,Chapter 01: Nursing Today
nn nn nn
Potter: Fundamentals of Nursing, 11th Edition
nn nn nn nn nn
MULTIPLE nnCHOICE
1. Which nnnurse nn most nnlikely nnkept n n records nnon n n sanitation nn techniques n n and n n the nn effects n n on
nn health?
a. Florence nnNightingale
b. MarynnNutting
c. Clara nnBarton
d. Lillian nnWald
ANS: n n A
Nightingale nnwas nnthe nnfirst nnpracticing nnnurse nnepidemiologist. nnHer nnstatistical nnanalyses
nnconnected nnpoor nnsanitation nnwith nncholera nnand nndysentery. nnMary nnNutting, nnClara nnBarton,
nnand nnLillian nnWald nncame nnafter nnNightingale, nneach nncontributing nnto nnthe nnnursing
nnprofession nnin nnher nnown nnway. nnMary nnNutting nnwas nninstrumental nnin nnmoving nnnursing
nneducation nninto nnuniversities. nnClara nnBarton nnfounded nnthe nnAmerican nnRed nnCross. nnLillian
nnWald nnhelped nnopen nnthe nnHenry nnStreet nnSettlement.
DIF:Understand (comprehension)
qq
OBJ:Discussnnthe nninfluencennof nnsocial, nnhistorical, nnpolitical, nnand nneconomic nnchanges nnon nursing nnpractices.
qq
TOP: Evaluation MSC: n n n n Health nnPromotion nn and nnMaintenance
2. The nnnurse nnprescribes nnstrategies nnand nnalternatives nnto nnattain nnexpected nnoutcome. nnWhich
standard nnof nnnursing nnpractice nnis nnthe nnnurse nnfollowing?
nn
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: n n C
In nnplanning, nnthe nnregistered nnnurse nndevelops nna nnplan nnthat nnprescribes nnstrategies nnand
nnalternatives nnto nnattain nnexpected nnoutcomes. nnDuring nnassessment, nnthe nnregistered nnnurse
nncollects nncomprehensive nndata nnpertinent nnto nnthe nnpatient’s nnhealth nnand/or nnthe nnsituation.
nnIn nndiagnosis, nnthe nnregistered nnnurse nnanalyzes nnthe nnassessment nndata nnto nndetermine nnthe
nndiagnoses nnor nnissues. nnDuring nnimplementation, nnthe nnregistered nnnurse nnimplements
nn(carries nnout) nnthe nnidentified nnplan.
DIF:Understand nn(comprehension)
OBJ:Discuss nnthe nndevelopment nnof nnprofessional nnnursing nnroles. TOP:
nnPlanning nnMSC: n n Management nnof nnCare
3. An nnexperienced nnmedical-surgical nnnurse nnchooses nnto nnwork nnin nnobstetrics. nnWhich
level nnof nnproficiency nnis nnthe nnnurse nnupon nninitial nntransition nnto nnthe nnobstetrical
nn
floor?
nn
a. Novice
b. Proficient
c. Competent
d. Advanced nnbeginner
ANS: n n A
, A nnbeginning nnnursing nnstudent nnor nnany nnnurse nnentering nna nnsituation nnin nnwhich nnthere nnis nnno
nnprevious nnlevel nnof nnexperience nn(e.g., nnan nnexperienced nnoperating nnroom nnnurse nnchooses nnto
nnnow nnpractice nnin nnhome nnhealth) nnis nnan nnexample nnof nna nnnovice nnnurse. nnA nnproficient nnnurse
nnperceives nna nnpatient’s n n clinical nnsituation nnas nna nnwhole, nnis nnable nnto nnassess nnan nnentire
nnsituation, nnand nncan nnreadily nntransfer nnknowledge nngained nnfrom nnmultiple nnprevious
nnexperiences nnto nna nnsituation. nnA nncompetent nnnurse nnunderstands n n the nnorganization n n and
n n specific n n care n n required n n by nnthe n n type n n of n n patients n n (e.g., nnsurgical, nnoncology, nnor
nnorthopedic nnpatients). nnThis nnnurse nnis nna nncompetent nnpractitioner nnwho nnis n n able nnto
nnanticipate nnnursing nncare nnand nnestablish nnlong-range nngoals. nnA nnnurse nnwho nnhas nnhad nnsome
nnlevel n n of n n experience n n with n n the n n situation n n is n n an n n advanced n n beginner. n n This
n n experience n n may n n only nnbe nnobservational nnin nnnature, nnbut nnthe nnnurse nnis nnable nnto nnidentify
nnmeaningful nnaspects nnor nnprinciples n n of nnnursing nncare.
DIF:Apply nn(application)
OBJ:Discuss nnthe nndevelopment nnof nnprofessional nnnursing nnroles. TOP:
nnEvaluation nnMSC: n n Management nnof nnCare
4. A nnnurse nnassesses nna nnpatient’s nnfluid nnstatus nnand nndecides nnthat nnthe nnpatient nnneeds nnto
nndrink nnmore nnfluids. nnThe nnnurse nnthen nnencourages nnthe nnpatient nnto nndrink nnmore nnfluids.
nnWhich nnconcept nnis nnthe nnnurse nndemonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: n n B
Autonomy nnis nnan nnessential nnelement nnof nnprofessional nnnursing nnthat nninvolves nnthe nninitiation
nnof nnindependent nnnursing nninterventions nnwithout nnmedical nnorders. nnTo nnobtain nnlicensure nnin
nnthe nnUnited nnStates, nnthe nnRN nncandidate nnmust nnpass nnthe nnNCLEX-RN. nnBeyond nnthe
nnNCLEX-RN, nnthe nnnurse nnmay nnchoose nnto nnwork nntoward nncertification nnin nna nnspecific nnarea
nnof nnnursing nnpractice. nnAccountability nnmeans n n that n n you n n are n n responsible, n n professionally
nnand n n legally, n n for n n the nntype n n and n n quality nnof nnnursing nncare nnprovided.
DIF:Apply nn(application)
OBJ:Discuss nnthe nnroles nnand nncareer nnopportunities nnfor nnnurses. TOP:
nnImplementation nnMSC: n n Management nnof nnCare
5. A nnnurse nnprepares nnthe nnbudget nnand nnpolicies nnfor nnan nnintensive nncare nnunit. nnWhich
nn role nnis nnthe nnnurse nnimplementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: n n B
, A nnmanager nncoordinates nnthe nnactivities nnof nnmembers nnof nnthe nnnursing nnstaff nnin nndelivering
nnnursing nncare nnand nnhas nnpersonnel, nnpolicy, nnand nnbudgetary nnresponsibility nnfor nna nnspecific
nnnursing nnunit nnor nnfacility. nnAs nnan nneducator, nn you nnexplain nnconcepts nnand nnfacts nnabout
nnhealth, nndescribe nnthe nnreason nnfor nnroutine nncare nnactivities, nndemonstrate nnprocedures nnsuch
nnas nnself-care nnactivities, nnreinforce nnlearning nnor nnpatient nnbehavior, nnand nnevaluate nnthe
nnpatient’s nnprogress nnin nnlearning. nnAs nna nnpatient nnadvocate, nn you nnprotect nn your nnpatient’s
nnhuman nnand nnlegal nnrights nnand nnprovide nnassistance nnin nnasserting nnthese nnrights nnif nnthe
nnneed nnarises. nnAs nna nncaregiver, nn you nnhelp nnpatients nnmaintain nnand nnregain nnhealth, nnmanage
nndisease nnand nnsymptoms, nnand nnattain nna nnmaximal nnlevel nnfunction nnand nnindependence
nnthrough nnthe nnhealing nnprocess.
DIF:Apply nn(application)
OBJ:Discuss nnthe nnroles nnand nncareer nnopportunities nnfor nnnurses. TOP:
nnImplementation nnMSC: n n Management nnof nnCare
6. The nnnurse nnhas nnbeen nnworking nnin nnthe nnclinical nnsetting nnfor nnseveral nnyears nnas nnan
nnadvanced nnpractice nnnurse. nnHowever, nnthe nnnurse nnhas nna nnstrong nndesire nnto nnpursue
nnresearch nnand nntheory nndevelopment. nnTo nnfulfill nnthis nndesire, nnwhich nnprogram
nnshould nnthe nnnurse nnattend?
a. Doctor nnof nn Nursing nnScience nndegree n n (DNSc)
b. Doctor nnof nnPhilosophynndegree n n (PhD)
c. Doctor nnof nnNursing nnPractice nndegree n n (DNP)
d. Doctor nnin nn the nnScience nnof n n Nursing nndegree n n (DSN)
ANS: n n B
Some nndoctoral nnprograms nnprepare nnnurses nnfor nnmore nnrigorous nnresearch nnand nntheory
nndevelopment nnand nnaward nnthe nnresearch-oriented nnDoctor nnof nnPhilosophy nn(PhD) nnin
nnnursing. nnProfessional nndoctoral nnprograms nnin nnnursing nn(DSN nnor nnDNSc) nnprepare
nngraduates nnto nnapply nnresearch nnfindings n n to nnclinical nnnursing. nnThe nnDNP nnis nna nnpractice
nndoctorate nnthat nnprepares nnadvanced nnpractice nnnurses nnsuch nnas nnnurse nnpractitioners.
DIF:Understand (comprehension)
qq
OBJ:Compare nnand nncontrast nnthe nneducational nnprograms nnavailable nnfor nnprofessional nnregistered
nnnurse nn(RN) n n education. TOP: n n n n Teaching/Learning
MSC: n n n n Management n n of n n Care
7. A nnnurse nnattends nna nnworkshop nnon nncurrent nnnursing nnissues nnprovided nnby nnthe
American nnNurses nnAssociation. nnWhich nntype nnof nneducation nndid nnthe nnnurse
nn
receive?
nn
a. Graduate nneducation
b. Inservice nneducation
c. Continuing nneducation
d. Registered nnnurse nneducation
ANS: n n C
Continuing nneducation nninvolves nnformal, nnorganized nneducational nnprograms nnoffered nnby
nnuniversities, nnhospitals, nnstate nnnurses nnassociations, nnprofessional nnnursing nnorganizations,
nnand nneducational nnand nnhealth nncare nninstitutions. nnAfter nnobtaining nna nnbaccalaureate nndegree
nnin nnnursing, nn you nncan nnpursue nngraduate nneducation nnleading nnto nna nnmaster’s nnor nndoctoral
nndegree nnin nnany nnnumber n n of nngraduate nnfields, nnincluding nnnursing. nnInservice nneducation
nnprograms nnare nninstruction nnor nntraining nnprovided nnby nna nnhealth nncare nnfacility nnor
nninstitution. nnRegistered nnnurse nneducation nnis nnthe nneducation nnpreparation nnfor nnan
nnindividual nnintending nnto nnbe nnan nnRN.
DIF:Apply nn(application)
OBJ:Compare nnandnncontrast nnthe nneducational nnprograms nnavailable nnfor nnprofessional nnregistered nnnurse nn(RN)
nn nn nn
Potter: Fundamentals of Nursing, 11th Edition
nn nn nn nn nn
MULTIPLE nnCHOICE
1. Which nnnurse nn most nnlikely nnkept n n records nnon n n sanitation nn techniques n n and n n the nn effects n n on
nn health?
a. Florence nnNightingale
b. MarynnNutting
c. Clara nnBarton
d. Lillian nnWald
ANS: n n A
Nightingale nnwas nnthe nnfirst nnpracticing nnnurse nnepidemiologist. nnHer nnstatistical nnanalyses
nnconnected nnpoor nnsanitation nnwith nncholera nnand nndysentery. nnMary nnNutting, nnClara nnBarton,
nnand nnLillian nnWald nncame nnafter nnNightingale, nneach nncontributing nnto nnthe nnnursing
nnprofession nnin nnher nnown nnway. nnMary nnNutting nnwas nninstrumental nnin nnmoving nnnursing
nneducation nninto nnuniversities. nnClara nnBarton nnfounded nnthe nnAmerican nnRed nnCross. nnLillian
nnWald nnhelped nnopen nnthe nnHenry nnStreet nnSettlement.
DIF:Understand (comprehension)
OBJ:Discussnnthe nninfluencennof nnsocial, nnhistorical, nnpolitical, nnand nneconomic nnchanges nnon nursing nnpractices.
TOP: Evaluation MSC: n n n n Health nnPromotion nn and nnMaintenance
2. The nnnurse nnprescribes nnstrategies nnand nnalternatives nnto nnattain nnexpected nnoutcome. nnWhich
standard nnof nnnursing nnpractice nnis nnthe nnnurse nnfollowing?
nn
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: n n C
In nnplanning, nnthe nnregistered nnnurse nndevelops nna nnplan nnthat nnprescribes nnstrategies nnand
nnalternatives nnto nnattain nnexpected nnoutcomes. nnDuring nnassessment, nnthe nnregistered nnnurse
nncollects nncomprehensive nndata nnpertinent nnto nnthe nnpatient’s nnhealth nnand/or nnthe nnsituation.
nnIn nndiagnosis, nnthe nnregistered nnnurse nnanalyzes nnthe nnassessment nndata nnto nndetermine nnthe
nndiagnoses nnor nnissues. nnDuring nnimplementation, nnthe nnregistered nnnurse nnimplements
nn(carries nnout) nnthe nnidentified nnplan.
DIF:Understand nn(comprehension)
OBJ:Discuss nnthe nndevelopment nnof nnprofessional nnnursing nnroles. TOP:
nnPlanning nnMSC: n n Management nnof nnCare
3. An nnexperienced nnmedical-surgical nnnurse nnchooses nnto nnwork nnin nnobstetrics. nnWhich
level nnof nnproficiency nnis nnthe nnnurse nnupon nninitial nntransition nnto nnthe nnobstetrical
nn
floor?
nn
a. Novice
b. Proficient
c. Competent
d. Advanced nnbeginner
ANS: n n A
, A nnbeginning nnnursing nnstudent nnor nnany nnnurse nnentering nna nnsituation nnin nnwhich nnthere nnis nnno
nnprevious nnlevel nnof nnexperience nn(e.g., nnan nnexperienced nnoperating nnroom nnnurse nnchooses nnto
nnnow nnpractice nnin nnhome nnhealth) nnis nnan nnexample nnof nna nnnovice nnnurse. nnA nnproficient nnnurse
nnperceives nna nnpatient’s n n clinical nnsituation nnas nna nnwhole, nnis nnable nnto nnassess nnan nnentire
nnsituation, nnand nncan nnreadily nntransfer nnknowledge nngained nnfrom nnmultiple nnprevious
nnexperiences nnto nna nnsituation. nnA nncompetent nnnurse nnunderstands n n the nnorganization n n and
n n specific n n care n n required n n by nnthe n n type n n of n n patients n n (e.g., nnsurgical, nnoncology, nnor
nnorthopedic nnpatients). nnThis nnnurse nnis nna nncompetent nnpractitioner nnwho nnis n n able nnto
nnanticipate nnnursing nncare nnand nnestablish nnlong-range nngoals. nnA nnnurse nnwho nnhas nnhad nnsome
nnlevel n n of n n experience n n with n n the n n situation n n is n n an n n advanced n n beginner. n n This
n n experience n n may n n only nnbe nnobservational nnin nnnature, nnbut nnthe nnnurse nnis nnable nnto nnidentify
nnmeaningful nnaspects nnor nnprinciples n n of nnnursing nncare.
DIF:Apply nn(application)
OBJ:Discuss nnthe nndevelopment nnof nnprofessional nnnursing nnroles. TOP:
nnEvaluation nnMSC: n n Management nnof nnCare
4. A nnnurse nnassesses nna nnpatient’s nnfluid nnstatus nnand nndecides nnthat nnthe nnpatient nnneeds nnto
nndrink nnmore nnfluids. nnThe nnnurse nnthen nnencourages nnthe nnpatient nnto nndrink nnmore nnfluids.
nnWhich nnconcept nnis nnthe nnnurse nndemonstrating?
a. Licensure
b. Autonomy
c. Certification
d. Accountability
ANS: n n B
Autonomy nnis nnan nnessential nnelement nnof nnprofessional nnnursing nnthat nninvolves nnthe nninitiation
nnof nnindependent nnnursing nninterventions nnwithout nnmedical nnorders. nnTo nnobtain nnlicensure nnin
nnthe nnUnited nnStates, nnthe nnRN nncandidate nnmust nnpass nnthe nnNCLEX-RN. nnBeyond nnthe
nnNCLEX-RN, nnthe nnnurse nnmay nnchoose nnto nnwork nntoward nncertification nnin nna nnspecific nnarea
nnof nnnursing nnpractice. nnAccountability nnmeans n n that n n you n n are n n responsible, n n professionally
nnand n n legally, n n for n n the nntype n n and n n quality nnof nnnursing nncare nnprovided.
DIF:Apply nn(application)
OBJ:Discuss nnthe nnroles nnand nncareer nnopportunities nnfor nnnurses. TOP:
nnImplementation nnMSC: n n Management nnof nnCare
5. A nnnurse nnprepares nnthe nnbudget nnand nnpolicies nnfor nnan nnintensive nncare nnunit. nnWhich
nn role nnis nnthe nnnurse nnimplementing?
a. Educator
b. Manager
c. Advocate
d. Caregiver
ANS: n n B
, A nnmanager nncoordinates nnthe nnactivities nnof nnmembers nnof nnthe nnnursing nnstaff nnin nndelivering
nnnursing nncare nnand nnhas nnpersonnel, nnpolicy, nnand nnbudgetary nnresponsibility nnfor nna nnspecific
nnnursing nnunit nnor nnfacility. nnAs nnan nneducator, nn you nnexplain nnconcepts nnand nnfacts nnabout
nnhealth, nndescribe nnthe nnreason nnfor nnroutine nncare nnactivities, nndemonstrate nnprocedures nnsuch
nnas nnself-care nnactivities, nnreinforce nnlearning nnor nnpatient nnbehavior, nnand nnevaluate nnthe
nnpatient’s nnprogress nnin nnlearning. nnAs nna nnpatient nnadvocate, nn you nnprotect nn your nnpatient’s
nnhuman nnand nnlegal nnrights nnand nnprovide nnassistance nnin nnasserting nnthese nnrights nnif nnthe
nnneed nnarises. nnAs nna nncaregiver, nn you nnhelp nnpatients nnmaintain nnand nnregain nnhealth, nnmanage
nndisease nnand nnsymptoms, nnand nnattain nna nnmaximal nnlevel nnfunction nnand nnindependence
nnthrough nnthe nnhealing nnprocess.
DIF:Apply nn(application)
OBJ:Discuss nnthe nnroles nnand nncareer nnopportunities nnfor nnnurses. TOP:
nnImplementation nnMSC: n n Management nnof nnCare
6. The nnnurse nnhas nnbeen nnworking nnin nnthe nnclinical nnsetting nnfor nnseveral nnyears nnas nnan
nnadvanced nnpractice nnnurse. nnHowever, nnthe nnnurse nnhas nna nnstrong nndesire nnto nnpursue
nnresearch nnand nntheory nndevelopment. nnTo nnfulfill nnthis nndesire, nnwhich nnprogram
nnshould nnthe nnnurse nnattend?
a. Doctor nnof nn Nursing nnScience nndegree n n (DNSc)
b. Doctor nnof nnPhilosophynndegree n n (PhD)
c. Doctor nnof nnNursing nnPractice nndegree n n (DNP)
d. Doctor nnin nn the nnScience nnof n n Nursing nndegree n n (DSN)
ANS: n n B
Some nndoctoral nnprograms nnprepare nnnurses nnfor nnmore nnrigorous nnresearch nnand nntheory
nndevelopment nnand nnaward nnthe nnresearch-oriented nnDoctor nnof nnPhilosophy nn(PhD) nnin
nnnursing. nnProfessional nndoctoral nnprograms nnin nnnursing nn(DSN nnor nnDNSc) nnprepare
nngraduates nnto nnapply nnresearch nnfindings n n to nnclinical nnnursing. nnThe nnDNP nnis nna nnpractice
nndoctorate nnthat nnprepares nnadvanced nnpractice nnnurses nnsuch nnas nnnurse nnpractitioners.
DIF:Understand (comprehension)
OBJ:Compare nnand nncontrast nnthe nneducational nnprograms nnavailable nnfor nnprofessional nnregistered
nnnurse nn(RN) n n education. TOP: n n n n Teaching/Learning
MSC: n n n n Management n n of n n Care
7. A nnnurse nnattends nna nnworkshop nnon nncurrent nnnursing nnissues nnprovided nnby nnthe
American nnNurses nnAssociation. nnWhich nntype nnof nneducation nndid nnthe nnnurse
nn
receive?
nn
a. Graduate nneducation
b. Inservice nneducation
c. Continuing nneducation
d. Registered nnnurse nneducation
ANS: n n C
Continuing nneducation nninvolves nnformal, nnorganized nneducational nnprograms nnoffered nnby
nnuniversities, nnhospitals, nnstate nnnurses nnassociations, nnprofessional nnnursing nnorganizations,
nnand nneducational nnand nnhealth nncare nninstitutions. nnAfter nnobtaining nna nnbaccalaureate nndegree
nnin nnnursing, nn you nncan nnpursue nngraduate nneducation nnleading nnto nna nnmaster’s nnor nndoctoral
nndegree nnin nnany nnnumber n n of nngraduate nnfields, nnincluding nnnursing. nnInservice nneducation
nnprograms nnare nninstruction nnor nntraining nnprovided nnby nna nnhealth nncare nnfacility nnor
nninstitution. nnRegistered nnnurse nneducation nnis nnthe nneducation nnpreparation nnfor nnan
nnindividual nnintending nnto nnbe nnan nnRN.
DIF:Apply nn(application)
OBJ:Compare nnandnncontrast nnthe nneducational nnprograms nnavailable nnfor nnprofessional nnregistered nnnurse nn(RN)