Test Bank for Davis Advantage Basic Nursing: Thinking, Doing, and Caring 3rd Edition

Test Bank for Davis Advantage Basic Nursing: Thinking, Doing, and Caring 3rd Edition By Leslie S. Treas; Karen L. Barnett; Mable H. Smith 9781719642071 Chapter 1-41 Complete Guide . Chapter 1. Nursing Past & Present MULTIPLE CHOICE 1. Which 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 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Define nursing in your own words. Chapter page reference: p. 7 Heading: Historical Context of Nursing Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Comprehension [Understanding] Concept: Professionalism Difficulty: Easy Feedback 1 The physician's handmaiden was/is a nursing stereotype rather than an influence on nursing. 2 Although there has been a need for healthcare outside the home throughout history, this has more influNence on the development of hospitals than on nursing; this need provided one more setting for nursing work. 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 are both critical, nurses provided healthcare to the sick and injured at the battle site. 4 Germ theory and sanitation helped to improve healthcare but did not shape nursing. PTS: 1 CON: Professionalism 2. Which is an example of an illness-prevention activity? 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 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Name and recognize the four purposes of nursing care. Chapter page reference: p. 15 Heading: Nursing Practice: Caring for Clients Integrated Processes: Nursing Process – Implementation Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying] Concept: Health Promotion Difficulty: Moderate Feedback 1 Illness-prevention activities focus on avoiding a specific disease. A food diary is a health-promotion activity. 2 Although cancer is a disease, it is assumed that a person joining a support group would already have the disease; therefore, this is not disease prevention but treatment. 3 Administering immunization for HPV is an example of illness prevention. 4 Teaching a diabetic patient about diet is a treatment for diabetes; the patient already has diabetes, so it cannot prevent diabetes. PTS: 1 CON: Health Promotion 3. Which contribution 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 ANS: 1 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Name nine expanded roles for nursing. Chapter page reference: p. 9 Heading: Table 1-1 Roles and FNunctions of the Nurse Integrated Processes: Caring Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Evidence-Based Practice Difficulty: Easy Feedback 1 Improved sanitation (a clean environment) greatly and immediately reduced the rate of infection and mortality in hospitals. 2 This is an activity of Florence Nightingale that improved healthcare or nursing, but the impact is long range, not immediate. 3 This is an activity of Florence Nightingale that improved healthcare or nursing, but the impact is long range, not immediate. 4 This is an activity of Florence Nightingale that improved healthcare or nursing, but the impact is long range, not immediate. PTS: 1 CON: Evidence-Based Practice 4. Which aspect of the full-spectrum nursing role is essential for the nurse to do in order to successfully carry out all the others? 1) Thinking and reasoning about the client’s care 2) Providing hands-on client care 3) Carrying out physician orders 4) Delegating to assistive personnel ANS: 1 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Name and recognize the four purposes of nursing care. Chapter page reference: p. 8 Heading: Nursing Today: Full-Spectrum Nursing Integrated Processes: Nursing Process Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Analysis [Analyzing] Concept: Patient-Centered Care Difficulty: Difficult Feedback 1 A substantial portion of the nursing role involves using clinical judgment, critical thinking, and problem solving, which directly affect the care the client will actually receive. 2 Providing hands-on care is important; however, clinical judgment, critical thinking, and problem-solving are essential to do it successfully. 3 Carrying out physician orders is a small part of a nurse’s role; it, too, requires nursing assessment, planning, intervention, and evaluation. 4 Many simple 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. PTS: 1 CON: Patient-Centered Care 5. Which statement pertaining to NBenner’s 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 technical skills. 3) The nurse must have experience in many areas before being considered an expert. 4) The nurse’s progress through the stages is determined by years of experience and skills. ANS: 2 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Discuss the transitions nursing education has undergone in the last century. Chapter page reference: p. 12 Heading: Benner’s Model Integrated Processes: Caring Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Comprehension [Understanding] Concept: Evidence-Based Practice Difficulty: Easy Feedback 1 Movement through the stages is not constant. 2 Benner’s model is based on integration of knowledge, technical skill, and intuition in the development of clinical wisdom. 3 The model does not mention experience in many areas. 4 The model does not mention years of experience. PTS: 1 CON: Evidence-Based Care 6. Which best explains why it is difficult for the profession to 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. 3) There is disagreement among the different nursing organizations. 4) There are different education pathways and levels of practice. ANS: 2 Chapter number and title: 1, Nursing Past & Present Chapter learning objective: Discuss the transitions that nursing education has undergone in the last century. Chapter page reference: p. 8 Heading: How Is Nursing Defined? Integrated Processes: Caring Client Need: Safe and Effective Care Environment: Management of Care Cognitive level: Analysis [Analyzing] Concept: Professionalism Difficulty: Difficult Feedback 1 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. 2 Healthcare is constantly chNanging and with it come changes in where, how, and what nursing care is delivered. Constant changes make it difficult to develop a definition. 3 Although different nursing organizations have different definitions, they are similar in most ways. 4 The different education pathways affect entry into practice, not the definition of nursing. PTS: 1 CON: Professionalism