h h h h h h h h
Chapterh1.hNursinghTodayhMULTIPL
EhCHOICE
1. Contemporaryhnursinghpracticehishbasedhonhknowledgehgeneratedhthroughhnursinghtheories.h
FlorencehNightingaleshtheoryhintroducedhthehconcepththathnursinghcarehfocuseshon:
1 Psychological needs h
2 A maximal level of wellness
h h h h
3 Health maintenance and restoration
h h h
4 Interpersonal interactions with the client
h h h h
ANS:h3
FlorencehNightingalehbelievedhthehrolehofhthehnursehwashtohpuththehclientshbodyhinhthehbesthstatehinhord
erhtohremainhfreehofhdiseasehorhtohrecoverhfromhdisease.
AlthoughhFlorencehNightingalehmayhhavehaddressedhmeetinghthehpsychologicalhneedshofhherhclient
s,hithishnoththehfocushofhherhtheory.hThehgoalhofhNightingaleshtheoryhishtohfacilitatehthehbodyshreparati
vehprocesseshbyhmanipulatinghthehclientshenvironment.
FlorencehNightingalehthoughththehhumanhbodyhhadhreparativehpropertieshofhitshownhifhithwashcaredhfor
hinhahwayhtohrecoverhfromhdisease.hHerhtheoryhdidhnothfocushonhachievinghahmaximalhlevelhofhwellness
.
FlorencehNightingalehbelievedhthehnursehwashinhchargehofhthehclientshhealth.hAlthoughhshehinteract
edhwithhherhclientshbyhreadinghtohthem,hherhtheoryhofhnursinghcarehdidhnothfocushuponhinterpersonalh
interactions.
DIF:hAhREF:h2hOBJ:hKnowledgehTOP
:hNursinghProcess:hAssessment
MSC:hNCLEXhtesthplanhdesignation:hSafe,hEffectivehCarehEnvironment/CoordinatedhCare
2. NursingheducationhprogramshinhthehUnitedhStateshmayhseekhvoluntaryhaccreditationhbyhtheha
ppropriatehaccreditinghcommissionhcouncilhofhthe:
1 National League for Nursing
h h h
2 American Nurses Association
h h
3 Congress for Nursing Practice
h h h
4 International Council of Nurses
h h h
ANS:h1
ThehNationalhLeaguehforhNursingh(NLN)hishthehprofessionalhnursinghorganizationhconcernedhwithhnu
rsingheducation.hThehNLNhprovideshaccreditationhtohnursinghprogramshthathseekhandhmeeththehNLNha
ccreditationhrequirements.
ThehAmericanhNurseshAssociationh(ANA)hishconcernedhwithhthehnursinghprofessionhandhissueshaffect
inghhealthhcare,hincludinghstandardshofhcare.
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,ThehCongresshforhNursinghPracticehishthehparthofhthehANAhconcernedhwithhdetermininghthehlegalha
spectshofhnursinghpractice,hthehpublichrecognitionhofhthehimportancehofhnursing,handhthehimpacthof
htrendshinhhealthhcarehonhnursinghpractice.
ThehInternationalhCouncilhofhNursesh(ICN)hishconcernedhabouthissueshofhhealthhcarehandhthehn
ursinghprofession,hincludinghthehprovisionhofhanhinternationalhpowerhbasehforhnurses.
DIF:hAhREF:h8hOBJ:hKnowledgehTOP
:hNursinghProcess:hAssessment
MSC:hNCLEXhtesthplanhdesignation:hSafe,hEffectivehCarehEnvironment/CoordinatedhCare
3. Thehminimumheducationalhrequirementhforhahnursehpractitionerhis:
1 Diploma in nursing
h h
2 Masters in nursing
h h
3 Doctorate in nursing
h h
4 Baccalaureate in nursing h h
ANS:h2
Ahmastershdegreehishnursinghishrequiredhtohbecomehahnursehpractitioner.
Diplomahprogramshinhnursinghrequireh3hyearshofheducationhafterhwhichhthehgraduatehmayhbecomehah
registeredhnurse,hbuthnothahnursehpractitioner.
Doctoralhprogramshfocushonhthehapplicationhofhresearchhfindingshtohclinicalhpractice.hThehdoctoralhde
greehishbeyondhthehmastershdegree.
Thehbaccalaureatehdegreehprogramhgenerallyhrequiresh4hyearshofhstudyhinhahcollegehorhuniversity,hafte
rhwhichhthehgraduatehmayhbecomehahregisteredhnurse,hnothahnursehpractitioner.
DIF:hAhREF:h8hOBJ:hKnowledgehTOP
:hNursinghProcess:hAssessment
MSC:hNCLEXhtesthplanhdesignation:hSafe,hEffectivehCarehEnvironment/CoordinatedhCare
4. Ahgrouphthathlobbieshaththehstatehandhfederalhlevelhforhadvancementhofhnursingshrole,heconomichi
nterest,handhhealthhcarehishthe:
1 State Board of Nursing
h h h
2 American Nurses Association
h h
3 American Hospital Association
h h
4 National Student Nurses Association
h h h
ANS:h2
ThehAmericanhNurseshAssociationh(ANA)hhireshlobbyistshaththehstatehandhfederalhlevelhtohpromoteht
hehadvancementhofhhealthhcarehandhtheheconomichandhgeneralhwelfarehofhnurses.
StatehBoardshofhNursinghprimarilyhfocushonhlicensurehofhnurseshwithinhtheirhownhstate.h
ThehAmericanhHospitalhAssociationhdoeshnothfocushonhnursesheconomichissueshandhtheha
dvancementhofhthehrolehofhnurses.
ThehNationalhStudenthNurseshAssociationhfocuseshonhissueshofhimportancehforhnursinghstudents.
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, DIF:hAhREF:h8hOBJ:hComprehensionh
TOP:hNursinghProcess:hAssessment
MSC:hNCLEXhtesthplanhdesignation:hSafe,hEffectivehCarehEnvironment/CoordinatedhCare
5. AhnursehmoveshfromhSeattlehtohBostonhandhbeginshworkinghinhahhospital.hThehmosthimportanthf
actorhforhthehnursehtohconsiderhwhenhmovinghtohanotherhstatehishthe:
1 Massachusetts Nurse Practice Act
h h h
2 Standard for nursing practice in Boston
h h h h h
3 Clinical ladder of mobility in the new hospital
h h h h h h h
4 Requirement for continuing education units (CEU) in Massachuset
h h h h h h hh
ts
ANS:h1
Althoughhmosthstateshhavehsimilarhpracticehacts,heachhindividualhstatehhashitshownhNursehPracticehAct
hthathregulateshthehlicensurehandhpracticehofhnursinghwithinhthathstate.hKnowledgehofhthehNursehPractic
ehActhishnecessaryhtohprovidehsafehandhlegalhnursinghcare.
Standardshofhnursinghpracticeharehnothspecifichtohahcity,hbuthratherhtohthehprofessionhitself.hAlthough
hthehclinicalhladderhofhmobilityhmayhbehofhinteresthinhregardhtohprofessionalhadvancement,hithishnotht
hehmosthimportanthfactorhwhenhpracticinghnursinghinhanotherhstate.hKnowledgehofhthehNursehPracti
cehActhinhorderhtohprovidehsafehandhlegalhnursinghcarehishofhhigherhimportance.
Regardlesshofhwherehahnursehpractices,hthehnursehshouldhstrivehtohremainhcurrent.hD
IF:hChREF:h8hOBJ:hAnalysis
TOP:hNursinghProcess:hAssessment
MSC:hNCLEXhtesthplanhdesignation:hSafe,hEffectivehCarehEnvironment/CoordinatedhCare
6. Ahnursehishcaringhforhahclienthwhohhashchronichrenalhfailure.hThehnursehstates,hWehwillhdohevery
thinghpossiblehtohreturnhyouhtohthehoptimumhlevelhofhself-
carehpossible.hInhcoordinatinghanhapproachhtohbesthmeeththehneedshofhthishclient,hthehnursehishfulfil
linghthehrolehof:
1 Manager
2 Educator
3 Counselor
4 Communicator
ANS:h1
Thehnurse,hinhcaringhforhthishclient,hwillhcoordinatehthehactivitieshofhotherhmembershofhthehhealthhcareh
team.hThishclienthmayhrequirehthehassistancehofhahnursinghassistanthtohprovidehpersonalhcarehuntilhtheh
clienthishlesshfatigued.hAhnutritionisthmayhbehnecessaryhforhdiethevaluation,hplanning,handhteaching.hAh
nursehmayhprovideheducationhonhthehdialysishtherapyhandhperformhthehskillhnecessaryhuntilhthehclienthi
shablehtohdohsohindependently.
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