TestBank
Davis Advantage Basic Nursing:
Thinking,Doing, and Caring
3rd Edition Treas Wilkinson
,Chapter 1 Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What is the most influential factor that has shaped
the nursin g profession? 1)
Physicians need for handmaidens
2)
Societal need for healthcare outside the hom
e 3)
Military demand for nurses in the field 4
) Germ theory influence on sanitation A
NS: 3
Throughout the centuries, stability of the government has been related to the success of t
he military to protect or extend its domain. As the survival and well-
being of soldiers is critical, nurses provided healthcare to the sick and injured at the battl
e site. The physicians handmaiden was/is a nursing stereotype rather than an influence
on nursing. Although there has been need for healthcare outside the home throughout hi
story, this has more influence on the development of hospitals than on nursing; this need
provided one more setting for nursing work. Germ theory and sanitation helped to impro
ve healthcare but did not shape nursing.
PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A | Cog
nitive level: Recall
2. Which of the following is an example of an illness prevention
activity? Selec t all that apply.
1)
Encouraging the use of a food diar
y 2)
Joining a cancer support grou
p 3)
Administering immunization for HPV
4)
Teaching a diabetic patient about his diet A
NS: 3
Administering immunization for HPV is an example of illness prevention. Although cance
r is a disease, it is assumed that a person joining a support group would already have the
disease; therefore, this is not disease prevention but treatment. Illness-
prevention activities focus on avoiding a specific disease. A food diary is a health-
promotion activity. Teaching a diabetic patient about diet is a treatment for diabetes; the
patient already has diabetes, so it cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-
level question, not directly stated in text KEY: Nursing process: N/A | Client need: HPM |
Cognitive level: Application
3. Which of the following contributions of Florence
Nightingale had a n immediate impact on improving patients health?
1)
Providing a clean environment
2)
,Improving nursing education
3)
Changing the delivery of care in hospitals
4)
Establishing nursing as a distinct profession
ANS: 1
Improved sanitation (a clean environment) greatly and immediately reduced the rate of
infection and mortality in hospitals. The other responses are all activities of Florence
Nightingale that improved healthcare or nursing, but the impact is long range, not imm
ediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student
must infer from content
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
4. All of the following are aspects of the full-
spectrum nursing role. Which one is essential for the nurse to do in order to successfu
lly carry out all the others?
1)
Thinking and reasoning about the clients car
e 2)
Providing hands-
on client care 3)
Carrying out physician orders
4)
Delegating to assistive personnel
ANS: 1
A substantial portion of the nursing role involves using clinical judgment, critical think
ing, and problem solving, which directly affect the care the client will actually receive.
Providing hands-
on care is important; however, clinical judgment, critical thinking, and problem solving
are essential to do it successfully. Carrying out physician orders is a small part of a nu
rses role; it, too, requires nursing assessment, planning, intervention, and evaluation. M
any simple nursing tasks are being delegated to nursing assistive personnel; delegation
requires careful analysis of patient status and the appropriateness of support personnel t
o deliver care. Another way to analyze this question is that none of the options of prov
iding hands-
on care, carrying out physician orders, and delegating to assistive personnel is required
for the nurse to think and reason about a clients care; so the answer must be 1.
PTS:1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
5. Which statement pertaining to Benners practice model for clinical competence
is true?
1)
Progression through the stages is constant, with most nurses reaching the proficient stage.
2)
Progression through the stages involves continual development of thinking and technical ski
lls.
3)
The nurse must have experience in many areas before beingAconsidered an expe
rt. 4)
The nurses progress through the stages is determined by years of experience and skills.
, ANS: 2
Movement through the stages is not constant. Benners model is based on integration of
knowledge, technical skill, and intuition in the development of clinical wisdom. The m
odel does not mention experience in many areas. The model does not mention years of
experience.
PTS:1DIF:ModerateREF:p. 15
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall
6. Which of the following best explains why it is difficult for the
professio n to develop a definition of nursing?
1)
There are too many different and conflicting images of nurse
s. 2)
There are constant changes in healthcare and the activities of nurses.
3)
There is disagreement among the different nursing organizations
. 4)
There are different education pathways and levels of practice.
ANS: 2
The conflicting images of nursing make it more important to develop a definition; they
may also make it more difficult, but not to the extent that constant change does.
Healthcare is constantly changing and with it come changes in where, how, and what n
ursing care is delivered. Constant changes make it difficult to develop a definition. Alt
hough different nursing organizations have different definitions, they are similar in mo
st ways. The different education pathways affect entry into practice, not the definition
of nursing.
PTS: 1 DIF: Moderate REF: p. 11; How Is Nursing Defined?
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
7. Nurses have the potential to be very influential in shaping
healthcar e policy. Which of the following factors contributes most to
nurses influence? 1)
Nurses are the largest health professional group.
2)
Nurses have a long history of serving the public
. 3)
Nurses have achieved some independence from physicians in recent years.
4)
Political involvement has helped refute negative images portrayed in the media.
ANS: 1
Nurses are trusted professionals and the largest health professional group. As such, th ey
have political power to effect changes. If nursing were a small group, there would be
little potential for power in shaping policies, even if all the other answers were tru e.
Serving the public, while positive, does not necessarily help nurses to be influential in es
tablishing health policy. Independence from physicians, although positive, does not neces
sarily make nurses influential in establishing healthcare policy. Refuting negative media,
although positive, does not necessarily make nurses influential in establishing healthcare
policy.
PTS: 1 DIF: Moderate REF: p. 21
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
8. Nursing was described as a distinct occupation in the sacred
books o f which faith?
1)
Davis Advantage Basic Nursing:
Thinking,Doing, and Caring
3rd Edition Treas Wilkinson
,Chapter 1 Evolution of Nursing Thought & Action
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. What is the most influential factor that has shaped
the nursin g profession? 1)
Physicians need for handmaidens
2)
Societal need for healthcare outside the hom
e 3)
Military demand for nurses in the field 4
) Germ theory influence on sanitation A
NS: 3
Throughout the centuries, stability of the government has been related to the success of t
he military to protect or extend its domain. As the survival and well-
being of soldiers is critical, nurses provided healthcare to the sick and injured at the battl
e site. The physicians handmaiden was/is a nursing stereotype rather than an influence
on nursing. Although there has been need for healthcare outside the home throughout hi
story, this has more influence on the development of hospitals than on nursing; this need
provided one more setting for nursing work. Germ theory and sanitation helped to impro
ve healthcare but did not shape nursing.
PTS: 1 DIF: Moderate REF: dm 910 KEY: Nursing process: N/A Client need: N/A | Cog
nitive level: Recall
2. Which of the following is an example of an illness prevention
activity? Selec t all that apply.
1)
Encouraging the use of a food diar
y 2)
Joining a cancer support grou
p 3)
Administering immunization for HPV
4)
Teaching a diabetic patient about his diet A
NS: 3
Administering immunization for HPV is an example of illness prevention. Although cance
r is a disease, it is assumed that a person joining a support group would already have the
disease; therefore, this is not disease prevention but treatment. Illness-
prevention activities focus on avoiding a specific disease. A food diary is a health-
promotion activity. Teaching a diabetic patient about diet is a treatment for diabetes; the
patient already has diabetes, so it cannot prevent diabetes.
PTS: 1 DIF: Moderate REF: p. 18; high-
level question, not directly stated in text KEY: Nursing process: N/A | Client need: HPM |
Cognitive level: Application
3. Which of the following contributions of Florence
Nightingale had a n immediate impact on improving patients health?
1)
Providing a clean environment
2)
,Improving nursing education
3)
Changing the delivery of care in hospitals
4)
Establishing nursing as a distinct profession
ANS: 1
Improved sanitation (a clean environment) greatly and immediately reduced the rate of
infection and mortality in hospitals. The other responses are all activities of Florence
Nightingale that improved healthcare or nursing, but the impact is long range, not imm
ediate.
PTS: 1 DIF: Easy REF: V1, p. 3; student must infer from content | V1, p. 10; student
must infer from content
KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Application
4. All of the following are aspects of the full-
spectrum nursing role. Which one is essential for the nurse to do in order to successfu
lly carry out all the others?
1)
Thinking and reasoning about the clients car
e 2)
Providing hands-
on client care 3)
Carrying out physician orders
4)
Delegating to assistive personnel
ANS: 1
A substantial portion of the nursing role involves using clinical judgment, critical think
ing, and problem solving, which directly affect the care the client will actually receive.
Providing hands-
on care is important; however, clinical judgment, critical thinking, and problem solving
are essential to do it successfully. Carrying out physician orders is a small part of a nu
rses role; it, too, requires nursing assessment, planning, intervention, and evaluation. M
any simple nursing tasks are being delegated to nursing assistive personnel; delegation
requires careful analysis of patient status and the appropriateness of support personnel t
o deliver care. Another way to analyze this question is that none of the options of prov
iding hands-
on care, carrying out physician orders, and delegating to assistive personnel is required
for the nurse to think and reason about a clients care; so the answer must be 1.
PTS:1DIFifficultREF: p. 11
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
5. Which statement pertaining to Benners practice model for clinical competence
is true?
1)
Progression through the stages is constant, with most nurses reaching the proficient stage.
2)
Progression through the stages involves continual development of thinking and technical ski
lls.
3)
The nurse must have experience in many areas before beingAconsidered an expe
rt. 4)
The nurses progress through the stages is determined by years of experience and skills.
, ANS: 2
Movement through the stages is not constant. Benners model is based on integration of
knowledge, technical skill, and intuition in the development of clinical wisdom. The m
odel does not mention experience in many areas. The model does not mention years of
experience.
PTS:1DIF:ModerateREF:p. 15
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Recall
6. Which of the following best explains why it is difficult for the
professio n to develop a definition of nursing?
1)
There are too many different and conflicting images of nurse
s. 2)
There are constant changes in healthcare and the activities of nurses.
3)
There is disagreement among the different nursing organizations
. 4)
There are different education pathways and levels of practice.
ANS: 2
The conflicting images of nursing make it more important to develop a definition; they
may also make it more difficult, but not to the extent that constant change does.
Healthcare is constantly changing and with it come changes in where, how, and what n
ursing care is delivered. Constant changes make it difficult to develop a definition. Alt
hough different nursing organizations have different definitions, they are similar in mo
st ways. The different education pathways affect entry into practice, not the definition
of nursing.
PTS: 1 DIF: Moderate REF: p. 11; How Is Nursing Defined?
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
7. Nurses have the potential to be very influential in shaping
healthcar e policy. Which of the following factors contributes most to
nurses influence? 1)
Nurses are the largest health professional group.
2)
Nurses have a long history of serving the public
. 3)
Nurses have achieved some independence from physicians in recent years.
4)
Political involvement has helped refute negative images portrayed in the media.
ANS: 1
Nurses are trusted professionals and the largest health professional group. As such, th ey
have political power to effect changes. If nursing were a small group, there would be
little potential for power in shaping policies, even if all the other answers were tru e.
Serving the public, while positive, does not necessarily help nurses to be influential in es
tablishing health policy. Independence from physicians, although positive, does not neces
sarily make nurses influential in establishing healthcare policy. Refuting negative media,
although positive, does not necessarily make nurses influential in establishing healthcare
policy.
PTS: 1 DIF: Moderate REF: p. 21
KEY: Nursing process: N/A | Client need: N/A | Cognitive level: Analysis
8. Nursing was described as a distinct occupation in the sacred
books o f which faith?
1)
