Chapter 1. Nursing Today
MULTIPLE CHOICE
1. Contemporary nursing practice is based on knowledge generated through
nursing theories. Florence Nightingales theory introduced the concept that nursing
care focuses on:
1 Psychological needs
2 A maximal level of wellness
3 Health maintenance and restoration
4 Interpersonal interactions with the client
ANS: 3
Florence Nightingale believed the role of the nurse was to put the clients body in
the best state in order to remain free of disease or to recover from disease.
Although Florence Nightingale may have addressed meeting the psychological needs
of her clients, it is not the focus of her theory. The goal of Nightingales theory is to
facilitate the bodys reparative processes by manipulating the clients environment.
Florence Nightingale thought the human body had reparative properties of its own if it
was cared for in a way to recover from disease. Her theory did not focus on achieving
a maximal level of wellness.
Florence Nightingale believed the nurse was in charge of the clients health.
Although she interacted with her clients by reading to them, her theory of nursing
care did not focus upon interpersonal interactions.
DIF: A REF: 2 OBJ:
Knowledge TOP: Nursing
Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated
Care 2. Nursing education programs in the United States may seek voluntary
accreditation by the appropriate accrediting commission council of the:
, 1 National League for Nursing
2 American Nurses Association
3 Congress for Nursing Practice
4 International Council of Nurses
ANS: 1
The National League for Nursing (NLN) is the professional nursing organization
concerned with nursing education. The NLN provides accreditation to nursing
programs that seek and meet the NLN accreditation requirements.
The American Nurses Association (ANA) is concerned with the nursing profession
and issues affecting health care, including standards of care.
The Congress for Nursing Practice is the part of the ANA concerned with determining
the legal aspects of nursing practice, the public recognition of the importance of
nursing, and the impact of trends in health care on nursing practice.
The International Council of Nurses (ICN) is concerned about issues of health
care and the nursing profession, including the provision of an international power
base for nurses.
DIF: A REF: 8 OBJ:
Knowledge TOP: Nursing
Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated
Care 3. The minimum educational requirement for a nurse practitioner is:
1 Diploma in nursing
2 Masters in nursing
3 Doctorate in nursing
4 Baccalaureate in nursing
ANS: 2
A masters degree is nursing is required to become a nurse practitioner.
Diploma programs in nursing require 3 years of education after which the graduate
may become a registered nurse, but not a nurse practitioner.
Doctoral programs focus on the application of research findings to clinical practice.
The doctoral degree is beyond the masters degree.
The baccalaureate degree program generally requires 4 years of study in a college
or university after which the graduate may become a registered nurse, not a nurse
practitioner.
DIF: A REF: 8 OBJ:
Knowledge TOP: Nursing
Process: Assessment
,MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated
Care 4. A group that lobbies at the state and federal level for advancement of nursings
role, economic interest, and health care is the:
1 State Board of Nursing
2 American Nurses Association
3 American Hospital Association
4 National Student Nurses Association
ANS: 2
, The American Nurses Association (ANA) hires lobbyists at the state and federal level to
promote the advancement of health care and the economic and general welfare of
nurses. State Boards of Nursing primarily focus on licensure of nurses within their own
state. The American Hospital Association does not focus on nurses economic
issues and the advancement of the role of nurses.
The National Student Nurses Association focuses on issues of importance for nursing
students DIF: A REF: 8 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated
Care 5. A nurse moves from Seattle to Boston and begins working in a hospital. The
most important factor for the nurse to consider when moving to another state is the:
1 Massachusetts Nurse Practice Act
2 Standard for nursing practice in Boston
3 Clinical ladder of mobility in the new hospital
4 Requirement for continuing education units (CEU)
in Massachusetts
ANS: 1
Although most states have similar practice acts, each individual state has its own
Nurse Practice Act that regulates the licensure and practice of nursing within that state.
Knowledge of the Nurse Practice Act is necessary to provide safe and legal nursing
care. Standards of nursing practice are not specific to a city, but rather to the
profession itself. Although the clinical ladder of mobility may be of interest in regard to
professional advancement, it is not the most important factor when practicing nursing in
another state. Knowledge of the Nurse Practice Act in order to provide safe and legal
nursing care is of higher importance.
Regardless of where a nurse practices, the nurse should strive to
remain current. DIF: C REF: 8 OBJ: Analysis
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care 6.
A nurse is caring for a client who has chronic renal failure. The nurse states, We
will do everything possible to return you to the optimum level of self-care possible.
In coordinating an approach to best meet the needs of this client, the nurse is
fulfilling the role of:
1 Manager
2 Educator
3 Counselor
MULTIPLE CHOICE
1. Contemporary nursing practice is based on knowledge generated through
nursing theories. Florence Nightingales theory introduced the concept that nursing
care focuses on:
1 Psychological needs
2 A maximal level of wellness
3 Health maintenance and restoration
4 Interpersonal interactions with the client
ANS: 3
Florence Nightingale believed the role of the nurse was to put the clients body in
the best state in order to remain free of disease or to recover from disease.
Although Florence Nightingale may have addressed meeting the psychological needs
of her clients, it is not the focus of her theory. The goal of Nightingales theory is to
facilitate the bodys reparative processes by manipulating the clients environment.
Florence Nightingale thought the human body had reparative properties of its own if it
was cared for in a way to recover from disease. Her theory did not focus on achieving
a maximal level of wellness.
Florence Nightingale believed the nurse was in charge of the clients health.
Although she interacted with her clients by reading to them, her theory of nursing
care did not focus upon interpersonal interactions.
DIF: A REF: 2 OBJ:
Knowledge TOP: Nursing
Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated
Care 2. Nursing education programs in the United States may seek voluntary
accreditation by the appropriate accrediting commission council of the:
, 1 National League for Nursing
2 American Nurses Association
3 Congress for Nursing Practice
4 International Council of Nurses
ANS: 1
The National League for Nursing (NLN) is the professional nursing organization
concerned with nursing education. The NLN provides accreditation to nursing
programs that seek and meet the NLN accreditation requirements.
The American Nurses Association (ANA) is concerned with the nursing profession
and issues affecting health care, including standards of care.
The Congress for Nursing Practice is the part of the ANA concerned with determining
the legal aspects of nursing practice, the public recognition of the importance of
nursing, and the impact of trends in health care on nursing practice.
The International Council of Nurses (ICN) is concerned about issues of health
care and the nursing profession, including the provision of an international power
base for nurses.
DIF: A REF: 8 OBJ:
Knowledge TOP: Nursing
Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated
Care 3. The minimum educational requirement for a nurse practitioner is:
1 Diploma in nursing
2 Masters in nursing
3 Doctorate in nursing
4 Baccalaureate in nursing
ANS: 2
A masters degree is nursing is required to become a nurse practitioner.
Diploma programs in nursing require 3 years of education after which the graduate
may become a registered nurse, but not a nurse practitioner.
Doctoral programs focus on the application of research findings to clinical practice.
The doctoral degree is beyond the masters degree.
The baccalaureate degree program generally requires 4 years of study in a college
or university after which the graduate may become a registered nurse, not a nurse
practitioner.
DIF: A REF: 8 OBJ:
Knowledge TOP: Nursing
Process: Assessment
,MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated
Care 4. A group that lobbies at the state and federal level for advancement of nursings
role, economic interest, and health care is the:
1 State Board of Nursing
2 American Nurses Association
3 American Hospital Association
4 National Student Nurses Association
ANS: 2
, The American Nurses Association (ANA) hires lobbyists at the state and federal level to
promote the advancement of health care and the economic and general welfare of
nurses. State Boards of Nursing primarily focus on licensure of nurses within their own
state. The American Hospital Association does not focus on nurses economic
issues and the advancement of the role of nurses.
The National Student Nurses Association focuses on issues of importance for nursing
students DIF: A REF: 8 OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated
Care 5. A nurse moves from Seattle to Boston and begins working in a hospital. The
most important factor for the nurse to consider when moving to another state is the:
1 Massachusetts Nurse Practice Act
2 Standard for nursing practice in Boston
3 Clinical ladder of mobility in the new hospital
4 Requirement for continuing education units (CEU)
in Massachusetts
ANS: 1
Although most states have similar practice acts, each individual state has its own
Nurse Practice Act that regulates the licensure and practice of nursing within that state.
Knowledge of the Nurse Practice Act is necessary to provide safe and legal nursing
care. Standards of nursing practice are not specific to a city, but rather to the
profession itself. Although the clinical ladder of mobility may be of interest in regard to
professional advancement, it is not the most important factor when practicing nursing in
another state. Knowledge of the Nurse Practice Act in order to provide safe and legal
nursing care is of higher importance.
Regardless of where a nurse practices, the nurse should strive to
remain current. DIF: C REF: 8 OBJ: Analysis
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Safe, Effective Care Environment/Coordinated Care 6.
A nurse is caring for a client who has chronic renal failure. The nurse states, We
will do everything possible to return you to the optimum level of self-care possible.
In coordinating an approach to best meet the needs of this client, the nurse is
fulfilling the role of:
1 Manager
2 Educator
3 Counselor
