Fundamentals of Nursing 9th Edition
Chapterr01:rNursingrToday
Potterretral.:rFundamentalsrofrNursing,r9thrEditionr MULTIPLE
r CHOICE
1. Whichrnursermostrlikelyrkeptrrecordsronrsanitationrtechniquesrandrthereffectsronrhealth?r
a. FlorencerNightingaler
r r
b. MaryrNuttingr
c. ClararBartonr
r r
d. LillianrWaldr
ANS:rAr
Nightingalerwasrtherfirstrpracticingrnurserepidemiologist.rHerrstatisticalranalysesrconnectedrpoorr sanit
ationrwithrcholerarandrdysentery.rMaryrNutting,rClararBarton,randrLillianrWaldrcamerafterr Nightingale,r
eachrcontributingrtorthernursingrprofessionrinrherrownrway.rMaryrNuttingrwasr instrumentalrinrmovingrn
ursingreducationrintoruniversities.rClararBartonrfoundedrtherAmericanrRedr Cross.rLillianrWaldrhelpedr
openrtherHenryrStreetrSettlement.r
DIF:Understandr(comprehension)REF:5r
OBJ:rDiscussrtherinfluencerofrsocial,rhistorical,rpolitical,randreconomicrchangesronrnursingr practices.r
TOP:rEvaluationrMSC:rHealthrPromotionrandrMaintenancer
2. Thernurserprescribesrstrategiesrandralternativesrtorattainrexpectedroutcome.rWhichrstandardrofr nur
singrpracticerisrthernurserfollowing?r
a. Assessmentr
r r
b. Diagnosisr
c. Planningr
r r
d. Implementationr
ANS:rCr
Inrplanning,rtherregisteredrnurserdevelopsrarplanrthatrprescribesrstrategiesrandralternativesrtorattainr exp
ectedroutcomes.rDuringrassessment,rtherregisteredrnursercollectsrcomprehensiverdatarpertinentr torther
patient’srhealthrand/orrthersituation.rInrdiagnosis,rtherregisteredrnurseranalyzesrtherr assessmentrdatartor
determinertherdiagnosesrorrissues.rDuringrimplementation,rtherregisteredrnurser implementsr(carriesrou
t)rtheridentifiedrplan.r
DIF:Understandr(comprehension)REF:2r
OBJ:rDiscussrtherdevelopmentrofrprofessionalrnursingrroles.rTOP:rPlanningr
,MSC:ManagementrofrCare
3. Anrexperiencedrmedical-
surgicalrnurserchoosesrtorworkrinrobstetrics.rWhichrlevelrofrproficiencyrisr thernurseruponrinitialrtransitio
nrtortherobstetricalrfloor?r
a. Novicer
b. Proficientr
c. Competentr
d. Advancedrbeginnerr
ANS:rAr
Arbeginningrnursingrstudentrorranyrnurserenteringrarsituationrinrwhichrthererisrnorpreviousrlevelrofr exper
iencer(e.g.,ranrexperiencedroperatingrroomrnurserchoosesrtornowrpracticerinrhomerhealth)risrr r anrexam
plerofrarnovicernurse.rArproficientrnurserperceivesrarpatient’srclinicalrsituationrasrarwhole,ris r ablertorasse
ssranrentirersituation,randrcanrreadilyrtransferrknowledgergainedrfromrmultiplerpreviousr experiencesrtor
arsituation.rArcompetentrnurserunderstandsrtherorganizationrandrspecificrcarerr requiredrbyrthertyperofrp
atientsr(e.g.,rsurgical,roncology,rorrorthopedicrpatients).rThisrnurserisrar
competentrpractitionerrwhorisrablertoranticipaternursingrcarerandrestablishrlong-
rangergoals.rArnurser whorhasrhadrsomerlevelrofrexperiencerwithrthersituationrisranradvancedrbeginner.r
Thisrexperiencer mayronlyrberobservationalrinrnature,rbutrthernurserisrablertoridentifyrmeaningfulraspect
srorrprinciplesr ofrnursingrcare.r
DIF:Applyr(application)REF:2r
OBJ:rDiscussrtherdevelopmentrofrprofessionalrnursingrroles.rTOP:rEvaluationr MSC:Managemen
trofrCarer
4. Arnurserassessesrarpatient’srfluidrstatusrandrdecidesrthatrtherpatientrneedsrtordrinkrmorerfluids.r The
rnurserthenrencouragesrtherpatientrtordrinkrmorerfluids.rWhichrconceptrisrthernurser demonstrating?r
a. Licensurer
b. Autonomyr
c. Certificationr
d. Accountabilityr
ANS:rBr
Autonomyrisranressentialrelementrofrprofessionalrnursingrthatrinvolvesrtherinitiationrofrindependentr nur
singrinterventionsrwithoutrmedicalrorders.rTorobtainrlicensurerinrtherUnitedrStates,rtherRNr candidaterm
ustrpassrtherNCLEX-RN®.rBeyondrtherNCLEX-
RN®,rthernursermayrchoosertorworkr towardrcertificationrinrarspecificrarearofrnursingrpractice.rAccounta
bilityrmeansrthatryourarer responsible,rprofessionallyrandrlegally,rforrthertyperandrqualityrofrnursingrcarer
provided.r
,DIF:Applyr(application)REF:3
OBJ:rDiscussrtherrolesrandrcareerropportunitiesrforrnurses.rTOP:rImplementationr MSC:Manage
mentrofrCarer
5. Arnurserpreparesrtherbudgetrandrpoliciesrforranrintensivercarerunit.rWhichrrolerisrthernurser im
plementing?r
a. Educatorr
b. Managerr
c. Advocater
d. Caregiverr
ANS:rBr
Armanagerrcoordinatesrtheractivitiesrofrmembersrofrthernursingrstaffrinrdeliveringrnursingrcarerandr hasr
personnel,rpolicy,randrbudgetaryrresponsibilityrforrarspecificrnursingrunitrorrfacility.rAsranr educator,ryou
rexplainrconceptsrandrfactsraboutrhealth,rdescribertherreasonrforrroutinercarerr r activities,rdemonstraterp
roceduresrsuchrasrself-
careractivities,rreinforcerlearningrorrpatientrbehavior,r andrevaluatertherpatient’srprogressrinrlearning.rA
srarpatientradvocate,ryourprotectryourrpatient’sr humanrandrlegalrrightsrandrproviderassistancerinrassert
ingrtheserrightsrifrtherneedrarises.rAsrar caregiver,ryourhelprpatientsrmaintainrandrregainrhealth,rmanage
rdiseaserandrsymptoms,randrattainrr r armaximalrlevelrfunctionrandrindependencerthroughrtherhealingrpr
ocess.r
DIF:Applyr(application)REF:4r
OBJ:rDescribertherrolesrandrcareerropportunitiesrforrnurses.rTOP:rImplementationr MSC:Manag
ementrofrCarer
6. Thernurserhasrbeenrworkingrinrtherclinicalrsettingrforrseveralryearsrasranradvancedrpracticerr nurse.r
However,rthernurserhasrarstrongrdesirertorpursuerresearchrandrtheoryrdevelopment.rTorfulfillr thisrdesire
,rwhichrprogramrshouldrthernurserattend?r
a. DoctorrofrNursingrSciencerdegreer(DNSc)r
b. DoctorrofrPhilosophyrdegreer(PhD)r
c. DoctorrofrNursingrPracticerdegreer(DNP)r
d. DoctorrinrtherSciencerofrNursingrdegreer(DSN)r
ANS:rBr
Somerdoctoralrprogramsrpreparernursesrforrmorerrigorousrresearchrandrtheoryrdevelopmentrandr awar
drtherresearch-
orientedrDoctorrofrPhilosophyr(PhD)rinrnursing.rProfessionalrdoctoralrprogramsrr inrnursingr(DSNrorrDN
Sc)rpreparergraduatesrtorapplyrresearchrfindingsrtorclinicalrnursing.rTherDNPr israrpracticerdoctoraterth
atrpreparesradvancedrpracticernursesrsuchrasrnurserpractitioners.r
, DIF:Understandr(comprehension)REF:10
OBJ:rDescribereducationalrprogramsravailablerforrprofessionalrregisteredrnurser(RN)reducation.r TOP:
Teaching/LearningMSC:ManagementrofrCarer
7. ArnurserattendsrarworkshopronrcurrentrnursingrissuesrprovidedrbyrtherAmericanrNursesr A
ssociation.rWhichrtyperofreducationrdidrthernurserreceive?r
a. Graduatereducationr
b. Inservicereducationr
c. Continuingreducationr
d. Registeredrnursereducationr
ANS:rCr
Continuingreducationrinvolvesrformal,rorganizedreducationalrprogramsrofferedrbyruniversities,r hospita
ls,rstaternursesrassociations,rprofessionalrnursingrorganizations,randreducationalrandrhealthr carerinsti
tutions.rAfterrobtainingrarbaccalaureaterdegreerinrnursing,ryourcanrpursuergraduater educationrleadingrt
orarmaster’srorrdoctoralrdegreerinranyrnumberrofrgraduaterfields,rincludingr nursing.rInservicereducation
rprogramsrarerinstructionrorrtrainingrprovidedrbyrarhealthrcarerfacilityrorr institution.rRegisteredrnursered
ucationrisrthereducationrpreparationrforranrindividualrintendingrtorber anrRN.r
DIF:Applyr(application)REF:10r
OBJ:rDescribereducationalrprogramsravailablerforrprofessionalrregisteredrnurser(RN)reducation.r TOP:
Teaching/LearningMSC:ManagementrofrCarer
8. Arnurseridentifiesrgapsrbetweenrlocalrandrbestrpractices.rWhichrQualityrandrSafetyrEducationrforr Nu
rsesr(QSEN)rcompetencyrisrthernurserdemonstrating?r
a. Safetyr
b. Patient-centeredrcare
c. Qualityrimprovementr
d. Teamworkrandrcollaboration
ANS:rCr
Qualityrimprovementridentifiesrgapsrbetweenrlocalrandrbestrpractices.rSafetyrminimizesrriskrofrharmr tor
patientsrandrprovidersrthroughrbothrsystemreffectivenessrandrindividualrperformance.rPatient-
r centeredrcarerrecognizesrtherpatientrorrdesigneerasrthersourcerofrcontrolrandrfullrpartnerrinrr r providingr
compassionaterandrcoordinatedrcarerbasedronrrespectrforrpatient’srpreferences,rvalues,r andrneeds.rT
eamworkrandrcollaborationrallowsreffectiverfunctioningrwithinrnursingrandr