Updated/Latest Fundamentals of Nursing 9th Edition Carol Taylor Pamela Lynn Jennifer Bartlett Test Bank Complete All Chapters Comprehensive Nursing Fundamentals Resource Practice Questions Answers Rationales Clinical Skills Evidence Based Practice NCLEX R

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Chapter1, Introductionto Nursing T T T T




An oncology nurse with 15 years of experience, certification in the area of oncology nursing, and a master’s degree is considered
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tobe an expert in her area of practice and works on anoncology unitin a large teaching hospital. Based upon
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this description, whichof the following career roles best describes this nurse’s role,taking into account her
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1. qualificationsand experience? T T




A) Clinical nurse specialist T T




B) Nurse entrepreneur T




C) Nursepractitioner T




D) Nurse educator T




Ans: A T




Feedback:
A clinicalnurse specialist is a nursewith an advanceddegree, education,or experiencewho is considered tobean expert in a
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specialized area of nursing. The clinical nurse specialist carries out direct patient care; consultation; teaching of patients,
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families, and staff; and research. A nurse practitioner has an advanced degree and works in a variety of settings to deliver
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primary care. A nurse educator usually has an advanced degree and teaches in the educational or clinical setting. A nurse
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entrepreneur may manage a clinic or health-related business.
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What guidelinesdo nurses follow to identify the patient’s health careneeds and strengths, to establish and carry out a
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2. planof care to meet those needs, and to evaluate the effectiveness of the planto meet established outcomes?
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A) Nursing process T




B) ANA Standards of Professional Performance
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C) Evidence-basedpractice guidelines T T




D) NursePractice Acts T T




Ans: A T




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The nursing process is one of the major guidelines for nursing practice. Nurses implement their roles through the nursing
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process. Thenursingprocess is used bythe nurseto identify the patient’s health care needs and strengths,to establish and carry out
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a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes.
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Which of the following organizations is the best source of information when a nurse wishes to determine whether an
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3. action is within the scope of nursing practice?
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A) American Nurses Association (ANA) T T T




B) American Association of Colleges in Nursing(AACN) T T T T T T




C) National League for Nursing (NLN) T T T T




D) International Council ofNurses (ICN) T T T T




Ans: A T

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The ANA produces the2003 Nursing: ScopeandStandardsof Practice, which defines theactivitiesspecific and unique to nursing.
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The AACN addresses educational standards, while the NLN promotes and fosters various aspects of nursing.
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The ICN provides a venue for nationalnursingorganizations tocollaborate, butdoes not define standards andscope of practice.
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4. Who is considered to bethe founder of professional nursing?
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A) Dorothea Dix T




B) Lillian Wald T




C) Florence Nightingale T




D) Clara Barton T




Ans: C
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Florence Nightingale is considered to be the founder of professional nursing. She elevated the status of nursing to a respected
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occupation,improved thequalityofnursing care, and founded modernnursing education.Although the other choices are women
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who were important to the development of nursing, none of them is considered the founder.
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5. Whichof the following nursing pioneers established the Red Crossin the United States in 1882?
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A) Florence Nightingale T




B) Clara Barton T




C) Dorothea Dix T




D) Jane Addams T




Ans: B
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Clara Barton volunteered to care for wounds and feed union soldiers during the civil war, served as the supervisor of nurses for
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the Armyof the James, organized hospitals andnurses, and established theRed Cross inthe United States in 1882.
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A nurse practitioneris caring for a couple who are the parents of an infant diagnosed with Down Syndrome. Thenurse
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6. makes referrals for a parent support group for the family. This is an example of which nursing role?
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A) Teacher/Educator

B) Leader

C) Counselor

D) Collaborator

Ans: C
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Counseling skills involve the use of therapeutic interpersonal communication skills to provide information, make appropriate
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referrals, and facilitate the patient’sproblem-solving anddecision-makingskills.Theteacher/educator uses communication
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skillsto assess,implement, and evaluate individualized teachingplanstomeet learningneeds of clients and their families. A
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leader displays an assertive, self-confident practice of nursing when providing care, effecting change, and functioning with
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groups. The collaborator uses skills in organization, communication, and advocacy to facilitate the functions of all members of
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the health care team as they provide patient care.
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A nurse isproviding nursing care in aneighborhood clinic to single, pregnant teens. Which of the following actions is
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7. the best example of using the counselor role as a nurse?
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A) Discussing the legal aspects of adoption for teens wishing to place their infants with a family
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B) Searching the Internet for information on child care for theteens who wish to return to school
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C) Conducting aclient interviewanddocumenting theinformation on the client’s chart T T T T T T T T T T T




D) Referring ateen who admitshaving suicidal thoughts to a mental health care specialist
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Ans: D
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Feedback:

The role of the counselor includes making appropriate referrals. Discussing legal issues is the role of the advocate and
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searching for information on the Internet is the role of a researcher. Conducting a client interview would fall under the role of
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the caregiver.
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Anurse instructorexplains the concept of health to her students. Which of the following statements accurately describes
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8. this state of being?
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A) Health is a state of optimal functioning.
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B) Health is an absence of illness.T T T T T




C) Health is always an objective state.
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D) Health is not determined bythe patient.
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Ans: A
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Feedback:

Health is a state of optimal functioning or well-being. As defined by the World Health Organization, one’s health includes
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physical, social, and mental componentsandis not merely the absence ofdisease or infirmity. Health is often a subjective state; a
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person maybe medically diagnosed with an illness but still consider himself or herself healthy.
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Anurse incorporates thehealth promotion guidelines established bythe U.S.Department of Health document: Healthy
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9. People2010. Which of the following is a health indicatordiscussed in this document?
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A) Cancer

B) Obesity

C) Diabetes

D) Hypertension

Ans: B
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The 10 leading indicators of health established by Healthy People 2010 are: physical activity, excessive weight and obesity,
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tobacco use,substance abuse,responsiblesexualbehavior,mentalhealth,injuryand violence, environmental quality,
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immunizations, and access to health care.
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10. Which of the following is a criteria that defines nursing as profession?
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A) an undefined bodyof knowledge
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B) a dependence on the medical profession
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C) an ability to diagnose medical problems
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D) a strong service orientation
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Ans: D T




Feedback:

Nursingis recognized increasingly as aprofession based on thefollowing defining criteria:well-defined bodyof specific and
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unique knowledge; strong service orientation; recognized authority by a professional group; code of ethics; professional
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organization that sets standards; ongoing research; and autonomy.
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After graduation from an accredited program in nursing and successfully passing the NCLEX,what gives the nurse a
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11. legalright to practice? T T T




A) Enrolling in an advanced degree program T T T T T




B) Filing NCLEX results in the county of residence
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C) Being licensed bythe State Board of Nursing
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D) Having a signed letter confirming graduation T T T T T




Ans: CT




Feedback:

The Board of Nursing in each state has the legal authority to allow graduates of approved schools of nursing to take the licensing
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examination. Those who successfully meet the requirements for licensure are given a license to practice nursing in the state. It
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is illegal to practice nursing without a licenseissued by the State Board of Nursing. A nurse does nothave the legal right to
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practice nursingbyenrolling in an advanced degreeprogram, filing NCLEX results, or having a letter confirming graduation.
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A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and
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subsequently reported the action tothe State Board of Nursing. How mightthis affect thenurse’s licenseto practice nursing?
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12.


A) It will have no effect on the ability to practice nursing.
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B) The nurse can practice nursing ata less-skilled level.
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C) The nurse’s license maybe revoked or suspended.
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D) The nurse’s licensewill permanently carry a felony conviction.
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Ans: C T