Davis Advantage Basic
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Nursing: Thinking, Doing,
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and Caring ll
3rd Edition Wilkinson
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Test Bank ll
,Chapter 1 Evolution of Nursing Thought & Action
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Multiple Choice ll
Identify the choice that best completes the statement or answers the question.
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1. What is the most influential factor that has shaped the nursing ll ll ll ll ll ll ll ll ll ll
profession? 1)
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Physicians need for handmaidens ll ll ll
2)
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Societal need for healthcare outside the home
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3)
ll
Military demand for nurses in the field 4)
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Germ theory influence on sanitation
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ANS: 3
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Throughout the centuries, stability of the government has been related to the success of
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the military to protect or extend its domain. As the survival and well-being of soldiers is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
critical, nurses provided healthcare to the sick and injured at the battle site. The
l l ll ll ll ll ll ll ll ll ll ll ll ll ll
physicians handmaiden was/is a nursing stereotype rather than an influence on
ll ll ll ll ll ll ll ll ll ll ll
nursing. Although there has been need for healthcare outside the home throughout
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history, this has more influence on the development of hospitals than on nursing; this
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
need provided one more setting for nursing work. Germ theory and sanitation helped to
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
improve healthcare but did not shape nursing.
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PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A |
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Cognitive level: Recall
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2. Which of the following is an example of an illness prevention activity? Select ll ll ll ll ll ll ll ll ll ll ll ll
all that apply.
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1)
Encouraging the use of a food diary ll ll ll ll ll ll
2)
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,Joining a cancer support group
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3)
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Administering immunization for HPV ll ll ll
4)
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Teaching a diabetic patient about his diet
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ANS: 3
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Administering immunization for HPV is an example of illness prevention. Although cancer
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is a disease, it is assumed that a person joining a support group would already have the
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disease; therefore, this is not disease prevention but treatment. Illness-prevention activities
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focus on avoiding a specific disease. A food diary is a health-promotion activity.
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Teaching a diabetic patient about diet is a treatment for diabetes; the patient already
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
has diabetes, so it cannot prevent diabetes.
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PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text KEY:
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Nursing process: N/A | Client need: HPM | Cognitive level: Application
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3. Which of the following contributions of Florence Nightingale had an
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immediate impact on improving patients health?
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1)
Providing a clean environment ll ll ll
2)
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, Improving nursing education l ll
3)
ll
Changing the delivery of care in hospitals ll ll ll ll ll ll
4)
ll
Establishing nursing as a distinct profession ll ll ll ll ll
ANS: 1
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Improved sanitation (a clean environment) greatly and immediately reduced the rate of
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infection and mortality in hospitals. The other responses are all activities of Florence
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Nightingale that improved healthcare or nursing, but the impact is long range, not
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immediate.
ll
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
must infer from content
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KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
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4. All of the following are aspects of the full-spectrum nursing role. Which one
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is essential for the nurse to do in order to successfully carry out all the others?
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1)
Thinking and reasoning about the clients care ll ll ll ll ll ll
2)
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Providing hands-on client care ll ll ll
3)
ll
Carrying out physician orders ll ll ll
4)
ll
Delegating to assistive personnel ll ll ll
ANS: 1
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A substantial portion of the nursing role involves using clinical judgment, critical
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thinking, and problem solving, which directly affect the care the client will actually
ll ll ll ll ll ll ll ll ll ll ll ll ll
receive. Providing hands-on care is important; however, clinical judgment, critical
ll ll ll ll ll ll ll ll ll ll
thinking, and problem solving are essential to do it successfully. Carrying out physician
ll ll ll ll ll ll ll ll ll ll ll ll ll
orders is a small part of a nurses role; it, too, requires nursing assessment, planning,
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
intervention, and evaluation. Many simple nursing tasks are being delegated to nursing
ll ll ll ll ll ll ll ll ll ll ll ll
assistive personnel; delegation requires careful analysis of patient status and the
ll ll ll ll ll ll ll ll ll ll ll
appropriateness of support personnel to deliver care. Another way to analyze this
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question is that none of the options of providing hands-on care, carrying out physician
l l ll ll ll ll ll ll ll ll ll ll ll ll ll
orders, and delegating to assistive personnel is required for the nurse to think and
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
reason about a clients care; so the answer must be 1.
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PTS:1DIFifficultREF: p. 11 ll ll
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
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5. Which statement pertaining to Benners practice model for clinical competence ll ll ll ll ll ll ll ll ll
is true?
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1)
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Progression through the stages is constant, with most nurses reaching the proficient stage.
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2)
Progression through the stages involves continual development of thinking and
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technical skills.
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3)
The nurse must have experience in many areas before being considered an
ll ll ll ll ll ll ll ll ll ll ll
expert. 4)
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The nurses progress through the stages is determined by years of experience and skills.
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ANS: 2
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Movement through the stages is not constant. Benners model is based on integration of
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll ll
Nursing: Thinking, Doing,
ll ll
and Caring ll
3rd Edition Wilkinson
ll ll
Test Bank ll
,Chapter 1 Evolution of Nursing Thought & Action
ll ll ll ll ll ll ll
Multiple Choice ll
Identify the choice that best completes the statement or answers the question.
ll ll ll ll ll ll ll ll ll ll ll
1. What is the most influential factor that has shaped the nursing ll ll ll ll ll ll ll ll ll ll
profession? 1)
ll ll
Physicians need for handmaidens ll ll ll
2)
ll
Societal need for healthcare outside the home
ll ll ll ll ll ll
3)
ll
Military demand for nurses in the field 4)
ll ll ll ll ll ll ll
Germ theory influence on sanitation
ll ll ll ll ll
ANS: 3
ll ll
Throughout the centuries, stability of the government has been related to the success of
ll ll ll ll ll ll ll ll ll ll ll ll ll
the military to protect or extend its domain. As the survival and well-being of soldiers is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
critical, nurses provided healthcare to the sick and injured at the battle site. The
l l ll ll ll ll ll ll ll ll ll ll ll ll ll
physicians handmaiden was/is a nursing stereotype rather than an influence on
ll ll ll ll ll ll ll ll ll ll ll
nursing. Although there has been need for healthcare outside the home throughout
ll ll ll ll ll ll ll ll ll ll ll ll
history, this has more influence on the development of hospitals than on nursing; this
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
need provided one more setting for nursing work. Germ theory and sanitation helped to
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
improve healthcare but did not shape nursing.
ll ll ll ll ll ll ll
PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A |
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Cognitive level: Recall
ll ll ll
2. Which of the following is an example of an illness prevention activity? Select ll ll ll ll ll ll ll ll ll ll ll ll
all that apply.
ll ll ll
1)
Encouraging the use of a food diary ll ll ll ll ll ll
2)
ll
,Joining a cancer support group
ll ll ll ll
3)
ll
Administering immunization for HPV ll ll ll
4)
ll
Teaching a diabetic patient about his diet
ll ll ll ll ll ll
ANS: 3
ll ll
Administering immunization for HPV is an example of illness prevention. Although cancer
ll ll ll ll ll ll ll ll ll ll ll
is a disease, it is assumed that a person joining a support group would already have the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
disease; therefore, this is not disease prevention but treatment. Illness-prevention activities
ll ll ll ll ll ll ll ll ll ll ll
focus on avoiding a specific disease. A food diary is a health-promotion activity.
ll ll ll ll ll ll ll ll ll ll ll ll ll
Teaching a diabetic patient about diet is a treatment for diabetes; the patient already
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
has diabetes, so it cannot prevent diabetes.
ll ll ll ll ll ll ll
PTS: 1 DIF: Moderate REF: p. 18; high-level question, not directly stated in text KEY:
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Nursing process: N/A | Client need: HPM | Cognitive level: Application
ll ll ll ll ll ll ll ll ll ll ll
3. Which of the following contributions of Florence Nightingale had an
ll ll ll ll ll ll ll ll ll
immediate impact on improving patients health?
ll ll ll ll ll ll
1)
Providing a clean environment ll ll ll
2)
ll
, Improving nursing education l ll
3)
ll
Changing the delivery of care in hospitals ll ll ll ll ll ll
4)
ll
Establishing nursing as a distinct profession ll ll ll ll ll
ANS: 1
ll ll
Improved sanitation (a clean environment) greatly and immediately reduced the rate of
ll ll ll ll ll ll ll ll ll ll ll
infection and mortality in hospitals. The other responses are all activities of Florence
ll ll ll ll ll ll ll ll ll ll ll ll ll
Nightingale that improved healthcare or nursing, but the impact is long range, not
ll ll ll ll ll ll ll ll ll ll ll ll ll
immediate.
ll
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
must infer from content
ll ll ll ll
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
ll ll ll ll ll ll ll ll ll ll ll
4. All of the following are aspects of the full-spectrum nursing role. Which one
ll ll ll ll ll ll ll ll ll ll ll ll
is essential for the nurse to do in order to successfully carry out all the others?
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
1)
Thinking and reasoning about the clients care ll ll ll ll ll ll
2)
ll
Providing hands-on client care ll ll ll
3)
ll
Carrying out physician orders ll ll ll
4)
ll
Delegating to assistive personnel ll ll ll
ANS: 1
ll ll
A substantial portion of the nursing role involves using clinical judgment, critical
ll ll ll ll ll ll ll ll ll ll ll
thinking, and problem solving, which directly affect the care the client will actually
ll ll ll ll ll ll ll ll ll ll ll ll ll
receive. Providing hands-on care is important; however, clinical judgment, critical
ll ll ll ll ll ll ll ll ll ll
thinking, and problem solving are essential to do it successfully. Carrying out physician
ll ll ll ll ll ll ll ll ll ll ll ll ll
orders is a small part of a nurses role; it, too, requires nursing assessment, planning,
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
intervention, and evaluation. Many simple nursing tasks are being delegated to nursing
ll ll ll ll ll ll ll ll ll ll ll ll
assistive personnel; delegation requires careful analysis of patient status and the
ll ll ll ll ll ll ll ll ll ll ll
appropriateness of support personnel to deliver care. Another way to analyze this
ll ll ll ll ll ll ll ll ll ll ll ll
question is that none of the options of providing hands-on care, carrying out physician
l l ll ll ll ll ll ll ll ll ll ll ll ll ll
orders, and delegating to assistive personnel is required for the nurse to think and
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
reason about a clients care; so the answer must be 1.
ll ll ll ll ll ll ll ll ll ll ll
PTS:1DIFifficultREF: p. 11 ll ll
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
ll ll ll ll ll ll ll ll ll ll ll
5. Which statement pertaining to Benners practice model for clinical competence ll ll ll ll ll ll ll ll ll
is true?
l
1)
ll
Progression through the stages is constant, with most nurses reaching the proficient stage.
ll ll ll ll ll ll ll ll ll ll ll ll
2)
Progression through the stages involves continual development of thinking and
ll ll ll ll ll ll ll ll ll
technical skills.
ll ll
3)
The nurse must have experience in many areas before being considered an
ll ll ll ll ll ll ll ll ll ll ll
expert. 4)
ll ll
The nurses progress through the stages is determined by years of experience and skills.
ll ll ll ll ll ll ll ll ll ll ll ll ll
ANS: 2
ll ll
Movement through the stages is not constant. Benners model is based on integration of
ll ll ll ll ll ll ll ll ll ll ll ll ll
