Fundamentals of Nursing – Active Learning for
Collaborative Practice (3rd Edition) – Test Bank
with NCLEX Questions: Barbara L. Yoost & Lynne
R. Crawford.
,Chapter 01: Nursing, Theory, and Professional Practice
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3rd Edition
MULTIPLE CHOICE
1. A group of nursing students are discussing the impact of nonnursing theories in
clinical practice. The students would be correct if they chose which theory to
prioritize patient care?
a. Erikson‘s Psychosocial Theory
b. Paul‘s Critical-Thinking Theory
c. Maslow‘s Hierarchy of Needs
d. Rosenstock‘s Health Belief Model
ANS: C
Maslow‘s hierarchy of needs specifies the psychological and physiologic factors that
affect each person‘s physical and mental health. The nurse‘s understanding of these
factors helps with formulating Nursing diagnoses that address the
patient‘s needs and values to prioritize care. Erikson‘s Psychosocial Theory of
Development and Socialization is based on individuals‘ interacting and learning about
their world. Nurses use concepts of developmental theory to critically think in providing
care for their patients at various stages of their lives.
Rosenstock (1974) developed the psychological Health Belief Model. The model
addresses possible reasons for why a patient may not comply with recommended health
promotion behaviors. This model is especially useful to nurses as they educate patients.
DIF: Remembering OBJ: 1.5 TOP: Planning
MSC: NCLEXClientNeedsC N a te g Ro ry : IS a f G
e an B .fC
d E fectiMve Care
Environment: Management of Care NOT: Concepts: Care CoordinatiU on
2. A nursing student is preparing study notes from a recent lecture in nursing
history. The student would credit Florence Nightingale for which definition of
nursing?
a. The imbalance between the patient and the environment decreases the
capacity for health.
b. The nurse needs to focus on interpersonal processes between nurse and
patient.
c. The nurse assists the patient with essential functions toward independence.
d. Human beings are interacting in continuous motion as energy fields.
ANS: A
Florence Nightingale‘s (1860) concept of the environment emphasized prevention and
clean air, water, and housing. This theory states that the imbalance between the
patient and the environment decreases the capacity for health and does not allow for
conservation of energy. Hildegard Peplau (1952) focused on the roles played by the
nurse and the interpersonal process between a nurse and a
patient. Virginia Henderson described the nurse‘s role as substitutive (doing for the
person), supplementary (helping the person), or complementary (working with the
person), with the goal of independence for the patient. Martha Rogers (1970)
developed the Science of Unitary Human Beings. She stated that human beings and
their environments are interacting in continuous motion as infinite energy fields.
DIF: Understanding OBJ: 1.4 TOP:
Planning MSC: NCLEX Client Needs Category: Health Promotion
, and Maintenance NOT: Concepts: Health Promotion
3. The nurse identifies which nurse established the American Red Cross during the
Civil War?
a. Dorothea Dix
b. Linda Richards
c. Lena Higbee
d. Clara Barton
ANS: D
Clara Barton practiced nursing in the Civil War and established the American Red
Cross. Dorothea Dix was the head of the U.S. Sanitary Commission, which was a
forerunner of the Army Nurse Corps. Linda Richards was America‘s first trained
nurse, graduating from Boston‘s Women‘s Hospital in 1873, and Lena Higbee,
superintendent of the U.S. Navy Nurse Corps, was awarded the Navy Cross in 1918.
DIF: Remembering OBJ: 1.3 TOP:
Assessment MSC: NCLEX Client Needs Category: Health Promotion
and Maintenance
NOT: Concepts: Professionalism
4. The nursing instructor is researching the five proficiencies regarded as essential
for students and professionals. The nursing instructor identifies which
organization would be found to have added safety as a sixth competency?
a. Quality and Safety Education for Nurses (QSEN)
b. Institute of Medicine (IOM)
c. American Association of Colleges of Nursing (AACN)
d. National League for Nursing (NLN)
ANS: A
The Instituteof Medicine repNo rt,RHe Ia lth GP roBfe.ssCio n Ms Education: ABridge to
Quality(2003), outlines five core competencies. These include patient-centered care,
interdisciplinary
teamwork, use of evidence-based medicine, quality improvement, and use of
information technology. QSEN added safety as a sixth competency. The Essentials
of Baccalaureate Education for Professional Nursing Practice are provided and
updated by the American Association of Colleges of Nursing (AACN) (2008). The
document offers a framework for the education of professional nurses with outcomes
for students to meet. The National League for Nursing (NLN) outlines and updates
competencies for practical, associate, baccalaureate, and graduate nursing education
programs.
DIF: Remembering OBJ: 1.1 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care NOT: Concepts: Care Coordination
5. The nurse manager is interviewing graduate nurses to fill existing staffing
vacancies. When hiring graduate nurses, the nurse manager realizes that they will
probably not be considered
―competentǁ until they complete which task?
a. They graduate and pass NCLEX.
b. They have worked 2 to 3 years.
c. Their last year of nursing school.
d. They are actually hired.
ANS: B
, DIF: Remembering OBJ: 1.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care NOT: Concepts: Care Coordination
8. The nurse is caring for a patient who refuses two units of packed red blood cells.
When the nurse notifies the health care provider of the patient’s decision, the nurse is
acting in which role?
a. Manager
b. Change agent
c. Advocate
d. Educator
ANS: C
As the patient’s advocate, the nurse interprets information and provides the necessary
education. The nurse then accepts and respects the patient’s decisions even if they are
different from the nurse’s own beliefs. The nurse supports the patient’s wishes and
communicates them to other health care providers. A nurse manages all of the
activities and treatments for patients. In the role of change agent, the nurse works
with patients to address their health concerns and with staff members to address change
in an organization or within a community. The nurse ensures that the patient receives
sufficient information on which to base consent for care and related treatment.
Education becomes a major focus of discharge planning so that patients will be
prepared to handle their own needs at home.
DIF: Applying OBJ: 1.2 TOP: Implementation
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management
of Care NOT: Concepts: Care Coordination
9. The nursing student develops a plan of care based on a recently published article
describing the effects of bed rest on a patient’s calcium blood levels. When
creating the plan of care, the nursing student has the obligation to consider which
action?
a. Critically appraise the evidence and determine validity.
b. Ensure that the plan of care does not alter current practice.
c. Change the process even when there is no problem identified.
d. Maintain the plan of care regardless of initial outcome.
ANS: A
Evidence-based practice (EBP) is an integration of the best-available research evidence
with clinical judgment about a specific patient situation. The nurse assesses current and
past research, clinical guidelines, and other resources to identify relevant literature. The
application of EBP includes critically appraising the evidence to assess its validity,
designing a change for practice, assessing the need for change and identifying a
problem, and integrating and maintaining change while monitoring process and
outcomes by reevaluating the application of evidence and assessing areas for
improvement.
DIF: Applying OBJ: 1.2 TOP: Implementation
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management
of Care NOT: Concepts: Care Coordination
Collaborative Practice (3rd Edition) – Test Bank
with NCLEX Questions: Barbara L. Yoost & Lynne
R. Crawford.
,Chapter 01: Nursing, Theory, and Professional Practice
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3rd Edition
MULTIPLE CHOICE
1. A group of nursing students are discussing the impact of nonnursing theories in
clinical practice. The students would be correct if they chose which theory to
prioritize patient care?
a. Erikson‘s Psychosocial Theory
b. Paul‘s Critical-Thinking Theory
c. Maslow‘s Hierarchy of Needs
d. Rosenstock‘s Health Belief Model
ANS: C
Maslow‘s hierarchy of needs specifies the psychological and physiologic factors that
affect each person‘s physical and mental health. The nurse‘s understanding of these
factors helps with formulating Nursing diagnoses that address the
patient‘s needs and values to prioritize care. Erikson‘s Psychosocial Theory of
Development and Socialization is based on individuals‘ interacting and learning about
their world. Nurses use concepts of developmental theory to critically think in providing
care for their patients at various stages of their lives.
Rosenstock (1974) developed the psychological Health Belief Model. The model
addresses possible reasons for why a patient may not comply with recommended health
promotion behaviors. This model is especially useful to nurses as they educate patients.
DIF: Remembering OBJ: 1.5 TOP: Planning
MSC: NCLEXClientNeedsC N a te g Ro ry : IS a f G
e an B .fC
d E fectiMve Care
Environment: Management of Care NOT: Concepts: Care CoordinatiU on
2. A nursing student is preparing study notes from a recent lecture in nursing
history. The student would credit Florence Nightingale for which definition of
nursing?
a. The imbalance between the patient and the environment decreases the
capacity for health.
b. The nurse needs to focus on interpersonal processes between nurse and
patient.
c. The nurse assists the patient with essential functions toward independence.
d. Human beings are interacting in continuous motion as energy fields.
ANS: A
Florence Nightingale‘s (1860) concept of the environment emphasized prevention and
clean air, water, and housing. This theory states that the imbalance between the
patient and the environment decreases the capacity for health and does not allow for
conservation of energy. Hildegard Peplau (1952) focused on the roles played by the
nurse and the interpersonal process between a nurse and a
patient. Virginia Henderson described the nurse‘s role as substitutive (doing for the
person), supplementary (helping the person), or complementary (working with the
person), with the goal of independence for the patient. Martha Rogers (1970)
developed the Science of Unitary Human Beings. She stated that human beings and
their environments are interacting in continuous motion as infinite energy fields.
DIF: Understanding OBJ: 1.4 TOP:
Planning MSC: NCLEX Client Needs Category: Health Promotion
, and Maintenance NOT: Concepts: Health Promotion
3. The nurse identifies which nurse established the American Red Cross during the
Civil War?
a. Dorothea Dix
b. Linda Richards
c. Lena Higbee
d. Clara Barton
ANS: D
Clara Barton practiced nursing in the Civil War and established the American Red
Cross. Dorothea Dix was the head of the U.S. Sanitary Commission, which was a
forerunner of the Army Nurse Corps. Linda Richards was America‘s first trained
nurse, graduating from Boston‘s Women‘s Hospital in 1873, and Lena Higbee,
superintendent of the U.S. Navy Nurse Corps, was awarded the Navy Cross in 1918.
DIF: Remembering OBJ: 1.3 TOP:
Assessment MSC: NCLEX Client Needs Category: Health Promotion
and Maintenance
NOT: Concepts: Professionalism
4. The nursing instructor is researching the five proficiencies regarded as essential
for students and professionals. The nursing instructor identifies which
organization would be found to have added safety as a sixth competency?
a. Quality and Safety Education for Nurses (QSEN)
b. Institute of Medicine (IOM)
c. American Association of Colleges of Nursing (AACN)
d. National League for Nursing (NLN)
ANS: A
The Instituteof Medicine repNo rt,RHe Ia lth GP roBfe.ssCio n Ms Education: ABridge to
Quality(2003), outlines five core competencies. These include patient-centered care,
interdisciplinary
teamwork, use of evidence-based medicine, quality improvement, and use of
information technology. QSEN added safety as a sixth competency. The Essentials
of Baccalaureate Education for Professional Nursing Practice are provided and
updated by the American Association of Colleges of Nursing (AACN) (2008). The
document offers a framework for the education of professional nurses with outcomes
for students to meet. The National League for Nursing (NLN) outlines and updates
competencies for practical, associate, baccalaureate, and graduate nursing education
programs.
DIF: Remembering OBJ: 1.1 TOP: Planning
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care NOT: Concepts: Care Coordination
5. The nurse manager is interviewing graduate nurses to fill existing staffing
vacancies. When hiring graduate nurses, the nurse manager realizes that they will
probably not be considered
―competentǁ until they complete which task?
a. They graduate and pass NCLEX.
b. They have worked 2 to 3 years.
c. Their last year of nursing school.
d. They are actually hired.
ANS: B
, DIF: Remembering OBJ: 1.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care NOT: Concepts: Care Coordination
8. The nurse is caring for a patient who refuses two units of packed red blood cells.
When the nurse notifies the health care provider of the patient’s decision, the nurse is
acting in which role?
a. Manager
b. Change agent
c. Advocate
d. Educator
ANS: C
As the patient’s advocate, the nurse interprets information and provides the necessary
education. The nurse then accepts and respects the patient’s decisions even if they are
different from the nurse’s own beliefs. The nurse supports the patient’s wishes and
communicates them to other health care providers. A nurse manages all of the
activities and treatments for patients. In the role of change agent, the nurse works
with patients to address their health concerns and with staff members to address change
in an organization or within a community. The nurse ensures that the patient receives
sufficient information on which to base consent for care and related treatment.
Education becomes a major focus of discharge planning so that patients will be
prepared to handle their own needs at home.
DIF: Applying OBJ: 1.2 TOP: Implementation
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management
of Care NOT: Concepts: Care Coordination
9. The nursing student develops a plan of care based on a recently published article
describing the effects of bed rest on a patient’s calcium blood levels. When
creating the plan of care, the nursing student has the obligation to consider which
action?
a. Critically appraise the evidence and determine validity.
b. Ensure that the plan of care does not alter current practice.
c. Change the process even when there is no problem identified.
d. Maintain the plan of care regardless of initial outcome.
ANS: A
Evidence-based practice (EBP) is an integration of the best-available research evidence
with clinical judgment about a specific patient situation. The nurse assesses current and
past research, clinical guidelines, and other resources to identify relevant literature. The
application of EBP includes critically appraising the evidence to assess its validity,
designing a change for practice, assessing the need for change and identifying a
problem, and integrating and maintaining change while monitoring process and
outcomes by reevaluating the application of evidence and assessing areas for
improvement.
DIF: Applying OBJ: 1.2 TOP: Implementation
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment: Management
of Care NOT: Concepts: Care Coordination
