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Fundamentals of Nursing
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Active Learning for Collaborative Practice 3rd
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v Edition
By
Barbara L. Yoost, Lynne R. Crawford
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,Chapter 01: Nursing, Theory, and Professional Practice
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Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative Practice,
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3rd Edition
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MULTIPLE CHOICE v
1. A group of nursing students are discussing the impact of nonnursing theories in clinical
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v practice. The students would be correct if they chose which theory to prioritize patient care?
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a. Erikson‘s Psychosocial Theory v v
b. Paul‘s Critical-Thinking Theory v v
c. Maslow‘s Hierarchy of Needs v v v
d. Rosenstock‘s Health Belief Model v v v
ANS: C v
Maslow‘s hierarchy of needs specifies the psychological and physiologic factors that affect
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each person‘s physical and mental health. The nurse‘s understanding of these factors helps
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with formulating Nursing diagnoses that address the patient‘s needs and values to prioritize
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care. Erikson‘s Psychosocial Theory of Development and Socialization is based on
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individuals‘ interacting and learning about their world. Nurses use concepts of developmental
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theory to critically think in providing care for their patients at various stages of their lives.
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Rosenstock (1974) developed the psychological Health Belief Model. The model addresses
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possible reasons for why a patient may not comply with recommended health promotion
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behaviors. This model is especially useful to nurses as they educate patients.
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DIF: Remembering OBJ: 1.5 TOP: Planning v v v
MSC: NCLEX Client Needs CN
v a t e gR
o r y : IS a f G
e a nB
dE.fC
fectiM
ve Care Environment: Management of Care
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NOT: Concepts: Care CoordinatiU
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2. A nursing student is preparing study notes from a recent lecture in nursing history. The
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student would credit Florence Nightingale for which definition of nursing?
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a. The imbalance between the patient and the environment decreases the capacity for
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health. v
b. The nurse needs to focus on interpersonal processes between nurse and patient.
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c. The nurse assists the patient with essential functions toward independence.
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d. Human beings are interacting in continuous motion as energy fields.
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ANS: A v
Florence Nightingale‘s (1860) concept of the environment emphasized prevention and clean
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air, water, and housing. This theory states that the imbalance between the patient and the
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environment decreases the capacity for health and does not allow for conservation of energy.
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Hildegard Peplau (1952) focused on the roles played by the nurse and the interpersonal process
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between a nurse and a patient. Virginia Henderson described the nurse‘s role as
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substitutive (doing for the person), supplementary (helping the person), or complementary
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(working with the person), with the goal of independence for the patient. Martha Rogers (1970)
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developed the Science of Unitary Human Beings. She stated that human beings and their
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environments are interacting in continuous motion as infinite energy fields.
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DIF: Understanding OBJ: 1.4 TOP: Planning v v
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Health Promotion
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,3. The nurse identifies which nurse established the American Red Cross during the Civil War?
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a. Dorothea Dix v
b. Linda Richards v
c. Lena Higbee v
d. Clara Barton v
ANS: D v
Clara Barton practiced nursing in the Civil War and established the American Red Cross.
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Dorothea Dix was the head of the U.S. Sanitary Commission, which was a forerunner of the
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Army Nurse Corps. Linda Richards was America‘s first trained nurse, graduating from
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Boston‘s Women‘s Hospital in 1873, and Lena Higbee, superintendent of the U.S. Navy Nurse
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Corps, was awarded the Navy Cross in 1918.
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DIF: Remembering OBJ: 1.3 TOP: Assessment v v
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
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NOT: Concepts: Professionalism
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4. The nursing instructor is researching the five proficiencies regarded as essential for students
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and professionals. The nursing instructor identifies which organization would be found to
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have added safety as a sixth competency?
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a. Quality and Safety Education for Nurses (QSEN) v v v v v v
b. Institute of Medicine (IOM) v v v
c. American Association of Colleges of Nursing (AACN) v v v v v v
d. National League for Nursing (NLN) v v v v
ANS: A v
The Institute of Medicine r epNo rt ,RH e I GP r oBf e.s sCi o nMs Education: A Bridge to Quality (2003),
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outlines five core competencies.
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S a l t hinclude
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patient-centered care, interdisciplinary
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teamwork, use of evidence-based medicine, quality improvement, and use of information
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technology. QSEN added safety as a sixth competency. The Essentials of Baccalaureate
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Education for Professional Nursing Practice are provided and updated by the American
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Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the
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education of professional nurses with outcomes for students to meet. The National League for
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Nursing (NLN) outlines and updates competencies for practical, associate, baccalaureate, and
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graduate nursing education programs.
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DIF: Remembering OBJ: 1.1 TOP: Planning v v v
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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5. The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When
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hiring graduate nurses, the nurse manager realizes that they will probably not be considered
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―competent‖ until they complete which task? v v v v v
a. They graduate and pass NCLEX. v v v v
b. They have worked 2 to 3 years. v v v v v v
c. Their last year of nursing school. v v v v v
d. They are actually hired. v v v
ANS: B v
, Benner‘s model identifies five levels of proficiency: novice, advanced beginner, competent,
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proficient, and expert. The student nurse progresses from novice to advanced beginner during
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nursing school and attains the competent level after approximately 2 to 3 years of work
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experience after graduation. To obtain the RN credential, a person must graduate from an
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approved school of nursing and pass a state licensing examination called the National Council
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Licensure Examination for Registered Nurses (NCLEX-RN) usually taken soon after
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completion of an approved nursing program.
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DIF: Remembering OBJ: 1.7 TOP: Planning v v v
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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6. The prospective student is considering options for beginning a career in nursing. Which
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v degree would best match the student‘s desire to conduct research at the university level?
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a. Associate Degree in Nursing (ADN) v v v v
b. Bachelor of Science in Nursing (BSN) v v v v v
c. Doctor of Nursing Practice (DNP) v v v v
d. Doctor of Philosophy in Nursing (PhD) v v v v v
ANS: D v
Doctoral nursing education can result in a Doctor of Philosophy (PhD) degree. This degree
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prepares nurses for leadership roles in research, teaching, and administration that are essential to
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advancing nursing as a profession. Associate Degree in Nursing (ADN) programs usually are
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conducted in a community college setting. The nursing curriculum focuses on adult acute and
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chronic disease; maternal/child health; pediatrics; and psychiatric/mental health nursing. ADN
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RNs may return to school to earn a bachelor‘s degree or higher in an RN-to-BSN or RN-to-
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MSN program. Bachelor‘s degree programs include community health and
management courses b e yo n d Nt hUo R
s eSpI
r oNv iG e dBi.
nCanOas s o c iat e degree program. A newer
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practice-focused doctoral degree is the Doctor of Nursing practice (DNP), which concentrates on v v v v v v v v v v v v
the clinical aspects of nursing. DNP specialties include the four advanced practice roles of NP,
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CNS, CNM, and CRNA.
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DIF: Remembering
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MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care
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NOT: Concepts: Care Coordination
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7. During a staff meeting, the nurse manager announces that the hospital will be seeking Magnet
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status. To explain the requirements for this award, the nurse manager will contact which
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organization?
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a. American Nurses Association (ANA) v v v
b. American Nurses Credentialing Center (ANCC) v v v v
c. National League for Nursing (NLN) v v v v
d. Joint Commission v
ANS: B v
The American Nurses Credentialing Center (ANCC) awards Magnet Recognition to hospitals
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that have shown excellence and innovation in nursing. The ANA is a professional organization
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that provides standards of nursing practice. The National League for Nursing (NLN) outlines
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and updates competencies for practical, associate, baccalaureate, and graduate nursing education
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programs. The Joint Commission is the accrediting organization for health care facilities in the
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United States.
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