNCLEXMtestMplanMdesignation:MSafe,MEffectiveMCareMEnvironment/CoordinatedMCare
5. AMnurseMmovesMfromMSeattleMtoMBostonMandMbeginsMworkingMinMaMhospital.MTheMmostMimpo
rtantMfactorMforMtheMnurseMtoMconsiderMwhenMmovingMtoManotherMstateMisMthe:
1 Massachusetts Nurse Practice Act
M M M
2 Standard for nursing practice in Boston
M M M M M
3 Clinical ladder of mobility in the new hospital
M M M M M M M
4 Requirement for continuing education units (CEU) in
M M M M M M
Massachusetts
ANS:M1
AlthoughMmostMstatesMhaveMsimilarMpracticeMacts,MeachMindividualMstateMhasMitsMownMNurseMPract
iceMActMthatMregulatesMtheMlicensureMandMpracticeMofMnursingMwithinMthatMstate.MKnowledgeMofMth
eMNurseMPracticeMActMisMnecessaryMtoMprovideMsafeMandMlegalMnursingMcare.
StandardsMofMnursingMpracticeMareMnotMspecificMtoMaMcity,MbutMratherMtoMtheMprofessionMitself.MAlt
houghMtheMclinicalMladderMofMmobilityMmayMbeMofMinterestMinMregardMtoMprofessionalMadvanceme
nt,MitMisMnotMtheMmostMimportantMfactorMwhenMpracticingMnursingMinManotherMstate.MKnowledgeMo
fMtheMNurseMPracticeMActMinMorderMtoMprovideMsafeMandMlegalMnursingMcareMisMofMhigherMimportan
ce.
RegardlessMofMwhereMaMnurseMpractices,MtheMnurseMshouldMstriveMtoMremainMcurre
nt.MDIF:MCMREF:M8MOBJ:MAnalysis
TOP:MNursingMProcess:MAssessment
MSC:MNCLEXMtestMplanMdesignation:MSafe,MEffectiveMCareMEnvironment/CoordinatedMCare
6. AMnurseMisMcaringMforMaMclientMwhoMhasMchronicMrenalMfailure.MTheMnurseMstates,MWeMwillMd
oMeverythingMpossibleMtoMreturnMyouMtoMtheMoptimumMlevelMofMself-
careMpossible.MInMcoordinatingManMapproachMtoMbestMmeetMtheMneedsMofMthisMclient,MtheMnurseMi
sMfulfillingMtheMroleMof:
1 Manager
2 Educator
3 Counselor
4 Communicator
ANS:M1
TheMnurse,MinMcaringMforMthisMclient,MwillMcoordinateMtheMactivitiesMofMotherMmembersMofMtheMhe
althMcareMteam.MThisMclientMmayMrequireMtheMassistanceMofMaMnursingMassistantMtoMprovideMperso
nalMcareMuntilMtheMclientMisMlessMfatigued.MAMnutritionistMmayMbeMnecessaryMforMdietMevaluation,Mp
lanning,MandMteaching.MAMnurseMmayMprovideMeducationMonMtheMdialysisMtherapyMandMperformMth
eMskillMnecessaryMuntilMtheMclientMisMableMtoMdoMsoMindependently.
MedMC